chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy to chemicals, Cutaneous vasculitis, Dermatitis acneiform, Eczema, Injection site reaction
Clinical narrative: I have pustular vasculitis at the vaccine site (L arm) and same area on R arm. L arm is worse than the R arm. I have tried everything to get rid of it thinking it was acne (retinol, salicylic wash, topical steroids, benzoyl peroxide) and everything made it worse. I work as a nurse practitioner and did a literature search and found this exact type of vasculitis is common during active COVID infection. Only one case study has been published with an acne-like rash from the COVID vaccine.  I am currently trialing using BBL (broad band laser) therapy for my arms and had my first session about a week ago and have seen a slight improvement so far. I will need an additional 3 more treatments until I know if it works or not.  Additionally, I started having an eczema-like reaction to my contact solution around the same time of onset as the vasculitis. The pathophysiology behind the eczema is bewildering since the only ingredients in the contact solution are methyl ether cellulose and saline. I do not react to contacts that are in regular buffered saline. I have no prior history or family history of eczema or allergies. I now have to use tacrolimus topical ointment every day on and off on my eyes for this. No other events occurred at the time of vaccination or onset of these conditions.  It should be noted that when I had infection with omicron variant COVID, both the vasculitis and the eczema went away for about a month and a half and then returned.  I did not have a change in diet, soaps or lotions. I use hypoallergenic products like cetaphil and cerave.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Insomnia, Pain, Pain in extremity, Sensory disturbance
Clinical narrative: She got her vaccine as recommended by her doctor.  She had a little soreness in her arm for the first couple of days.  Then she started to notice a really weird sensation from her stomach to belly button to half way to her back.  Really weird feelings and could not figure out what it was.  She went to a friends house a week later and told her about the horrible burning sensation, Saturday night and asked what did it feel like, and told her that she did not want anything to touch her skin as it burned.  She mentioned she had the shingles vaccine who told her that it sounded like she had shingles.  She went to her PCP, put her on an antiviral which did not help.  It is worse now, and keeps getting worse.  Northing they have provided for her has worked.    She was on the antiviral for 7 days and did not work.   She asked if they would give her something else, and they told her that nothing else would work, this was the NP.  They did not give her any other recommendations.  They did not give her any referral, minimal amount of pain medication and know that she is in pain and told her that they could not give her any more pain medication.    She is in constant pain, cannot sleep and says that it is ruining her life and should be taken off the market for older people.    She gets up at 3:00 AM, cannot stand anything touching her skin and walks around in her apartment basically without any clothes on and again has excruciating pain.   She shakes due to the pain.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Muscle twitching, Pain
Clinical narrative: I started having like a bit of pain in different areas of my body. Kind of like a painful twitch. It lasted for quite some time. Then it disappeared and it popped up a couple more times. It popped up again recently during covid-which was 10 days ago.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient administered expired dose
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Endotracheal intubation, General physical health deterioration, Hypoxia
Clinical narrative: Brought into the ER on 1/07/2022 with worsening mentation and hypoxia. Was intubated. Found to be COVID positive. Had superimposed bacterial pneumonia as well and developed septic shock with multiorgan system failure. Despite care she continued to decline and after discussion with her family she was made a DNR. Overnight on 1/11/22she continued to decline further and she ultimately passed away at 8:08am on 1/12/22.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Multiple organ dysfunction syndrome, Pneumonia bacterial, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Brought into the ER on 1/07/2022 with worsening mentation and hypoxia. Was intubated. Found to be COVID positive. Had superimposed bacterial pneumonia as well and developed septic shock with multiorgan system failure. Despite care she continued to decline and after discussion with her family she was made a DNR. Overnight on 1/11/22she continued to decline further and she ultimately passed away at 8:08am on 1/12/22.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Superinfection
Clinical narrative: Brought into the ER on 1/07/2022 with worsening mentation and hypoxia. Was intubated. Found to be COVID positive. Had superimposed bacterial pneumonia as well and developed septic shock with multiorgan system failure. Despite care she continued to decline and after discussion with her family she was made a DNR. Overnight on 1/11/22she continued to decline further and she ultimately passed away at 8:08am on 1/12/22.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Angiopathy, Giant cell arteritis, Laboratory test abnormal, Loss of consciousness, Night sweats
Clinical narrative: Healthy patient with no long term health conditions, self described as "perfect health" with "normal blood work" ...Starting toward the end of June, patient describes randomly developing a high fever, that lasted for weeks, including night sweats, fever around 104 for days straight, patient describes passing out, finally went to the hospital the first time, hospital could not find anything wrong, fever continued , had to go back to the hospital, then they did more extensive tests and found he has "giant cell arteritis" which he said is a chronic inflammation of the blood vessel disease, and had to start taking prednisone long term.  Symptoms have went away over time as the prednisone kicked in.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Healthy patient with no long term health conditions, self described as "perfect health" with "normal blood work" ...Starting toward the end of June, patient describes randomly developing a high fever, that lasted for weeks, including night sweats, fever around 104 for days straight, patient describes passing out, finally went to the hospital the first time, hospital could not find anything wrong, fever continued , had to go back to the hospital, then they did more extensive tests and found he has "giant cell arteritis" which he said is a chronic inflammation of the blood vessel disease, and had to start taking prednisone long term.  Symptoms have went away over time as the prednisone kicked in.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Very noticeable ringing in ears
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Peripheral swelling
Clinical narrative: Arm Swelled up and had the taste of metal in my mouth - went away after about 2 hours
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: Axillary pain, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever 101.9  Achy body soreness at injection site and soreness under same arm
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash
Clinical narrative: Pt presented  four days  after vaccination stated rash had started on feet and spread all over body, upon visit 4 days later rash had resolved to all areas except  injection site R deltoid, Order noted Decadron 6mg IM was administered.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Patient came into store to show a high immunization administration and c/o pain in shoulder due to vaccine from prior day. Patient sees a regular shoulder MD due to a previous hx of frozen shoulder X2.  Administration site was approx. 1 finger width below should joint, high in the deltoid.  Discussed use of ibuprofen/ice and check in with regular shoulder MD if continued pain. No visible increased swelling or redness at site. I had to look very closely to see needle pin hole from Admin site. Pt stated that immunizer kept telling him to  relax his arm. Notified PRIVATE 4/7 of event (immunizer is rotating student with current training and certification). Discussed event with immunizer and without stating patient name, she was able to remember the interaction and stated that the patient was wearing a tight shirt and had to hold the shirt up with the other arm in order to provide immunization and had difficultly relaxing arm.  Reviewed regular administration technique and discussed the necessity to have a patient remove a shirt if restricting the view of their full arm.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Endotracheal intubation, Gastrostomy
Clinical narrative: pt brought to ED with lethargy, SOB; in shock with respiratory distress; intubated on mechanical vent; vasopressors; positive for COVID; ABX; ICU; tracheostomy and PEG tube placed; poor prognosis; pt's condition continued to worsen and pt passed away in the hospital
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Intensive care, Lethargy, Mechanical ventilation, Respiratory distress
Clinical narrative: pt brought to ED with lethargy, SOB; in shock with respiratory distress; intubated on mechanical vent; vasopressors; positive for COVID; ABX; ICU; tracheostomy and PEG tube placed; poor prognosis; pt's condition continued to worsen and pt passed away in the hospital
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Shock, Tracheostomy
Clinical narrative: pt brought to ED with lethargy, SOB; in shock with respiratory distress; intubated on mechanical vent; vasopressors; positive for COVID; ABX; ICU; tracheostomy and PEG tube placed; poor prognosis; pt's condition continued to worsen and pt passed away in the hospital
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Received 20 mcg instead of 10 mcg dose for his age as diluent was not added
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The patient came in for a third (booster) dose. She received her previous covid-19 vaccines from 2 different facilities. We administered the booster dose of 0.25ml at 9:15am on 04/08/22. Immediately after administration it was discovered that the vaccine product expired 7 days ago, on April 1 2022. It was received only a month ago and the expiration date was not checked correctly, nor have we had a product so short dated previously. The vaccine administrator/RPH contacted Moderna directly and we are waiting to determine if the patient will need an additional vaccine or if the vaccine given is still viable. No adverse effects took place for the patient, and we have explained the situation and will contact her as soon as we hear from Moderna what further action if any needs to be taken.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Ankle fracture, Arthralgia, Arthritis, Balance disorder, Blood test
Clinical narrative: It caused me to experience a lot of joint pain in all areas of my body. I was already seeing pain management so they doubled the medication and added additional medications to my regimen. This provided temporary relief so I began to take the medication 3 times more. I was put in physical therapy which made it worse so I stopped going. The pain remained bad for 9 months. A steroid injection in my back and knee and prednisone were administered. I still have the pain but it is not as severe. I still have it in my elbows, wrist and knees. I was unable to sleep at night. The provider did blood work but did not look further into to see if there were any abnormalities in my system. My primary provider indicated that I had developed additional arthritis in the joint. I got a fracture on my right ankle as I was trying to balance myself in the shower. I am currently in the process of getting a boot placed when I am able to afford to get it.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection, Insomnia, Joint injection, X-ray
Clinical narrative: It caused me to experience a lot of joint pain in all areas of my body. I was already seeing pain management so they doubled the medication and added additional medications to my regimen. This provided temporary relief so I began to take the medication 3 times more. I was put in physical therapy which made it worse so I stopped going. The pain remained bad for 9 months. A steroid injection in my back and knee and prednisone were administered. I still have the pain but it is not as severe. I still have it in my elbows, wrist and knees. I was unable to sleep at night. The provider did blood work but did not look further into to see if there were any abnormalities in my system. My primary provider indicated that I had developed additional arthritis in the joint. I got a fracture on my right ankle as I was trying to balance myself in the shower. I am currently in the process of getting a boot placed when I am able to afford to get it.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient administered expired dose
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test negative, Asthma, Cough, Pulmonary function test abnormal
Clinical narrative: cough for 9 months with intermittent return. NEVER SMOKER, no previous pulmonary issues, allergy tests negative. failed PFTs. diagnosed with asthma at the age of 71.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient administered expired dose
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Pain, Pain in extremity, Pyrexia
Clinical narrative: The next day body aches and low grade fever, flu like symptoms and extremely tired, along with arm pain. Participant are on no medicines.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted.   COVID infection breakthrough
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Pt given extra doses of each of the above vaccines by mistake. Pt left clinic with no s/s of AE.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pruritus, Rash, Rash erythematous, Rash papular
Clinical narrative: Since 2 February she has complained of recurrent episodes of generalized itching and rashes described as raised, red, itchy whelts which can occur anywhere on her body, especially where her skin is scraped or scratched. Lesions last less than 24 hours, affect her palms and soles, and resolve without post-inflammatory changes. She also notes increased lesions when she was stressed or with increased body heat/sweating (such as exercise or a hot shower). She denies laryngeal, pulmonary, GI, neurologic, and cardiovascular symptoms with these episodes. Episodes not associated with exercise, cold, foods, medications, NSAIDs, IV contrast, latex exposure, known infections, or insect bites/stings. She received her Moderna COVID-19 vaccine booster dose on 22 January, 11 days prior to onset of symptoms. She has used oral antihistamines with benefit. She denies constitutional symptoms. UCT score today is 9 (1, 2, 0, 2, 0, 0, 2, 2). No history of adverse reactions to prior vaccines.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Skin lesion, Stress, Urticaria
Clinical narrative: Since 2 February she has complained of recurrent episodes of generalized itching and rashes described as raised, red, itchy whelts which can occur anywhere on her body, especially where her skin is scraped or scratched. Lesions last less than 24 hours, affect her palms and soles, and resolve without post-inflammatory changes. She also notes increased lesions when she was stressed or with increased body heat/sweating (such as exercise or a hot shower). She denies laryngeal, pulmonary, GI, neurologic, and cardiovascular symptoms with these episodes. Episodes not associated with exercise, cold, foods, medications, NSAIDs, IV contrast, latex exposure, known infections, or insect bites/stings. She received her Moderna COVID-19 vaccine booster dose on 22 January, 11 days prior to onset of symptoms. She has used oral antihistamines with benefit. She denies constitutional symptoms. UCT score today is 9 (1, 2, 0, 2, 0, 0, 2, 2). No history of adverse reactions to prior vaccines.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Tremor, Visual impairment
Clinical narrative: I experienced an aura in my vision, which then progressed to shaking, and nausea. I had to take lorazepam in multiple doses to get it to resolve.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Brain stem stroke, Computerised tomogram head, Computerised tomogram neck, Dysphagia
Clinical narrative: Stroke-Brain Stem Ischemic Stroke.  Occlusion of of left V4 distal artery.   Tracheostomy -for urgent breathing issue.-Removed December 18th Gastric Tube for feeding-because of swallowing difficulties-remains for hydration only weakness in all 4 limbs
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Gastrointestinal tube insertion, Ischaemic stroke, Magnetic resonance imaging head
Clinical narrative: Stroke-Brain Stem Ischemic Stroke.  Occlusion of of left V4 distal artery.   Tracheostomy -for urgent breathing issue.-Removed December 18th Gastric Tube for feeding-because of swallowing difficulties-remains for hydration only weakness in all 4 limbs
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal, Muscular weakness, Tracheostomy, Vertebral artery occlusion
Clinical narrative: Stroke-Brain Stem Ischemic Stroke.  Occlusion of of left V4 distal artery.   Tracheostomy -for urgent breathing issue.-Removed December 18th Gastric Tube for feeding-because of swallowing difficulties-remains for hydration only weakness in all 4 limbs
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL, CURRENTLY STILL ADMITTED
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Tinnitus
Clinical narrative: Loud Ringing in both ears
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient administered expired dose
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Pain, Pruritus
Clinical narrative: It started itching midday at work and thought it was bug bite. Three days later, I went to the Urgent Care and was diagnosed with Shingles. It was on my back and came around to my left pectoral, and it was painful and itchy. I was treated with an antibiotic.
Age: 63.0
Sex: M
Vaccine: PNC20, VARZOS
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient developed a rash(spots) on both arms and legs but not trunk. No trouble breathing or anaphylactic symptoms described. Patient states it is itchy, suggested hydrocortisone for now and talk with MD about treatment going forward.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Basophil count normal, Basophil percentage, Blood calcium decreased, Blood chloride normal
Clinical narrative: 3/31/2022 12:52 resident states feels tired and weak, moist productive cough, decreased appetite, hoarse voice,  O2 sats 96%RA a febrile  3/31/2022 23:00 mouth breathing and using accessory muscles, lungs decreased scattered rhonchi, O2 sats 80%, placed on simple face mask, skin hot and dry to touch VS 100.3,69,24,140/75, O2 up to 97 with simple face mask @6L, Tylenol given for temp. 4/1/2022 no PO intake 4/2/2022 resident suctioned for large amount of yellow mucus. 4/3/2022 lungs remain decreased with scattered rhonchi, skin pale and warm to touch. 4/4/2022 resident alert and talkative, recognizes staff, skin warm and dry, moist NP cough resident stated he is feeling better. 4/5/2022 Hospice consult  4/6/22 PO medications dc'd as resident is unable to swallow. 4/7/22 0940 resident non responsive to verbal stimuli, skin warm and dry, no restlessness, no oral intake, no mottling noted.  4/7/2022 20:25 resident restless tachypnea at 36 4/7/2022 22:10.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea increased
Clinical narrative: 3/31/2022 12:52 resident states feels tired and weak, moist productive cough, decreased appetite, hoarse voice,  O2 sats 96%RA a febrile  3/31/2022 23:00 mouth breathing and using accessory muscles, lungs decreased scattered rhonchi, O2 sats 80%, placed on simple face mask, skin hot and dry to touch VS 100.3,69,24,140/75, O2 up to 97 with simple face mask @6L, Tylenol given for temp. 4/1/2022 no PO intake 4/2/2022 resident suctioned for large amount of yellow mucus. 4/3/2022 lungs remain decreased with scattered rhonchi, skin pale and warm to touch. 4/4/2022 resident alert and talkative, recognizes staff, skin warm and dry, moist NP cough resident stated he is feeling better. 4/5/2022 Hospice consult  4/6/22 PO medications dc'd as resident is unable to swallow. 4/7/22 0940 resident non responsive to verbal stimuli, skin warm and dry, no restlessness, no oral intake, no mottling noted.  4/7/2022 20:25 resident restless tachypnea at 36 4/7/2022 22:10.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea nitrogen/creatinine ratio increased, Body temperature increased, Breath sounds abnormal, Carbon dioxide increased, Chest X-ray abnormal
Clinical narrative: 3/31/2022 12:52 resident states feels tired and weak, moist productive cough, decreased appetite, hoarse voice,  O2 sats 96%RA a febrile  3/31/2022 23:00 mouth breathing and using accessory muscles, lungs decreased scattered rhonchi, O2 sats 80%, placed on simple face mask, skin hot and dry to touch VS 100.3,69,24,140/75, O2 up to 97 with simple face mask @6L, Tylenol given for temp. 4/1/2022 no PO intake 4/2/2022 resident suctioned for large amount of yellow mucus. 4/3/2022 lungs remain decreased with scattered rhonchi, skin pale and warm to touch. 4/4/2022 resident alert and talkative, recognizes staff, skin warm and dry, moist NP cough resident stated he is feeling better. 4/5/2022 Hospice consult  4/6/22 PO medications dc'd as resident is unable to swallow. 4/7/22 0940 resident non responsive to verbal stimuli, skin warm and dry, no restlessness, no oral intake, no mottling noted.  4/7/2022 20:25 resident restless tachypnea at 36 4/7/2022 22:10.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Differential white blood cell count, Dry skin, Dysphagia
Clinical narrative: 3/31/2022 12:52 resident states feels tired and weak, moist productive cough, decreased appetite, hoarse voice,  O2 sats 96%RA a febrile  3/31/2022 23:00 mouth breathing and using accessory muscles, lungs decreased scattered rhonchi, O2 sats 80%, placed on simple face mask, skin hot and dry to touch VS 100.3,69,24,140/75, O2 up to 97 with simple face mask @6L, Tylenol given for temp. 4/1/2022 no PO intake 4/2/2022 resident suctioned for large amount of yellow mucus. 4/3/2022 lungs remain decreased with scattered rhonchi, skin pale and warm to touch. 4/4/2022 resident alert and talkative, recognizes staff, skin warm and dry, moist NP cough resident stated he is feeling better. 4/5/2022 Hospice consult  4/6/22 PO medications dc'd as resident is unable to swallow. 4/7/22 0940 resident non responsive to verbal stimuli, skin warm and dry, no restlessness, no oral intake, no mottling noted.  4/7/2022 20:25 resident restless tachypnea at 36 4/7/2022 22:10.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphonia, Eosinophil count normal, Eosinophil percentage decreased, Fatigue, Full blood count
Clinical narrative: 3/31/2022 12:52 resident states feels tired and weak, moist productive cough, decreased appetite, hoarse voice,  O2 sats 96%RA a febrile  3/31/2022 23:00 mouth breathing and using accessory muscles, lungs decreased scattered rhonchi, O2 sats 80%, placed on simple face mask, skin hot and dry to touch VS 100.3,69,24,140/75, O2 up to 97 with simple face mask @6L, Tylenol given for temp. 4/1/2022 no PO intake 4/2/2022 resident suctioned for large amount of yellow mucus. 4/3/2022 lungs remain decreased with scattered rhonchi, skin pale and warm to touch. 4/4/2022 resident alert and talkative, recognizes staff, skin warm and dry, moist NP cough resident stated he is feeling better. 4/5/2022 Hospice consult  4/6/22 PO medications dc'd as resident is unable to swallow. 4/7/22 0940 resident non responsive to verbal stimuli, skin warm and dry, no restlessness, no oral intake, no mottling noted.  4/7/2022 20:25 resident restless tachypnea at 36 4/7/2022 22:10.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate, Haematocrit decreased, Haemoglobin decreased, Hypophagia, Laboratory test normal
Clinical narrative: 3/31/2022 12:52 resident states feels tired and weak, moist productive cough, decreased appetite, hoarse voice,  O2 sats 96%RA a febrile  3/31/2022 23:00 mouth breathing and using accessory muscles, lungs decreased scattered rhonchi, O2 sats 80%, placed on simple face mask, skin hot and dry to touch VS 100.3,69,24,140/75, O2 up to 97 with simple face mask @6L, Tylenol given for temp. 4/1/2022 no PO intake 4/2/2022 resident suctioned for large amount of yellow mucus. 4/3/2022 lungs remain decreased with scattered rhonchi, skin pale and warm to touch. 4/4/2022 resident alert and talkative, recognizes staff, skin warm and dry, moist NP cough resident stated he is feeling better. 4/5/2022 Hospice consult  4/6/22 PO medications dc'd as resident is unable to swallow. 4/7/22 0940 resident non responsive to verbal stimuli, skin warm and dry, no restlessness, no oral intake, no mottling noted.  4/7/2022 20:25 resident restless tachypnea at 36 4/7/2022 22:10.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased
Clinical narrative: 3/31/2022 12:52 resident states feels tired and weak, moist productive cough, decreased appetite, hoarse voice,  O2 sats 96%RA a febrile  3/31/2022 23:00 mouth breathing and using accessory muscles, lungs decreased scattered rhonchi, O2 sats 80%, placed on simple face mask, skin hot and dry to touch VS 100.3,69,24,140/75, O2 up to 97 with simple face mask @6L, Tylenol given for temp. 4/1/2022 no PO intake 4/2/2022 resident suctioned for large amount of yellow mucus. 4/3/2022 lungs remain decreased with scattered rhonchi, skin pale and warm to touch. 4/4/2022 resident alert and talkative, recognizes staff, skin warm and dry, moist NP cough resident stated he is feeling better. 4/5/2022 Hospice consult  4/6/22 PO medications dc'd as resident is unable to swallow. 4/7/22 0940 resident non responsive to verbal stimuli, skin warm and dry, no restlessness, no oral intake, no mottling noted.  4/7/2022 20:25 resident restless tachypnea at 36 4/7/2022 22:10.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Monocyte count increased, Monocyte percentage increased, Mouth breathing, Neutrophil count
Clinical narrative: 3/31/2022 12:52 resident states feels tired and weak, moist productive cough, decreased appetite, hoarse voice,  O2 sats 96%RA a febrile  3/31/2022 23:00 mouth breathing and using accessory muscles, lungs decreased scattered rhonchi, O2 sats 80%, placed on simple face mask, skin hot and dry to touch VS 100.3,69,24,140/75, O2 up to 97 with simple face mask @6L, Tylenol given for temp. 4/1/2022 no PO intake 4/2/2022 resident suctioned for large amount of yellow mucus. 4/3/2022 lungs remain decreased with scattered rhonchi, skin pale and warm to touch. 4/4/2022 resident alert and talkative, recognizes staff, skin warm and dry, moist NP cough resident stated he is feeling better. 4/5/2022 Hospice consult  4/6/22 PO medications dc'd as resident is unable to swallow. 4/7/22 0940 resident non responsive to verbal stimuli, skin warm and dry, no restlessness, no oral intake, no mottling noted.  4/7/2022 20:25 resident restless tachypnea at 36 4/7/2022 22:10.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil percentage decreased, Pallor, Platelet disorder, Productive cough, Red blood cell count decreased
Clinical narrative: 3/31/2022 12:52 resident states feels tired and weak, moist productive cough, decreased appetite, hoarse voice,  O2 sats 96%RA a febrile  3/31/2022 23:00 mouth breathing and using accessory muscles, lungs decreased scattered rhonchi, O2 sats 80%, placed on simple face mask, skin hot and dry to touch VS 100.3,69,24,140/75, O2 up to 97 with simple face mask @6L, Tylenol given for temp. 4/1/2022 no PO intake 4/2/2022 resident suctioned for large amount of yellow mucus. 4/3/2022 lungs remain decreased with scattered rhonchi, skin pale and warm to touch. 4/4/2022 resident alert and talkative, recognizes staff, skin warm and dry, moist NP cough resident stated he is feeling better. 4/5/2022 Hospice consult  4/6/22 PO medications dc'd as resident is unable to swallow. 4/7/22 0940 resident non responsive to verbal stimuli, skin warm and dry, no restlessness, no oral intake, no mottling noted.  4/7/2022 20:25 resident restless tachypnea at 36 4/7/2022 22:10.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Red cell distribution width increased, Restlessness, Rhonchi, Secretion discharge, Skin warm
Clinical narrative: 3/31/2022 12:52 resident states feels tired and weak, moist productive cough, decreased appetite, hoarse voice,  O2 sats 96%RA a febrile  3/31/2022 23:00 mouth breathing and using accessory muscles, lungs decreased scattered rhonchi, O2 sats 80%, placed on simple face mask, skin hot and dry to touch VS 100.3,69,24,140/75, O2 up to 97 with simple face mask @6L, Tylenol given for temp. 4/1/2022 no PO intake 4/2/2022 resident suctioned for large amount of yellow mucus. 4/3/2022 lungs remain decreased with scattered rhonchi, skin pale and warm to touch. 4/4/2022 resident alert and talkative, recognizes staff, skin warm and dry, moist NP cough resident stated he is feeling better. 4/5/2022 Hospice consult  4/6/22 PO medications dc'd as resident is unable to swallow. 4/7/22 0940 resident non responsive to verbal stimuli, skin warm and dry, no restlessness, no oral intake, no mottling noted.  4/7/2022 20:25 resident restless tachypnea at 36 4/7/2022 22:10.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea, Unresponsive to stimuli, Use of accessory respiratory muscles, White blood cell count normal
Clinical narrative: 3/31/2022 12:52 resident states feels tired and weak, moist productive cough, decreased appetite, hoarse voice,  O2 sats 96%RA a febrile  3/31/2022 23:00 mouth breathing and using accessory muscles, lungs decreased scattered rhonchi, O2 sats 80%, placed on simple face mask, skin hot and dry to touch VS 100.3,69,24,140/75, O2 up to 97 with simple face mask @6L, Tylenol given for temp. 4/1/2022 no PO intake 4/2/2022 resident suctioned for large amount of yellow mucus. 4/3/2022 lungs remain decreased with scattered rhonchi, skin pale and warm to touch. 4/4/2022 resident alert and talkative, recognizes staff, skin warm and dry, moist NP cough resident stated he is feeling better. 4/5/2022 Hospice consult  4/6/22 PO medications dc'd as resident is unable to swallow. 4/7/22 0940 resident non responsive to verbal stimuli, skin warm and dry, no restlessness, no oral intake, no mottling noted.  4/7/2022 20:25 resident restless tachypnea at 36 4/7/2022 22:10.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, Gastrointestinal haemorrhage, Hypoxia
Clinical narrative: Hospitalized with shortness of breath and generalized weakness, hypoxia 88%. COVID positive. GI bleed.  4/6 admit with positive COVID test on 3/28
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalized with shortness of breath and generalized weakness, hypoxia 88%. COVID positive. GI bleed.  4/6 admit with positive COVID test on 3/28
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Engerix-B vaccine administered to patient in left thigh on 4/8/2022 at approximately 0930. MD notified-no new orders.  Immunization representative notified. Patient's mother notified via phone call with interpreter.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Febrile convulsion, Laboratory test, Lethargy, Viral infection
Clinical narrative: patient was seen at an outside ER organization. My medical documentation is limited.  -Patient reported to the ER due to lethargy. -does not appear that any treatment was completed while in the ER, it is possible that patient may have been given Tylenol in the ER, but I am unable to verify that for sure. -exam and lab work completed -Diagnosed with: Febrile seizure    Acute viral syndrome
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, COVID-19, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Began experiencing a sick stomach and then a runny nose.  Took an At-Home Test and tested positive for Covid 19
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: Shortly after receiving the J&J Covid injection my blood pressure increased 70psi on the high side and 50 on the low side.  My pressure had been stabile for years and I've never needed BP medication.  I now have to take BP meds to control my BP despite my weight being lower, my resting heart rate being 53 and exercising 5 times a week.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Incorrect route of product administration, Mobility decreased, Myalgia
Clinical narrative: Within a couple of hours from vaccine my arm started hurting, like muscular pain, and by night it turned into shooting red hot nerve pain down my arm. I couldn't lift or move my arm and I thought maybe it was just the shot. I took Advil and Tylenol and it didn't do anything. I couldn't sleep, pick up things, and I wound up going to urgent care because I didn't want to go to ER. They couldn't lift my arm without giving me horrible pain, and they gave me a low-dose steroid shot and told me there was nothing they could do and if it didn't work go to the ER. It didn't work so I sent my PCP a message and they sent me a prescription for higher dose steroid and I had to try and drive myself to the pharmacy which wasn't pretty, and I started the higher dose steroid. I had no use for my arm for 4-5 days and one of the medical people I spoke to thinks that it was a reaction to the vaccine and that the nurse hit the bursa in shoulder instead of more muscular so it affected the nerve in my arm. I did fine with the first vaccine, but this was just severe pain and I've had cancer and have had a shot called Neulasta that makes your bones feel like they're on fire and this was 20 times worse than that. It eventually went away after 5 days. The urgent care did no medical tests. I also had Omicron in Feburuary 2022 with symptoms including a blinding headache that made me feel like passing out, fever, and achiness. My home test lit up like a pregnancy test, and for the next 4-5 days I laid on the couch in the dark. I didn't lose taste or anything.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pain, Pain in extremity, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Within a couple of hours from vaccine my arm started hurting, like muscular pain, and by night it turned into shooting red hot nerve pain down my arm. I couldn't lift or move my arm and I thought maybe it was just the shot. I took Advil and Tylenol and it didn't do anything. I couldn't sleep, pick up things, and I wound up going to urgent care because I didn't want to go to ER. They couldn't lift my arm without giving me horrible pain, and they gave me a low-dose steroid shot and told me there was nothing they could do and if it didn't work go to the ER. It didn't work so I sent my PCP a message and they sent me a prescription for higher dose steroid and I had to try and drive myself to the pharmacy which wasn't pretty, and I started the higher dose steroid. I had no use for my arm for 4-5 days and one of the medical people I spoke to thinks that it was a reaction to the vaccine and that the nurse hit the bursa in shoulder instead of more muscular so it affected the nerve in my arm. I did fine with the first vaccine, but this was just severe pain and I've had cancer and have had a shot called Neulasta that makes your bones feel like they're on fire and this was 20 times worse than that. It eventually went away after 5 days. The urgent care did no medical tests. I also had Omicron in Feburuary 2022 with symptoms including a blinding headache that made me feel like passing out, fever, and achiness. My home test lit up like a pregnancy test, and for the next 4-5 days I laid on the couch in the dark. I didn't lose taste or anything.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Within a couple of hours from vaccine my arm started hurting, like muscular pain, and by night it turned into shooting red hot nerve pain down my arm. I couldn't lift or move my arm and I thought maybe it was just the shot. I took Advil and Tylenol and it didn't do anything. I couldn't sleep, pick up things, and I wound up going to urgent care because I didn't want to go to ER. They couldn't lift my arm without giving me horrible pain, and they gave me a low-dose steroid shot and told me there was nothing they could do and if it didn't work go to the ER. It didn't work so I sent my PCP a message and they sent me a prescription for higher dose steroid and I had to try and drive myself to the pharmacy which wasn't pretty, and I started the higher dose steroid. I had no use for my arm for 4-5 days and one of the medical people I spoke to thinks that it was a reaction to the vaccine and that the nurse hit the bursa in shoulder instead of more muscular so it affected the nerve in my arm. I did fine with the first vaccine, but this was just severe pain and I've had cancer and have had a shot called Neulasta that makes your bones feel like they're on fire and this was 20 times worse than that. It eventually went away after 5 days. The urgent care did no medical tests. I also had Omicron in Feburuary 2022 with symptoms including a blinding headache that made me feel like passing out, fever, and achiness. My home test lit up like a pregnancy test, and for the next 4-5 days I laid on the couch in the dark. I didn't lose taste or anything.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: On 03/31/2022 I took a test because my spouse tested positive. My at-home test came back Negative on Thursday. I did continue to test every 24 hours. I tested positive on April 2, 2022. Mid-day on 03/31/2022 I did start to feel headache, neck pain, scratchy throat, fatigue, and some shortness of breath. They progressed pretty significant fatigue, breathing, sore throat, congestion, headache, and body aches. I did go to Urgent Care on Sunday morning 04/03/2022 My O2 and BP was normal, Temperature also normal, and lungs were clear. I had a Monoclonal Antibodies infusions (Sotrovimab) on Tuesday 04/05/2022. It honestly didn't make me feel much different but I did not get worse. The symptoms persisted for another 3-5 days. The cough continues to persist.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Oropharyngeal pain, Pain, Respiratory disorder
Clinical narrative: On 03/31/2022 I took a test because my spouse tested positive. My at-home test came back Negative on Thursday. I did continue to test every 24 hours. I tested positive on April 2, 2022. Mid-day on 03/31/2022 I did start to feel headache, neck pain, scratchy throat, fatigue, and some shortness of breath. They progressed pretty significant fatigue, breathing, sore throat, congestion, headache, and body aches. I did go to Urgent Care on Sunday morning 04/03/2022 My O2 and BP was normal, Temperature also normal, and lungs were clear. I had a Monoclonal Antibodies infusions (Sotrovimab) on Tuesday 04/05/2022. It honestly didn't make me feel much different but I did not get worse. The symptoms persisted for another 3-5 days. The cough continues to persist.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: On 03/31/2022 I took a test because my spouse tested positive. My at-home test came back Negative on Thursday. I did continue to test every 24 hours. I tested positive on April 2, 2022. Mid-day on 03/31/2022 I did start to feel headache, neck pain, scratchy throat, fatigue, and some shortness of breath. They progressed pretty significant fatigue, breathing, sore throat, congestion, headache, and body aches. I did go to Urgent Care on Sunday morning 04/03/2022 My O2 and BP was normal, Temperature also normal, and lungs were clear. I had a Monoclonal Antibodies infusions (Sotrovimab) on Tuesday 04/05/2022. It honestly didn't make me feel much different but I did not get worse. The symptoms persisted for another 3-5 days. The cough continues to persist.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: developed sx of covid 4/7- tested positive on home test 4/8- is up to date with Moderna vax, booster dose info above
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Colonoscopy abnormal, Gastrointestinal polyp haemorrhage, Lower gastrointestinal haemorrhage, Polypectomy
Clinical narrative: Lower GI bleed - colonoscopy shows a bleeding polyp which was completely removed bleeding stopped GI is okay with her going home.  She is not to start her Eliquis until tomorrow I would hold her aspirin till follow-up.  We will start iron she is to have blood work in a week. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine,
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Given 9 hours post expiration date. Notified Moderna for information to obtain as to outcomes.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess drainage, Blister, Cellulitis, Debridement, Skin necrosis
Clinical narrative: Right LE cellulitis and bullae - Operations and invasive procedures: Bedside procedure:    - drained her abscess/blister areas were drained x 3 on the right lower extremity of her leg and foot. There was copious clear yellow drainage. I dressed with kerlix and light ace wrap            - - excisionally debrided the ulceration (skin / subcutaneous necrotic tissue) to the right foot today x 1 using a 15-blade, this was debrided down to healthy tissues. Patient tolerated well without any issues ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Skin ulcer excision, Soft tissue necrosis, Therapeutic procedure
Clinical narrative: Right LE cellulitis and bullae - Operations and invasive procedures: Bedside procedure:    - drained her abscess/blister areas were drained x 3 on the right lower extremity of her leg and foot. There was copious clear yellow drainage. I dressed with kerlix and light ace wrap            - - excisionally debrided the ulceration (skin / subcutaneous necrotic tissue) to the right foot today x 1 using a 15-blade, this was debrided down to healthy tissues. Patient tolerated well without any issues ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: INADVERTENTLY RECEIVED 2ND COVID-19 BOOSTER DOSE EARLY, WAS NOT ELIGIBLE FOR 2ND BOOSTER UNTIL 5/27/22.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Pain in extremity, Somnolence
Clinical narrative: I started feeling like I had the flu & I was very tired & my arm was very sore but later that night I was exhausted & my arm was in severe pain I was sleeping all day & I felt very tired, so I went to clinic & was told to take Tylenol & go to ER if it got worse.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Balance disorder, Burning sensation, Discomfort
Clinical narrative: Monday night -Shoulder pain, felt like whole body was on fire.  Felt exhausted from the pain.  Once fire feeling went away, felt achy all over.   Tuesday and Wednesday had sweats and achy all over.  Shoulder pain moved to neck.  Unstable, kept feeling like was going to fall, felt like couldn't move, body felt heavy.  Worst headache ever, felt like migraine.  Head hurt severly from Tuesday-Wednesday.  Dull ache on Thursday and Friday.  Shoulder and back still hurting (probably about 8 on pain scale.  Took Tylenol on Tuesday night and Wednesday.  Tylenol helped the pain.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Hyperhidrosis, Migraine, Neck pain
Clinical narrative: Monday night -Shoulder pain, felt like whole body was on fire.  Felt exhausted from the pain.  Once fire feeling went away, felt achy all over.   Tuesday and Wednesday had sweats and achy all over.  Shoulder pain moved to neck.  Unstable, kept feeling like was going to fall, felt like couldn't move, body felt heavy.  Worst headache ever, felt like migraine.  Head hurt severly from Tuesday-Wednesday.  Dull ache on Thursday and Friday.  Shoulder and back still hurting (probably about 8 on pain scale.  Took Tylenol on Tuesday night and Wednesday.  Tylenol helped the pain.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Monday night -Shoulder pain, felt like whole body was on fire.  Felt exhausted from the pain.  Once fire feeling went away, felt achy all over.   Tuesday and Wednesday had sweats and achy all over.  Shoulder pain moved to neck.  Unstable, kept feeling like was going to fall, felt like couldn't move, body felt heavy.  Worst headache ever, felt like migraine.  Head hurt severly from Tuesday-Wednesday.  Dull ache on Thursday and Friday.  Shoulder and back still hurting (probably about 8 on pain scale.  Took Tylenol on Tuesday night and Wednesday.  Tylenol helped the pain.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient administered expired dose
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Glucose tolerance test normal, Hypoaesthesia, Impaired work ability, Influenza like illness
Clinical narrative: I experienced pain at the injection site and flu like symptoms for 2 days after injection. Within a week of dose 3, numbness with severe pain began in my right leg at my toes and progressed up through my calf. I have been to the ER, urgent cares, and seen a chiropractor for this issue. It has not resolved at all. Have missed a lot of work due to trouble walking.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: I experienced pain at the injection site and flu like symptoms for 2 days after injection. Within a week of dose 3, numbness with severe pain began in my right leg at my toes and progressed up through my calf. I have been to the ER, urgent cares, and seen a chiropractor for this issue. It has not resolved at all. Have missed a lot of work due to trouble walking.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient administered expired dose
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Insomnia, Nausea
Clinical narrative: Dizziness began 2nd day after booster at approx 3am-woke me up from sleep; difficulty returning to sleep Nausea began at the same, No vomiting, loss of appetite continues to the time of this report *Note: patient did not experience any sides effects, including those listed here, from previous 3 Covid Vaccine injections