chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature for too long.  We have recommended to the patient to get revaccinated.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal X-ray, Abdominal pain upper, Appendix disorder, Blood bilirubin increased, Chest X-ray
Clinical narrative: Fell sick fever morning of 12/15 - started with nausea stomach pains fever rise within hours to 104.5, went to er where was told blood pressure was 88/40, hard to breath.  Was in septic shock- small intestine full of infection which moved to kidneys, liver and appendix,  fluid on lungs . Was in hospital 4 days and duscharged on the fourth . They said it wasn?t bacterial infection mite viral and couldn?t really pinpoint what the cause was but said it was enteritis
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Enteritis, Enteritis infectious, Hepatic infection, Kidney infection
Clinical narrative: Fell sick fever morning of 12/15 - started with nausea stomach pains fever rise within hours to 104.5, went to er where was told blood pressure was 88/40, hard to breath.  Was in septic shock- small intestine full of infection which moved to kidneys, liver and appendix,  fluid on lungs . Was in hospital 4 days and duscharged on the fourth . They said it wasn?t bacterial infection mite viral and couldn?t really pinpoint what the cause was but said it was enteritis
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Malaise, Nausea, Pulmonary oedema, Pyrexia
Clinical narrative: Fell sick fever morning of 12/15 - started with nausea stomach pains fever rise within hours to 104.5, went to er where was told blood pressure was 88/40, hard to breath.  Was in septic shock- small intestine full of infection which moved to kidneys, liver and appendix,  fluid on lungs . Was in hospital 4 days and duscharged on the fourth . They said it wasn?t bacterial infection mite viral and couldn?t really pinpoint what the cause was but said it was enteritis
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Septic shock
Clinical narrative: Fell sick fever morning of 12/15 - started with nausea stomach pains fever rise within hours to 104.5, went to er where was told blood pressure was 88/40, hard to breath.  Was in septic shock- small intestine full of infection which moved to kidneys, liver and appendix,  fluid on lungs . Was in hospital 4 days and duscharged on the fourth . They said it wasn?t bacterial infection mite viral and couldn?t really pinpoint what the cause was but said it was enteritis
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Per patient file in Alert  Moderna vaccine was given 06/19/2021 at this location but Pfizer vaccine was also given the same day 06/19/2021 at a different Pharmacy location. No lot number on record for Moderna on 06/19/2021.
Age: 50.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Pt had already received his influenza vaccination on 9/30/21, received a 2nd one on 1/13/22
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Product administered at inappropriate site
Clinical narrative: The patient came in for a booster Moderna shot. An immunizing technician drew up the shot and administered the shot. Per the patient's report and based on the pharmacist visually inspecting later, the technician administered the vaccination much lower on the patient's arm than the middle of the deltoid muscle. Based on palpitation and visual inspection, it felt as though the obvious hole under her bandaid was in some muscle, whether it was the tail-end of the deltoid or the bicep muscle, I am not sure. The patient reported in a follow-up letter that the next morning she had a raised, tender, red lump distal and medial to the entire deltoid muscle. According to the patient, the location of the lump was in.subcutaneous tissue, indicating that the injection was given at an angle and had ended up mostly in subcutaneous tissue rather than muscle. The patient reported that the redness left after 10 days but the tenderness and a small lump remained. I have not had additional follow-up with her to know how long the tenderness or lump lasted. The patient contacted her primary care physician by phone the day after the injection and was told to monitor for any signs of infection and call back if that happened. She was told it was not recommended that she receive an additional or replacement booster dose. I do not believe she ever saw a health care provider in person for this event.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria, Herpes zoster, Hypersensitivity, Mechanical urticaria, Pruritus
Clinical narrative: 10 days post vaccine, started developing hives (spontaneous urticaria) and dermatagraphia.  Itchy scalp, hands, feet and various other parts of body.  Hyper-sensitive histamine reactions.  Treated with over the counter anti-histamines.  Around 8 weeks later, same symptoms with little relief.  Also, developed and clinically diagnosed with Shingles (roughly 2 months post vaccine and 6 weeks into ongoing urticaria and dermatagrphia.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 10 days post vaccine, started developing hives (spontaneous urticaria) and dermatagraphia.  Itchy scalp, hands, feet and various other parts of body.  Hyper-sensitive histamine reactions.  Treated with over the counter anti-histamines.  Around 8 weeks later, same symptoms with little relief.  Also, developed and clinically diagnosed with Shingles (roughly 2 months post vaccine and 6 weeks into ongoing urticaria and dermatagrphia.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysmenorrhoea, Heavy menstrual bleeding, Impaired work ability, Insomnia
Clinical narrative: Menstrual cramps and bleeding following the second shot have become severe, causing loss of sleep, dizziness, pain, and impacting ability to work
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Menstrual cramps and bleeding following the second shot have become severe, causing loss of sleep, dizziness, pain, and impacting ability to work
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Malaise
Clinical narrative: Fully vaccinated, boosted 12/2/21.  Symptomatic COVID infection with inpatient hospital stay on a general medical unit.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Magnetic resonance imaging head normal, Seizure
Clinical narrative: Patient received the initial Pfizer vaccine Dec 29,2021.  He developed new onset seizure 1/14/2022 and had a second seizure on 1/23/2022.  He has no prior hx of seizure disorder and no other cause for seizure.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Magnetic resonance imaging normal, Malaise, Memory impairment
Clinical narrative: Shortly after I received the shot my husband and I were going to lunch. I told him I wasn?t feeling well and didn?t want to go. He said let?s walk around the parking lot of the restaurant and maybe I?ll feel better. We walked around the parking lot for a few minutes and I said I wasn?t feeling well and wanted to go home. So we left. On the ride home I asked my husband if we were going to lunch and he told me about walked around the parking lot. I have no recollection of this. Then in May of 2021 I look my grandkids to the park with no recollection of doing so. I. Advised my healthcare provider of this and had an MRI done. I?ve since learned of other people who had Pfizer and were having memory issues.  I?m convinced it?s an adverse effect from the Pfizer vaccine.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Client is an 11 year old female who came in for her second dose. Client received a Pfizer 12+ dose. Client's Parent notified before leaving the clinic.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given a COVID vaccine after it's BUD.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache lasting >30 days
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Computerised tomogram abnormal, Fatigue, Pulmonary embolism
Clinical narrative: In December, 2021, a few weeks after receiving the Moderna COVID booster, I began to feel weak and tired. On January 3, 2022, I received a CT scan for another issue (monitoring aortic aneurysms) and Dr. (Privacy) noticed a pulmonary embolism in my right lung. I have read that blood clots are a possible result of the vaccine. I don't know whether or not the vaccination caused this blood clot. I had one prior pulmonary embolism, in 2018.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Exercise tolerance decreased, Fatigue, Heart rate increased
Clinical narrative: Shortly following the second dose, I experienced chest pain and elevated heart rate (no medical history of either), noticeable decrease in exercise capacity, and fatigue/shortness of breath. I am now about 2.5 months post-second-dose and while the chest pains have subsided somewhat, the elevated heart rate, fatigue, shortness of breath, and reduced capacity to exercise have persisted to this day.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: I am experiencing tingling in my legs and feet.  This has been the same since the day after I received the booster shot. I am not in pain just constant tingling in thighs, lower legs, and bottom of my feet. I do not know if I should go to doctor or not.  I will give it another few days.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored out of range - in freezer for greater than 14 days; offered revaccination and patient denied
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: All over body pain. Patient took acetaminophen 1g at 2:00AM on 12/4/2021. Had to take another dose at 9am and every 4 hours after for 24 hours to keep symptoms down. Symptoms resolved by 12/5/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fatigue, Herpes zoster, Pain
Clinical narrative: A few hours after the booster I started feeling very tired, achy, and had some chills.  About a week later, I started to develop a rash around my eyes and my psoriasis flared.  The rash was red, itchy had hived and caused my eyelids to peel.  This lasted for a few months and I had to seek medical treatment from MD (Dermatologist) and various ophthalmologists for my eyes..  On  January 1, 2022, I developed shingles and my psoriasis flared again..  My immune system has not been the same since the booster.  I am currently receiving treatment for the shingles from Dr.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Psoriasis, Rash, Rash erythematous, Rash pruritic, Skin exfoliation
Clinical narrative: A few hours after the booster I started feeling very tired, achy, and had some chills.  About a week later, I started to develop a rash around my eyes and my psoriasis flared.  The rash was red, itchy had hived and caused my eyelids to peel.  This lasted for a few months and I had to seek medical treatment from MD (Dermatologist) and various ophthalmologists for my eyes..  On  January 1, 2022, I developed shingles and my psoriasis flared again..  My immune system has not been the same since the booster.  I am currently receiving treatment for the shingles from Dr.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: A few hours after the booster I started feeling very tired, achy, and had some chills.  About a week later, I started to develop a rash around my eyes and my psoriasis flared.  The rash was red, itchy had hived and caused my eyelids to peel.  This lasted for a few months and I had to seek medical treatment from MD (Dermatologist) and various ophthalmologists for my eyes..  On  January 1, 2022, I developed shingles and my psoriasis flared again..  My immune system has not been the same since the booster.  I am currently receiving treatment for the shingles from Dr.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Respiratory failure
Clinical narrative: Patient got 2 doses of Pfizer vaccine on 2/20/21, and 1/30/21, and was hospitalized on 1/21/22 for hypoxemic respiratory failure due to COVID
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Dyspnoea, Mental disorder, Nightmare
Clinical narrative: Pain to intense to move and fever dreams planning to commit suicide.  Mental Breakdown at around 7pm the next day. I?m told it lasted 4 hours before I came out of it and the pain lessened. Trouble breathing remained on and off for the evening.  Since then a slight cough replaced it and the weaker I feel the more likely I am to cough.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Suicidal ideation
Clinical narrative: Pain to intense to move and fever dreams planning to commit suicide.  Mental Breakdown at around 7pm the next day. I?m told it lasted 4 hours before I came out of it and the pain lessened. Trouble breathing remained on and off for the evening.  Since then a slight cough replaced it and the weaker I feel the more likely I am to cough.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Menstruation irregular, Pain, Pain in extremity, Rash
Clinical narrative: Approximately 1 day after my 2nd dose I got a rash in my left arm that went down from my chest to my elbow. Body aches, Fatigue, Sore arms. The next day - I started vaginal spotting  (2 days straight) then it will be back in a couple of days. It affected my hormonal health (missed period for almost 50+days) and then it became a pattern that I had irregular periods up to this day.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Approximately 1 day after my 2nd dose I got a rash in my left arm that went down from my chest to my elbow. Body aches, Fatigue, Sore arms. The next day - I started vaginal spotting  (2 days straight) then it will be back in a couple of days. It affected my hormonal health (missed period for almost 50+days) and then it became a pattern that I had irregular periods up to this day.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 1.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Wrong product administered
Clinical narrative: Patient was given Pentacel in error along with Daptacel, Prevnar, and Flu vaccines. There was no change in the patient's condition.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt came for Covid vaccine and DOB was incorrect. Vaccine had not been approved for 14yo's at that time. DOB given was incorrect which would have put child at age 16 at the time when he was actually 14.  Pt received dose #2 on 04/24/2021 with the same DOB given. Today parent presented vaccine card with DOB changed from incorrect year to correct year and asked for it to be changed in our system.  Pt is currently 15.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site swelling, Pruritus
Clinical narrative: Arm Swollen at injection site, little itchy today, patient has been tired for 2 days so far.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered to the patient, was given in error beyond the recommended expiration date. We are consulting with Moderna manuf if it is advised to have the patient repeat vaccine dose.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Respiratory failure
Clinical narrative: Patient had 2 doses of Pfizer vaccine on 5/18/21 and 4/28/21, and was hospitalized on 1/22/22 for resp. failure due to COVID
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Vasculitis
Clinical narrative: Vasculitis lower legs
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time prolonged, Ageusia, Alanine aminotransferase increased, Angiogram pulmonary abnormal, Aspartate aminotransferase increased
Clinical narrative: Received moderna vaccine on 3/10/21 and 4/8/21. Presented to ER on 1/17/22 and found to be COVID positive. Sob onset this afternoon during dialysis. Upon further questioning patient stated that 2 days ago she started having cough, muscle aches, subjective fevers, chills, nausea but no vomiting, loss of taste.  Patient went to her regular scheduled dialysis session this afternoon, at this time she began having shortness of breath.  Patient did not complete dialysis.  Patient denies chest pain, but says that she feels some tightness, she denies loss of smell, congestion.   In the ER COVID-19 positive in the ER, initila temp at 95.5F which later normalized. CBC remarkable for WBC of 3.22, CMP remarkable for CRT 6.2, transaminitis AST 113, ALT 65, Alk Phosphatase 161, elevated d-dimer at 1.71,  CRP 113, PTT elevated at 48, procal elevated at 3.02, normal LA.  ABGs; pH of 7.637, PCO2 of 22, PO2 of 92.1, HCO3 of 21.4. Chest Xray revealed; patchy pneumonia of the right lung. EKG revealed NSR; with first degree AV block. She received rocephin 1g IV in the ER and was admitted for further management of her COVID-19 pneumonia.  Received azithromycin and ceftriaxone. Discharged on 1/22/22
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Atrioventricular block first degree, Blood alkaline phosphatase increased, Blood bicarbonate normal, Blood creatinine increased, Blood gases abnormal
Clinical narrative: Received moderna vaccine on 3/10/21 and 4/8/21. Presented to ER on 1/17/22 and found to be COVID positive. Sob onset this afternoon during dialysis. Upon further questioning patient stated that 2 days ago she started having cough, muscle aches, subjective fevers, chills, nausea but no vomiting, loss of taste.  Patient went to her regular scheduled dialysis session this afternoon, at this time she began having shortness of breath.  Patient did not complete dialysis.  Patient denies chest pain, but says that she feels some tightness, she denies loss of smell, congestion.   In the ER COVID-19 positive in the ER, initila temp at 95.5F which later normalized. CBC remarkable for WBC of 3.22, CMP remarkable for CRT 6.2, transaminitis AST 113, ALT 65, Alk Phosphatase 161, elevated d-dimer at 1.71,  CRP 113, PTT elevated at 48, procal elevated at 3.02, normal LA.  ABGs; pH of 7.637, PCO2 of 22, PO2 of 92.1, HCO3 of 21.4. Chest Xray revealed; patchy pneumonia of the right lung. EKG revealed NSR; with first degree AV block. She received rocephin 1g IV in the ER and was admitted for further management of her COVID-19 pneumonia.  Received azithromycin and ceftriaxone. Discharged on 1/22/22
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid normal, Blood pH increased, Body temperature decreased, C-reactive protein increased, COVID-19
Clinical narrative: Received moderna vaccine on 3/10/21 and 4/8/21. Presented to ER on 1/17/22 and found to be COVID positive. Sob onset this afternoon during dialysis. Upon further questioning patient stated that 2 days ago she started having cough, muscle aches, subjective fevers, chills, nausea but no vomiting, loss of taste.  Patient went to her regular scheduled dialysis session this afternoon, at this time she began having shortness of breath.  Patient did not complete dialysis.  Patient denies chest pain, but says that she feels some tightness, she denies loss of smell, congestion.   In the ER COVID-19 positive in the ER, initila temp at 95.5F which later normalized. CBC remarkable for WBC of 3.22, CMP remarkable for CRT 6.2, transaminitis AST 113, ALT 65, Alk Phosphatase 161, elevated d-dimer at 1.71,  CRP 113, PTT elevated at 48, procal elevated at 3.02, normal LA.  ABGs; pH of 7.637, PCO2 of 22, PO2 of 92.1, HCO3 of 21.4. Chest Xray revealed; patchy pneumonia of the right lung. EKG revealed NSR; with first degree AV block. She received rocephin 1g IV in the ER and was admitted for further management of her COVID-19 pneumonia.  Received azithromycin and ceftriaxone. Discharged on 1/22/22
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chest discomfort, Chills, Cough
Clinical narrative: Received moderna vaccine on 3/10/21 and 4/8/21. Presented to ER on 1/17/22 and found to be COVID positive. Sob onset this afternoon during dialysis. Upon further questioning patient stated that 2 days ago she started having cough, muscle aches, subjective fevers, chills, nausea but no vomiting, loss of taste.  Patient went to her regular scheduled dialysis session this afternoon, at this time she began having shortness of breath.  Patient did not complete dialysis.  Patient denies chest pain, but says that she feels some tightness, she denies loss of smell, congestion.   In the ER COVID-19 positive in the ER, initila temp at 95.5F which later normalized. CBC remarkable for WBC of 3.22, CMP remarkable for CRT 6.2, transaminitis AST 113, ALT 65, Alk Phosphatase 161, elevated d-dimer at 1.71,  CRP 113, PTT elevated at 48, procal elevated at 3.02, normal LA.  ABGs; pH of 7.637, PCO2 of 22, PO2 of 92.1, HCO3 of 21.4. Chest Xray revealed; patchy pneumonia of the right lung. EKG revealed NSR; with first degree AV block. She received rocephin 1g IV in the ER and was admitted for further management of her COVID-19 pneumonia.  Received azithromycin and ceftriaxone. Discharged on 1/22/22
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dialysis, Dyspnoea, Electrocardiogram abnormal, Fibrin D dimer increased, Full blood count abnormal
Clinical narrative: Received moderna vaccine on 3/10/21 and 4/8/21. Presented to ER on 1/17/22 and found to be COVID positive. Sob onset this afternoon during dialysis. Upon further questioning patient stated that 2 days ago she started having cough, muscle aches, subjective fevers, chills, nausea but no vomiting, loss of taste.  Patient went to her regular scheduled dialysis session this afternoon, at this time she began having shortness of breath.  Patient did not complete dialysis.  Patient denies chest pain, but says that she feels some tightness, she denies loss of smell, congestion.   In the ER COVID-19 positive in the ER, initila temp at 95.5F which later normalized. CBC remarkable for WBC of 3.22, CMP remarkable for CRT 6.2, transaminitis AST 113, ALT 65, Alk Phosphatase 161, elevated d-dimer at 1.71,  CRP 113, PTT elevated at 48, procal elevated at 3.02, normal LA.  ABGs; pH of 7.637, PCO2 of 22, PO2 of 92.1, HCO3 of 21.4. Chest Xray revealed; patchy pneumonia of the right lung. EKG revealed NSR; with first degree AV block. She received rocephin 1g IV in the ER and was admitted for further management of her COVID-19 pneumonia.  Received azithromycin and ceftriaxone. Discharged on 1/22/22
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test abnormal, Myalgia, Nausea, PCO2 decreased, PO2 normal
Clinical narrative: Received moderna vaccine on 3/10/21 and 4/8/21. Presented to ER on 1/17/22 and found to be COVID positive. Sob onset this afternoon during dialysis. Upon further questioning patient stated that 2 days ago she started having cough, muscle aches, subjective fevers, chills, nausea but no vomiting, loss of taste.  Patient went to her regular scheduled dialysis session this afternoon, at this time she began having shortness of breath.  Patient did not complete dialysis.  Patient denies chest pain, but says that she feels some tightness, she denies loss of smell, congestion.   In the ER COVID-19 positive in the ER, initila temp at 95.5F which later normalized. CBC remarkable for WBC of 3.22, CMP remarkable for CRT 6.2, transaminitis AST 113, ALT 65, Alk Phosphatase 161, elevated d-dimer at 1.71,  CRP 113, PTT elevated at 48, procal elevated at 3.02, normal LA.  ABGs; pH of 7.637, PCO2 of 22, PO2 of 92.1, HCO3 of 21.4. Chest Xray revealed; patchy pneumonia of the right lung. EKG revealed NSR; with first degree AV block. She received rocephin 1g IV in the ER and was admitted for further management of her COVID-19 pneumonia.  Received azithromycin and ceftriaxone. Discharged on 1/22/22
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Procalcitonin increased, Pyrexia, SARS-CoV-2 test positive, Sinus rhythm
Clinical narrative: Received moderna vaccine on 3/10/21 and 4/8/21. Presented to ER on 1/17/22 and found to be COVID positive. Sob onset this afternoon during dialysis. Upon further questioning patient stated that 2 days ago she started having cough, muscle aches, subjective fevers, chills, nausea but no vomiting, loss of taste.  Patient went to her regular scheduled dialysis session this afternoon, at this time she began having shortness of breath.  Patient did not complete dialysis.  Patient denies chest pain, but says that she feels some tightness, she denies loss of smell, congestion.   In the ER COVID-19 positive in the ER, initila temp at 95.5F which later normalized. CBC remarkable for WBC of 3.22, CMP remarkable for CRT 6.2, transaminitis AST 113, ALT 65, Alk Phosphatase 161, elevated d-dimer at 1.71,  CRP 113, PTT elevated at 48, procal elevated at 3.02, normal LA.  ABGs; pH of 7.637, PCO2 of 22, PO2 of 92.1, HCO3 of 21.4. Chest Xray revealed; patchy pneumonia of the right lung. EKG revealed NSR; with first degree AV block. She received rocephin 1g IV in the ER and was admitted for further management of her COVID-19 pneumonia.  Received azithromycin and ceftriaxone. Discharged on 1/22/22
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Therapy interrupted, Transaminases increased, White blood cell count decreased
Clinical narrative: Received moderna vaccine on 3/10/21 and 4/8/21. Presented to ER on 1/17/22 and found to be COVID positive. Sob onset this afternoon during dialysis. Upon further questioning patient stated that 2 days ago she started having cough, muscle aches, subjective fevers, chills, nausea but no vomiting, loss of taste.  Patient went to her regular scheduled dialysis session this afternoon, at this time she began having shortness of breath.  Patient did not complete dialysis.  Patient denies chest pain, but says that she feels some tightness, she denies loss of smell, congestion.   In the ER COVID-19 positive in the ER, initila temp at 95.5F which later normalized. CBC remarkable for WBC of 3.22, CMP remarkable for CRT 6.2, transaminitis AST 113, ALT 65, Alk Phosphatase 161, elevated d-dimer at 1.71,  CRP 113, PTT elevated at 48, procal elevated at 3.02, normal LA.  ABGs; pH of 7.637, PCO2 of 22, PO2 of 92.1, HCO3 of 21.4. Chest Xray revealed; patchy pneumonia of the right lung. EKG revealed NSR; with first degree AV block. She received rocephin 1g IV in the ER and was admitted for further management of her COVID-19 pneumonia.  Received azithromycin and ceftriaxone. Discharged on 1/22/22
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered to the patient given in error beyond the recommended expiration date. We are consulting with Moderna to determine if it is advised to have the patient repeat vaccine dose.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given the 5-11 years old vaccine which is lower than what she should have
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: ADMINISTERED 2ND PFIZER VACCINE BEFORE 90 WAITING PERIOD AFTER PATIENT RECIEVED TOCILZUMAB ON 12/9/2021- NO ADVERSE OUTCOME TO RECORD AT THIS TIME.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization requiring supplemental oxygen.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID-19
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19
Clinical narrative: Fully vaccinated, not boosted.  Asymptomatic COVID infection with inpatient hospital stay.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Burning sensation, Pain, Rash
Clinical narrative: Rash on face, neck , torso.  Sever and painful joints all over mostly in spine and back.  Burning , painful to sit , stand and constant pain
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal pain
Clinical narrative: Rash on face, neck , torso.  Sever and painful joints all over mostly in spine and back.  Burning , painful to sit , stand and constant pain
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Autoimmune disorder, Bartonella test negative, Blindness, Blood test, Borrelia test negative
Clinical narrative: On the evening of January 15th, I had a big blind spot show in my right eye.  On 1/17, I could still not see so I went to the Optometrist who ran all the tests he could but could not figure out what was wrong and referred me to an opthalmalogist.  I went to the Opthalmalogist on 1/18 who ran more tests then sent me to the ER where I was ultimately admitted.  They ran a ton of tests, confirmed optical neuritis in the right optical nerve, and ruled out that it was due to stroke or any infection.  I was released after two dosages of IV steroids with one last pill form treatment to do at home.  No change in sight.  They believe it is due to an autoimmune disease, possibly MS.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: CSF test normal, Epstein-Barr virus test negative, HIV test negative, Herpes virus test, Lumbar puncture
Clinical narrative: On the evening of January 15th, I had a big blind spot show in my right eye.  On 1/17, I could still not see so I went to the Optometrist who ran all the tests he could but could not figure out what was wrong and referred me to an opthalmalogist.  I went to the Opthalmalogist on 1/18 who ran more tests then sent me to the ER where I was ultimately admitted.  They ran a ton of tests, confirmed optical neuritis in the right optical nerve, and ruled out that it was due to stroke or any infection.  I was released after two dosages of IV steroids with one last pill form treatment to do at home.  No change in sight.  They believe it is due to an autoimmune disease, possibly MS.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging spinal, Ophthalmological examination normal, Optic neuritis, SARS-CoV-2 test negative
Clinical narrative: On the evening of January 15th, I had a big blind spot show in my right eye.  On 1/17, I could still not see so I went to the Optometrist who ran all the tests he could but could not figure out what was wrong and referred me to an opthalmalogist.  I went to the Opthalmalogist on 1/18 who ran more tests then sent me to the ER where I was ultimately admitted.  They ran a ton of tests, confirmed optical neuritis in the right optical nerve, and ruled out that it was due to stroke or any infection.  I was released after two dosages of IV steroids with one last pill form treatment to do at home.  No change in sight.  They believe it is due to an autoimmune disease, possibly MS.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Treponema test negative, Varicella virus test negative, Visual field defect
Clinical narrative: On the evening of January 15th, I had a big blind spot show in my right eye.  On 1/17, I could still not see so I went to the Optometrist who ran all the tests he could but could not figure out what was wrong and referred me to an opthalmalogist.  I went to the Opthalmalogist on 1/18 who ran more tests then sent me to the ER where I was ultimately admitted.  They ran a ton of tests, confirmed optical neuritis in the right optical nerve, and ruled out that it was due to stroke or any infection.  I was released after two dosages of IV steroids with one last pill form treatment to do at home.  No change in sight.  They believe it is due to an autoimmune disease, possibly MS.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Patient received undiluted pediatric pfizer.  No adverse effects seen at this time.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Pain in extremity, Product administration error
Clinical narrative: Student hit bone and it scared him.  Most of the vaccine spilled out.  I re-administered the vaccine to the patient.  I informed her of the possible side-effects and I called to check on her two days later.  She was fine just had a sore arm.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient reports having received the Pfizer two shot series plus one booster - 2/20/21, 3/13/21, 10/022/21. Patient admitted 12/29/22 for gastrointestinal bleeding unrelated to Covid diagnosis on 1/21/22.  Covid testing performed per receiving rehab facility protocol.  Extenuation of hospital stay due to diagnosis.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Face injury, Fall, Gait disturbance
Clinical narrative: I woke up after midnight I felt very nausea, I did not vomit but I felt very sick,  I was very weak and fell down and hit my face on the toilet, I was also having chills and hot flashes, had a tingling sensation on the pinkie side of my hands and up the forearms on both sides.  I was so weak after I fell that I could not hold the wash cloth that my husband was trying to give me.  I finally staggered back to the bed and went to sleep but was better after about an hour or so. When I spoke to my Dr. she said it may have been VasoVagal Reaction. I am not sure if it this was vaccine related because it was two to three days after my shot.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Malaise, Nausea, Paraesthesia, Presyncope
Clinical narrative: I woke up after midnight I felt very nausea, I did not vomit but I felt very sick,  I was very weak and fell down and hit my face on the toilet, I was also having chills and hot flashes, had a tingling sensation on the pinkie side of my hands and up the forearms on both sides.  I was so weak after I fell that I could not hold the wash cloth that my husband was trying to give me.  I finally staggered back to the bed and went to sleep but was better after about an hour or so. When I spoke to my Dr. she said it may have been VasoVagal Reaction. I am not sure if it this was vaccine related because it was two to three days after my shot.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered to the patient, was given in error beyond the recommended expiration date. We are consulting with Moderna manuf if it is advised to have the patient repeat vaccine dose.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/1/21 (lot not listed in online system) Pfizer Dose 2 3/30/21 (EN6207) COVID Positive 10/1/21  10/5/21: Patient is a 74-year-old male who tested positive for COVID-19 on 9/30/2021.  He presented to the emergency department today with complaints of increasing shortness of breath, dyspnea on exertion, cough, and nasal congestion. He was noted to be 83% SpO2 on room air.  He was placed on 3L of supplemental oxygen which has kept him greater than 90% SpO2.  He was also noted to have a fever of 101.3° F.   His labs were significant for AST 59, PO2 56, WBC 14.34, but were otherwise unremarkable.  D-dimer was negative when corrected for age.  He had a chest x-ray which suggested viral pneumonitis.  He had a CTA chest which showed ground-glass infiltrates in both lungs consistent with viral pneumonitis, but no PE.   On arrival to the floor, patient is requiring 3L of supplemental oxygen.  He denies fever, chills, chest pain, palpitations, nausea, vomiting, diarrhea .  Biggest complaint is cough with deep breathing and mild shortness of breath at rest.  Says he is feeling much better now with the oxygen.  10/10/21: Patient is a 74-year-old male who was admitted on 10/5/2021 with acute hypoxic respiratory failure, secondary to bilateral COVID pneumonia.  He also had elevated LFTs secondary to COVID and leukocytosis secondary to recent corticosteroid use.  The patient was admitted to the medical floor.  He was started on Remdesivir, Levaquin, and dexamethasone.  He also reported a significant cough, so he was started on Robitussin AC which seemed to help.  His blood cultures have had no growth to date.  He was not able to provide a sputum sample.  He completed his remdesivir course yesterday evening.  He reports today that he is feeling much better.  He is asking to go home.  He denies chest pain or palpitations.  Denies shortness of breath at rest, but does report some dyspnea on exertion.  His oxygen need has significantly improved.  He is currently on room air at rest, but requires 3L by nasal cannula with activity, per the home oxygen walk this morning. Patient is being discharged home with home nursing services for nursing and respiratory therapy due to his need for home oxygen.  He is also being discharged with the at Home COVID care program.  They will follow-up with him after discharge.  He should continue dexamethasone 6 mg p.o. daily x5 days, Levaquin 750 mg p.o. daily x3 days, and Robitussin AC 10 mL p.o. t.i.d. a.c. p.r.n. cough.  His self-quarantine is complete today.  He should continue with home oxygen, on room air at rest, 3L by nasal cannula with activity.  He should follow-up with his primary care provider in 1-2 weeks.  I recommend a chest x-ray in 4-6 weeks to document clearance.  The patient has been provided education for COVID pneumonia, home oxygen, Robitussin AC, dexamethasone, and levofloxacin.  I have answered all of his questions and addressed all of his concerns.  The patient is being discharged in improved and stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Lung opacity, Nasal congestion, PO2 increased, Pneumonia viral
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/1/21 (lot not listed in online system) Pfizer Dose 2 3/30/21 (EN6207) COVID Positive 10/1/21  10/5/21: Patient is a 74-year-old male who tested positive for COVID-19 on 9/30/2021.  He presented to the emergency department today with complaints of increasing shortness of breath, dyspnea on exertion, cough, and nasal congestion. He was noted to be 83% SpO2 on room air.  He was placed on 3L of supplemental oxygen which has kept him greater than 90% SpO2.  He was also noted to have a fever of 101.3° F.   His labs were significant for AST 59, PO2 56, WBC 14.34, but were otherwise unremarkable.  D-dimer was negative when corrected for age.  He had a chest x-ray which suggested viral pneumonitis.  He had a CTA chest which showed ground-glass infiltrates in both lungs consistent with viral pneumonitis, but no PE.   On arrival to the floor, patient is requiring 3L of supplemental oxygen.  He denies fever, chills, chest pain, palpitations, nausea, vomiting, diarrhea .  Biggest complaint is cough with deep breathing and mild shortness of breath at rest.  Says he is feeling much better now with the oxygen.  10/10/21: Patient is a 74-year-old male who was admitted on 10/5/2021 with acute hypoxic respiratory failure, secondary to bilateral COVID pneumonia.  He also had elevated LFTs secondary to COVID and leukocytosis secondary to recent corticosteroid use.  The patient was admitted to the medical floor.  He was started on Remdesivir, Levaquin, and dexamethasone.  He also reported a significant cough, so he was started on Robitussin AC which seemed to help.  His blood cultures have had no growth to date.  He was not able to provide a sputum sample.  He completed his remdesivir course yesterday evening.  He reports today that he is feeling much better.  He is asking to go home.  He denies chest pain or palpitations.  Denies shortness of breath at rest, but does report some dyspnea on exertion.  His oxygen need has significantly improved.  He is currently on room air at rest, but requires 3L by nasal cannula with activity, per the home oxygen walk this morning. Patient is being discharged home with home nursing services for nursing and respiratory therapy due to his need for home oxygen.  He is also being discharged with the at Home COVID care program.  They will follow-up with him after discharge.  He should continue dexamethasone 6 mg p.o. daily x5 days, Levaquin 750 mg p.o. daily x3 days, and Robitussin AC 10 mL p.o. t.i.d. a.c. p.r.n. cough.  His self-quarantine is complete today.  He should continue with home oxygen, on room air at rest, 3L by nasal cannula with activity.  He should follow-up with his primary care provider in 1-2 weeks.  I recommend a chest x-ray in 4-6 weeks to document clearance.  The patient has been provided education for COVID pneumonia, home oxygen, Robitussin AC, dexamethasone, and levofloxacin.  I have answered all of his questions and addressed all of his concerns.  The patient is being discharged in improved and stable condition.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Rash, outcome shingles
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Intensive care, Malaise
Clinical narrative: Fully vaccinated with J&J, not boosted.   Symptomatic COVID infection with inpatient admit to ICU.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Menstrual cycle began within 48 hours of vaccination
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Dysphagia
Clinical narrative: Presented with generalized weakness; SOB; fatigue; fully vaccinated; Covid + in ED; Admitted with Covid PNA; tx with steroids, maxipime, vanc, doxycycline, merrem, zinc,  He also was found to have acute hypoxic respiratory failure related to covid 19 infection Patient also was found to have a small pulmonary embolism likely related to covid 19 pneumonia Patient had to be admitted to the ICU and was resuscitated with blood transfusion and FFP. Patient bleeding stopped and his hemoglobin improved. He was found to have significant debility related to covid 19 infection and also had oropharyngeal dysphagia. DC'd to Rehab
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Haemorrhage, Intensive care, Pulmonary embolism
Clinical narrative: Presented with generalized weakness; SOB; fatigue; fully vaccinated; Covid + in ED; Admitted with Covid PNA; tx with steroids, maxipime, vanc, doxycycline, merrem, zinc,  He also was found to have acute hypoxic respiratory failure related to covid 19 infection Patient also was found to have a small pulmonary embolism likely related to covid 19 pneumonia Patient had to be admitted to the ICU and was resuscitated with blood transfusion and FFP. Patient bleeding stopped and his hemoglobin improved. He was found to have significant debility related to covid 19 infection and also had oropharyngeal dysphagia. DC'd to Rehab
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Transfusion
Clinical narrative: Presented with generalized weakness; SOB; fatigue; fully vaccinated; Covid + in ED; Admitted with Covid PNA; tx with steroids, maxipime, vanc, doxycycline, merrem, zinc,  He also was found to have acute hypoxic respiratory failure related to covid 19 infection Patient also was found to have a small pulmonary embolism likely related to covid 19 pneumonia Patient had to be admitted to the ICU and was resuscitated with blood transfusion and FFP. Patient bleeding stopped and his hemoglobin improved. He was found to have significant debility related to covid 19 infection and also had oropharyngeal dysphagia. DC'd to Rehab
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG. PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, COVID-19, Computerised tomogram abdomen abnormal, Cough
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 7/3/21 (EW0176) Pfizer Dose 2 7/24/21 (FA7484) COVID Positive 10/11/21  10/11/21: History is obtained from patient as well as a personal review of records. Patient is a 58-year-old with known history of insulin-dependent diabetes mellitus, hypertension, sleep apnea, tobacco use, pancreatic stricture and other medical problems.  She had multiple episodes of pancreatitis in past.  Has seen Dr.  Pancreatic stents were placed and subsequently removed.  She presents to emergency department with abdominal pain, and other complaints.  She had cough for 1 month.  Has received antibiotics without much relief.  Reports nasal congestion.  Denied fever or chills.  Abdominal pain of 1 day duration.  Located in upper abdomen and radiates to back.  Rated as 5 on a scale of 1-10.  Pain medications help.    It reminded her of previous episodes of pancreatitis.  She had  elevated lipase in emergency department.  CT scan showed  ileus.  Her daughter tested positive for  SARS-CoV-2 last week.  SARS-CoV-2 result pending at the time of my examination.  10/16/21: Patient is a 58-year-old female who presented to the emergency department with some increasing abdominal pain complaints along with a cough.  There had been some nasal congestion with no fever or chills.  Elevated lipase was noted while in the emergency room with a CT scan that showed an ileus.  Patient was treated for abdominal pain secondary to acute on chronic pancreatitis and was initially placed NPO with IV fluids along with as needed pain medications.  In addition to this the patient was also found to have COVID-19 and was treated for this with IV remdesivir.  The patient did slowly improve and did tolerate advancement of her diet.  Patient completed treatment with remdesivir and was briefly on oxygen after she was admitted.  Patient was able to be weaned to room air and tolerated this with normal oxygenation.  On the morning of 10/16/2021 the patient had improved to the point where she was otherwise felt stable for discharge home. The patient's imaging studies, vital signs, laboratory studies, current medications and follow-up plan was all discussed. Patient indicated understanding.