chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Influenza A virus test, Influenza B virus test, International normalised ratio, Malaise
Clinical narrative: 74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Nausea, Non-alcoholic steatohepatitis, Pain, Portal hypertension
Clinical narrative: 74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin, Prothrombin time, Pulmonary arterial hypertension, Pyrexia, Red blood cell sedimentation rate
Clinical narrative: 74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Reflex test, Respiratory syncytial virus test, Retching, SARS-CoV-2 test, Serum ferritin
Clinical narrative: 74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Sputum discoloured, Troponin I, Urine analysis
Clinical narrative: 74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Fatigue, Feeding disorder, Feeling abnormal
Clinical narrative: Had a fever of nearly 102, became extremely dizzy. Terrible body aches which made her miserable. Couldn't eat felt nausea and got a bad rash. Extreme fatigue where she laid in bed for 2 days, and she stated she also lost 3lbs.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nausea, Pain, Pyrexia, Rash
Clinical narrative: Had a fever of nearly 102, became extremely dizzy. Terrible body aches which made her miserable. Couldn't eat felt nausea and got a bad rash. Extreme fatigue where she laid in bed for 2 days, and she stated she also lost 3lbs.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: Had a fever of nearly 102, became extremely dizzy. Terrible body aches which made her miserable. Couldn't eat felt nausea and got a bad rash. Extreme fatigue where she laid in bed for 2 days, and she stated she also lost 3lbs.
Age: 86.0
Sex: M
Vaccine: UNK
Symptoms: Asthenia, Confusional state
Clinical narrative: Hospitalization - weakness and confusion
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Electrocardiogram, Immunodeficiency, Tachycardia
Clinical narrative: Feeling great prior to booster shot. Had injection at 1:30. Around 8 pm that evening had tachycardia and was in atrial fibrillation as confirmed on ECG.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Electrocardiogram, Tachycardia
Clinical narrative: Feeling great prior to booster shot. Had injection at 1:30. Around 8 pm that evening had tachycardia and was in atrial fibrillation as confirmed on ECG.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Fatigue, Influenza virus test negative, Pain
Clinical narrative: Covid-19 symptoms. OCt 12th. Fatigue, body aches fever, congestion, lose of taste and smell, went to see dr on Oct 13 was tested for covid and flu, negative for both treatment was fever, lots of liquids and rest. Lasted about 14 days.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: Covid-19 symptoms. OCt 12th. Fatigue, body aches fever, congestion, lose of taste and smell, went to see dr on Oct 13 was tested for covid and flu, negative for both treatment was fever, lots of liquids and rest. Lasted about 14 days.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Patient was given .5ml instead of the recommended .25ml of moderna
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Chills, Condition aggravated, Coordination abnormal, Fall
Clinical narrative: Began with extreme chills, teeth chattering 0500 for 1 hour Accompanied by extreme thirst, 2 hours with drinking water Fatigue, slept until 1330 Walked into bathroom, lost coordination and muscle strength, fell onto floor No strength, laid on floor until 2230 Wife called 911, EMT's lifted to standing position, did assessment and left, stood and walked as normal Went to sleep, 9 hours, awoke with full function 0800
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Thirst
Clinical narrative: Began with extreme chills, teeth chattering 0500 for 1 hour Accompanied by extreme thirst, 2 hours with drinking water Fatigue, slept until 1330 Walked into bathroom, lost coordination and muscle strength, fell onto floor No strength, laid on floor until 2230 Wife called 911, EMT's lifted to standing position, did assessment and left, stood and walked as normal Went to sleep, 9 hours, awoke with full function 0800
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Periorbital swelling, Urticaria
Clinical narrative: Minor hives noted on buttocks and knees, some facial swelling around eyes
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Ear swelling, Erythema, Feeling hot, Malaise, Pharyngeal swelling
Clinical narrative: Pt reported having itchy throat, redness in the face, swelling o neck and ears, mild tongue and throat swelling, overall warm feeling one hour after vaccination. Reports having called doctor but did not report to medical facility.  Continued at work for the day but did not feel well.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling, Swollen tongue, Throat irritation
Clinical narrative: Pt reported having itchy throat, redness in the face, swelling o neck and ears, mild tongue and throat swelling, overall warm feeling one hour after vaccination. Reports having called doctor but did not report to medical facility.  Continued at work for the day but did not feel well.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood thyroid stimulating hormone normal, Breast tenderness, Hot flush, Mammogram normal
Clinical narrative: I received 2 vaccines of Pfizer on 12/21/20 and 01/12/21. ~ 3-4 mo thereafter i developed irregular menses with  hair loss and intermittent mild hot flashes. Initially, I thought i entered perimenopause but after talking to my GYN that seemed too early as my mother's menopause was at 50 y/o. I still have same symptoms to date. I also have iron deficient anemia thought to be due to menses (that started before my vaccination, 5/2020-> i was placed on oral iron).  I do not have an alternative explanation for my symptoms. After hearing that some of my female colleagues had similar issues with irregular menses and breast tenderness, I thought it would be wise to report it to to start gathering data on long term side effects.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Metabolic function test, Vitamin B12
Clinical narrative: I received 2 vaccines of Pfizer on 12/21/20 and 01/12/21. ~ 3-4 mo thereafter i developed irregular menses with  hair loss and intermittent mild hot flashes. Initially, I thought i entered perimenopause but after talking to my GYN that seemed too early as my mother's menopause was at 50 y/o. I still have same symptoms to date. I also have iron deficient anemia thought to be due to menses (that started before my vaccination, 5/2020-> i was placed on oral iron).  I do not have an alternative explanation for my symptoms. After hearing that some of my female colleagues had similar issues with irregular menses and breast tenderness, I thought it would be wise to report it to to start gathering data on long term side effects.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration error, given expired vaccine
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest X-ray, Chest pain, Computerised tomogram
Clinical narrative: It began as severe chest pain, principally in the left side and in the center, radiating to the neck, shoulder, and back. Extremely severe in the back. It was a very stabbing type of pain. It was quite severe. It started at about 9 PM. My son transported me to the hospital at about 11:45PM. My concern was that I was having a heart attack. I was in the ER until early morning. They treated it with a nitroglycerine paste, started a heparin drip, several morphine injections, which were ineffective. I had a CT scan, echocardiogram, 3 EKGs, chest x-ray, this is all subsequent to having a heart attack last April. The pain for this incident was actually worse than the heart attack on April. The medical tests indicated I did not have a heart attack. After leaving the hospital at noon, I had discomfort in the chest. When I breathe, I feel like my lungs are quite constricted and I do not get enough air. But it is getting better each day. I think I had pericarditis. My son who is a pulmonary physician also thinks the same thing, but the ER did not give me any diagnosis.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Extra dose administered, Neck pain, Pain
Clinical narrative: It began as severe chest pain, principally in the left side and in the center, radiating to the neck, shoulder, and back. Extremely severe in the back. It was a very stabbing type of pain. It was quite severe. It started at about 9 PM. My son transported me to the hospital at about 11:45PM. My concern was that I was having a heart attack. I was in the ER until early morning. They treated it with a nitroglycerine paste, started a heparin drip, several morphine injections, which were ineffective. I had a CT scan, echocardiogram, 3 EKGs, chest x-ray, this is all subsequent to having a heart attack last April. The pain for this incident was actually worse than the heart attack on April. The medical tests indicated I did not have a heart attack. After leaving the hospital at noon, I had discomfort in the chest. When I breathe, I feel like my lungs are quite constricted and I do not get enough air. But it is getting better each day. I think I had pericarditis. My son who is a pulmonary physician also thinks the same thing, but the ER did not give me any diagnosis.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Ovarian cyst ruptured, Ultrasound scan
Clinical narrative: Ruptured ovarian cyst.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Blood lactic acid, Chest X-ray, Cystitis
Clinical narrative: 1. Weakness Active   2. Anxiety    3. Abnormal urine    4. Pulmonary artery hypertension     ASSESSMENT/PLAN/DECISION MAKING: -No etiology found for patient's weakness, D-dimer was elevated but PE ruled out with CTA. Patient improved with 1 liter normal saline bolus and reassurance she wasn't having a stroke. Patient's daughter in law and daughter are concerned that patient is more anxious. I'll let her PCP manage this as an out patient.  -Out patient physical therapy advised and referral placed -Follow up at the ED if concerns or symptoms worsen or persist.   Cardiac office visit 4/29/21: 1. Fatigue, unspecified type; ECHOCARDIOGRAM ADULT COMPLETE 2. Light headed; ECHOCARDIOGRAM ADULT COMPLETE 3. Palpitations; ECHOCARDIOGRAM ADULT COMPLETE  93-year-old pleasant female who I saw today in referral because of dizziness.  She is otherwise relatively healthy.  She takes blood pressure medicine.  She did have episode of lightheadedness that lasted about 30 seconds at home a few weeks ago.  She felt weak.  She eventually sought evaluation in the ED on 4/10/2021.  She has had no further episodes.  Otherwise, denies any chest pain.  She has mild dyspnea on exertion that has not changed.  No orthopnea or PND.     9/8/21: Acute cystitis with hematuria.    10/1/21: Hypertension, unspecified type   Burning with urination   Anxiety   Recurrent major depressive disorder, in partial remission     Plan: The patient will have a CBC, CMP, UA and covid test today. She will be notified when the results are available. For now she will continue on her current medications. Follow-up will depend on the results of the tests.   10/28/2021  Weakness -     URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE; Future -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future -     XRAY CHEST PA AND LATERAL; Future -     SARS COVID ANTIGEN; Future   Fever, unspecified fever cause -     URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE; Future -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future -     XRAY CHEST PA AND LATERAL; Future -     SARS COVID ANTIGEN; Future   Anxiety -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future     Plan:  Fluids and potassium replacement OP.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea exertional, Dysuria, Echocardiogram, Fatigue
Clinical narrative: 1. Weakness Active   2. Anxiety    3. Abnormal urine    4. Pulmonary artery hypertension     ASSESSMENT/PLAN/DECISION MAKING: -No etiology found for patient's weakness, D-dimer was elevated but PE ruled out with CTA. Patient improved with 1 liter normal saline bolus and reassurance she wasn't having a stroke. Patient's daughter in law and daughter are concerned that patient is more anxious. I'll let her PCP manage this as an out patient.  -Out patient physical therapy advised and referral placed -Follow up at the ED if concerns or symptoms worsen or persist.   Cardiac office visit 4/29/21: 1. Fatigue, unspecified type; ECHOCARDIOGRAM ADULT COMPLETE 2. Light headed; ECHOCARDIOGRAM ADULT COMPLETE 3. Palpitations; ECHOCARDIOGRAM ADULT COMPLETE  93-year-old pleasant female who I saw today in referral because of dizziness.  She is otherwise relatively healthy.  She takes blood pressure medicine.  She did have episode of lightheadedness that lasted about 30 seconds at home a few weeks ago.  She felt weak.  She eventually sought evaluation in the ED on 4/10/2021.  She has had no further episodes.  Otherwise, denies any chest pain.  She has mild dyspnea on exertion that has not changed.  No orthopnea or PND.     9/8/21: Acute cystitis with hematuria.    10/1/21: Hypertension, unspecified type   Burning with urination   Anxiety   Recurrent major depressive disorder, in partial remission     Plan: The patient will have a CBC, CMP, UA and covid test today. She will be notified when the results are available. For now she will continue on her current medications. Follow-up will depend on the results of the tests.   10/28/2021  Weakness -     URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE; Future -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future -     XRAY CHEST PA AND LATERAL; Future -     SARS COVID ANTIGEN; Future   Fever, unspecified fever cause -     URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE; Future -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future -     XRAY CHEST PA AND LATERAL; Future -     SARS COVID ANTIGEN; Future   Anxiety -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future     Plan:  Fluids and potassium replacement OP.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Full blood count, Haematuria, Hypertension, Major depression
Clinical narrative: 1. Weakness Active   2. Anxiety    3. Abnormal urine    4. Pulmonary artery hypertension     ASSESSMENT/PLAN/DECISION MAKING: -No etiology found for patient's weakness, D-dimer was elevated but PE ruled out with CTA. Patient improved with 1 liter normal saline bolus and reassurance she wasn't having a stroke. Patient's daughter in law and daughter are concerned that patient is more anxious. I'll let her PCP manage this as an out patient.  -Out patient physical therapy advised and referral placed -Follow up at the ED if concerns or symptoms worsen or persist.   Cardiac office visit 4/29/21: 1. Fatigue, unspecified type; ECHOCARDIOGRAM ADULT COMPLETE 2. Light headed; ECHOCARDIOGRAM ADULT COMPLETE 3. Palpitations; ECHOCARDIOGRAM ADULT COMPLETE  93-year-old pleasant female who I saw today in referral because of dizziness.  She is otherwise relatively healthy.  She takes blood pressure medicine.  She did have episode of lightheadedness that lasted about 30 seconds at home a few weeks ago.  She felt weak.  She eventually sought evaluation in the ED on 4/10/2021.  She has had no further episodes.  Otherwise, denies any chest pain.  She has mild dyspnea on exertion that has not changed.  No orthopnea or PND.     9/8/21: Acute cystitis with hematuria.    10/1/21: Hypertension, unspecified type   Burning with urination   Anxiety   Recurrent major depressive disorder, in partial remission     Plan: The patient will have a CBC, CMP, UA and covid test today. She will be notified when the results are available. For now she will continue on her current medications. Follow-up will depend on the results of the tests.   10/28/2021  Weakness -     URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE; Future -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future -     XRAY CHEST PA AND LATERAL; Future -     SARS COVID ANTIGEN; Future   Fever, unspecified fever cause -     URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE; Future -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future -     XRAY CHEST PA AND LATERAL; Future -     SARS COVID ANTIGEN; Future   Anxiety -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future     Plan:  Fluids and potassium replacement OP.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Palpitations, Pulmonary arterial hypertension, Pyrexia, SARS-CoV-2 test
Clinical narrative: 1. Weakness Active   2. Anxiety    3. Abnormal urine    4. Pulmonary artery hypertension     ASSESSMENT/PLAN/DECISION MAKING: -No etiology found for patient's weakness, D-dimer was elevated but PE ruled out with CTA. Patient improved with 1 liter normal saline bolus and reassurance she wasn't having a stroke. Patient's daughter in law and daughter are concerned that patient is more anxious. I'll let her PCP manage this as an out patient.  -Out patient physical therapy advised and referral placed -Follow up at the ED if concerns or symptoms worsen or persist.   Cardiac office visit 4/29/21: 1. Fatigue, unspecified type; ECHOCARDIOGRAM ADULT COMPLETE 2. Light headed; ECHOCARDIOGRAM ADULT COMPLETE 3. Palpitations; ECHOCARDIOGRAM ADULT COMPLETE  93-year-old pleasant female who I saw today in referral because of dizziness.  She is otherwise relatively healthy.  She takes blood pressure medicine.  She did have episode of lightheadedness that lasted about 30 seconds at home a few weeks ago.  She felt weak.  She eventually sought evaluation in the ED on 4/10/2021.  She has had no further episodes.  Otherwise, denies any chest pain.  She has mild dyspnea on exertion that has not changed.  No orthopnea or PND.     9/8/21: Acute cystitis with hematuria.    10/1/21: Hypertension, unspecified type   Burning with urination   Anxiety   Recurrent major depressive disorder, in partial remission     Plan: The patient will have a CBC, CMP, UA and covid test today. She will be notified when the results are available. For now she will continue on her current medications. Follow-up will depend on the results of the tests.   10/28/2021  Weakness -     URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE; Future -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future -     XRAY CHEST PA AND LATERAL; Future -     SARS COVID ANTIGEN; Future   Fever, unspecified fever cause -     URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE; Future -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future -     XRAY CHEST PA AND LATERAL; Future -     SARS COVID ANTIGEN; Future   Anxiety -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future     Plan:  Fluids and potassium replacement OP.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Urine analysis abnormal
Clinical narrative: 1. Weakness Active   2. Anxiety    3. Abnormal urine    4. Pulmonary artery hypertension     ASSESSMENT/PLAN/DECISION MAKING: -No etiology found for patient's weakness, D-dimer was elevated but PE ruled out with CTA. Patient improved with 1 liter normal saline bolus and reassurance she wasn't having a stroke. Patient's daughter in law and daughter are concerned that patient is more anxious. I'll let her PCP manage this as an out patient.  -Out patient physical therapy advised and referral placed -Follow up at the ED if concerns or symptoms worsen or persist.   Cardiac office visit 4/29/21: 1. Fatigue, unspecified type; ECHOCARDIOGRAM ADULT COMPLETE 2. Light headed; ECHOCARDIOGRAM ADULT COMPLETE 3. Palpitations; ECHOCARDIOGRAM ADULT COMPLETE  93-year-old pleasant female who I saw today in referral because of dizziness.  She is otherwise relatively healthy.  She takes blood pressure medicine.  She did have episode of lightheadedness that lasted about 30 seconds at home a few weeks ago.  She felt weak.  She eventually sought evaluation in the ED on 4/10/2021.  She has had no further episodes.  Otherwise, denies any chest pain.  She has mild dyspnea on exertion that has not changed.  No orthopnea or PND.     9/8/21: Acute cystitis with hematuria.    10/1/21: Hypertension, unspecified type   Burning with urination   Anxiety   Recurrent major depressive disorder, in partial remission     Plan: The patient will have a CBC, CMP, UA and covid test today. She will be notified when the results are available. For now she will continue on her current medications. Follow-up will depend on the results of the tests.   10/28/2021  Weakness -     URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE; Future -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future -     XRAY CHEST PA AND LATERAL; Future -     SARS COVID ANTIGEN; Future   Fever, unspecified fever cause -     URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE; Future -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future -     XRAY CHEST PA AND LATERAL; Future -     SARS COVID ANTIGEN; Future   Anxiety -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Future -     COMPREHENSIVE METABOLIC PANEL; Future -     LACTIC ACID; Future     Plan:  Fluids and potassium replacement OP.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pathology test, Rash, Rash papular, Rash pruritic, Tenderness
Clinical narrative: rash on bilateral knees, elbows, wrists, hands that occurred 2-3 days after receiving Johnson & Johnson COVID-19 vaccination and later spread to arms, legs, torso, perineum within 1-1 1/2 weeks.  Stayed relatively constant for 3-4 weeks, now starting to taper off.  Rash was pruritic, sensitive to touch with some raised patches coalescing into dime sized areas
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Neuropathy peripheral
Clinical narrative: On June 21, 2021 (Four weeks after receiving second Pfizer Covid-19 shot) I developed peripheral neuropathy in my arms , hands, legs, and feet.  The symptoms are severe with burning-jabbing pain that is relentless.  October 1, 2021 started  Electric Cell Signaling Therapy at two days per week until the end of November.  No Improvement so far.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Immunodeficiency
Clinical narrative: Diagnosed with Shingles on October 19th. Symptoms started on October 17th
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered (0.25 dose) on 10/28/21 at 8:55am with an expired Vial: Expiration date 10/27/21 11:59pm.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Pt with numbness, tingling in right arm and leg within an hour of the vaccine administration.
Age: 65.0
Sex: F
Vaccine: PNC13, VARZOS
Symptoms: Lip swelling, Pain in jaw, Swelling face, Tenderness
Clinical narrative: left jaw line/cheek to chin hurts to touch, lower lip to chin whole lip swollen and hard to touch
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Joint stiffness, Mobility decreased, Pain, Pain in extremity
Clinical narrative: My toes felt like rocks. I have two on my left foot. The toe closest to the large toe and the toe to the left of that. I can't bend them and have no flexibility in them. They are painful and stiff like rocks. The pain has lessened in the last month. On my right foot the one closest to the big toe is the exact same way. They are stiff like rocks, at night they ache, and it is difficult to sleep. They were very painful and sensitive to begin with. Now they are very sensitive. I have had to change my shoes I wear and sleep with a shoe box on my bed to ease the pain and sensitivity. They are hard and weird like a rock. I have a shooting pain in the top of my foot that went to in front of my ankle. Like a pain in my nerves in my ankle. I have a large bump on my left foot on the back of my tendon. April 11th, 2021, after my 1st shot on March 25th, 2021. I contracted chicken pox. I had three doctors look at me because it was so odd. I was covered from my neck down to my ankle.  They said it was consistent with Chicken pox. I had Chicken pox as a child, this was odd.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Varicella, X-ray limb
Clinical narrative: My toes felt like rocks. I have two on my left foot. The toe closest to the large toe and the toe to the left of that. I can't bend them and have no flexibility in them. They are painful and stiff like rocks. The pain has lessened in the last month. On my right foot the one closest to the big toe is the exact same way. They are stiff like rocks, at night they ache, and it is difficult to sleep. They were very painful and sensitive to begin with. Now they are very sensitive. I have had to change my shoes I wear and sleep with a shoe box on my bed to ease the pain and sensitivity. They are hard and weird like a rock. I have a shooting pain in the top of my foot that went to in front of my ankle. Like a pain in my nerves in my ankle. I have a large bump on my left foot on the back of my tendon. April 11th, 2021, after my 1st shot on March 25th, 2021. I contracted chicken pox. I had three doctors look at me because it was so odd. I was covered from my neck down to my ankle.  They said it was consistent with Chicken pox. I had Chicken pox as a child, this was odd.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given .5ml instead of the recommended dose of .25ml of moderna
Age: 79.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Myalgia
Clinical narrative: muscle aches, joint pain
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival pain, Hypoaesthesia
Clinical narrative: Gum pain and numb face
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Chest pain, Chills, Dyspnoea
Clinical narrative: Within 2 hours of the shot, my right deltoid began to hurt. About 1900, I began to have chills. My fever started about 2030, and when I checked my temp at 2300, it was 100.5F temporally. My fever broke about 0100 today, but chills continued for another hour. Between 0200-0500, I was able to get some sleep but tossed and turned due to lower chest discomfort. I woke up about 0515 with bilateral lower chest (under my breasts and stopped at the bottom of my ribs) pain and some shortness of breath but attributed it to my continued muscle weakness and fatigue. But by 0600, it became painful to lay down in any position. I noticed when I would stand up, after a few minutes, the chest pain would subside and my shortness of breath would ease. I experienced some sweating with the episodes of chest pain and anxiousness. My heart rate stayed in the upper 60s - lower 70s, which is normal for me. I took 400mg of Ibuprofen about 0600 and considered going to the hospital to be checked out, but decided against it. I was able to sit down on the couch about 0730 without having chest pain or discomfort. And by 0800, I was able to lay down on the couch with just my head raised and sleep. It is now almost 1200 and I do not currently have any shortness of breath or chest pains.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Insomnia, Muscular weakness, Pain
Clinical narrative: Within 2 hours of the shot, my right deltoid began to hurt. About 1900, I began to have chills. My fever started about 2030, and when I checked my temp at 2300, it was 100.5F temporally. My fever broke about 0100 today, but chills continued for another hour. Between 0200-0500, I was able to get some sleep but tossed and turned due to lower chest discomfort. I woke up about 0515 with bilateral lower chest (under my breasts and stopped at the bottom of my ribs) pain and some shortness of breath but attributed it to my continued muscle weakness and fatigue. But by 0600, it became painful to lay down in any position. I noticed when I would stand up, after a few minutes, the chest pain would subside and my shortness of breath would ease. I experienced some sweating with the episodes of chest pain and anxiousness. My heart rate stayed in the upper 60s - lower 70s, which is normal for me. I took 400mg of Ibuprofen about 0600 and considered going to the hospital to be checked out, but decided against it. I was able to sit down on the couch about 0730 without having chest pain or discomfort. And by 0800, I was able to lay down on the couch with just my head raised and sleep. It is now almost 1200 and I do not currently have any shortness of breath or chest pains.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Within 2 hours of the shot, my right deltoid began to hurt. About 1900, I began to have chills. My fever started about 2030, and when I checked my temp at 2300, it was 100.5F temporally. My fever broke about 0100 today, but chills continued for another hour. Between 0200-0500, I was able to get some sleep but tossed and turned due to lower chest discomfort. I woke up about 0515 with bilateral lower chest (under my breasts and stopped at the bottom of my ribs) pain and some shortness of breath but attributed it to my continued muscle weakness and fatigue. But by 0600, it became painful to lay down in any position. I noticed when I would stand up, after a few minutes, the chest pain would subside and my shortness of breath would ease. I experienced some sweating with the episodes of chest pain and anxiousness. My heart rate stayed in the upper 60s - lower 70s, which is normal for me. I took 400mg of Ibuprofen about 0600 and considered going to the hospital to be checked out, but decided against it. I was able to sit down on the couch about 0730 without having chest pain or discomfort. And by 0800, I was able to lay down on the couch with just my head raised and sleep. It is now almost 1200 and I do not currently have any shortness of breath or chest pains.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration error, expired vaccine given.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, No adverse event, Pain in extremity, Product preparation issue
Clinical narrative: Through quality control check on 10/27/2021 it was identified that patient likely received concentrated dose of COVID-19 Pfizer vaccine at 1530 on 10/26/2021. This was confirmed with administering RN. Due to knowledge gap, administering RN gave concentrated dose of COVID-19 Pfizer vaccine from multi-dose vial instead of reconstituting with diluent. Administering RN voiced uncertainty of exact amount administered to patient but did confirm dose was drawn up directly from multi-dose vial.  Patient's parents were notified and counseled by Clinic Pediatrician on 10/27/2021. Parents reported that patient has not experienced any adverse events. Parents reported patient was asymptomatic. Pediatrician counseled on monitoring and provided instruction for patient to be seen in clinic or Emergency Department by a physician if any adverse effects arise.  10/27/2021 Pediatric Nursing Supervisor called and followed up with parents. Parents report only soreness of right arm for patient which is not limiting activities. Parent had no fever, body aches, chills, chest pain, or any other concerns for patient. Nursing Supervisor reiterated instruction from Pediatrician for parents should any symptoms arise. Recommended ibuprofen and warm compress for arm soreness. If any worsening of arm soreness despite interventions, parents agreed would have patient evaluated by Pediatrician.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness neurosensory, Deafness unilateral, Hearing aid user, Magnetic resonance imaging, Sudden hearing loss
Clinical narrative: Sudden profound sensorineural hearing loss in right ear.  Woke up with no hearing in right ear.  Seen by ENT that day, course of oral steroids unsuccessful, three intratympanic injections unsuccessful.  Hearing aids now in place.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: Sore arm, fatigue
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain, Respiratory disorder, Respiratory tract congestion
Clinical narrative: She has had recurrent headaches and fatigue since receiving the second dose. Has also had several URI type illnesses. Prior to the vaccine, she was never in the office for sick visits and reportedly never got sick. She did not have history of headaches either.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin infection, Viral infection
Clinical narrative: She has had recurrent headaches and fatigue since receiving the second dose. Has also had several URI type illnesses. Prior to the vaccine, she was never in the office for sick visits and reportedly never got sick. She did not have history of headaches either.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Palmar erythema, Plantar erythema, Skin discolouration, Ultrasound scan
Clinical narrative: Black discoloration of feet; intermittent redness of soles and palms
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Chest X-ray, Ophthalmological examination abnormal, Photophobia, Retinogram abnormal
Clinical narrative: Started seeing black dots, a few dots at first, more dots over time. Sensitivity to sunlight, started mild at first, then got more severe. Started noticing sensitivity to sunlight even on more cloudy days. Formally diagnosed with UVitis. Saw optomologist and retiologist. Taking eye drops 4x a day
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Uveitis, Visual impairment
Clinical narrative: Started seeing black dots, a few dots at first, more dots over time. Sensitivity to sunlight, started mild at first, then got more severe. Started noticing sensitivity to sunlight even on more cloudy days. Formally diagnosed with UVitis. Saw optomologist and retiologist. Taking eye drops 4x a day
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration error, expired vaccine given.
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Laboratory test, Magnetic resonance imaging, Nausea, Vein disorder
Clinical narrative: Nausea/vomiting Vertigo motor coordination fatigue Veins pronounced in lower legs
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Vertigo, Vomiting
Clinical narrative: Nausea/vomiting Vertigo motor coordination fatigue Veins pronounced in lower legs