chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Condition aggravated, Cough, Dyspnoea
Clinical narrative: 87-year-old female who is poor historian.  Patient was sent to the hospital via EMS from SNF due to hypoxia, fever and Covid positive.  Patient reports got short of breath last night with cough, nausea but no vomiting, and feeling achy all over.  Patient states she feels a lot better and is ready to go back.  Patient denied headache, sore throat, chest pain, diarrhea, and dysuria.  On time of examination patient was on room air satting 97%.  During interview patient went into atrial fibrillation with RVR previously maintaining's 80s to 90s and peaked at 160s.  Patient returned to maintaining 90s within a minute. Notified provider the patient will not be qualified to return to TCC for 10 days. Patient was admitted to hospital after positive test for COVID 19;  initially some possible hypoxia and some a.fib with RVR though improved quickly;  she did receive 3 days of remdesivir IV 200mg x 1 then 100mg x2 and decadron 6mg daily though remained on room air so was discontinued;  she was to return to SNF after 10 day quarantine which was completed on 11/15/2021;  she plans to return to SNF for continuation of her rehab planned on prior discharge. Event not related to COVID 19 vaccine. Report submitted as required per EUA
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Nausea, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 87-year-old female who is poor historian.  Patient was sent to the hospital via EMS from SNF due to hypoxia, fever and Covid positive.  Patient reports got short of breath last night with cough, nausea but no vomiting, and feeling achy all over.  Patient states she feels a lot better and is ready to go back.  Patient denied headache, sore throat, chest pain, diarrhea, and dysuria.  On time of examination patient was on room air satting 97%.  During interview patient went into atrial fibrillation with RVR previously maintaining's 80s to 90s and peaked at 160s.  Patient returned to maintaining 90s within a minute. Notified provider the patient will not be qualified to return to TCC for 10 days. Patient was admitted to hospital after positive test for COVID 19;  initially some possible hypoxia and some a.fib with RVR though improved quickly;  she did receive 3 days of remdesivir IV 200mg x 1 then 100mg x2 and decadron 6mg daily though remained on room air so was discontinued;  she was to return to SNF after 10 day quarantine which was completed on 11/15/2021;  she plans to return to SNF for continuation of her rehab planned on prior discharge. Event not related to COVID 19 vaccine. Report submitted as required per EUA
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strenth of vaccine remained.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive household contact
Age: 31.0
Sex: M
Vaccine: FLU4
Symptoms: Wrong device used
Clinical narrative: patient received influenza vaccine with a pediatric sized needle. patient was advised to seek an additional influenza vaccine IM
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Blood albumin decreased, Blood bilirubin decreased, Blood calcium decreased, Blood creatinine increased
Clinical narrative: The patient became ill approximately 2 days prior to presentation to the ED. The patient has a new oxygen requirement of 6 L O2 by nasal cannula. The patient reports cough, shortness of breath, and fever. She is positive for COVID-19. The patient has received ceftriaxone, azithromycin, and dexamethasone. She is being admitted to the hospital.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea increased, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: The patient became ill approximately 2 days prior to presentation to the ED. The patient has a new oxygen requirement of 6 L O2 by nasal cannula. The patient reports cough, shortness of breath, and fever. She is positive for COVID-19. The patient has received ceftriaxone, azithromycin, and dexamethasone. She is being admitted to the hospital.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Lung opacity, Malaise, N-terminal prohormone brain natriuretic peptide increased, Pleural effusion
Clinical narrative: The patient became ill approximately 2 days prior to presentation to the ED. The patient has a new oxygen requirement of 6 L O2 by nasal cannula. The patient reports cough, shortness of breath, and fever. She is positive for COVID-19. The patient has received ceftriaxone, azithromycin, and dexamethasone. She is being admitted to the hospital.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Protein total decreased, Pulmonary congestion, Pyrexia, SARS-CoV-2 test positive, White blood cell count decreased
Clinical narrative: The patient became ill approximately 2 days prior to presentation to the ED. The patient has a new oxygen requirement of 6 L O2 by nasal cannula. The patient reports cough, shortness of breath, and fever. She is positive for COVID-19. The patient has received ceftriaxone, azithromycin, and dexamethasone. She is being admitted to the hospital.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Swelling, rash, bruising, pain arm pit and arm to elbow. Caused cysts arm pit area left arm. Second shot in right arm caused symptoms to get worse in left pit area and swelling of right pit area.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 09/09/2021. PATIENT FULLY VACCINATED ON 02/26/2021.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Pruritus
Clinical narrative: Pregnant patient received 1st dose of Pfizer-BioNTech vaccine and experienced itchiness of hands and thighs within 15 minute observation period.  Patient received 25 mg oral diphenhydramine (Benadryl) and her symptoms resolved within another 15 minutes. est DOD unknown.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Cough, Electrocardiogram, Full blood count
Clinical narrative: Around 10/6 I developed a persistent cough that lasted for about four days. A low grade temperature developed and the cough got a little worse so on 10/10 I went to the Medical Center ER and a Chest X-ray, EKG and bloodwork was performed. It was thought I had an Upper Respiratory Infection, a COVID-19 test was done and I was released. I got a call later that day and confirmed I was positive for COVID-19 and after about four days of being down I begin feeling a little better and finally back to normal. I reached out to my PCP to see if there was any follow up was needed but was advised to quarantine for two weeks.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Upper respiratory tract infection
Clinical narrative: Around 10/6 I developed a persistent cough that lasted for about four days. A low grade temperature developed and the cough got a little worse so on 10/10 I went to the Medical Center ER and a Chest X-ray, EKG and bloodwork was performed. It was thought I had an Upper Respiratory Infection, a COVID-19 test was done and I was released. I got a call later that day and confirmed I was positive for COVID-19 and after about four days of being down I begin feeling a little better and finally back to normal. I reached out to my PCP to see if there was any follow up was needed but was advised to quarantine for two weeks.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 08/11/2021. PATIENT FULLY VACCINATED ON 02/23/2021.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: Patient received influenza vaccination with a pediatric sized needle. Patient advised to seek an additional influenza vaccine IM.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Loud ringing in ears started 48 hours after shot. Has continued several weeks later.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fall
Clinical narrative: Pt was diagnosed with COVID on 11/2 at the walk-in clinic.  She was admitted to the hospital on 11/7 due to a fall from profound weakness due to COVID-19.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Mobility decreased, Pain in extremity
Clinical narrative: Per patient sore right shoulder down to the elbow per patient (husband). Patient received on 10/13/21. Patient went to an urgent care on 11/06/21 and was given TYLENOL and prednisone. Per patient spends 80% of time in bed. Patient  contacted again on 11/15/21 and patient is doing better and will see primary care physician to follow up.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Balance disorder, Dizziness, Extra dose administered, Feeling abnormal
Clinical narrative: I had my previous two COVID19 Pfizer shots on 4/2/2021 and 4/26/2021. This booster was Moderna. Almost 24 hours to the minute, I started getting a bad headache. Which then progressed to my left under armpit lymph node becoming extremely sore (i never felt a bump there) but it hurt greatly. Then I started to feel "out of my head." My head was fuzzy and it was an extremely uncomrotable almost "out of body" experience and getting light headed and off balance when I would walk. I was like this for 4-5 days, drinking lots of water (never lost my appetite), and resting as much as I could. I never did develop a fever. I did not go to the doctor- I waited it out and rested as much as I could. It was a little over a week before I started to feel normal again.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache
Clinical narrative: I had my previous two COVID19 Pfizer shots on 4/2/2021 and 4/26/2021. This booster was Moderna. Almost 24 hours to the minute, I started getting a bad headache. Which then progressed to my left under armpit lymph node becoming extremely sore (i never felt a bump there) but it hurt greatly. Then I started to feel "out of my head." My head was fuzzy and it was an extremely uncomrotable almost "out of body" experience and getting light headed and off balance when I would walk. I was like this for 4-5 days, drinking lots of water (never lost my appetite), and resting as much as I could. I never did develop a fever. I did not go to the doctor- I waited it out and rested as much as I could. It was a little over a week before I started to feel normal again.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strenth of vaccine remained.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Full blood count, Gait disturbance, Hyperaesthesia
Clinical narrative: RECEIVED VACCINE ON 11/8/21 1) 11/10/21: TWO KNOTS  CAME UP ON LEFT LEG ACCOMPANIED BY SEVERE ITCHING 2) 11/11/21: WHOLE BODY INFLICTED WITH SEVERE PAIN AND ITCHING 3) FINGERS BURNING AND ITCHING 4) 11/15/21: PAIN SO SEVERE I WENT TO E.R. A PRESCRIPTION FOR A MEDROL DOSE PACK WAS WRITTEN. 5) 11/16/21: PAIN STILL SEVERE SO I WENT TO MEDICAL. TORODOL AND DEPO MEDROL INJECTION WAS GIVEN WITH A PRESCRIPTION FOR PREDNISONE. 6) OUTCOME: BODY STILL IN SEVERE PAIN. TOES CAN'T STAND TO TOUCH A BED SHEET. FINGERS AND TOES BURNING LIKE FIRE. ALL JOINTS PAINFUL AT A LEVEL 10. CAN'T STAND TO WALK ON FEET.  7) TREATMENTS: USING ASPERCREAM, CORTIZONE CREAM,  BENADRYL, TYLENOL, IBUPROFEN, FLEXERIL, METHOCARBOMOL,  8) RESULTS: NOTHING IS BEING FIXED. BODY STILL IN SEVERE PAIN MINUS THE ITCHING. PAIN IS UNBEARABLE TO THE POINT I'VE CONSIDERED SUICIDE. PAIN IS NOT SUBSIDING AFTER 8 DAYS. STILL HURTING PRESENTLY.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Nodule, Pain, Pain in extremity, Pruritus, Skin burning sensation
Clinical narrative: RECEIVED VACCINE ON 11/8/21 1) 11/10/21: TWO KNOTS  CAME UP ON LEFT LEG ACCOMPANIED BY SEVERE ITCHING 2) 11/11/21: WHOLE BODY INFLICTED WITH SEVERE PAIN AND ITCHING 3) FINGERS BURNING AND ITCHING 4) 11/15/21: PAIN SO SEVERE I WENT TO E.R. A PRESCRIPTION FOR A MEDROL DOSE PACK WAS WRITTEN. 5) 11/16/21: PAIN STILL SEVERE SO I WENT TO MEDICAL. TORODOL AND DEPO MEDROL INJECTION WAS GIVEN WITH A PRESCRIPTION FOR PREDNISONE. 6) OUTCOME: BODY STILL IN SEVERE PAIN. TOES CAN'T STAND TO TOUCH A BED SHEET. FINGERS AND TOES BURNING LIKE FIRE. ALL JOINTS PAINFUL AT A LEVEL 10. CAN'T STAND TO WALK ON FEET.  7) TREATMENTS: USING ASPERCREAM, CORTIZONE CREAM,  BENADRYL, TYLENOL, IBUPROFEN, FLEXERIL, METHOCARBOMOL,  8) RESULTS: NOTHING IS BEING FIXED. BODY STILL IN SEVERE PAIN MINUS THE ITCHING. PAIN IS UNBEARABLE TO THE POINT I'VE CONSIDERED SUICIDE. PAIN IS NOT SUBSIDING AFTER 8 DAYS. STILL HURTING PRESENTLY.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Suicidal ideation
Clinical narrative: RECEIVED VACCINE ON 11/8/21 1) 11/10/21: TWO KNOTS  CAME UP ON LEFT LEG ACCOMPANIED BY SEVERE ITCHING 2) 11/11/21: WHOLE BODY INFLICTED WITH SEVERE PAIN AND ITCHING 3) FINGERS BURNING AND ITCHING 4) 11/15/21: PAIN SO SEVERE I WENT TO E.R. A PRESCRIPTION FOR A MEDROL DOSE PACK WAS WRITTEN. 5) 11/16/21: PAIN STILL SEVERE SO I WENT TO MEDICAL. TORODOL AND DEPO MEDROL INJECTION WAS GIVEN WITH A PRESCRIPTION FOR PREDNISONE. 6) OUTCOME: BODY STILL IN SEVERE PAIN. TOES CAN'T STAND TO TOUCH A BED SHEET. FINGERS AND TOES BURNING LIKE FIRE. ALL JOINTS PAINFUL AT A LEVEL 10. CAN'T STAND TO WALK ON FEET.  7) TREATMENTS: USING ASPERCREAM, CORTIZONE CREAM,  BENADRYL, TYLENOL, IBUPROFEN, FLEXERIL, METHOCARBOMOL,  8) RESULTS: NOTHING IS BEING FIXED. BODY STILL IN SEVERE PAIN MINUS THE ITCHING. PAIN IS UNBEARABLE TO THE POINT I'VE CONSIDERED SUICIDE. PAIN IS NOT SUBSIDING AFTER 8 DAYS. STILL HURTING PRESENTLY.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strenth of vaccine remained.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: Patient received influenza vaccine with a pediatric size needle. patient was advised to seek another influenza dose for this season.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date.  Moderna analysis revealed full strenth of vaccine remained.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen Lymph node in armpit
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Condition aggravated, Fibrin D dimer
Clinical narrative: Hospitalized 11/12/2021-still admitted currently; COVID-19 positive 11/11/2021; fully vaccinated.  ASSESSMENT / PLAN:  56 y.o. female admitted to the ICU for status epilepticus that COVID-19. Assessment and Plan Pneumonia due to COVID-19 virus Assessment & Plan COVID-19 COVID Status: COVID confirmed  Lab Results Component Value Date   COVID19PCR Detected (A) 11/11/2021 Isolation: Severe Respiratory Isolation plan if COVID-19 negative: continue severe respiratory isolation Testing plan if COVID-19 negative: none  Decadron 6 milligram daily for 10 days.  Remdesivir for 5 days  Empiric antibiotics with clindamycin due to penicillin allergy and due to possible aspiration. Check sputum Gram stain and culture 11/18/2021 note: A/P Acute hypoxemic respiratory failure Airway protection d/t AMS after multiple seizures ETT 11/12 - current Goal fluid negative, lasix q8h Bronch 11/15 +burkholderia gladioli, ID consult Prop/Fentanyl/ versed for sedation Failing SBT's d/t tachypnea with profound weakness No PE COVID-19 +/- aspiration pneumonia S/P Moderna 3/21, no booster Steroids: Decadron 6mg 11/12-present Remdesivir 11/12-11/15 Toci not available Trend d-dimer Abx to complete 11/17
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gram stain, Intensive care, Mental status changes, Pneumonia aspiration, Respiratory disorder
Clinical narrative: Hospitalized 11/12/2021-still admitted currently; COVID-19 positive 11/11/2021; fully vaccinated.  ASSESSMENT / PLAN:  56 y.o. female admitted to the ICU for status epilepticus that COVID-19. Assessment and Plan Pneumonia due to COVID-19 virus Assessment & Plan COVID-19 COVID Status: COVID confirmed  Lab Results Component Value Date   COVID19PCR Detected (A) 11/11/2021 Isolation: Severe Respiratory Isolation plan if COVID-19 negative: continue severe respiratory isolation Testing plan if COVID-19 negative: none  Decadron 6 milligram daily for 10 days.  Remdesivir for 5 days  Empiric antibiotics with clindamycin due to penicillin allergy and due to possible aspiration. Check sputum Gram stain and culture 11/18/2021 note: A/P Acute hypoxemic respiratory failure Airway protection d/t AMS after multiple seizures ETT 11/12 - current Goal fluid negative, lasix q8h Bronch 11/15 +burkholderia gladioli, ID consult Prop/Fentanyl/ versed for sedation Failing SBT's d/t tachypnea with profound weakness No PE COVID-19 +/- aspiration pneumonia S/P Moderna 3/21, no booster Steroids: Decadron 6mg 11/12-present Remdesivir 11/12-11/15 Toci not available Trend d-dimer Abx to complete 11/17
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Seizure, Sputum culture, Status epilepticus, Tachypnoea
Clinical narrative: Hospitalized 11/12/2021-still admitted currently; COVID-19 positive 11/11/2021; fully vaccinated.  ASSESSMENT / PLAN:  56 y.o. female admitted to the ICU for status epilepticus that COVID-19. Assessment and Plan Pneumonia due to COVID-19 virus Assessment & Plan COVID-19 COVID Status: COVID confirmed  Lab Results Component Value Date   COVID19PCR Detected (A) 11/11/2021 Isolation: Severe Respiratory Isolation plan if COVID-19 negative: continue severe respiratory isolation Testing plan if COVID-19 negative: none  Decadron 6 milligram daily for 10 days.  Remdesivir for 5 days  Empiric antibiotics with clindamycin due to penicillin allergy and due to possible aspiration. Check sputum Gram stain and culture 11/18/2021 note: A/P Acute hypoxemic respiratory failure Airway protection d/t AMS after multiple seizures ETT 11/12 - current Goal fluid negative, lasix q8h Bronch 11/15 +burkholderia gladioli, ID consult Prop/Fentanyl/ versed for sedation Failing SBT's d/t tachypnea with profound weakness No PE COVID-19 +/- aspiration pneumonia S/P Moderna 3/21, no booster Steroids: Decadron 6mg 11/12-present Remdesivir 11/12-11/15 Toci not available Trend d-dimer Abx to complete 11/17
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Insomnia, Nausea, Pain
Clinical narrative: Headache, nausea, mod/severe severe body aches, insomnia - 24 hours
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date.  Moderna analysis revealed possible reduced effectiveness.  A third dose recommended to patient.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Patient came in for Pfizer first dose accompanied with father. Patient was very anxious and nervous prior to vaccine fighting and screaming in chair but was forced by dad and held down for vaccine. 1104 vaccine was given and at 1111 dad states " he says he has a headache" Patient was taken to gurney VS taken and placed in recumbent position and given juice and observed for 20 minutes. at 1131 dad states "are we good to go?" Dad was educated on s/sx of anaphylactic reaction such as cough, difficulty swallowing, SOB, flush, and to go to nearest ER if any arise. Father verbalized understanding, patient left AxOx4 speaking in full complete sentences able to follow this writers direction with strong steady gait accompanied by father.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Rash, Rash pruritic, Rhinorrhoea
Clinical narrative: Pruritic rash that started on face and neck, and spread diffusely to torso and extremities. Also developed cough and rhinorrhea on same day that rash started. Rash treated with OTC Benadryl. Rash mostly resolved by 11/18/21.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pruritic rash that started on face and neck, and spread diffusely to torso and extremities. Also developed cough and rhinorrhea on same day that rash started. Rash treated with OTC Benadryl. Rash mostly resolved by 11/18/21.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: Red splotches on my chest back and legs that still persist today (November 18. the splotches are not painful nor do they itch. Splotches are smooth to the touch
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date. Moderna analysis revealed possible reduced effectiveness. A third dose recommended to patient.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: patient was given influenza vaccine with a pediatric size needle. patient was advised to seek another dose of influenza vaccine for this season
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Patient received her Pfizer booster on 11/18/21 at around 11:15 am. About 5 minutes after injection, patient began to experience 10/10 chest tightness across her entire chest, with trouble catching her breath. Patient was transported to the gurney and initial vital signs were 156/81, HR 91, 99% on RA. Patient was observed for an additional 30 minutes.   At 11:55 VS: 116/74 HR 73 100% on RA. Patient states chest discomfort had improved but was still present at 4/10. She states she did not experience any issues or anxiety with previous doses of Pfizer. Patient was transported to ED via wheelchair for further evaluation.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis revealed possible reduced effectiveness.  A third dose recommended to patient.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown  No lot # in KYIR
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Patient started with a mild urticarial rash behind knees and back 24 hrs after covid vaccine. No respiratory symptoms described. Rx was started in Benadryl for symptoms.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 07/15/2021. PATIENT FULLY VACCINATED 02/17/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise, Mobility decreased
Clinical narrative: I began having dizzy spells sometime following this shot. My records show that I went to see my Ear Nose and Throat doctor on April 22nd complaining but never making the connection at that time to the shot. We decided that neither of us thought it was vertigo since I have had that before - this was different. Discussed the possibility of menieres but again it wasn't a textbook case but decided to keep a watch and consider that possibility.  On Nov. 3rd I received the Moderna booster shot. Didn't feel great the next day and subsequent days after was having dizzy spells again. By Monday, November 8th I couldn't lift my head off of the pillow. It wasn't until this week that I began piecing together the timeline that I have had dizziness after the second shot and now the booster. It's pretty severe and a daily issue right now more than two weeks after the booster shot. There has to be a correlation.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time prolonged, Activated partial thromboplastin time shortened, Anaemia, Antinuclear antibody positive, Asthenia
Clinical narrative: Per H&P: 25 y.o. female  with PMHx of AIHA requiring recent hospitalization and asthma who presents with symptomatic anemia and Hb of 4.8 on outpatient labs from 11/8.    Patient had a recent hospitalization at hospital in October 2021.  She had been experiencing increased lightheadedness, fatigue, weakness, and headaches and was found to have a hemoglobin of 6.6.  As she is a denomination  she deferred any blood transfusions.  Work-up demonstrated positive Coombs, CD3, parvovirus IgG, decreased haptoglobin (<8), erythropoietin 77, and elevated reticulocyte site count.  Hematology was consulted and started methylprednisolone, IVIG, EPO x2.  IR BM biopsy showed normocellular marrow with trilineage hematopoiesis, elevated reticulin fibrosis, no elevated blasts.  She was discharged on a prednisone 60 taper which she has completed and scheduled outpatient hematology follow-up.  Patient reports that she only experienced minimal improvement with treatment during that hospitalization.     She notes that following that hospitalization, she continued to experience weakness and numbness in her legs, tremors in her extremities when exerting herself for long periods, and dyspnea on exertion.  She states that she feels intermittently fatigued but was noticeably more fatigued yesterday.  She continues to have occasional headaches which is relieved with migraine medication.  Also notes intermittent loss of appetite. Reports that she feels better overall than compared to her last admission. Denies any chest pain, lightheadedness, or shortness of breath currently.  Denies any signs of bleeding.  Patient has been taking iron supplements and completed her steroid taper on 11/7.  Last menstrual period was earlier this month and she notes that flow was more inconsistent but does not feel like menstruation was heavier than normal.  Reports that her twin sister also has hx of anemia which has required hospitalization in the past but is unaware of any other family history of hematological conditions. She is currently on leave of absence from work due to her medical issues until next week.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune haemolytic anaemia, Biopsy bone marrow abnormal, Blood erythropoietin increased, Blood immunoglobulin G, Blood lactate dehydrogenase increased
Clinical narrative: Per H&P: 25 y.o. female  with PMHx of AIHA requiring recent hospitalization and asthma who presents with symptomatic anemia and Hb of 4.8 on outpatient labs from 11/8.    Patient had a recent hospitalization at hospital in October 2021.  She had been experiencing increased lightheadedness, fatigue, weakness, and headaches and was found to have a hemoglobin of 6.6.  As she is a denomination  she deferred any blood transfusions.  Work-up demonstrated positive Coombs, CD3, parvovirus IgG, decreased haptoglobin (<8), erythropoietin 77, and elevated reticulocyte site count.  Hematology was consulted and started methylprednisolone, IVIG, EPO x2.  IR BM biopsy showed normocellular marrow with trilineage hematopoiesis, elevated reticulin fibrosis, no elevated blasts.  She was discharged on a prednisone 60 taper which she has completed and scheduled outpatient hematology follow-up.  Patient reports that she only experienced minimal improvement with treatment during that hospitalization.     She notes that following that hospitalization, she continued to experience weakness and numbness in her legs, tremors in her extremities when exerting herself for long periods, and dyspnea on exertion.  She states that she feels intermittently fatigued but was noticeably more fatigued yesterday.  She continues to have occasional headaches which is relieved with migraine medication.  Also notes intermittent loss of appetite. Reports that she feels better overall than compared to her last admission. Denies any chest pain, lightheadedness, or shortness of breath currently.  Denies any signs of bleeding.  Patient has been taking iron supplements and completed her steroid taper on 11/7.  Last menstrual period was earlier this month and she notes that flow was more inconsistent but does not feel like menstruation was heavier than normal.  Reports that her twin sister also has hx of anemia which has required hospitalization in the past but is unaware of any other family history of hematological conditions. She is currently on leave of absence from work due to her medical issues until next week.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood smear test abnormal, Bone marrow reticulin fibrosis, Coagulation factor VIII level increased, Complement factor C3, Complement factor C4
Clinical narrative: Per H&P: 25 y.o. female  with PMHx of AIHA requiring recent hospitalization and asthma who presents with symptomatic anemia and Hb of 4.8 on outpatient labs from 11/8.    Patient had a recent hospitalization at hospital in October 2021.  She had been experiencing increased lightheadedness, fatigue, weakness, and headaches and was found to have a hemoglobin of 6.6.  As she is a denomination  she deferred any blood transfusions.  Work-up demonstrated positive Coombs, CD3, parvovirus IgG, decreased haptoglobin (<8), erythropoietin 77, and elevated reticulocyte site count.  Hematology was consulted and started methylprednisolone, IVIG, EPO x2.  IR BM biopsy showed normocellular marrow with trilineage hematopoiesis, elevated reticulin fibrosis, no elevated blasts.  She was discharged on a prednisone 60 taper which she has completed and scheduled outpatient hematology follow-up.  Patient reports that she only experienced minimal improvement with treatment during that hospitalization.     She notes that following that hospitalization, she continued to experience weakness and numbness in her legs, tremors in her extremities when exerting herself for long periods, and dyspnea on exertion.  She states that she feels intermittently fatigued but was noticeably more fatigued yesterday.  She continues to have occasional headaches which is relieved with migraine medication.  Also notes intermittent loss of appetite. Reports that she feels better overall than compared to her last admission. Denies any chest pain, lightheadedness, or shortness of breath currently.  Denies any signs of bleeding.  Patient has been taking iron supplements and completed her steroid taper on 11/7.  Last menstrual period was earlier this month and she notes that flow was more inconsistent but does not feel like menstruation was heavier than normal.  Reports that her twin sister also has hx of anemia which has required hospitalization in the past but is unaware of any other family history of hematological conditions. She is currently on leave of absence from work due to her medical issues until next week.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Coombs test positive, Decreased appetite, Dizziness, Dyspnoea exertional
Clinical narrative: Per H&P: 25 y.o. female  with PMHx of AIHA requiring recent hospitalization and asthma who presents with symptomatic anemia and Hb of 4.8 on outpatient labs from 11/8.    Patient had a recent hospitalization at hospital in October 2021.  She had been experiencing increased lightheadedness, fatigue, weakness, and headaches and was found to have a hemoglobin of 6.6.  As she is a denomination  she deferred any blood transfusions.  Work-up demonstrated positive Coombs, CD3, parvovirus IgG, decreased haptoglobin (<8), erythropoietin 77, and elevated reticulocyte site count.  Hematology was consulted and started methylprednisolone, IVIG, EPO x2.  IR BM biopsy showed normocellular marrow with trilineage hematopoiesis, elevated reticulin fibrosis, no elevated blasts.  She was discharged on a prednisone 60 taper which she has completed and scheduled outpatient hematology follow-up.  Patient reports that she only experienced minimal improvement with treatment during that hospitalization.     She notes that following that hospitalization, she continued to experience weakness and numbness in her legs, tremors in her extremities when exerting herself for long periods, and dyspnea on exertion.  She states that she feels intermittently fatigued but was noticeably more fatigued yesterday.  She continues to have occasional headaches which is relieved with migraine medication.  Also notes intermittent loss of appetite. Reports that she feels better overall than compared to her last admission. Denies any chest pain, lightheadedness, or shortness of breath currently.  Denies any signs of bleeding.  Patient has been taking iron supplements and completed her steroid taper on 11/7.  Last menstrual period was earlier this month and she notes that flow was more inconsistent but does not feel like menstruation was heavier than normal.  Reports that her twin sister also has hx of anemia which has required hospitalization in the past but is unaware of any other family history of hematological conditions. She is currently on leave of absence from work due to her medical issues until next week.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Haematocrit decreased, Haemoglobin decreased, Haptoglobin decreased, Headache
Clinical narrative: Per H&P: 25 y.o. female  with PMHx of AIHA requiring recent hospitalization and asthma who presents with symptomatic anemia and Hb of 4.8 on outpatient labs from 11/8.    Patient had a recent hospitalization at hospital in October 2021.  She had been experiencing increased lightheadedness, fatigue, weakness, and headaches and was found to have a hemoglobin of 6.6.  As she is a denomination  she deferred any blood transfusions.  Work-up demonstrated positive Coombs, CD3, parvovirus IgG, decreased haptoglobin (<8), erythropoietin 77, and elevated reticulocyte site count.  Hematology was consulted and started methylprednisolone, IVIG, EPO x2.  IR BM biopsy showed normocellular marrow with trilineage hematopoiesis, elevated reticulin fibrosis, no elevated blasts.  She was discharged on a prednisone 60 taper which she has completed and scheduled outpatient hematology follow-up.  Patient reports that she only experienced minimal improvement with treatment during that hospitalization.     She notes that following that hospitalization, she continued to experience weakness and numbness in her legs, tremors in her extremities when exerting herself for long periods, and dyspnea on exertion.  She states that she feels intermittently fatigued but was noticeably more fatigued yesterday.  She continues to have occasional headaches which is relieved with migraine medication.  Also notes intermittent loss of appetite. Reports that she feels better overall than compared to her last admission. Denies any chest pain, lightheadedness, or shortness of breath currently.  Denies any signs of bleeding.  Patient has been taking iron supplements and completed her steroid taper on 11/7.  Last menstrual period was earlier this month and she notes that flow was more inconsistent but does not feel like menstruation was heavier than normal.  Reports that her twin sister also has hx of anemia which has required hospitalization in the past but is unaware of any other family history of hematological conditions. She is currently on leave of absence from work due to her medical issues until next week.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Impaired work ability, International normalised ratio normal, Macrocytosis
Clinical narrative: Per H&P: 25 y.o. female  with PMHx of AIHA requiring recent hospitalization and asthma who presents with symptomatic anemia and Hb of 4.8 on outpatient labs from 11/8.    Patient had a recent hospitalization at hospital in October 2021.  She had been experiencing increased lightheadedness, fatigue, weakness, and headaches and was found to have a hemoglobin of 6.6.  As she is a denomination  she deferred any blood transfusions.  Work-up demonstrated positive Coombs, CD3, parvovirus IgG, decreased haptoglobin (<8), erythropoietin 77, and elevated reticulocyte site count.  Hematology was consulted and started methylprednisolone, IVIG, EPO x2.  IR BM biopsy showed normocellular marrow with trilineage hematopoiesis, elevated reticulin fibrosis, no elevated blasts.  She was discharged on a prednisone 60 taper which she has completed and scheduled outpatient hematology follow-up.  Patient reports that she only experienced minimal improvement with treatment during that hospitalization.     She notes that following that hospitalization, she continued to experience weakness and numbness in her legs, tremors in her extremities when exerting herself for long periods, and dyspnea on exertion.  She states that she feels intermittently fatigued but was noticeably more fatigued yesterday.  She continues to have occasional headaches which is relieved with migraine medication.  Also notes intermittent loss of appetite. Reports that she feels better overall than compared to her last admission. Denies any chest pain, lightheadedness, or shortness of breath currently.  Denies any signs of bleeding.  Patient has been taking iron supplements and completed her steroid taper on 11/7.  Last menstrual period was earlier this month and she notes that flow was more inconsistent but does not feel like menstruation was heavier than normal.  Reports that her twin sister also has hx of anemia which has required hospitalization in the past but is unaware of any other family history of hematological conditions. She is currently on leave of absence from work due to her medical issues until next week.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Mineral supplementation, Muscular weakness, Pathology test, Platelet count normal
Clinical narrative: Per H&P: 25 y.o. female  with PMHx of AIHA requiring recent hospitalization and asthma who presents with symptomatic anemia and Hb of 4.8 on outpatient labs from 11/8.    Patient had a recent hospitalization at hospital in October 2021.  She had been experiencing increased lightheadedness, fatigue, weakness, and headaches and was found to have a hemoglobin of 6.6.  As she is a denomination  she deferred any blood transfusions.  Work-up demonstrated positive Coombs, CD3, parvovirus IgG, decreased haptoglobin (<8), erythropoietin 77, and elevated reticulocyte site count.  Hematology was consulted and started methylprednisolone, IVIG, EPO x2.  IR BM biopsy showed normocellular marrow with trilineage hematopoiesis, elevated reticulin fibrosis, no elevated blasts.  She was discharged on a prednisone 60 taper which she has completed and scheduled outpatient hematology follow-up.  Patient reports that she only experienced minimal improvement with treatment during that hospitalization.     She notes that following that hospitalization, she continued to experience weakness and numbness in her legs, tremors in her extremities when exerting herself for long periods, and dyspnea on exertion.  She states that she feels intermittently fatigued but was noticeably more fatigued yesterday.  She continues to have occasional headaches which is relieved with migraine medication.  Also notes intermittent loss of appetite. Reports that she feels better overall than compared to her last admission. Denies any chest pain, lightheadedness, or shortness of breath currently.  Denies any signs of bleeding.  Patient has been taking iron supplements and completed her steroid taper on 11/7.  Last menstrual period was earlier this month and she notes that flow was more inconsistent but does not feel like menstruation was heavier than normal.  Reports that her twin sister also has hx of anemia which has required hospitalization in the past but is unaware of any other family history of hematological conditions. She is currently on leave of absence from work due to her medical issues until next week.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Polychromasia, Prothrombin time prolonged, Refusal of treatment by patient, Reticulocyte count increased, Serum ferritin normal
Clinical narrative: Per H&P: 25 y.o. female  with PMHx of AIHA requiring recent hospitalization and asthma who presents with symptomatic anemia and Hb of 4.8 on outpatient labs from 11/8.    Patient had a recent hospitalization at hospital in October 2021.  She had been experiencing increased lightheadedness, fatigue, weakness, and headaches and was found to have a hemoglobin of 6.6.  As she is a denomination  she deferred any blood transfusions.  Work-up demonstrated positive Coombs, CD3, parvovirus IgG, decreased haptoglobin (<8), erythropoietin 77, and elevated reticulocyte site count.  Hematology was consulted and started methylprednisolone, IVIG, EPO x2.  IR BM biopsy showed normocellular marrow with trilineage hematopoiesis, elevated reticulin fibrosis, no elevated blasts.  She was discharged on a prednisone 60 taper which she has completed and scheduled outpatient hematology follow-up.  Patient reports that she only experienced minimal improvement with treatment during that hospitalization.     She notes that following that hospitalization, she continued to experience weakness and numbness in her legs, tremors in her extremities when exerting herself for long periods, and dyspnea on exertion.  She states that she feels intermittently fatigued but was noticeably more fatigued yesterday.  She continues to have occasional headaches which is relieved with migraine medication.  Also notes intermittent loss of appetite. Reports that she feels better overall than compared to her last admission. Denies any chest pain, lightheadedness, or shortness of breath currently.  Denies any signs of bleeding.  Patient has been taking iron supplements and completed her steroid taper on 11/7.  Last menstrual period was earlier this month and she notes that flow was more inconsistent but does not feel like menstruation was heavier than normal.  Reports that her twin sister also has hx of anemia which has required hospitalization in the past but is unaware of any other family history of hematological conditions. She is currently on leave of absence from work due to her medical issues until next week.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: T-lymphocyte count, Transferrin saturation, Tremor, White blood cell count decreased
Clinical narrative: Per H&P: 25 y.o. female  with PMHx of AIHA requiring recent hospitalization and asthma who presents with symptomatic anemia and Hb of 4.8 on outpatient labs from 11/8.    Patient had a recent hospitalization at hospital in October 2021.  She had been experiencing increased lightheadedness, fatigue, weakness, and headaches and was found to have a hemoglobin of 6.6.  As she is a denomination  she deferred any blood transfusions.  Work-up demonstrated positive Coombs, CD3, parvovirus IgG, decreased haptoglobin (<8), erythropoietin 77, and elevated reticulocyte site count.  Hematology was consulted and started methylprednisolone, IVIG, EPO x2.  IR BM biopsy showed normocellular marrow with trilineage hematopoiesis, elevated reticulin fibrosis, no elevated blasts.  She was discharged on a prednisone 60 taper which she has completed and scheduled outpatient hematology follow-up.  Patient reports that she only experienced minimal improvement with treatment during that hospitalization.     She notes that following that hospitalization, she continued to experience weakness and numbness in her legs, tremors in her extremities when exerting herself for long periods, and dyspnea on exertion.  She states that she feels intermittently fatigued but was noticeably more fatigued yesterday.  She continues to have occasional headaches which is relieved with migraine medication.  Also notes intermittent loss of appetite. Reports that she feels better overall than compared to her last admission. Denies any chest pain, lightheadedness, or shortness of breath currently.  Denies any signs of bleeding.  Patient has been taking iron supplements and completed her steroid taper on 11/7.  Last menstrual period was earlier this month and she notes that flow was more inconsistent but does not feel like menstruation was heavier than normal.  Reports that her twin sister also has hx of anemia which has required hospitalization in the past but is unaware of any other family history of hematological conditions. She is currently on leave of absence from work due to her medical issues until next week.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date.  Moderna analysis revealed possible reduced effectiveness.  A third dose recommended to patient.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Tested NAAT positive for COVID 11/17/21 after being fully vaccinated.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: patient received influenza vaccine with a pediatric sized needle. patient was advised to seek another dose of influenza vaccine for this season
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Pain in shoulder. (Side of injection site) Was referred to chiropractor.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date.  Moderna analysis revealed possible reduced effectiveness.  A third dose recommended to patient.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Loss of consciousness
Clinical narrative: I woke Tuesday morning and felt like I never went to bed the night before which I saw other people say this happened after the booster About 1 pm I decided to try to go fix something to eat   I got the food ready and turned around and felt something funny next thing I knew I was waking up on the floor from passing out I knew not to get up right away so I laid there 30 min then finally got up and got my food ate. then I went back to bed and at about 4:30 I had some paperwork I need to scan and sent so this time luckily I was sitting at a desk. though I felt the same fainting coming so I laid my head down and just sat there and let it happen Wednesday I had an appointment I had to go to so I stopped by local store and grabbed a few things  I got very hot in there and last I felt like I got just a little more sleep mind you I have been sleep 20hrs a day since tuesday
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Vaccine administered without diluting
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The nurse sated that she reconstituted the 5-11 year old  Pfizer Covid-19 vaccine with 1.8 ml of 0.9% of normal saline instead of 1.3 ml.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 07/15/2021. PATIENT FULLY VACCINATED ON 02/17/2021.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intracranial aneurysm, Malaise
Clinical narrative: Patient diagnosed with brain aneurysm and transported to hospital in town. Via daughter  " She hasn't felt well since (her second dose). "
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intracranial aneurysm
Clinical narrative: Patient diagnosed with brain aneurysm and transported to hospital in town. Via daughter  " She hasn't felt well since (her second dose). "
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intracranial aneurysm, Malaise
Clinical narrative: Patient's daughter reported to us that 1 week after booster patient was being transported to Hospital for treatment of a brain aneurysm.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intracranial aneurysm
Clinical narrative: Patient's daughter reported to us that 1 week after booster patient was being transported to Hospital for treatment of a brain aneurysm.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Fatigue, Heart rate increased, Migraine
Clinical narrative: 24/7 Migraine - lasted approximately 10 days, did not improve with Advil  Nausea - lasted approximately 10 days, came in strong waves, usually strongest when the migraine was at its worst Chills/Cold Sweats - lasted approximately 24 hours  Fatigue - lasted about a week Rapid Heart Beat - occurred sporadically for about a week