chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hypotension, Lipase normal, Liver function test abnormal, Metabolic function test
Clinical narrative: This is a 62y.o. male with a past medical history of liver transplant (2007) 2/2 alpha-1 antitrypsin, ESRD on HD TTSa 2/2 FSGS from transplant anti-rejection drugs, legally blind?, A flutter on eliquis, DVT on eliquis who presented from dialysis for hypotension. He reports some lightheadedness with his head turning. He also reports some nausea and diarrhea for the last few days. He denies any dyspnea, chest pain, palpitations, abdominal pain. He was recently admitted to Hospital for presumably his COVID infection.    Further chart review-  Patient previously hospitalized at Hospital and was noted to have Bacteroides fragilis bacteremia that was susceptible to meropenem, clindamycin, Unasyn, and metronidazole.    ED Course:  Vitals on arrival: 85/49, HR: 78, RR: 18, SPO2 0.88% on room air. Patient was placed on 5 L nasal cannula with increased to 96%. Blood pressure has remained low with MAP 56-66. He was given 500 mL normal saline bolus x2 and additional 250 mL bolus  with minimal improvement in blood pressure to 88/59, MAP: 69.  CBC remarkable for 3 BC: 15.7, hemoglobin: 11.8, baseline 11 , platelet: 457. BMP remarkable for sodium: 139, potassium: 5.2, chloride: 97, CO2: 14 with ATG: 23, BUN: 118, creatinine: 12.61. VBG: 7.33/32/16. Beta hydroxybutyrate: 0.24 hepatic function panel remarkable for alkaline phosphatase: 127. Lipase: 104, alkaline phosphatase: 6.5 troponin: 0.07, 0.07, 0.07. Blood cultures were obtained. Imaging: EKG: first degree AV block, CXR: consolidative process in LLL Medications: Cefepime, vancomycin started
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Platelet count increased, SARS-CoV-2 test positive, Troponin
Clinical narrative: This is a 62y.o. male with a past medical history of liver transplant (2007) 2/2 alpha-1 antitrypsin, ESRD on HD TTSa 2/2 FSGS from transplant anti-rejection drugs, legally blind?, A flutter on eliquis, DVT on eliquis who presented from dialysis for hypotension. He reports some lightheadedness with his head turning. He also reports some nausea and diarrhea for the last few days. He denies any dyspnea, chest pain, palpitations, abdominal pain. He was recently admitted to Hospital for presumably his COVID infection.    Further chart review-  Patient previously hospitalized at Hospital and was noted to have Bacteroides fragilis bacteremia that was susceptible to meropenem, clindamycin, Unasyn, and metronidazole.    ED Course:  Vitals on arrival: 85/49, HR: 78, RR: 18, SPO2 0.88% on room air. Patient was placed on 5 L nasal cannula with increased to 96%. Blood pressure has remained low with MAP 56-66. He was given 500 mL normal saline bolus x2 and additional 250 mL bolus  with minimal improvement in blood pressure to 88/59, MAP: 69.  CBC remarkable for 3 BC: 15.7, hemoglobin: 11.8, baseline 11 , platelet: 457. BMP remarkable for sodium: 139, potassium: 5.2, chloride: 97, CO2: 14 with ATG: 23, BUN: 118, creatinine: 12.61. VBG: 7.33/32/16. Beta hydroxybutyrate: 0.24 hepatic function panel remarkable for alkaline phosphatase: 127. Lipase: 104, alkaline phosphatase: 6.5 troponin: 0.07, 0.07, 0.07. Blood cultures were obtained. Imaging: EKG: first degree AV block, CXR: consolidative process in LLL Medications: Cefepime, vancomycin started
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Cough, Dyspnoea, Dysuria, Fall
Clinical narrative: Patient admitted through ED with SOB , cough, dysuria and abd. pain after fall
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Hyperhidrosis, Lymphadenitis, Musculoskeletal stiffness
Clinical narrative: Inflamed lymph nodes in right-side of neck/collar bone. Swelling, neck pain, stiffness in right-side of neck. Increased body warmth, but no fever. Sweaty palms and feet. Headache.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Swelling
Clinical narrative: Inflamed lymph nodes in right-side of neck/collar bone. Swelling, neck pain, stiffness in right-side of neck. Increased body warmth, but no fever. Sweaty palms and feet. Headache.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Musculoskeletal chest pain, Pain in jaw
Clinical narrative: Feels like wings are growing out of back, jaw pain, right ribcage pain
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered, No adverse event
Clinical narrative: Patient was given 0.5ml as his booster dose after a complete  2 dose Moderna series instead of the correct 0.25ml dose. Pt does not report any adverse events.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Extra dose administered, Vision blurred
Clinical narrative: Patient received an adult Pfizer booster vaccine in the left arm(Lot# FF88411, Expiration Date 01/03/22).  While in the Observation Area client reported blurry vision and feeling light headed at approximately 1034.  At that time patient also self administered own medications of Lorazepam and Tylenol as prescribed for symptoms she was experiencing.  PHN's present in Observation Area.  Patient was assisted to the anti-gravity chair, Blood Pressure 142/86, SaO2 98% on room air, Pulse 92, breathing unlabored, alert and oriented to person, place, time, and situation.  Patient states, "blurry vision is getting better, a little."  Patient denied reactions to COVID vaccine 1st and 2nd doses.  1040:  Blood Pressure 142/88, SaO2 98% on room air, Pulse 82, breathing unlabored, no changes in mentation.  Patient denies dizziness, admits to eating coffee and toast at approximately 0800.  1052: Blood Pressure 143/88, SaO2 99% on room air, Pulse 84, breathing unlabored, no changes in mentation.  Patient states she "feels dizzy with high blood pressure."  1054:  Patient states she "feels fine," PHN educates patient on signs and symptoms of anaphylaxis and to call 911 or go to nearest emergency department for any signs or symptoms, advises patient to follow up with primary care provider regarding blood pressure. Patient admits she has 2-3 episodes of dizziness daily and also has diabetes she no longer takes medication for.  1055:  Patient leaves with husband for home.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, Feeling cold, Injection site discomfort, Pain in extremity, Paraesthesia
Clinical narrative: 30 minutes after injection Tingling in fingers  30 minutes after injection Feel cold 3.5 hours after injection  Sore arm 16 hours after injection Fever   19.5 hours after injection  Fever 102.2 22 hours after injection Congestion  23.5 hours after injection Joints: elbows fingers Knees hips back  24 hours after injection. Fever 103.6 24 hours after injection Cold hands  24 hours after injection  joints: Ankles  9 days after injection arm is bothering below injection site.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness, Pyrexia, Respiratory tract congestion
Clinical narrative: 30 minutes after injection Tingling in fingers  30 minutes after injection Feel cold 3.5 hours after injection  Sore arm 16 hours after injection Fever   19.5 hours after injection  Fever 102.2 22 hours after injection Congestion  23.5 hours after injection Joints: elbows fingers Knees hips back  24 hours after injection. Fever 103.6 24 hours after injection Cold hands  24 hours after injection  joints: Ankles  9 days after injection arm is bothering below injection site.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Loss of personal independence in daily activities
Clinical narrative: Started as a constant foggy head; has steadily gotten worse.  Now the headache is occasionally so severe that he simply goes to sleep for comfort.  Cannot take car rides. Has missed several days of school.  Taking to a neurologist today.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Nasal congestion, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: Intense pain throughout the body, physical contact hurts when walking, sitting, lying down? That is, anywhere that a minimum pressure is exerted, such as turning a doorknob, my hand hurts, if I sit down, I The buttocks that support my weight hurt, if I walk or stand, the soles of my feet hurt, if I lie down, all the parts of my body that are in contact with the surface hurt. I also have a sore throat and a stuffy nose.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: I have chronic joint pain and my hips hurt constantly. I never had any hip joint pain prior to vaccination.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Dry skin, Erythema, Rash, Skin exfoliation, Skin warm
Clinical narrative: Facial Redness beginning on Sunday, the morning after the first dose of the vaccine.  The following day (Monday), his face started to swell as well and he couldn't open his right eye upon waking.  We went to the doctor who said it was just a side effect of the vaccine and time would heal it. By Tuesday his face was extremely puffy, and the skin especially on his forehead and around his eyes was red, bumpy, and dry and felt hot to the touch although he did not have a fever at any time.  On Wednesday he was starting to have reduced redness and puffiness.  It continued decreasing until the following Sunday, when he wasn't puffy at all, though the skin is starting to peel now.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Facial Redness beginning on Sunday, the morning after the first dose of the vaccine.  The following day (Monday), his face started to swell as well and he couldn't open his right eye upon waking.  We went to the doctor who said it was just a side effect of the vaccine and time would heal it. By Tuesday his face was extremely puffy, and the skin especially on his forehead and around his eyes was red, bumpy, and dry and felt hot to the touch although he did not have a fever at any time.  On Wednesday he was starting to have reduced redness and puffiness.  It continued decreasing until the following Sunday, when he wasn't puffy at all, though the skin is starting to peel now.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash
Clinical narrative: Patient developed a rash on her left arm above the site that extended up into her chest and neck area about 14 minutes after the vaccine was administered. Resolved within 25 minutes per father.
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Nasal congestion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: PATIENT DIAGNOSED WITH COVID-19 ON 9/2/2021 AT ER . PATIENT SYMPTOMS AS FOLLOWS, STUFFY NOSE, COUGH AND FEVER THAT STARTED 3 DAYS PRIOR TO DIAGNOSES DATE.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Mechanical urticaria, Pruritus, Swelling
Clinical narrative: Dermatographia. Whenever I scratch, it creates hives/raised red lines and continues to be super itchy.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough
Clinical narrative: admitted the for evaluation from Dr. office with chest pain and cough
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cough, Dizziness, Dyspnoea, Influenza A virus test negative
Clinical narrative: Patient is a 61y.o. female with T2DM, HTN, HLD who presents to the emergency department for shortness of breath and palpitations. Symptoms of SOB and dry cough for 2 weeks, presented to the ED for palpitations and dizziness. Found to be in atrial fibrillation with rapid ventricular response. No history of atrial fibrillation. No change in weight, fever/chills, diarrhea, chest pain, shortness of breath.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Palpitations, Respiratory syncytial virus test negative, SARS-CoV-2 test negative
Clinical narrative: Patient is a 61y.o. female with T2DM, HTN, HLD who presents to the emergency department for shortness of breath and palpitations. Symptoms of SOB and dry cough for 2 weeks, presented to the ED for palpitations and dizziness. Found to be in atrial fibrillation with rapid ventricular response. No history of atrial fibrillation. No change in weight, fever/chills, diarrhea, chest pain, shortness of breath.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion, Sinus headache
Clinical narrative: 11/19 I had a bad sinus headache w/congestion. Nothing of my usual OTC methods was working (steam, Sudafed, Xlear nasal rinse) and called my nurse and saw her in her office. Confirmed a possible infection and issued Azithromycin for 10 days. Cleared infection and is currently on the mend.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Pericarditis, Troponin I increased
Clinical narrative: Pericarditis or myocarditis
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Epistaxis, Pain, Pyrexia
Clinical narrative: High grade fever 101-102, chills, body aches, nose bleeds; took Tylenol.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Half dose of 0.25ml administered instead of 0.5.  Vaccinating staff returned same afternoon and administered remaining 0.25ml.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Dizziness, Pain
Clinical narrative: High fever (101.5), extreme body aches, lower back and hip pain, sciatica, chills, dizzy
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sciatica
Clinical narrative: High fever (101.5), extreme body aches, lower back and hip pain, sciatica, chills, dizzy
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dysphagia, Dyspnoea, Urticaria
Clinical narrative: Client reported chest pressure to EMT at approximately 6:40 PM. Client ambulated unassisted, sat down in the anti-gravity chair, and the chair was reclined in a semi-fowler's position by EMT. RN responded. The client reported chest pressure, shortness of breath, and feeling hot on her chest. Client denied any itchiness or feeling of swelling on her throat, lips, or tongue. EMS was activated at 6:41 PM. Client denied any history of chronic conditions or medications. Client reported a history of "bleeding inside" after taking NSAIDS. Client was alert and oriented to person, place, time, and situation. RN did not see any visible swelling of the lips or tongue. Vitals obtained at 6:44PM were as follows: manual BP 150/80, HR 106, O2 98%. Repeat automatic BP reading was 173/101. Client reported a history of hypotension. RN noted visible hives on the client's chest and recommended administration of IM Benadryl. The client reported difficulty swallowing to RN. Client stated she had previously taken Benadryl without any adverse reactions. The client provided verbal consent and RN administered 1 mL (50 mg)  of Benadryl intramuscular into the right deltoid at 6:48PM. Client reported persistent chest pressure and difficulty breathing. RN did not note any signs of swelling on the client's lips or tongue. The client was alert and oriented to person and place and verbally responsive to questions. EMS arrived on site and assumed care at 6:50PM. Client was transported by
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Nausea and fever
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram, Cough, Deafness unilateral, Ear infection, Ear pain
Clinical narrative: Around 11/03/2021 - I started feeling terrible, could not stop coughing, sore throat head congestion, and earache.  After I had these symptoms for over a week, I went to an urgent care. the strep test, c-19 test, listened to my lungs. And put me on erythromycin, z-pack for 5 days. My symptoms did not resolve at all. I went back to the urgent care because I could not hear, especially left ear. They said I had ear wax and they cleaned it out. It did not help. I went to a different urgent care a week later. They said I have an ear infection and they gave me ear drops, ciprofloxacin. My ear is still completely blocked. So then week later I went to my primary care. My PCP told me I still have an ear infection and put me doxycycline 100 mg for 8 days. My PCP also put me on high blood pressure medication, Amlodipine 10 mg once a day. I have never been on high blood pressure in my life. My ear infection did not resolve. Then my PCP sent me to an ENT doctor on 12/08/2021. She looked at my left ear and said I have a middle ear infection and she put me on fluticasone spray, to take twice a day every day and they gave me an audiology test. and she said my left ear wasn't hearing much of anything. My ear problem and a little congestion still remains. Like a little mucous in my nose. Nothing to complain about. If my ear problem does not resolve in 2 months, I have an appointment to go back again. If it is not better in 2 months, they are going to do another procedure, they did not say what it was.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Head discomfort, Oropharyngeal pain, Otitis media
Clinical narrative: Around 11/03/2021 - I started feeling terrible, could not stop coughing, sore throat head congestion, and earache.  After I had these symptoms for over a week, I went to an urgent care. the strep test, c-19 test, listened to my lungs. And put me on erythromycin, z-pack for 5 days. My symptoms did not resolve at all. I went back to the urgent care because I could not hear, especially left ear. They said I had ear wax and they cleaned it out. It did not help. I went to a different urgent care a week later. They said I have an ear infection and they gave me ear drops, ciprofloxacin. My ear is still completely blocked. So then week later I went to my primary care. My PCP told me I still have an ear infection and put me doxycycline 100 mg for 8 days. My PCP also put me on high blood pressure medication, Amlodipine 10 mg once a day. I have never been on high blood pressure in my life. My ear infection did not resolve. Then my PCP sent me to an ENT doctor on 12/08/2021. She looked at my left ear and said I have a middle ear infection and she put me on fluticasone spray, to take twice a day every day and they gave me an audiology test. and she said my left ear wasn't hearing much of anything. My ear problem and a little congestion still remains. Like a little mucous in my nose. Nothing to complain about. If my ear problem does not resolve in 2 months, I have an appointment to go back again. If it is not better in 2 months, they are going to do another procedure, they did not say what it was.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Malaise, Pyrexia, Seizure
Clinical narrative: I started feeling really dizzy and sick and then I just passed out and my mom said I had a small seizure.  I still have a fever of 100.7 but other than that I feel fine now.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Fatigue, Migraine, Pain in extremity
Clinical narrative: Severe migraine for 3 days; severe joint pain for 4 days; extreme fatigue for 3 days (unable to stay awake from hours 9 to 25 after injection); severe diarrhea for 1 week; extensive opposite of injection arm pain.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Approx 24 hours after shot, skin started to itch around hairline. Approx 48 hours after shot (on waking up in the morning) noted hives starting on torso front. By evening, full front torso covered, some up neck, and inside elbows. Took benadryl. Next morning (72 hours after shot) hives starting to fade.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, General physical health deterioration, Oxygen saturation decreased
Clinical narrative: pt admitted to hosp with difficulty breathing; pt was positive for COVID; placed on BIPAP; DNR; pt's condition worsened and O2 saturations declined; pt was pulling mask off and stating she was ready to quit wearing the mask and die; pt's family was called in to be with pt; pt died in the hosp with family around her
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: pt admitted to hosp with difficulty breathing; pt was positive for COVID; placed on BIPAP; DNR; pt's condition worsened and O2 saturations declined; pt was pulling mask off and stating she was ready to quit wearing the mask and die; pt's family was called in to be with pt; pt died in the hosp with family around her
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Incorrect route of product administration, Injection site pain, Product administration error
Clinical narrative: Vaccination was administered very high & toward the back of my left shoulder. It was sore as expected. ~ 2nd day after 1st vax, I developed pain more in front, like joint pain instead of soft tissue.  As the ?normal? shoulder pain diminished, this new pain remained.  It was aggravated by the 2nd shot. Again, typical soreness at injection site with joint pain in the shoulder. The joint pain has diminished but has not disappeared. I suspect that the pharmacist who administered the shot somehow involved the shoulder joint by injecting too high & too far back. It?s a minor annoyance, not debilitating.
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Lip swelling, Oral herpes, Paraesthesia oral
Clinical narrative: I had a fever blister i got a tingling feeling on my upper lip and it got larger.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Asymptomatic COVID-19, COVID-19, Computerised tomogram abdomen abnormal
Clinical narrative: This is a 59y.o. male with significant past medical history of HTN, T2DM, S/P whipple procedure, dyslipidemia, anxiety, and depression that presented to the hospital with chief complaint of abdominal pain. He reports chronic abdominal pain over the past several years with abrupt worsening yesterday prompting ED evaluation. He admits to RUQ pain that radiates towards the left side of the abdomen. He admits to diffuse abdominal pain and cramping, nausea and vomiting. Denies any fever, chills, chest pain, shortness of breath.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. Coincidental finding of COVID+. CT AP concerning for SBO v ileus. NGT placed. Admitted for further evaluation and management with General surgery consultation.    Patient seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Essential hypertension, Flatulence, Gastric dilatation, Gastrointestinal tube insertion
Clinical narrative: This is a 59y.o. male with significant past medical history of HTN, T2DM, S/P whipple procedure, dyslipidemia, anxiety, and depression that presented to the hospital with chief complaint of abdominal pain. He reports chronic abdominal pain over the past several years with abrupt worsening yesterday prompting ED evaluation. He admits to RUQ pain that radiates towards the left side of the abdomen. He admits to diffuse abdominal pain and cramping, nausea and vomiting. Denies any fever, chills, chest pain, shortness of breath.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. Coincidental finding of COVID+. CT AP concerning for SBO v ileus. NGT placed. Admitted for further evaluation and management with General surgery consultation.    Patient seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Ileus, Intestinal dilatation, Lactic acidosis, Nausea, Pain
Clinical narrative: This is a 59y.o. male with significant past medical history of HTN, T2DM, S/P whipple procedure, dyslipidemia, anxiety, and depression that presented to the hospital with chief complaint of abdominal pain. He reports chronic abdominal pain over the past several years with abrupt worsening yesterday prompting ED evaluation. He admits to RUQ pain that radiates towards the left side of the abdomen. He admits to diffuse abdominal pain and cramping, nausea and vomiting. Denies any fever, chills, chest pain, shortness of breath.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. Coincidental finding of COVID+. CT AP concerning for SBO v ileus. NGT placed. Admitted for further evaluation and management with General surgery consultation.    Patient seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Small intestinal obstruction, Type 2 diabetes mellitus, Urinary system X-ray, Vomiting
Clinical narrative: This is a 59y.o. male with significant past medical history of HTN, T2DM, S/P whipple procedure, dyslipidemia, anxiety, and depression that presented to the hospital with chief complaint of abdominal pain. He reports chronic abdominal pain over the past several years with abrupt worsening yesterday prompting ED evaluation. He admits to RUQ pain that radiates towards the left side of the abdomen. He admits to diffuse abdominal pain and cramping, nausea and vomiting. Denies any fever, chills, chest pain, shortness of breath.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. Coincidental finding of COVID+. CT AP concerning for SBO v ileus. NGT placed. Admitted for further evaluation and management with General surgery consultation.    Patient seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Emotional distress
Clinical narrative: Extreme anxiety attack, mental distress, calmed down by days end, back to normal by Sunday night.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and vomiting for more than 12 hours.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Complaints of itchy arms and resident contributes it to the vaccination.  Benadryl and prednisone.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Paraesthesia, Tearfulness
Clinical narrative: Patient complained of tingling in left hand then all over. Patient complained of dizziness. Patient was able to walk to a cooler, quieter location. Patient appeared anxious and tearful. Patent was able to talk the whole time. Patient declined any trouble breathing.  Ice pad applied to neck. Respirations 16. BP 138/92. then 130/100. No visible rash or itching. Orange juice was drank by patient with no difficulty. Patient's mom insisted on ambulance to be called. Patient's O2 was 99% on room air when checked by EMT. Patient declined going to hospital. Patient left clinic with her mom.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incomplete course of vaccination, Lip swelling, Oropharyngeal pain, Swelling face
Clinical narrative: SORE THROAT AND BY THE THIRD DAY HAD SWELLING OF FACE AND LIPS I  IMMEDIATELY STARTED BENADRYL  THE SWELLING TOOK ABOUT 3 DAYS TO COMPLETELY GO DOWN DOCTOR RECOMMENDED NOT TO RECEIVE ANOTHER DOSE
Age: 8.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Hypertension, Insomnia, Lymphadenopathy
Clinical narrative: FEVER, ARM STIFFNESS, HIGH BLOOD PRESSURE, PULSE ACCELERATED, SWOLLEN LYMPH NODE, SHIVERING, INSOMNIA
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pyrexia
Clinical narrative: FEVER, ARM STIFFNESS, HIGH BLOOD PRESSURE, PULSE ACCELERATED, SWOLLEN LYMPH NODE, SHIVERING, INSOMNIA
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Swelling face
Clinical narrative: patient woke next day with swelling on right side of face, the following day, the left side of face was swollen as well as lips
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site discomfort
Clinical narrative: The patient reports experiencing "dead arm" since he received the vaccine.  He says that he was fine after the first dose, but that his arm has not felt the same since he received the second dose.  He describes it as "dead arm" and says that he can still feel tightness at the exact spot where he received the shot even though  a month and a half has passed.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Discomfort, Dizziness, Head injury, Insomnia
Clinical narrative: The muscle aches were bad, the whole body was aching, and I couldn't get comfortable sleeping. I tried going upstairs to go to a different bed, and when I got up there, I had tunnel vision, dizziness, I passed out and hit my head on the bed. But my blood pressure I think dropped when I was trying to get up the stairs, and I don't think that would've happened if I didn't overexert myself. I've never had a reaction like that to any vaccine. Confused about whether or not to medicate during this vaccination for symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Myalgia, Pain, Tunnel vision
Clinical narrative: The muscle aches were bad, the whole body was aching, and I couldn't get comfortable sleeping. I tried going upstairs to go to a different bed, and when I got up there, I had tunnel vision, dizziness, I passed out and hit my head on the bed. But my blood pressure I think dropped when I was trying to get up the stairs, and I don't think that would've happened if I didn't overexert myself. I've never had a reaction like that to any vaccine. Confused about whether or not to medicate during this vaccination for symptoms.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is a 7 YO child that received a dose of Moderna vaccine.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness unilateral, Ophthalmic scan, Ophthalmological examination abnormal, Pupil dilation procedure, Retinal vein occlusion
Clinical narrative: Branch Retinal Vein Occlusion Confirmed via eye exam, dialation and scan inside left eye.  exam and confirmation of outcome 11.29.2021 Outcome: Loss of vision Left eye
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Scan abnormal, Visual field tests abnormal
Clinical narrative: Branch Retinal Vein Occlusion Confirmed via eye exam, dialation and scan inside left eye.  exam and confirmation of outcome 11.29.2021 Outcome: Loss of vision Left eye
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Blood test, Chest discomfort, Chest pain, Condition aggravated
Clinical narrative: 1st reaction is an asthma attack 10 hours later. The next day, increase nasal mucus saw doctor on doctor on Wednesday. Doctor thought it was COVID and but didn't so I didn't do it because I was tested 2 days before. After that I had nebulizer and humidifier and this went on for a couple days. In I had bilateral chest pains, Heavy like I was drowning in my chest. Friday, fatigue and Sunday I woke up, I was gasping for breath, I took antibiotics. The doctor said it bacterial or virus or reaction to vaccine. Took Antibiotic on Sunday, hot shower and nebulizer. Monday I has increased heart palpitations. Occupational health tested negative for COVID. Heart related tarcacadio and spikes of High Blood pressure like felt like it was inflamed. Chest pains, right leg swelled up. Usually, I am low blood pressure. Last Tuesday, I was brushing my teeth and I throw up twice, No stomach flu and no fever. Going to PCP.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Lip swelling, Palpitations, Peripheral swelling
Clinical narrative: 1st reaction is an asthma attack 10 hours later. The next day, increase nasal mucus saw doctor on doctor on Wednesday. Doctor thought it was COVID and but didn't so I didn't do it because I was tested 2 days before. After that I had nebulizer and humidifier and this went on for a couple days. In I had bilateral chest pains, Heavy like I was drowning in my chest. Friday, fatigue and Sunday I woke up, I was gasping for breath, I took antibiotics. The doctor said it bacterial or virus or reaction to vaccine. Took Antibiotic on Sunday, hot shower and nebulizer. Monday I has increased heart palpitations. Occupational health tested negative for COVID. Heart related tarcacadio and spikes of High Blood pressure like felt like it was inflamed. Chest pains, right leg swelled up. Usually, I am low blood pressure. Last Tuesday, I was brushing my teeth and I throw up twice, No stomach flu and no fever. Going to PCP.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Vomiting, X-ray
Clinical narrative: 1st reaction is an asthma attack 10 hours later. The next day, increase nasal mucus saw doctor on doctor on Wednesday. Doctor thought it was COVID and but didn't so I didn't do it because I was tested 2 days before. After that I had nebulizer and humidifier and this went on for a couple days. In I had bilateral chest pains, Heavy like I was drowning in my chest. Friday, fatigue and Sunday I woke up, I was gasping for breath, I took antibiotics. The doctor said it bacterial or virus or reaction to vaccine. Took Antibiotic on Sunday, hot shower and nebulizer. Monday I has increased heart palpitations. Occupational health tested negative for COVID. Heart related tarcacadio and spikes of High Blood pressure like felt like it was inflamed. Chest pains, right leg swelled up. Usually, I am low blood pressure. Last Tuesday, I was brushing my teeth and I throw up twice, No stomach flu and no fever. Going to PCP.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menometrorrhagia, Menstrual disorder
Clinical narrative: Had an uterine ablation on 10/14/21.Had First dose Pfizer on 10/8/21.Had the ablation 10/14/21 and the second vaccine on 11/4/21. Pt had very  heavy bleeding/clotting  beginning on 11/14/21 -was seen by doctor on 11/17/21 and diagnosed with Menometrorrhagia and continues to have worse menstrual cycles than prior to uterine ablation.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was scheduled to receive 1st dose of Pfizer (pediatric) dose (0.2ml/0.10meq). She received the Pfizer (adult) dose (0.3ml/30meq). There were no signs/symptoms from the time of injection and departure.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Bursitis, Injection site pain, Joint range of motion decreased, Magnetic resonance imaging, X-ray
Clinical narrative: Pain in left arm at injection site lasting for months developing into Bursitis.  Steroid injection completed with some re-leaf in April. Increase pain with decrease range of motion in October being followed up by physician with further testing.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Headache, Injection site pain, Nausea, Pyrexia
Clinical narrative: Lasted  continuously for 4 days after onset: symptoms included high fever, severe headache, thirst beyond normal, suppressed hunger, nausea,  sore injection site, all of which gradually tapered off on the fourth day. Did not seek medical treatment, increased fluid intake & bed rest.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst
Clinical narrative: Lasted  continuously for 4 days after onset: symptoms included high fever, severe headache, thirst beyond normal, suppressed hunger, nausea,  sore injection site, all of which gradually tapered off on the fourth day. Did not seek medical treatment, increased fluid intake & bed rest.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Loss of consciousness, Shock symptom
Clinical narrative: Patient reported confusion, loss of consciousness, appeared to not be breathing, shock-like state, symptoms lasted for about 15 minutes.  This occurred ~12 hours after vaccination, similar event occurred with booster dose.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Decreased appetite, Dyspnoea
Clinical narrative: This is a 61y.o. female with PMH significant for RA and emphysema with home O2 use at 2LNC presents to ED with c/o coronavirus concern. Pt has been feeling fatigued with progressive worsening x 7 days. Pt states she is unable to complete her ADLs without feeling SOB and tired which is not normal for her. Associated symptoms include cough with scant clear sputum production, wheezing, decreased appetite, and nausea without vomiting. Pt has been exposed to coronavirus recently via family members. Pt is vaccinated against coronavirus x 2 in April 2021 with pfizer vaccine. Pt notes chronic headache and neuropathy pain from shingles outbreak from 2 years ago. Pt denies fever, chills, sinus pressure, rhinorrhea, purulent sputum, abdominal pain, diarrhea, constipation or dysuria.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Headache, Influenza A virus test negative, Influenza B virus test
Clinical narrative: This is a 61y.o. female with PMH significant for RA and emphysema with home O2 use at 2LNC presents to ED with c/o coronavirus concern. Pt has been feeling fatigued with progressive worsening x 7 days. Pt states she is unable to complete her ADLs without feeling SOB and tired which is not normal for her. Associated symptoms include cough with scant clear sputum production, wheezing, decreased appetite, and nausea without vomiting. Pt has been exposed to coronavirus recently via family members. Pt is vaccinated against coronavirus x 2 in April 2021 with pfizer vaccine. Pt notes chronic headache and neuropathy pain from shingles outbreak from 2 years ago. Pt denies fever, chills, sinus pressure, rhinorrhea, purulent sputum, abdominal pain, diarrhea, constipation or dysuria.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Loss of personal independence in daily activities, Nausea, Neuralgia, Productive cough
Clinical narrative: This is a 61y.o. female with PMH significant for RA and emphysema with home O2 use at 2LNC presents to ED with c/o coronavirus concern. Pt has been feeling fatigued with progressive worsening x 7 days. Pt states she is unable to complete her ADLs without feeling SOB and tired which is not normal for her. Associated symptoms include cough with scant clear sputum production, wheezing, decreased appetite, and nausea without vomiting. Pt has been exposed to coronavirus recently via family members. Pt is vaccinated against coronavirus x 2 in April 2021 with pfizer vaccine. Pt notes chronic headache and neuropathy pain from shingles outbreak from 2 years ago. Pt denies fever, chills, sinus pressure, rhinorrhea, purulent sputum, abdominal pain, diarrhea, constipation or dysuria.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Wheezing
Clinical narrative: This is a 61y.o. female with PMH significant for RA and emphysema with home O2 use at 2LNC presents to ED with c/o coronavirus concern. Pt has been feeling fatigued with progressive worsening x 7 days. Pt states she is unable to complete her ADLs without feeling SOB and tired which is not normal for her. Associated symptoms include cough with scant clear sputum production, wheezing, decreased appetite, and nausea without vomiting. Pt has been exposed to coronavirus recently via family members. Pt is vaccinated against coronavirus x 2 in April 2021 with pfizer vaccine. Pt notes chronic headache and neuropathy pain from shingles outbreak from 2 years ago. Pt denies fever, chills, sinus pressure, rhinorrhea, purulent sputum, abdominal pain, diarrhea, constipation or dysuria.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot
Clinical narrative: 20mins post vaccination, pt reported feeling hot while sitting in observation and clamminess on forhead noted. No dizziness reported. Taken to back med room. NO other adverse symptoms reported. Vitals: 14:17 107/69, 52, 20, 97.9F, 100% O2 Sat -- > 14:27 106/69, 63, 20, 100% Pt given orange juice and water.  pt ambulated on her own.  no dizziness reported.   Pt reported feeling better after dinking fluids.  Pt educated to eat and drink beofre needlesticks in future as pt reported that she did not have lunch before coming. Pt reported feeling back to normal before leaving facility @14:30.  Pt had steady gait and no s/s of distress.  Pt stable and released from the vaccination site.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Inappropriate schedule of product administration, Migraine
Clinical narrative: Patient also received flu shot but was not given information on the lot #, brand, etc.  On December 6, at 2:30pm patient started experiencing symptoms of migraine (onset within 30 minutes).  This is patient's first migraine.  Patient was seen at the ER on December 8 and administered sodium chloride, dexamethasone PF, diphenhydramine, ketorolac, metoclopramide, and olanzapine.  Pain was reduced some but not resolved  and client was discharged.  Patient saw PCP on 12/10 and was given Fioricet and Zofran, which was taken from 12/10 until 12/13 but did not resolve the migraine.  On 12/13 patient was given Imitrex, Verapamil and Fioricet; treatment results are pending.  Patient does not have a history of migraines or significant headaches.
Age: 67.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Incorrect dose administered, Lacrimation increased, Pain, Pyrexia
Clinical narrative: Adult dose of Pfizer given to 10 year old Pt. Called mom to inform once the problem was discovered and she states he was fine for 3 days then had body aches, fever, was eating less, and had watery eyes. everything resolved after 3 days except still has the watery eyes a little.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 8.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the agency, due to lack of stability data, it was advised to revaccinate the patient.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CHILD'S DATE OF BIRTH WRITTEN AS 11/2/2008 AND AGE WRITTEN AS 12 ON CONSENT SIGNED BY INDIVIDUAL IDENTIFYING AS DAD. CHILD'S ACTUAL BIRTH DATE IS 11/2/2009. CHILD TOO YOUNG FOR VACCINE ON 7/24/2021.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Dizziness, Dyspepsia, Vomiting
Clinical narrative: CHILD HAD DIZZINESS, VOMITTING AND HEARTBURN
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Migraine, Nausea, Rash maculo-papular
Clinical narrative: Symptoms started 32 hours after injection. Nausea and vomit for 12 hours, vomit each hour. Temperature 100.8, migraine, facial hives, maculopapular rash on torso, extreme fatique. Muscle soreness at injection site for first 24 hours, but no other onsite reaction or rash to vaccine. Symptoms lasted 52 hours.   Previous 2 vaccines produced NO symptoms. All symptoms reported above occured for booster only.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vomiting
Clinical narrative: Symptoms started 32 hours after injection. Nausea and vomit for 12 hours, vomit each hour. Temperature 100.8, migraine, facial hives, maculopapular rash on torso, extreme fatique. Muscle soreness at injection site for first 24 hours, but no other onsite reaction or rash to vaccine. Symptoms lasted 52 hours.   Previous 2 vaccines produced NO symptoms. All symptoms reported above occured for booster only.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Inflammation, Lipids increased, Renal impairment, Thyroid disorder
Clinical narrative: The patient reported to me today that she believes that the Moderna vaccine series that she received caused her to gain 20 lbs over a short amount of time and she also had severe inflammation in her legs.  She also stated that her thyroid medication dosage had to be increased, her kidney function has been low and her lipid levels have increased all in the following months after her covid vaccine series.  She reported that she read a study that links the moderna vaccine with weight gain and months later believes that it was the cause of her medical issues described.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Weight increased
Clinical narrative: The patient reported to me today that she believes that the Moderna vaccine series that she received caused her to gain 20 lbs over a short amount of time and she also had severe inflammation in her legs.  She also stated that her thyroid medication dosage had to be increased, her kidney function has been low and her lipid levels have increased all in the following months after her covid vaccine series.  She reported that she read a study that links the moderna vaccine with weight gain and months later believes that it was the cause of her medical issues described.
Age: 6.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID result post fully vaccinated