chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Decreased appetite, Headache, Pain
Clinical narrative: Body aches 2/11-2/13 Chills 2/11-2/12 headache back pain 2/11-2/12 loss of appetite 2/11-2/12 swollen/painful left arm 2/11-2/15 blurry vision 2/13 Vaginal bleeding 2/15-current--- I ALREADY HAD MY PERIOD AT THE BEGINNING OF FEBRUARY.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Vaginal haemorrhage, Vision blurred
Clinical narrative: Body aches 2/11-2/13 Chills 2/11-2/12 headache back pain 2/11-2/12 loss of appetite 2/11-2/12 swollen/painful left arm 2/11-2/15 blurry vision 2/13 Vaginal bleeding 2/15-current--- I ALREADY HAD MY PERIOD AT THE BEGINNING OF FEBRUARY.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: event occurred after 2nd vaccine; breakthrough case admission
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Moderna. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Cough, Dyspnoea, Pneumonia
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 05/29/2021.  74 y/o PMHx of AFIB, CVA, HTN, HLD, Hypothyroidism, Type 2 DM, sacral decub, cholecystitis, klebsiella UTI presents to ED via EMS with c/o SOB, cough and fevers.  EMS found pt with room air sat of 90% and placed on O2 at 2L NC.  CT chest-multifocal PNA, low grade temps.  Pt started on IV ABX, Steroids and Remdesivir.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 05/29/2021.  74 y/o PMHx of AFIB, CVA, HTN, HLD, Hypothyroidism, Type 2 DM, sacral decub, cholecystitis, klebsiella UTI presents to ED via EMS with c/o SOB, cough and fevers.  EMS found pt with room air sat of 90% and placed on O2 at 2L NC.  CT chest-multifocal PNA, low grade temps.  Pt started on IV ABX, Steroids and Remdesivir.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Pt felt nauseas and vomited x1. Pt given ice pack and water and reported feeling better.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Burning sensation, Computerised tomogram normal, Electroencephalogram normal
Clinical narrative: 2 weeks after my second booster I started to have strange sensations in my feet an calves. Almost felt like water was running down the inside of my legs. Then my heart began to race and my blood pressure went up to 180/105 and stayed high for weeks (I never have had high blood pressure prior to this). After 4 weeks the blood pressure returned to normal but my leg and foot pain increased to the point that I was in excruciating pain. By end of April (2 months since vaccination) Paresthesia had traveled up my body and into my face. Horrible sensations of burning eruptions everywhere. I made the mistake of getting the 3rd booster in December and it re-ignited the worst of symptoms. I am in 24 hour pain and mental anguish. Constant leg neuropathy. Without pain management, I don't think I would have made it thus far.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Magnetic resonance imaging head normal, Magnetic resonance imaging normal, Neuropathy peripheral, Pain
Clinical narrative: 2 weeks after my second booster I started to have strange sensations in my feet an calves. Almost felt like water was running down the inside of my legs. Then my heart began to race and my blood pressure went up to 180/105 and stayed high for weeks (I never have had high blood pressure prior to this). After 4 weeks the blood pressure returned to normal but my leg and foot pain increased to the point that I was in excruciating pain. By end of April (2 months since vaccination) Paresthesia had traveled up my body and into my face. Horrible sensations of burning eruptions everywhere. I made the mistake of getting the 3rd booster in December and it re-ignited the worst of symptoms. I am in 24 hour pain and mental anguish. Constant leg neuropathy. Without pain management, I don't think I would have made it thus far.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations, Paraesthesia, Sensory disturbance, Spinal X-ray normal
Clinical narrative: 2 weeks after my second booster I started to have strange sensations in my feet an calves. Almost felt like water was running down the inside of my legs. Then my heart began to race and my blood pressure went up to 180/105 and stayed high for weeks (I never have had high blood pressure prior to this). After 4 weeks the blood pressure returned to normal but my leg and foot pain increased to the point that I was in excruciating pain. By end of April (2 months since vaccination) Paresthesia had traveled up my body and into my face. Horrible sensations of burning eruptions everywhere. I made the mistake of getting the 3rd booster in December and it re-ignited the worst of symptoms. I am in 24 hour pain and mental anguish. Constant leg neuropathy. Without pain management, I don't think I would have made it thus far.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia, Pyrexia
Clinical narrative: fatigue, muscle aches, fever 100, chills. symptoms  started the evening after getting the shot and lasted 12 hours. by morning I felt okay
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy
Clinical narrative: After I got the shot my lymph nodes under my arm swelled up to the size of a gold ball and it felt like I was being stabbed with an icepick. I also devolved a really bad headache. Both lasted about four days . I took Ibuprofen over the four days. It ended up going away fully after a week.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Muscle disorder, Pain in extremity, Tendon disorder, Ultrasound scan
Clinical narrative: Pain started in both arms. She has a burn sensation that never leaves and a dislocated tendon. Her right arm pops all the time and a shot feeling in her left arm. She does not have any muscle in her left arm and she has to sleep sitting due to she cannot bend her arm without being in alot of pain.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Pain started in both arms. She has a burn sensation that never leaves and a dislocated tendon. Her right arm pops all the time and a shot feeling in her left arm. She does not have any muscle in her left arm and she has to sleep sitting due to she cannot bend her arm without being in alot of pain.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 1 Janssen vaccine; breakthrough case admission
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, COVID-19, Chest X-ray, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 11/22/21 with in 90 days of vaccination covid positive
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Investigation
Clinical narrative: extreme fatigue  for days and weakness; Lasted for 1 month.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Pt felt nauseas and vomited x1. Pt given ice pack and water and reported feeling better.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Vaccine was given too early.  1st dose- 10/28/2021 & 2nd dose- 11/29/2021
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Syncope
Clinical narrative: 2 days after receiving vaccine pressed on swollen lymph node on neck and immediately had syncopal episode
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Abdominal pain lower, Atrial fibrillation, Back pain, Blood bilirubin increased
Clinical narrative: 88 y/o female with history of Afib, CAD who p/w increased abd pain and confusion. Patient resides at facility. Son gives the history. He states that for the last few days she has been more confused with more back and lower abd pain. She has been having emesis x 2-3 days as well. No fevers that he knows of, last fall about 4 weeks ago, bumping her head when trying to get up off the toilet. Patient saw Dr. this morning and said heart looked okay but sent her to the ER due to the symptoms as above.  In the ER, patient in afib with RVR. Covid positive. CT chest/abd/pelv shows acute cholecystitis and splenomegaly. WBC 25, Bili 3.4, plt 103.  Admission is requested.  Discharge Diagnoses:   1. Rapid atrial fibrillation, Discharge, 02/09/2022  2. Cholecystitis, acute, Discharge, 02/09/2022  3. Nausea and vomiting, Discharge, 02/09/2022  4. COVID-19 virus infection, Discharge, 02/09/2022
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cholecystitis acute, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Confusional state
Clinical narrative: 88 y/o female with history of Afib, CAD who p/w increased abd pain and confusion. Patient resides at facility. Son gives the history. He states that for the last few days she has been more confused with more back and lower abd pain. She has been having emesis x 2-3 days as well. No fevers that he knows of, last fall about 4 weeks ago, bumping her head when trying to get up off the toilet. Patient saw Dr. this morning and said heart looked okay but sent her to the ER due to the symptoms as above.  In the ER, patient in afib with RVR. Covid positive. CT chest/abd/pelv shows acute cholecystitis and splenomegaly. WBC 25, Bili 3.4, plt 103.  Admission is requested.  Discharge Diagnoses:   1. Rapid atrial fibrillation, Discharge, 02/09/2022  2. Cholecystitis, acute, Discharge, 02/09/2022  3. Nausea and vomiting, Discharge, 02/09/2022  4. COVID-19 virus infection, Discharge, 02/09/2022
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fall, Head injury, Nausea, Platelet count decreased, SARS-CoV-2 test positive
Clinical narrative: 88 y/o female with history of Afib, CAD who p/w increased abd pain and confusion. Patient resides at facility. Son gives the history. He states that for the last few days she has been more confused with more back and lower abd pain. She has been having emesis x 2-3 days as well. No fevers that he knows of, last fall about 4 weeks ago, bumping her head when trying to get up off the toilet. Patient saw Dr. this morning and said heart looked okay but sent her to the ER due to the symptoms as above.  In the ER, patient in afib with RVR. Covid positive. CT chest/abd/pelv shows acute cholecystitis and splenomegaly. WBC 25, Bili 3.4, plt 103.  Admission is requested.  Discharge Diagnoses:   1. Rapid atrial fibrillation, Discharge, 02/09/2022  2. Cholecystitis, acute, Discharge, 02/09/2022  3. Nausea and vomiting, Discharge, 02/09/2022  4. COVID-19 virus infection, Discharge, 02/09/2022
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Splenomegaly, Vomiting, White blood cell count increased
Clinical narrative: 88 y/o female with history of Afib, CAD who p/w increased abd pain and confusion. Patient resides at facility. Son gives the history. He states that for the last few days she has been more confused with more back and lower abd pain. She has been having emesis x 2-3 days as well. No fevers that he knows of, last fall about 4 weeks ago, bumping her head when trying to get up off the toilet. Patient saw Dr. this morning and said heart looked okay but sent her to the ER due to the symptoms as above.  In the ER, patient in afib with RVR. Covid positive. CT chest/abd/pelv shows acute cholecystitis and splenomegaly. WBC 25, Bili 3.4, plt 103.  Admission is requested.  Discharge Diagnoses:   1. Rapid atrial fibrillation, Discharge, 02/09/2022  2. Cholecystitis, acute, Discharge, 02/09/2022  3. Nausea and vomiting, Discharge, 02/09/2022  4. COVID-19 virus infection, Discharge, 02/09/2022
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pt received Pediatric dose of Pfizer at 12 years old.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Moderna. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was administered a child vaccine dose 0.2mL verses and adult dose 0.3mL  which is age appropriate requires it for Covid vaccine. Pt's mother was notify at the time of the event by the Provider Dr. and myself, CMA. Pt's mother aware and verbalized understanding. Pt's mother was advice okay to proceed to give 2nd dose as scheduled by our quality control staff. Pt's mother aware and verbalized understanding.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Pain of skin
Clinical narrative: unbearable joint pain in every joint, headache, hurt to touch skin. lasted about 30 hours. joint pain continues but isn't as severe after the 30 hours.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Hypomenorrhoea, Intermenstrual bleeding
Clinical narrative: I have not had a period since a very very very light one in early October. I typically bleed heavily for 5 days. I haven?t bled at all since October 13-17 and even those days were so light I only needed a panty liner, I essentially just spotted.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Death, SARS-CoV-2 test negative, Unresponsive to stimuli
Clinical narrative: patient was unresponsive on day 10 and expired on 02/15/2022
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Vertigo
Clinical narrative: I woke up and couldn't stand up; I had to get a grip on the wall to side. It only happens on my left side; I noticed I was extremely dizzy. I called my doctor and told her I figured I was experiencing vertigo. She made an appointment 2 weeks out (01/25/2022) because she mentioned the vertigo can last 2-3 weeks after experiencing from the vaccine. I was still suffering from it until the appointment. At my appointment, she laid me down to try to relieve some of the tension in my head and constantly turn and rotate my head to the left (where the vertigo) was affecting to do some motion exercises. She prescribed me Meclizine 12.5mg to see if it'll help with the vertigo as it's a motion relief medicine, however, I'm still suffering from vertigo til this day.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Angiogram cerebral normal, Arteriogram carotid normal, Asymptomatic bacteriuria, Back pain
Clinical narrative: Chief Complaint   Pt was sent over from Dr's office for left brain swelling. He would like for the pt to see a neurologist. She is also complaining of back pain and severe depression.  History of Present Illness    Patient is a 74 year old female with a PMH significant for CAD, CHF, PPM, CVA, depression, DM, HLD, HTN and chronic back pain who presents to the emergency department from her PCP office due to concerns of ventriculomegaly on CT head and L sided weakness. Daughter at bedside provides most of history. Patient has been living with her daughter for some time now and her husband passed away in March of 2021. Daughter reports since her father died, her mother has steadily declined. She states she no l In the emergency department, neurology was consulted. Pt underwent repeat head CT which showed no acute abnormality. Outside CT head reported as ventriculomegaly concerning for normal pressure hydrocephalus however felt to be likely due to cerebral atrophy and stable when compared to previous CT scans. CTA head/neck without occlusion or significant stenosis noted. MRI unable to obtain due to MRI incompatible pacemaker in place. Laboratory studies significant for acute renal failure with a creatinine of 2.0. Pt was given 1L normal saline. The hospitalists were called for admission.Hospital Course:  Patient was admitted to the hospital medicine service and Neurology was consulted.  She had a CT head CTA head and neck that did not show acute findings to explain the patient's symptoms.  Neurology did not feel the patient had acute stroke.  She could not undergo MRI due to a pacemaker.  She did well during hospital stay and return back to her baseline.  She work with Physical therapy who recommended home health physical therapy which she or he had in place and will resume at discharge.  We discussed reducing her home narcotic dose as this was recently increased.  Also discussed discontinuing marijuana gummies.  She did have acute kidney injury and this resolved with IV fluid hydration.  She had abnormal urinalysis but had no symptoms and therefore has asymptomatic bacteriuria and requires no treatment.  I advised her to monitor blood pressure closely and follow up with PCP next week for this.  She will also follow up in the neurology clinic 1 month.  She will be discharged home in stable condition.   Patient was discharged on 2/10/22 but her family could not pick her up and since she has covid a ride could not be arranged. She left on 2/11/22 and was discharged that day prior to me seeing her.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood creatinine increased, Brain oedema, COVID-19, Cerebral atrophy, Computerised tomogram head abnormal
Clinical narrative: Chief Complaint   Pt was sent over from Dr's office for left brain swelling. He would like for the pt to see a neurologist. She is also complaining of back pain and severe depression.  History of Present Illness    Patient is a 74 year old female with a PMH significant for CAD, CHF, PPM, CVA, depression, DM, HLD, HTN and chronic back pain who presents to the emergency department from her PCP office due to concerns of ventriculomegaly on CT head and L sided weakness. Daughter at bedside provides most of history. Patient has been living with her daughter for some time now and her husband passed away in March of 2021. Daughter reports since her father died, her mother has steadily declined. She states she no l In the emergency department, neurology was consulted. Pt underwent repeat head CT which showed no acute abnormality. Outside CT head reported as ventriculomegaly concerning for normal pressure hydrocephalus however felt to be likely due to cerebral atrophy and stable when compared to previous CT scans. CTA head/neck without occlusion or significant stenosis noted. MRI unable to obtain due to MRI incompatible pacemaker in place. Laboratory studies significant for acute renal failure with a creatinine of 2.0. Pt was given 1L normal saline. The hospitalists were called for admission.Hospital Course:  Patient was admitted to the hospital medicine service and Neurology was consulted.  She had a CT head CTA head and neck that did not show acute findings to explain the patient's symptoms.  Neurology did not feel the patient had acute stroke.  She could not undergo MRI due to a pacemaker.  She did well during hospital stay and return back to her baseline.  She work with Physical therapy who recommended home health physical therapy which she or he had in place and will resume at discharge.  We discussed reducing her home narcotic dose as this was recently increased.  Also discussed discontinuing marijuana gummies.  She did have acute kidney injury and this resolved with IV fluid hydration.  She had abnormal urinalysis but had no symptoms and therefore has asymptomatic bacteriuria and requires no treatment.  I advised her to monitor blood pressure closely and follow up with PCP next week for this.  She will also follow up in the neurology clinic 1 month.  She will be discharged home in stable condition.   Patient was discharged on 2/10/22 but her family could not pick her up and since she has covid a ride could not be arranged. She left on 2/11/22 and was discharged that day prior to me seeing her.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Depression, General physical health deterioration, Hemiparesis, Laboratory test abnormal
Clinical narrative: Chief Complaint   Pt was sent over from Dr's office for left brain swelling. He would like for the pt to see a neurologist. She is also complaining of back pain and severe depression.  History of Present Illness    Patient is a 74 year old female with a PMH significant for CAD, CHF, PPM, CVA, depression, DM, HLD, HTN and chronic back pain who presents to the emergency department from her PCP office due to concerns of ventriculomegaly on CT head and L sided weakness. Daughter at bedside provides most of history. Patient has been living with her daughter for some time now and her husband passed away in March of 2021. Daughter reports since her father died, her mother has steadily declined. She states she no l In the emergency department, neurology was consulted. Pt underwent repeat head CT which showed no acute abnormality. Outside CT head reported as ventriculomegaly concerning for normal pressure hydrocephalus however felt to be likely due to cerebral atrophy and stable when compared to previous CT scans. CTA head/neck without occlusion or significant stenosis noted. MRI unable to obtain due to MRI incompatible pacemaker in place. Laboratory studies significant for acute renal failure with a creatinine of 2.0. Pt was given 1L normal saline. The hospitalists were called for admission.Hospital Course:  Patient was admitted to the hospital medicine service and Neurology was consulted.  She had a CT head CTA head and neck that did not show acute findings to explain the patient's symptoms.  Neurology did not feel the patient had acute stroke.  She could not undergo MRI due to a pacemaker.  She did well during hospital stay and return back to her baseline.  She work with Physical therapy who recommended home health physical therapy which she or he had in place and will resume at discharge.  We discussed reducing her home narcotic dose as this was recently increased.  Also discussed discontinuing marijuana gummies.  She did have acute kidney injury and this resolved with IV fluid hydration.  She had abnormal urinalysis but had no symptoms and therefore has asymptomatic bacteriuria and requires no treatment.  I advised her to monitor blood pressure closely and follow up with PCP next week for this.  She will also follow up in the neurology clinic 1 month.  She will be discharged home in stable condition.   Patient was discharged on 2/10/22 but her family could not pick her up and since she has covid a ride could not be arranged. She left on 2/11/22 and was discharged that day prior to me seeing her.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Medical cannabis therapy, Urine analysis abnormal
Clinical narrative: Chief Complaint   Pt was sent over from Dr's office for left brain swelling. He would like for the pt to see a neurologist. She is also complaining of back pain and severe depression.  History of Present Illness    Patient is a 74 year old female with a PMH significant for CAD, CHF, PPM, CVA, depression, DM, HLD, HTN and chronic back pain who presents to the emergency department from her PCP office due to concerns of ventriculomegaly on CT head and L sided weakness. Daughter at bedside provides most of history. Patient has been living with her daughter for some time now and her husband passed away in March of 2021. Daughter reports since her father died, her mother has steadily declined. She states she no l In the emergency department, neurology was consulted. Pt underwent repeat head CT which showed no acute abnormality. Outside CT head reported as ventriculomegaly concerning for normal pressure hydrocephalus however felt to be likely due to cerebral atrophy and stable when compared to previous CT scans. CTA head/neck without occlusion or significant stenosis noted. MRI unable to obtain due to MRI incompatible pacemaker in place. Laboratory studies significant for acute renal failure with a creatinine of 2.0. Pt was given 1L normal saline. The hospitalists were called for admission.Hospital Course:  Patient was admitted to the hospital medicine service and Neurology was consulted.  She had a CT head CTA head and neck that did not show acute findings to explain the patient's symptoms.  Neurology did not feel the patient had acute stroke.  She could not undergo MRI due to a pacemaker.  She did well during hospital stay and return back to her baseline.  She work with Physical therapy who recommended home health physical therapy which she or he had in place and will resume at discharge.  We discussed reducing her home narcotic dose as this was recently increased.  Also discussed discontinuing marijuana gummies.  She did have acute kidney injury and this resolved with IV fluid hydration.  She had abnormal urinalysis but had no symptoms and therefore has asymptomatic bacteriuria and requires no treatment.  I advised her to monitor blood pressure closely and follow up with PCP next week for this.  She will also follow up in the neurology clinic 1 month.  She will be discharged home in stable condition.   Patient was discharged on 2/10/22 but her family could not pick her up and since she has covid a ride could not be arranged. She left on 2/11/22 and was discharged that day prior to me seeing her.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Death
Clinical narrative: Died of Acute Hypoxic Respiratory Failure. COVID-19 Pneumonia.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: Soreness beginning at the time of the injection (routine) then a day later, more pain and loss of ROM L shoulder that persists 6days after the vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Moderna 0.25 ml IM left deltoid administered as second dose; additional dose Moderna 0.25ml administered IM left deltoid
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Pt reported nausea and vomited once approximately 10 min after vaccine. No other symptoms present. Pt given ice pack and water and reported feeling better.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: This patient received an adult dose of pfizer for his second shot, tolerated well.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was administered a child vaccine dose 0.2mL verses and adult dose 0.3mL  which is age appropriate requires it for Covid vaccine. Pt's mother was notify at the time of the event by the Provider Dr. and myself, CMA. Pt's mother aware and verbalized understanding. Pt's mother was advice okay to proceed to give 2nd dose as scheduled by our quality control staff. Pt's mother aware and verbalized understanding.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dizziness, Headache, Hospitalisation, Influenza like illness
Clinical narrative: I stood up after first vaccine and became dizzy, tremendous headache.  I had dull headaches after 1st vaccination x 1 month into the 2nd vaccine which continued 2 more weeks. After 2nd Vaccine had flu like symptoms x 24 hours, weak, never did gain my strength back completely. then required hospitalization 12/2001 with pneumonia in both lungs. I am not a smoker or have any Comorbidities.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Pneumonia, SARS-CoV-2 test negative
Clinical narrative: I stood up after first vaccine and became dizzy, tremendous headache.  I had dull headaches after 1st vaccination x 1 month into the 2nd vaccine which continued 2 more weeks. After 2nd Vaccine had flu like symptoms x 24 hours, weak, never did gain my strength back completely. then required hospitalization 12/2001 with pneumonia in both lungs. I am not a smoker or have any Comorbidities.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Asthenia, Blood cholesterol increased, Blood test, Fatigue
Clinical narrative: Early Sept 2021 I started having neck shoulder and little bit in my chest, scapular, down my arms, muscle pain and aches. I felt weak and tired and went to the Dr. The Dr. ran a lot of tests on me and antinuclear antibody was positive, that's the only thing they found. They wanted me to have a second one done but I didn't do it because the pain went away. I am going for a follow up this Friday with my doctor.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Early Sept 2021 I started having neck shoulder and little bit in my chest, scapular, down my arms, muscle pain and aches. I felt weak and tired and went to the Dr. The Dr. ran a lot of tests on me and antinuclear antibody was positive, that's the only thing they found. They wanted me to have a second one done but I didn't do it because the pain went away. I am going for a follow up this Friday with my doctor.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac dysfunction, Cardiomegaly, Death, Dyspnoea, Intensive care
Clinical narrative: Became short of breath  and he had an enlarged heart and myocarditis low heart  function. It was a surprise to cardiologist as he was just cleared for surgery. They told me he may have gotten a silent virus. . It was 1 month since 2nd Pfizer vaccination. Died within 7 days of symptoms. Doctors were very surprised.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Myocarditis
Clinical narrative: Became short of breath  and he had an enlarged heart and myocarditis low heart  function. It was a surprise to cardiologist as he was just cleared for surgery. They told me he may have gotten a silent virus. . It was 1 month since 2nd Pfizer vaccination. Died within 7 days of symptoms. Doctors were very surprised.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Agitation, Asthenia, COVID-19, Confusional state, Contusion
Clinical narrative: 93 y.o. Caucasian female w/ pmh significant for dementia, htn, schatzki's ring, ckd stage 3, CAD who presented w/ her son to the ED again w/ increased weakness and confusion.  Notably, she has been seen now 3 times since January 31, 2022 1st due to a fall in which she had noted bruising on her right upper extremity and had x-rays obtained which were negative, next on February 2nd due to dysphagia and globus sensation and 3rd today with increased weakness and confusion to the point that her son can no longer care for her.  No obvious infection from previous workup and/or recent medication changes per her son to have caused her increased weakness/confusion.  States that she is notably more lethargic in the morning, his increased garbled speech, is more agitated than normal and is having difficulty with mobility which she normally uses a walker.  Tested positive for COVID upon admission.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Disorganised speech, Dysphagia, Fall, Gait disturbance, Lethargy
Clinical narrative: 93 y.o. Caucasian female w/ pmh significant for dementia, htn, schatzki's ring, ckd stage 3, CAD who presented w/ her son to the ED again w/ increased weakness and confusion.  Notably, she has been seen now 3 times since January 31, 2022 1st due to a fall in which she had noted bruising on her right upper extremity and had x-rays obtained which were negative, next on February 2nd due to dysphagia and globus sensation and 3rd today with increased weakness and confusion to the point that her son can no longer care for her.  No obvious infection from previous workup and/or recent medication changes per her son to have caused her increased weakness/confusion.  States that she is notably more lethargic in the morning, his increased garbled speech, is more agitated than normal and is having difficulty with mobility which she normally uses a walker.  Tested positive for COVID upon admission.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mobility decreased, SARS-CoV-2 test positive, Sensation of foreign body, Walking aid user, X-ray normal
Clinical narrative: 93 y.o. Caucasian female w/ pmh significant for dementia, htn, schatzki's ring, ckd stage 3, CAD who presented w/ her son to the ED again w/ increased weakness and confusion.  Notably, she has been seen now 3 times since January 31, 2022 1st due to a fall in which she had noted bruising on her right upper extremity and had x-rays obtained which were negative, next on February 2nd due to dysphagia and globus sensation and 3rd today with increased weakness and confusion to the point that her son can no longer care for her.  No obvious infection from previous workup and/or recent medication changes per her son to have caused her increased weakness/confusion.  States that she is notably more lethargic in the morning, his increased garbled speech, is more agitated than normal and is having difficulty with mobility which she normally uses a walker.  Tested positive for COVID upon admission.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: More than half of the initial dose leaked down arm. Pt given another dose per CDC error and deviation guidelines.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was 15 years of age
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19 pneumonia, Dyspnoea
Clinical narrative: Pt came to the hospital with weakness and shortness of breath for the past 3 weeks.  Pt was admitted for acute hypoxic respiratory failure and COVID-19 pneumonia.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site pruritus, Injection site reaction, Lymph node pain, Nausea
Clinical narrative: Patient contacted me on 2/16/22 at 11:35am to state that she began side effects on 2/12/22 but they are persisting.  Nausea occurred but is now resolved. Patient has had red blotchy patches below the vaccination site that extend down to the elbow.  They began to itch on 2/16/22.  The left armpit lymph node is sore and feels pinched when she moves arm.  Her lymph nodes/glands bilateral jaw are sore.  She continues to sweat and have hot flashes.  I
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash macular
Clinical narrative: Patient contacted me on 2/16/22 at 11:35am to state that she began side effects on 2/12/22 but they are persisting.  Nausea occurred but is now resolved. Patient has had red blotchy patches below the vaccination site that extend down to the elbow.  They began to itch on 2/16/22.  The left armpit lymph node is sore and feels pinched when she moves arm.  Her lymph nodes/glands bilateral jaw are sore.  She continues to sweat and have hot flashes.  I
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Dry skin, Nausea, Skin warm, Syncope
Clinical narrative: C/O NAUSEA AFTER VACCINATION. sKIN WARM AND DRY AND ALERT AND ORIENTATED. GIVEN APPLE JUICE AND ICE PACK. fATHER, WITH CLIENT AT TIME OF INCIDENT. SYNCOPE RESOLVED.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I started with a sore throat and fever of around 102 F. Managed that with Tylenol. I also had a lot of mucus and drainage. I got an at home test and it came out positive. Doctor said just stay home and treat the symptoms. I was out of work from 1/10-1/15 due to illness. I received Johnson & Johnson for my booster but had Moderna for my first 2 doses.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Aspiration joint, Blood test, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: I had pain right foot that seemed to be getting better but all of a sudden I had to go to the ER. Around midnight it started hurting and I had to go see a doctor. The pain was so bad that it woke me up out of my sleep the leg in question was visibly red and very swollen. I couldn't bear weight or even wear shoes because the pain was so bad.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Weight bearing difficulty
Clinical narrative: I had pain right foot that seemed to be getting better but all of a sudden I had to go to the ER. Around midnight it started hurting and I had to go see a doctor. The pain was so bad that it woke me up out of my sleep the leg in question was visibly red and very swollen. I couldn't bear weight or even wear shoes because the pain was so bad.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Erythema, Feeling hot, Hyperhidrosis, Mechanical urticaria
Clinical narrative: Itching from being hot or sweaty then became red and hive dermographia, or shin writing
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching from being hot or sweaty then became red and hive dermographia, or shin writing
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram, Injected limb mobility decreased, Injection site pain
Clinical narrative: Patient reports that she is having terrible upper left arm pain that prevents her from moving her left arm. Also reports that she is having chest tightness. Patient denies any of these symptoms with the first dose of the Pfizer vaccine.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Computerised tomogram, Condition aggravated, Confusional state
Clinical narrative: I started having a fever had cramps in my belly & then I started having diarrhea & I was very confused so my husband took me to the ER I was DX with diverticulitis.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Diverticulitis, Pyrexia
Clinical narrative: I started having a fever had cramps in my belly & then I started having diarrhea & I was very confused so my husband took me to the ER I was DX with diverticulitis.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Bad skin rashes all over the body
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Pfizer Primary Series-Breakthrough Case
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Back pain, SARS-CoV-2 test
Clinical narrative: Pt was admitted on 2/13 due to hip and low back pain.  He was scheduled for the OR for neurosurgery, but had a pre-operative COVID test on 2/15.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect product formulation administered
Clinical narrative: patient was given more than recommended dosage - she was given 0.3 of the pediatric pfizer - undiluted
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Chills, Computerised tomogram thorax abnormal, Cough
Clinical narrative: Covid-19 breakthrough. 1st vaccine received on 01/23/2021. 72 y/o with PMHx of Metastatic Breast Cancer on chemotherapy, Uterine Cancer and spinal metastasis presents to ED with c/o 2 week history of Cough, congestion, chest pressure, N/V, Fatigue, poor appetite, chills, and progressive SOB. Patient initially diagnosed with Covid-19 on 02/01/2022. CT Chest with multifocal viral PNA, room air sat 91%, placed on O2 2L NC. Oxygen demands increased until patient on 30L heated high flow. Afebrile. Patient treated with IV steroids, IV ABX and Tocilizumab.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Fatigue, Nausea, Pneumonia viral
Clinical narrative: Covid-19 breakthrough. 1st vaccine received on 01/23/2021. 72 y/o with PMHx of Metastatic Breast Cancer on chemotherapy, Uterine Cancer and spinal metastasis presents to ED with c/o 2 week history of Cough, congestion, chest pressure, N/V, Fatigue, poor appetite, chills, and progressive SOB. Patient initially diagnosed with Covid-19 on 02/01/2022. CT Chest with multifocal viral PNA, room air sat 91%, placed on O2 2L NC. Oxygen demands increased until patient on 30L heated high flow. Afebrile. Patient treated with IV steroids, IV ABX and Tocilizumab.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Covid-19 breakthrough. 1st vaccine received on 01/23/2021. 72 y/o with PMHx of Metastatic Breast Cancer on chemotherapy, Uterine Cancer and spinal metastasis presents to ED with c/o 2 week history of Cough, congestion, chest pressure, N/V, Fatigue, poor appetite, chills, and progressive SOB. Patient initially diagnosed with Covid-19 on 02/01/2022. CT Chest with multifocal viral PNA, room air sat 91%, placed on O2 2L NC. Oxygen demands increased until patient on 30L heated high flow. Afebrile. Patient treated with IV steroids, IV ABX and Tocilizumab.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Blood test, Computerised tomogram head, Hemiparesis, Hypoaesthesia
Clinical narrative: I suddenly felt the right leg from the hip on down a rubbery feeling as if the leg was about to give way. Very weak. Within 30 seconds it went away. I went to the hospital because it felt as a TIA, Ct scan of my head to rule out bleeding. CTA of artery. Place mine on cholesterol medication. Also had to get an MRI of the head. Also notice numbness on spots on my right leg.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Transient ischaemic attack
Clinical narrative: I suddenly felt the right leg from the hip on down a rubbery feeling as if the leg was about to give way. Very weak. Within 30 seconds it went away. I went to the hospital because it felt as a TIA, Ct scan of my head to rule out bleeding. CTA of artery. Place mine on cholesterol medication. Also had to get an MRI of the head. Also notice numbness on spots on my right leg.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hospitalisation, Infection, SARS-CoV-2 test positive
Clinical narrative: Breakthrough Case requiring hospitalization
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Chest X-ray, Computerised tomogram head, Computerised tomogram spine, Electrocardiogram
Clinical narrative: Patient presents  at ED 01/06/2022  for evaluation of cardiac arrest and fall at residence.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Laboratory test, SARS-CoV-2 test
Clinical narrative: Patient presents  at ED 01/06/2022  for evaluation of cardiac arrest and fall at residence.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Pruritus, Skin discolouration, Urticaria
Clinical narrative: 01/15/2022 I woke up and had hives where I had my total hip replacement. It would go away and come back and spread to buttocks and arms and that's when I went to the ER. I never had any respiratory symptoms or anything like that. It spread where I had some incisions on abdomen from laparoscopic procedure and it went into my hands later on. In the ER they felt it might've been the lotion I was using so I got some CeraVe and started using that and it didn't help so I went to the Doctor 2 weeks later and that's when he said he felt it was something I was allergic to. I've been using CeraVe and taking medications and it has lessened but it flares up again and again and today is better than it was yesterday. It's been on my back, belly, breasts, legs, arms, and occasionally on my face. They are anywhere from the size of a dime to the size of an egg. I also had some in between legs and they itch and were raised. Some of them, when they are diminished, leave a black and blue mark. I also lost my voice in the last couple of weeks.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Pyrexia
Clinical narrative: Patient was given Moderna 0.5ML IM in error. The MA administered the vaccination without being seen by the provider. The MA was the patient's mother and was given in the car.  Patient experienced a 103 F fever for 2 days. No other adverse effects noted. CDC contacted for guidance. Her second dose will need to be the age appropriate Pfizer dose given 28 days after the Moderna was given.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Canalith repositioning procedure, Dizziness, Dysstasia, Gait inability, Laboratory test normal
Clinical narrative: Vertigo.  Unable to stand or walk or move my head for 7 days. Then only with debilitating nausea hand dizziness for 7 months. Had many tests done including Epley Maneuver to treat it. Eventually went away after 7 months. And then came back
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Movement disorder, Nausea, Vertigo
Clinical narrative: Vertigo.  Unable to stand or walk or move my head for 7 days. Then only with debilitating nausea hand dizziness for 7 months. Had many tests done including Epley Maneuver to treat it. Eventually went away after 7 months. And then came back
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Chest pain, Deep vein thrombosis, Dyspnoea, Fibrin D dimer increased
Clinical narrative: 1 week after administration of the vaccine patient had developed right lower extremity pain, chest pain and shortness of breath.  He was diagnosed with a right lower extremity deep venous thrombosis and bilateral pulmonary emboli.  He had no known underlying thromboembolic disease or provoking situation