chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dysstasia, Fatigue, Gait disturbance, Migraine
Clinical narrative: Extreme muscle and joint pain lasting over 7 days,  including but not limited to difficulty walking and standing, extreme fatigue lasting over 5 days, migraine headaches,
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Extreme muscle and joint pain lasting over 7 days,  including but not limited to difficulty walking and standing, extreme fatigue lasting over 5 days, migraine headaches,
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose administered less than 24 days from initial dose.
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaemia macrocytic, Arachnoid cyst, Blood test, Computerised tomogram thorax, Fibrin D dimer increased
Clinical narrative: Hemolytic Anemia  Positive D-dimer  Blood transfusion  Macrocystic anemia  Destruction of RBC hemoglobin 80  On home oxygen
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin increased, Haemolysis, Haemolytic anaemia, Magnetic resonance imaging head abnormal, Scan with contrast
Clinical narrative: Hemolytic Anemia  Positive D-dimer  Blood transfusion  Macrocystic anemia  Destruction of RBC hemoglobin 80  On home oxygen
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Transfusion, Ultrasound scan
Clinical narrative: Hemolytic Anemia  Positive D-dimer  Blood transfusion  Macrocystic anemia  Destruction of RBC hemoglobin 80  On home oxygen
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine expired in fridge
Age: 0.33
Sex: F
Vaccine: HEP
Symptoms: Inappropriate schedule of product administration, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 4 month old infant was given a Hepatitis B vaccine at 4 months and 11 days instead of 6 months old.  No adverse reactions, signs or symptoms were noted at time of injection.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID-19 case. 66 year old female presents to ED with worsening shortness of breath.  Patient tested COVID positive on 8/16/21 at a Care Center.  She was started on Prednisone, Tessalon Perles and antihistamine.  She previously received Johnson&Johnson COVID-19 vaccine on 4/10/21.  Patient hypoxic with SpO2 90% on room air which improved to 96% on 3L NC.   8/22/21. admitted. Diagnosed and treated for viral sepsis secondary to covid-19, COVID-19 pneumonia.  8/26/21: discharged
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection, Viral sepsis
Clinical narrative: Breakthrough COVID-19 case. 66 year old female presents to ED with worsening shortness of breath.  Patient tested COVID positive on 8/16/21 at a Care Center.  She was started on Prednisone, Tessalon Perles and antihistamine.  She previously received Johnson&Johnson COVID-19 vaccine on 4/10/21.  Patient hypoxic with SpO2 90% on room air which improved to 96% on 3L NC.   8/22/21. admitted. Diagnosed and treated for viral sepsis secondary to covid-19, COVID-19 pneumonia.  8/26/21: discharged
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Throat irritation
Clinical narrative: Throat swelling and itchy.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt reported receiving first dose as Pfizer and gave a different name and came to us for a second dose. We found a match in database for the same person under a different name later showing the first dose was of Moderna on 4.21 at another facility I put a ticket into the help desk to combine the two accounts. I cannot find the record showing the Moderna dose. I was advised to put a VEARS report in for the administration error.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine expired in fridge
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Retching, Throat tightness
Clinical narrative: After sitting in the waiting area for 15 minutes (I had absolutely no reaction to the first shot) I started heading back to my car. About half way across the parking lot I started to feel my throat tightening and I started to cough uncontrollably to the point of gagging and I was having trouble breathing. I had my Albuterol inhaler with me, so I used that and started to feel an immediate reduction in symptoms. I sat in my car for a half hour until I felt that the worst had passed. I coughed more than usual for the next several days.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine expired in fridge
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiopulmonary failure, Death, Dementia, Failure to thrive
Clinical narrative: Breakthrough COVID-19 case, death. Vital records cause of death: CARDIOPULMONARY FAILURE, FAILURE TO THRIVE, END STAGE DEMENTIA. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: COVID-19
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 case, death. Vital records cause of death: CARDIOPULMONARY FAILURE, FAILURE TO THRIVE, END STAGE DEMENTIA. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: COVID-19
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
Clinical narrative: The patient was admitted on 7/19/21 with acute hypoxemic respiratory failure secondary to COVID19.  The patient claimed she received her second dose of the COVID vaccine on 1/27/2021.  She was started on oxygen, remdesivir and decadron.  She initially was on 2L O2, went up to 3L and was on 1-2L at the time of discharge on 7/22/2021.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Confusional state, Dizziness, Ear discomfort, Fatigue
Clinical narrative: Ear fullness and tinnitus in both ears.  headache, loss of balance, hearing fluctuation,  dizziness, exhaustion, confusion, and body aches.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperacusis, Pain, Tinnitus
Clinical narrative: Ear fullness and tinnitus in both ears.  headache, loss of balance, hearing fluctuation,  dizziness, exhaustion, confusion, and body aches.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine expired in fridge
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Injection site reaction, Muscle twitching
Clinical narrative: One day after vaccine #1, muscle twitching/fasciculation under left eye for 48 hours then resolved, 72 hours after vaccine number 1, muscle twitching to left inner anterior knee for approximately 48 hours, that area of knee now has decreased sensation /mild numbness to touch.  Following vaccine #2, arm has been having intermittent muscle twitching at site of injection. Twitching lasts up its minute, resolves and recurs several times throughout day, this symptom continues.  Few muscle twitches to right lateral neck noted a few days following second vaccine, resolved within one week of vaccine #2.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Influenza, Injection site bruising, Injection site pain
Clinical narrative: Four hours after vaccination experienced extreme fatigue followed lay fever, diarrhea and vomiting that lasted 12- 16 hours, felt like having the flue for 3 days, then had rash beginning on legs then the total torso, used Advil and Benadryl along with dexamethasone took a week to clear up in addition right upper arm at site of injection was bruised and extremely sensitive to touch for eight weeks
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Seasonal allergy, Vomiting
Clinical narrative: Four hours after vaccination experienced extreme fatigue followed lay fever, diarrhea and vomiting that lasted 12- 16 hours, felt like having the flue for 3 days, then had rash beginning on legs then the total torso, used Advil and Benadryl along with dexamethasone took a week to clear up in addition right upper arm at site of injection was bruised and extremely sensitive to touch for eight weeks
Age: 69.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal distension, Kidney enlargement, Pain, Renal disorder
Clinical narrative: My kidneys swelled and blocked - my stomach became extremely bloated and swollen = acute pain. Went to emergency and was told to sit and wait. Hurting so bad that I could not do that and left. Never saw a doctor afterwards.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Myocardial infarction
Clinical narrative: Severe chest pain for about 2 hours.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Gait disturbance, Labyrinthitis, Maternal exposure during pregnancy
Clinical narrative: 6 months pregnant, due December 2021. Experienced dizziness, nausea, vomiting, loss of balance, needed help walking.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: 6 months pregnant, due December 2021. Experienced dizziness, nausea, vomiting, loss of balance, needed help walking.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Cough, Diarrhoea, Oropharyngeal pain, Pain
Clinical narrative: I started out with sore throat runny nose and achy. I also had diarrhea, I lost my smell, then I got a horrible cough that went on a few weeks so I went to doctor they diagnosed me with possible RSV. My smell has still not come back.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus infection, Rhinorrhoea
Clinical narrative: I started out with sore throat runny nose and achy. I also had diarrhea, I lost my smell, then I got a horrible cough that went on a few weeks so I went to doctor they diagnosed me with possible RSV. My smell has still not come back.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Dyspnoea, Fatigue
Clinical narrative: I contracted covid and had two positive tests even though I was fully vaccinated.  I felt exhausted, slight shortness of breath, runny nose, slight headache and then loss of taste and smell around the 3rd day.  I still do not completely have my sense of taste and smell back and it has been over a month since I first contracted Covid.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I contracted covid and had two positive tests even though I was fully vaccinated.  I felt exhausted, slight shortness of breath, runny nose, slight headache and then loss of taste and smell around the 3rd day.  I still do not completely have my sense of taste and smell back and it has been over a month since I first contracted Covid.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Feeling abnormal, Headache, Illness, Myalgia
Clinical narrative: Ever since I have gotten my first dose I have felt extremely sick,  muscle and skin is achy, headache, foggy brain, cough has developed.  I have taken to COVID tests and both came back negative.  I am on day 10 of these symptoms.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Pain of skin
Clinical narrative: Ever since I have gotten my first dose I have felt extremely sick,  muscle and skin is achy, headache, foggy brain, cough has developed.  I have taken to COVID tests and both came back negative.  I am on day 10 of these symptoms.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery bypass
Clinical narrative: I had open heart quadruple bypass surgery on 06/11/2021. However, I don't think this had anything to do with vaccination
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: COVID-19 breakthrough case. patient with 4 days of shortness of breath progressively worsening presented initially on 8/19 at the time was not hypoxic, was discharged with monitoring system. however shortness of breath has progressively worsened to severe, worse on attempted ambulation, associated with fevers, cough, generalized weakness, so came back to ER, noted to be requiring oxygen supplementation, and also short of breath on talking, so being admitted.  Admitted 8/22/21. Pfizer Covid-19 vaccine given on 3/24/21 & 4/14/21. Tested positive for covid on 8/19/21. Diagnosed and treated for acute hypoxic respiratory failure and covid viral pneumonia. Improved and discharged on 8/24/21.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Pneumonia viral, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: COVID-19 breakthrough case. patient with 4 days of shortness of breath progressively worsening presented initially on 8/19 at the time was not hypoxic, was discharged with monitoring system. however shortness of breath has progressively worsened to severe, worse on attempted ambulation, associated with fevers, cough, generalized weakness, so came back to ER, noted to be requiring oxygen supplementation, and also short of breath on talking, so being admitted.  Admitted 8/22/21. Pfizer Covid-19 vaccine given on 3/24/21 & 4/14/21. Tested positive for covid on 8/19/21. Diagnosed and treated for acute hypoxic respiratory failure and covid viral pneumonia. Improved and discharged on 8/24/21.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID-19 breakthrough case. patient with 4 days of shortness of breath progressively worsening presented initially on 8/19 at the time was not hypoxic, was discharged with monitoring system. however shortness of breath has progressively worsened to severe, worse on attempted ambulation, associated with fevers, cough, generalized weakness, so came back to ER, noted to be requiring oxygen supplementation, and also short of breath on talking, so being admitted.  Admitted 8/22/21. Pfizer Covid-19 vaccine given on 3/24/21 & 4/14/21. Tested positive for covid on 8/19/21. Diagnosed and treated for acute hypoxic respiratory failure and covid viral pneumonia. Improved and discharged on 8/24/21.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient  inadvertently given mixed doses of COVID19 vaccine.  She received Moderna for her 1st dose and was given Pfizer for her  2nd dose.  There were no visible reactions and patient tolerated well.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine expired in fridge
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 antibody test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough infection
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error: Pt sated he had not received a covid vaccination prior. He received Pfizer on 6/22 and received an incentive. When data was entered, it was discovered he received a Janssen Vacccine on 3/27/21.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anion gap increased, Blood bicarbonate decreased, Blood glucose increased, Blood potassium increased
Clinical narrative: Breakthrough COVID-19 case with  Muscle or body aches,  Cough (new onset or worsening of chronic cough),  Nausea or vomiting, Abdominal pain. Patient presented with nausea and vomiting of 2 days duration.  She developed generalized abdominal pain nausea loss of appetite and vomiting of ingested material since 2 days back.  She denies fever but has been having cough. She has chronic respiratory failure she is on 4 L of oxygen at home and has not noticed any change in shortness of breath denies any palpitation or chest pain. She states she is fully vaccinated against COVID-19. She continues to take her insulin and her last dose was this morning. Her last dialysis was on Saturday. Investigations in the ED revealed hyperglycemia with blood glucose level of 1296, sodium level of 117 and potassium level of 5.7. Bicarb level was 13 and anion gap was 22. WBC count was within normal range.  Chest x-ray showed bilateral opacities suggestive of volume overload vers
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, COVID-19, Chest X-ray abnormal, Chronic respiratory failure, Cough
Clinical narrative: Breakthrough COVID-19 case with  Muscle or body aches,  Cough (new onset or worsening of chronic cough),  Nausea or vomiting, Abdominal pain. Patient presented with nausea and vomiting of 2 days duration.  She developed generalized abdominal pain nausea loss of appetite and vomiting of ingested material since 2 days back.  She denies fever but has been having cough. She has chronic respiratory failure she is on 4 L of oxygen at home and has not noticed any change in shortness of breath denies any palpitation or chest pain. She states she is fully vaccinated against COVID-19. She continues to take her insulin and her last dose was this morning. Her last dialysis was on Saturday. Investigations in the ED revealed hyperglycemia with blood glucose level of 1296, sodium level of 117 and potassium level of 5.7. Bicarb level was 13 and anion gap was 22. WBC count was within normal range.  Chest x-ray showed bilateral opacities suggestive of volume overload vers
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Hyperglycaemia, Hypervolaemia, Lung opacity, Myalgia
Clinical narrative: Breakthrough COVID-19 case with  Muscle or body aches,  Cough (new onset or worsening of chronic cough),  Nausea or vomiting, Abdominal pain. Patient presented with nausea and vomiting of 2 days duration.  She developed generalized abdominal pain nausea loss of appetite and vomiting of ingested material since 2 days back.  She denies fever but has been having cough. She has chronic respiratory failure she is on 4 L of oxygen at home and has not noticed any change in shortness of breath denies any palpitation or chest pain. She states she is fully vaccinated against COVID-19. She continues to take her insulin and her last dose was this morning. Her last dialysis was on Saturday. Investigations in the ED revealed hyperglycemia with blood glucose level of 1296, sodium level of 117 and potassium level of 5.7. Bicarb level was 13 and anion gap was 22. WBC count was within normal range.  Chest x-ray showed bilateral opacities suggestive of volume overload vers
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, SARS-CoV-2 test positive, Vaccine breakthrough infection, Vomiting
Clinical narrative: Breakthrough COVID-19 case with  Muscle or body aches,  Cough (new onset or worsening of chronic cough),  Nausea or vomiting, Abdominal pain. Patient presented with nausea and vomiting of 2 days duration.  She developed generalized abdominal pain nausea loss of appetite and vomiting of ingested material since 2 days back.  She denies fever but has been having cough. She has chronic respiratory failure she is on 4 L of oxygen at home and has not noticed any change in shortness of breath denies any palpitation or chest pain. She states she is fully vaccinated against COVID-19. She continues to take her insulin and her last dose was this morning. Her last dialysis was on Saturday. Investigations in the ED revealed hyperglycemia with blood glucose level of 1296, sodium level of 117 and potassium level of 5.7. Bicarb level was 13 and anion gap was 22. WBC count was within normal range.  Chest x-ray showed bilateral opacities suggestive of volume overload vers
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Breakthrough COVID-19 case with  Muscle or body aches,  Cough (new onset or worsening of chronic cough),  Nausea or vomiting, Abdominal pain. Patient presented with nausea and vomiting of 2 days duration.  She developed generalized abdominal pain nausea loss of appetite and vomiting of ingested material since 2 days back.  She denies fever but has been having cough. She has chronic respiratory failure she is on 4 L of oxygen at home and has not noticed any change in shortness of breath denies any palpitation or chest pain. She states she is fully vaccinated against COVID-19. She continues to take her insulin and her last dose was this morning. Her last dialysis was on Saturday. Investigations in the ED revealed hyperglycemia with blood glucose level of 1296, sodium level of 117 and potassium level of 5.7. Bicarb level was 13 and anion gap was 22. WBC count was within normal range.  Chest x-ray showed bilateral opacities suggestive of volume overload vers
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Oral mucosal blistering, Oropharyngeal pain, Skin reaction, Tongue discolouration
Clinical narrative: skin bumps on arm after first shot. Sore throat, white blisters on gums and lips. Numb tongue and very white
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Joint swelling, Metabolic function test, Polyarthritis
Clinical narrative: - Provisional diagnosis of Polyarthritis. Symptoms consistent with Rheumatoid Arthritis, however, labs appear normal. - Symptoms consist of pain and swelling in the joints of the hands, wrists, and feet. Symmetrical. Worse in the mornings and after use. - Onset occurred over two days at the end of July2021 and are still present. - Treatment includes Voltaren Gel (effective), and NSAIDs (partially effective)
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Pruritus, Urticaria
Clinical narrative: Experienced  intense hives peppered over multiple areas of body.  Intense itchy and spread of hives required seeking and getting medical treatment.  Steroid  injection given at walk-in care facility followed with a prescription for oral steroids along with taking Benadryl and eventually Loratadine.  Had to take tylenol and ibuprofen due to side effects from steroids.  Immediately started experiencing headaches with steroids while receiving steroids by injection and orally.  Light headedness, dizziness, headaches and nausea were all side effects of the steroids. The Physician Assistant that saw patient was extremely concerned for anaphylactic shock and questioned multiple times and caused should I experience any shortness of breath, any numbness or tingling in the mouth, lips or airways to seek immediate medical attention at the Emergency Department of the local hospital.   I was until 9/9 before I felt as though all the side effects of the vaccine and the adverse reaction appear to have gone away for the time being.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was  mistakenly scheduled for, and received her second dose of the Moderna vaccine series 22 days following her first dose, earlier than the recommended 28 days and 4 day grace period per CDC. Called patient 9/9/21 immediately after mistake was realized and explained situation. Per CDC, patient does not need to repeat dose or series.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID-19 on 8/28/2021 and was admitted to the hospital on 8/30/2021.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Immediate post-injection reaction, Lip swelling, Musculoskeletal stiffness
Clinical narrative: Almost immediately after getting injected with my first shot of the Pfizer vaccine (around 2 mins after if i had to approximate), I felt the ride side of my face tingling and it became partially numb. The feeling didn't go away the rest of the day. When I went to bed that night, I woke up early around 5-6 am and got a strange feeling in my lips. I kept sleeping, but then woke up at 7am. I looked in the mirror and saw my lips were swollen on the left side. It was swollen on the upper left part of my lips. Also, that part of my lip feels numb too. Overall, my face feels somewhat stiff too.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Oral discomfort, Paraesthesia, Sleep disorder
Clinical narrative: Almost immediately after getting injected with my first shot of the Pfizer vaccine (around 2 mins after if i had to approximate), I felt the ride side of my face tingling and it became partially numb. The feeling didn't go away the rest of the day. When I went to bed that night, I woke up early around 5-6 am and got a strange feeling in my lips. I kept sleeping, but then woke up at 7am. I looked in the mirror and saw my lips were swollen on the left side. It was swollen on the upper left part of my lips. Also, that part of my lip feels numb too. Overall, my face feels somewhat stiff too.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Admission Error:  Patient stated she had never received a COVID vaccination and was given a dose of Janssen. When her data was entered, it was discovered she received a dose of Janssen on 3.22.21 at another location.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Bladder hypertrophy, Colitis, Colonic abscess, Computerised tomogram abdomen abnormal
Clinical narrative: Patient reported to primary clinic 8/6/21 chief complaint of constipation. This has been going on for a week and a half. Tried Dulcolax with minimal relief; tried this twice per day for a couple days.  Last bowel movement 1 week ago.  Patient then reported to ED 8/25/21 with complaint of lower abdominal pain x1 month.  Pt also c/o associated nausea, vomiting, diarrhea, and decreased PO intake.  Pt notes that he has lost 35 lbs over the past 1 month.  His last episode of vomiting was this morning after drinking water and he had an episode of watery diarrhea.  Pt reports intermittent fevers for the past few days (Tmax 101.7 F).  He also notes recent onset of rash to bilateral elbows.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Constipation, Diarrhoea, Hydronephrosis, Hypophagia, Nausea
Clinical narrative: Patient reported to primary clinic 8/6/21 chief complaint of constipation. This has been going on for a week and a half. Tried Dulcolax with minimal relief; tried this twice per day for a couple days.  Last bowel movement 1 week ago.  Patient then reported to ED 8/25/21 with complaint of lower abdominal pain x1 month.  Pt also c/o associated nausea, vomiting, diarrhea, and decreased PO intake.  Pt notes that he has lost 35 lbs over the past 1 month.  His last episode of vomiting was this morning after drinking water and he had an episode of watery diarrhea.  Pt reports intermittent fevers for the past few days (Tmax 101.7 F).  He also notes recent onset of rash to bilateral elbows.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nephrolithiasis, Pyrexia, Rash, Urinary bladder abscess, Vomiting
Clinical narrative: Patient reported to primary clinic 8/6/21 chief complaint of constipation. This has been going on for a week and a half. Tried Dulcolax with minimal relief; tried this twice per day for a couple days.  Last bowel movement 1 week ago.  Patient then reported to ED 8/25/21 with complaint of lower abdominal pain x1 month.  Pt also c/o associated nausea, vomiting, diarrhea, and decreased PO intake.  Pt notes that he has lost 35 lbs over the past 1 month.  His last episode of vomiting was this morning after drinking water and he had an episode of watery diarrhea.  Pt reports intermittent fevers for the past few days (Tmax 101.7 F).  He also notes recent onset of rash to bilateral elbows.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: Patient reported to primary clinic 8/6/21 chief complaint of constipation. This has been going on for a week and a half. Tried Dulcolax with minimal relief; tried this twice per day for a couple days.  Last bowel movement 1 week ago.  Patient then reported to ED 8/25/21 with complaint of lower abdominal pain x1 month.  Pt also c/o associated nausea, vomiting, diarrhea, and decreased PO intake.  Pt notes that he has lost 35 lbs over the past 1 month.  His last episode of vomiting was this morning after drinking water and he had an episode of watery diarrhea.  Pt reports intermittent fevers for the past few days (Tmax 101.7 F).  He also notes recent onset of rash to bilateral elbows.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Muscle twitching, Scan brain
Clinical narrative: Face and eye twitch
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: I lost my monthly period. I am on month 2 with no monthly period.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea
Clinical narrative: Stomach pain, severe diarrhea
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Hot flush
Clinical narrative: Headache, extreme exhaustion, diarrhea, and hot flashes.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chills, Diarrhoea, Dizziness
Clinical narrative: Left arm got instantly hot, hand started hurting, shoulder pain, neck pain, dizziness, nausea, headache, face got very hot and felt like a sunburn. About two hours after the shot, I developed diarrhea, stomach cramping, chills, both feet started feeling hot,  hurting, tingling and throbbing. Then in two days my right hand started hurting, back of left leg is is hurting, non stop nausea, headache, hot/cold, stiff neck, very tired.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Feeling hot, Headache, Hot flush
Clinical narrative: Left arm got instantly hot, hand started hurting, shoulder pain, neck pain, dizziness, nausea, headache, face got very hot and felt like a sunburn. About two hours after the shot, I developed diarrhea, stomach cramping, chills, both feet started feeling hot,  hurting, tingling and throbbing. Then in two days my right hand started hurting, back of left leg is is hurting, non stop nausea, headache, hot/cold, stiff neck, very tired.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Musculoskeletal stiffness, Nausea, Neck pain, Pain
Clinical narrative: Left arm got instantly hot, hand started hurting, shoulder pain, neck pain, dizziness, nausea, headache, face got very hot and felt like a sunburn. About two hours after the shot, I developed diarrhea, stomach cramping, chills, both feet started feeling hot,  hurting, tingling and throbbing. Then in two days my right hand started hurting, back of left leg is is hurting, non stop nausea, headache, hot/cold, stiff neck, very tired.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Skin warm
Clinical narrative: Left arm got instantly hot, hand started hurting, shoulder pain, neck pain, dizziness, nausea, headache, face got very hot and felt like a sunburn. About two hours after the shot, I developed diarrhea, stomach cramping, chills, both feet started feeling hot,  hurting, tingling and throbbing. Then in two days my right hand started hurting, back of left leg is is hurting, non stop nausea, headache, hot/cold, stiff neck, very tired.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lip swelling, Paraesthesia, Peripheral swelling, Pharyngeal swelling
Clinical narrative: Pt started at 1300 on March 4, 2021 with chin and lip swelling and tingling.  For the past 7 months, she has had rash, hives, intermittent and random throat swelling as well as numbness on left side of her body.   She has had left hand and foot swelling constantly since receiving vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling face, Urticaria
Clinical narrative: Pt started at 1300 on March 4, 2021 with chin and lip swelling and tingling.  For the past 7 months, she has had rash, hives, intermittent and random throat swelling as well as numbness on left side of her body.   She has had left hand and foot swelling constantly since receiving vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Atypical pneumonia, Blood test, Chest X-ray, Computerised tomogram head
Clinical narrative: I had tingling in my right hand, and my leg that would come and goes for a few days.  I had headache, low grade fever, nausea, fatigue, and tired.  My numbness in my leg from my knee down and in my right arm.  I had sore throat and lost my voice.  The headache was really bad.  I went to the doctor, they did head CT scan,  chest x-ray,  blood work and Covid-19 twice, negative.  I am scheduled for MRI on Sept 20th.  They diagnosed me walking pneumonia.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Nausea, Oropharyngeal pain
Clinical narrative: I had tingling in my right hand, and my leg that would come and goes for a few days.  I had headache, low grade fever, nausea, fatigue, and tired.  My numbness in my leg from my knee down and in my right arm.  I had sore throat and lost my voice.  The headache was really bad.  I went to the doctor, they did head CT scan,  chest x-ray,  blood work and Covid-19 twice, negative.  I am scheduled for MRI on Sept 20th.  They diagnosed me walking pneumonia.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I had tingling in my right hand, and my leg that would come and goes for a few days.  I had headache, low grade fever, nausea, fatigue, and tired.  My numbness in my leg from my knee down and in my right arm.  I had sore throat and lost my voice.  The headache was really bad.  I went to the doctor, they did head CT scan,  chest x-ray,  blood work and Covid-19 twice, negative.  I am scheduled for MRI on Sept 20th.  They diagnosed me walking pneumonia.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adverse event, Breast pain, Breast swelling, Lymph node pain, Lymphadenopathy
Clinical narrative: The adverse event was Left Breast swollen lymph nodes that remain swollen today. It has been more than 4 months after 2  Moderna injection on 4/12/2021. There has been no treatment. Mammogram was completed 4/1/2021 at 6:18pm. At times the swollen area is sore or painful.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mammogram abnormal
Clinical narrative: The adverse event was Left Breast swollen lymph nodes that remain swollen today. It has been more than 4 months after 2  Moderna injection on 4/12/2021. There has been no treatment. Mammogram was completed 4/1/2021 at 6:18pm. At times the swollen area is sore or painful.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: first dose was moderna, second shot was pfizer
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT RECEIVED MODERNA AT OUR FACILITY AS HER FIRST DOSE ON 8/13/21. BUT WHEN PATIENT CAME FOR HER SECOND VACCINE SHE FORGOT TO BRING HER CARD AND HAD A PICTURE ON THE PHONE OF HER VACCINATION CARD. BY MISTAKE THE PERSON WHO RECREATED HER PHYSICAL CARD WROTE PFIZER AS HER FIRST AND SECOND SHOT. THE PATIENT RECIEVED PFIZER AS HER SECOND SHOT AS A RESULT. NO COMPLICATIONS OR SIDE EFFECTS WERE OBSERVED.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling cold, Influenza like illness, Nausea
Clinical narrative: Following the vaccine I had no AEs the entire time. Not even a sore arm. On 08/13/2021, I had fever of 100 degrees, body aches much like the flu, nauseous but didn't get sick, very tired and nasal drainage. On the onset, 08/13/2021, I went to Urgent Care. I tested positive for COVID-19. The following day at 1:00 PM they gave me the infusion at the hospital, as an outpatient. 2 hours later I had horrendous chills, ice piercing cold, I literally had to put on my robe, I was shaking and I could not stop from the cold. It lasted for like 3 hours. Then I had the flu like symptoms and doing breathing treatments-albuterol 0.5/3 (2.5 mg) 4 treatments 4 x day, inhalation. Prescriptions from the pharmacy: Prednisone 10 mg 1 tablet by mouth for 5 days, azithromycin 200 mg 2 tablet on the 1st day, and then 1 tablet for 4 days, treatments for my lungs. After 2 weeks, I'm back to normal. I have totally recovered.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Tremor
Clinical narrative: Following the vaccine I had no AEs the entire time. Not even a sore arm. On 08/13/2021, I had fever of 100 degrees, body aches much like the flu, nauseous but didn't get sick, very tired and nasal drainage. On the onset, 08/13/2021, I went to Urgent Care. I tested positive for COVID-19. The following day at 1:00 PM they gave me the infusion at the hospital, as an outpatient. 2 hours later I had horrendous chills, ice piercing cold, I literally had to put on my robe, I was shaking and I could not stop from the cold. It lasted for like 3 hours. Then I had the flu like symptoms and doing breathing treatments-albuterol 0.5/3 (2.5 mg) 4 treatments 4 x day, inhalation. Prescriptions from the pharmacy: Prednisone 10 mg 1 tablet by mouth for 5 days, azithromycin 200 mg 2 tablet on the 1st day, and then 1 tablet for 4 days, treatments for my lungs. After 2 weeks, I'm back to normal. I have totally recovered.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Throat irritation, Wheezing
Clinical narrative: wheezing, SOB, cough, scratchy throat benadryl 50 mg po at 10:28am VS obtained  10:38 am 204/130, HR 100, SpO2 98% 10:48 am 204/112, HR 86, SpO2 96% 10:55 am 170/98 and advised to go to stat care or ER for BP only.  Breathing issues resolved at time of last VS obtained.  Pt drove by husband.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was mistakenly scheduled for, and received his second dose of the Moderna vaccine series 22 days following his first dose, outside of the recommended 28 days and 4 day grace period per CDC. Patient notified of error on 9/10/21. Per CDC, patient does not need to repeat doses or series.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Abdominal discomfort, Chills, Erythema, Immunisation reaction, Induration
Clinical narrative: Patient had TD and pneumococcal injections on 9/7/2021. TD left arm; pneumococcal 23 right arm. Patient now having redness, swelling, and increased warmth in right arm. Measures about the size of an orange. Patient feeling sick to her stomach. Started 9/8/2021. Arm less hard now. Has had chills, no fever. No red streaking. Pain also under the arm. Patient using ice application, TYLENOL.  Possible cellulitis post-vaccination as well as vaccine local reaction suspected. Will continue with TYLENOL as well as cool compress. Antibiotic as directed as well as ZOFRAN for associated nausea. Patient to seek further care if redness spreading or fever develops.  Started ONDANSETRON & DOXYCYCLINE 9/10/21.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Local reaction, Malaise, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Patient had TD and pneumococcal injections on 9/7/2021. TD left arm; pneumococcal 23 right arm. Patient now having redness, swelling, and increased warmth in right arm. Measures about the size of an orange. Patient feeling sick to her stomach. Started 9/8/2021. Arm less hard now. Has had chills, no fever. No red streaking. Pain also under the arm. Patient using ice application, TYLENOL.  Possible cellulitis post-vaccination as well as vaccine local reaction suspected. Will continue with TYLENOL as well as cool compress. Antibiotic as directed as well as ZOFRAN for associated nausea. Patient to seek further care if redness spreading or fever develops.  Started ONDANSETRON & DOXYCYCLINE 9/10/21.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: After about 5 minutes after the vaccine was administered to my Girlfriend, she began to have a seizure while sitting upwards in her seat. The seizure lasted for about 5-10 seconds, and when she was done having the seizure, she could not remember what had happened, where she was, etc.  Happened right after she came out of the Pharmacist's office for the COVID-19 vaccine. She has taken other vaccines before, and even birth control via the shot and has been just fine.  She recovered from the seizure after about 10-15 minutes, and we stayed an extra 30 minutes at the vaccination site for any other side-affects.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error:  Pt reported never receiving a COVID vaccine. He was given a dose of Pfizer and an incentive. When his data was entered it was discovered that he received a dose of Janssen on 3/9 at another location.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Impaired driving ability, Pain in extremity
Clinical narrative: Twenty minutes after first dose severe dizziness (unable to steadily walk), motion sickness, headache, feeling faint.    Advised by Pharmacist to wait until symptoms resolved before taking second dose.  Waited 14 weeks, dizziness did not resolve completely but became less severe.  Took second dose 9/2/2021.  1 day after second dose (24 hours later), severe vertigo returned, sporadic feeling faint, unable to drive long distances.  Also had common symptoms of sore arm, slight fever, exhaustion, light headed foggy brain.  Light headedness/ feeling faint, vertigo still have not resolved after 8 days and are severe at times.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vertigo
Clinical narrative: Twenty minutes after first dose severe dizziness (unable to steadily walk), motion sickness, headache, feeling faint.    Advised by Pharmacist to wait until symptoms resolved before taking second dose.  Waited 14 weeks, dizziness did not resolve completely but became less severe.  Took second dose 9/2/2021.  1 day after second dose (24 hours later), severe vertigo returned, sporadic feeling faint, unable to drive long distances.  Also had common symptoms of sore arm, slight fever, exhaustion, light headed foggy brain.  Light headedness/ feeling faint, vertigo still have not resolved after 8 days and are severe at times.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Cough, Dyspnoea
Clinical narrative: COVID-19 breakthrough case. patient presents to ED with complaints of cough and SOB.  She also has fatigue and generalized weakness.  She received the Johnson&Johnson COVID-19 vaccine on 3/12/21.   Admitted 8/21/21.  tested positive for covid at outside clinic on 8/21/21. Diagnosed and treated for covid-19 related acute hypoxic respiratory failure. Improved and was discharged on 8/26/21.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID-19 breakthrough case. patient presents to ED with complaints of cough and SOB.  She also has fatigue and generalized weakness.  She received the Johnson&Johnson COVID-19 vaccine on 3/12/21.   Admitted 8/21/21.  tested positive for covid at outside clinic on 8/21/21. Diagnosed and treated for covid-19 related acute hypoxic respiratory failure. Improved and was discharged on 8/26/21.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Pain, Pain in extremity, Pyrexia
Clinical narrative: Reaction started 24 hours after  the vaccine was received. Patient stated she was lightheaded, had body aches and fever for 2 days. And had a swollen, red, raised spot, and sore arm for  about 4 days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Reaction started 24 hours after  the vaccine was received. Patient stated she was lightheaded, had body aches and fever for 2 days. And had a swollen, red, raised spot, and sore arm for  about 4 days.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalization - pneumonia due to COVID-19 virus
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Hyperglycaemia
Clinical narrative: 62-year-old male with PMH of COPD, chronic hypoxic respiratory failure on home O2 at 3 L,  atrial fibrillation, insulin-dependent diabetes, carotid artery disease, HTN, OSA, HLD and morbid obesity presented to the hospital today after having increased work of breathing, hypoxia with minimal exertion, right-sided chest pain and palpitations.  Patient has been suffering with positive at home coronavirus testing since August 7th.  Patient has been managing at home with oxygen and oral steroid treatment per his primary care doctor.  Over the last 3-4 days his work of breathing has increased.  Patient states that his oxygen saturation is as low as 84% when ambulating short distance.   Tested positive on 9/8/2021 62-year-old male with PMH of COPD, chronic hypoxic respiratory failure on home O2 at 3 L,  atrial fibrillation, insulin-dependent diabetes, carotid artery disease, HTN, OSA, HLD and morbid obesity presented to the hospital today after having increased work of breathing, hypoxia with minimal exertion, right-sided chest pain and palpitations.  Patient has been suffering with positive at home coronavirus testing since August 7th.  Patient has been managing at home with oxygen and oral steroid treatment per his primary care doctor.  Over the last 3-4 days his work of breathing has increased.  Patient states that his oxygen saturation is as low as 84% when ambulating short distance.  He usually does not have to wear his oxygen all the time, only at night but over the last month he has required 3 L continuously.  He has required 4 L over the last 4 days to maintain O2 sat greater than 90.  Patient has had a few episodes of nausea vomiting several days ago, denies diarrhea.  Laboratory evaluation is significant for lactic acidosis, hyperglycemia, hypo magnesemia.  COVID swab is positive.  Chest CT was obtained which revealed multifocal pneumonia, No evidence of central pulmonary emboli.  Sepsis is present on admission, weight based IV fluid resuscitation and antibiotics were initiated.            Otherwise, patient denies any recent fevers/chills/sweats/nausea/vomiting/productive cough/chest pain/chest pressure/palpitations/abdominal pain/diarrhea/constipation/frequency/urgency/dysuria/hematuria/hematemesis/melena.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hypomagnesaemia, Hypoxia, Laboratory test abnormal, Lactic acidosis, Nausea
Clinical narrative: 62-year-old male with PMH of COPD, chronic hypoxic respiratory failure on home O2 at 3 L,  atrial fibrillation, insulin-dependent diabetes, carotid artery disease, HTN, OSA, HLD and morbid obesity presented to the hospital today after having increased work of breathing, hypoxia with minimal exertion, right-sided chest pain and palpitations.  Patient has been suffering with positive at home coronavirus testing since August 7th.  Patient has been managing at home with oxygen and oral steroid treatment per his primary care doctor.  Over the last 3-4 days his work of breathing has increased.  Patient states that his oxygen saturation is as low as 84% when ambulating short distance.   Tested positive on 9/8/2021 62-year-old male with PMH of COPD, chronic hypoxic respiratory failure on home O2 at 3 L,  atrial fibrillation, insulin-dependent diabetes, carotid artery disease, HTN, OSA, HLD and morbid obesity presented to the hospital today after having increased work of breathing, hypoxia with minimal exertion, right-sided chest pain and palpitations.  Patient has been suffering with positive at home coronavirus testing since August 7th.  Patient has been managing at home with oxygen and oral steroid treatment per his primary care doctor.  Over the last 3-4 days his work of breathing has increased.  Patient states that his oxygen saturation is as low as 84% when ambulating short distance.  He usually does not have to wear his oxygen all the time, only at night but over the last month he has required 3 L continuously.  He has required 4 L over the last 4 days to maintain O2 sat greater than 90.  Patient has had a few episodes of nausea vomiting several days ago, denies diarrhea.  Laboratory evaluation is significant for lactic acidosis, hyperglycemia, hypo magnesemia.  COVID swab is positive.  Chest CT was obtained which revealed multifocal pneumonia, No evidence of central pulmonary emboli.  Sepsis is present on admission, weight based IV fluid resuscitation and antibiotics were initiated.            Otherwise, patient denies any recent fevers/chills/sweats/nausea/vomiting/productive cough/chest pain/chest pressure/palpitations/abdominal pain/diarrhea/constipation/frequency/urgency/dysuria/hematuria/hematemesis/melena.