chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, C-reactive protein increased, Myalgia, Pain in extremity
Clinical narrative: Muscle and joint pain in both upper arms (elbows and shoulders) and upper legs and hips.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Product storage error
Clinical narrative: Adverse event: Mis-stored vaccine administered. Result: revaccinated.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Borrelia test, Cardiac stress test, Chest X-ray
Clinical narrative: Nausea, dizzy, extremely weak and lost feeling extremities, which turned to needle-like pain/chest pain. Started with loss of feeling in limbs; several days later had to be helped down a flight of stairs; eventually took ambulance ride from work to ER.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram head, Computerised tomogram spine, Dizziness, Echocardiogram
Clinical narrative: Nausea, dizzy, extremely weak and lost feeling extremities, which turned to needle-like pain/chest pain. Started with loss of feeling in limbs; several days later had to be helped down a flight of stairs; eventually took ambulance ride from work to ER.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Electrocardiogram ambulatory, Electromyogram abnormal, Lipids, Magnetic resonance imaging spinal
Clinical narrative: Nausea, dizzy, extremely weak and lost feeling extremities, which turned to needle-like pain/chest pain. Started with loss of feeling in limbs; several days later had to be helped down a flight of stairs; eventually took ambulance ride from work to ER.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Mobility decreased, Nausea, Neuropathy peripheral, Pain
Clinical narrative: Nausea, dizzy, extremely weak and lost feeling extremities, which turned to needle-like pain/chest pain. Started with loss of feeling in limbs; several days later had to be helped down a flight of stairs; eventually took ambulance ride from work to ER.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, SARS-CoV-2 test, Sensory loss, Spinal X-ray
Clinical narrative: Nausea, dizzy, extremely weak and lost feeling extremities, which turned to needle-like pain/chest pain. Started with loss of feeling in limbs; several days later had to be helped down a flight of stairs; eventually took ambulance ride from work to ER.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE EVENTS NOTED POST VACCINATION- REPORTING DUE TO <18 YEARS OLD AT TIME OF MODERNA VACCINATION.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Exposure during pregnancy, Influenza A virus test negative, Influenza B virus test, Labour induction
Clinical narrative: Date of Admission: 4/2/2022 Chief Complaint:  Scheduled IOL Source of Information: Patient and Available medical record   History of Present Illness: This is a 30y.o. G2P1001 at 40w2d, dated by Rn. Patient seen in L&D for a scheduled IOL. Pregnancy complicated by short interval pregnancy, history of 3b laceration repair, constipation, and CF carrier.  At present (Irregular)CTX, (+) FM, (Denies) LOF, (Denies) VB.   PRENATALS: Lab Results Component Value Date   TYPE O POS 08/09/2021   GLU1HR50G 94 01/06/2022   SCRGRPBSTREP   08/11/2020     PCR result: Negative; Group B Strep DNA not detected Methodology: Nucleic Acid Amplification (FDA-approved) Culture result: Test not performed     HBSAG Nonreactive 01/06/2022   HIVSCRN Nonreactive 01/06/2022   RUBELLAABIGG 6.23 (H) 08/25/2021      Pt receives prenatal care at OB/GYN.   FHTS: 130/moderate variability/+ accelerations up to 160 lasting up to 30 seconds TOCO: q6-8 min SVE: 1+/40/-3 BSUS: Cephalic, R lateral grade 3 placenta, EFW 7# 9oz, MVP 2.73cm   BISHOP: 3 Pelvis proven to 7# 6oz with previous vaginal delivery.     Patient progressed to complete and and pushing with good maternal effort.  She delivered a viable male fetus in the ROA position.  Shoulders and body delivered without difficulty.  Cord was clamped and cut and infant was placed on patient's chest for skin to skin.  Cord blood and gases were obtained.  Placenta delivered intact and spontaneously.  Uterus explored and there was no evidence of any retained products.  Second degree laceration repaired with 3.0 vicryl.  Cervix and rectum intact.  Patient in satisfactory condition.     Antepartum complications: Short interval pregnancy, Hx of 3b perineal laceration, CF carrier, COVID 19   Primary Diagnosis: SVD (spontaneous vaginal delivery)    Hospital Course       Patient Active Problem List Diagnosis ? Blood type, Rh positive ? Rubella immune ? Short interval between pregnancies affecting pregnancy, antepartum ? History of maternal third degree perineal laceration, currently pregnant in third trimester ? Slow transit constipation ? Hemorrhoids during pregnancy in third trimester ? NST (non-stress test) reactive ? SVD (spontaneous vaginal delivery) ? Cystic fibrosis carrier ? Lactating mother   Please see the prenatal record and admission history and physical for details.   Labor Analgesics: Local     OB Complications:    Cervical Ripening Type:   Cervical Ripening Comment:      Induction: Cervidil   Induction Indications:   Augmentation:    Delivery Time: 5:13 AM  Gestational Age(weeks days/7): 40 3/7      Method of Delivery: Vaginal, Spontaneous     Birth Weight: 3.895 kg (8 lb 9.4 oz)   Sex: male   Apgar Score (1 min): 8   Apgar Score (5 min): 9     Laceration  Episiotomy: None   Laceration Type: 2nd   Perineal Laceration:      Quantified Blood Loss (ml):    Est Blood Loss      For further details of the delivery see the delivery summary.    Her post partum course was complicated by:  None     Procedures performed: SVD with repair of 2nd degree
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Perineal injury, Rhesus antigen positive, SARS-CoV-2 test negative, Short interpregnancy interval, Streptococcus test
Clinical narrative: Date of Admission: 4/2/2022 Chief Complaint:  Scheduled IOL Source of Information: Patient and Available medical record   History of Present Illness: This is a 30y.o. G2P1001 at 40w2d, dated by Rn. Patient seen in L&D for a scheduled IOL. Pregnancy complicated by short interval pregnancy, history of 3b laceration repair, constipation, and CF carrier.  At present (Irregular)CTX, (+) FM, (Denies) LOF, (Denies) VB.   PRENATALS: Lab Results Component Value Date   TYPE O POS 08/09/2021   GLU1HR50G 94 01/06/2022   SCRGRPBSTREP   08/11/2020     PCR result: Negative; Group B Strep DNA not detected Methodology: Nucleic Acid Amplification (FDA-approved) Culture result: Test not performed     HBSAG Nonreactive 01/06/2022   HIVSCRN Nonreactive 01/06/2022   RUBELLAABIGG 6.23 (H) 08/25/2021      Pt receives prenatal care at OB/GYN.   FHTS: 130/moderate variability/+ accelerations up to 160 lasting up to 30 seconds TOCO: q6-8 min SVE: 1+/40/-3 BSUS: Cephalic, R lateral grade 3 placenta, EFW 7# 9oz, MVP 2.73cm   BISHOP: 3 Pelvis proven to 7# 6oz with previous vaginal delivery.     Patient progressed to complete and and pushing with good maternal effort.  She delivered a viable male fetus in the ROA position.  Shoulders and body delivered without difficulty.  Cord was clamped and cut and infant was placed on patient's chest for skin to skin.  Cord blood and gases were obtained.  Placenta delivered intact and spontaneously.  Uterus explored and there was no evidence of any retained products.  Second degree laceration repaired with 3.0 vicryl.  Cervix and rectum intact.  Patient in satisfactory condition.     Antepartum complications: Short interval pregnancy, Hx of 3b perineal laceration, CF carrier, COVID 19   Primary Diagnosis: SVD (spontaneous vaginal delivery)    Hospital Course       Patient Active Problem List Diagnosis ? Blood type, Rh positive ? Rubella immune ? Short interval between pregnancies affecting pregnancy, antepartum ? History of maternal third degree perineal laceration, currently pregnant in third trimester ? Slow transit constipation ? Hemorrhoids during pregnancy in third trimester ? NST (non-stress test) reactive ? SVD (spontaneous vaginal delivery) ? Cystic fibrosis carrier ? Lactating mother   Please see the prenatal record and admission history and physical for details.   Labor Analgesics: Local     OB Complications:    Cervical Ripening Type:   Cervical Ripening Comment:      Induction: Cervidil   Induction Indications:   Augmentation:    Delivery Time: 5:13 AM  Gestational Age(weeks days/7): 40 3/7      Method of Delivery: Vaginal, Spontaneous     Birth Weight: 3.895 kg (8 lb 9.4 oz)   Sex: male   Apgar Score (1 min): 8   Apgar Score (5 min): 9     Laceration  Episiotomy: None   Laceration Type: 2nd   Perineal Laceration:      Quantified Blood Loss (ml):    Est Blood Loss      For further details of the delivery see the delivery summary.    Her post partum course was complicated by:  None     Procedures performed: SVD with repair of 2nd degree
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Wound closure
Clinical narrative: Date of Admission: 4/2/2022 Chief Complaint:  Scheduled IOL Source of Information: Patient and Available medical record   History of Present Illness: This is a 30y.o. G2P1001 at 40w2d, dated by Rn. Patient seen in L&D for a scheduled IOL. Pregnancy complicated by short interval pregnancy, history of 3b laceration repair, constipation, and CF carrier.  At present (Irregular)CTX, (+) FM, (Denies) LOF, (Denies) VB.   PRENATALS: Lab Results Component Value Date   TYPE O POS 08/09/2021   GLU1HR50G 94 01/06/2022   SCRGRPBSTREP   08/11/2020     PCR result: Negative; Group B Strep DNA not detected Methodology: Nucleic Acid Amplification (FDA-approved) Culture result: Test not performed     HBSAG Nonreactive 01/06/2022   HIVSCRN Nonreactive 01/06/2022   RUBELLAABIGG 6.23 (H) 08/25/2021      Pt receives prenatal care at OB/GYN.   FHTS: 130/moderate variability/+ accelerations up to 160 lasting up to 30 seconds TOCO: q6-8 min SVE: 1+/40/-3 BSUS: Cephalic, R lateral grade 3 placenta, EFW 7# 9oz, MVP 2.73cm   BISHOP: 3 Pelvis proven to 7# 6oz with previous vaginal delivery.     Patient progressed to complete and and pushing with good maternal effort.  She delivered a viable male fetus in the ROA position.  Shoulders and body delivered without difficulty.  Cord was clamped and cut and infant was placed on patient's chest for skin to skin.  Cord blood and gases were obtained.  Placenta delivered intact and spontaneously.  Uterus explored and there was no evidence of any retained products.  Second degree laceration repaired with 3.0 vicryl.  Cervix and rectum intact.  Patient in satisfactory condition.     Antepartum complications: Short interval pregnancy, Hx of 3b perineal laceration, CF carrier, COVID 19   Primary Diagnosis: SVD (spontaneous vaginal delivery)    Hospital Course       Patient Active Problem List Diagnosis ? Blood type, Rh positive ? Rubella immune ? Short interval between pregnancies affecting pregnancy, antepartum ? History of maternal third degree perineal laceration, currently pregnant in third trimester ? Slow transit constipation ? Hemorrhoids during pregnancy in third trimester ? NST (non-stress test) reactive ? SVD (spontaneous vaginal delivery) ? Cystic fibrosis carrier ? Lactating mother   Please see the prenatal record and admission history and physical for details.   Labor Analgesics: Local     OB Complications:    Cervical Ripening Type:   Cervical Ripening Comment:      Induction: Cervidil   Induction Indications:   Augmentation:    Delivery Time: 5:13 AM  Gestational Age(weeks days/7): 40 3/7      Method of Delivery: Vaginal, Spontaneous     Birth Weight: 3.895 kg (8 lb 9.4 oz)   Sex: male   Apgar Score (1 min): 8   Apgar Score (5 min): 9     Laceration  Episiotomy: None   Laceration Type: 2nd   Perineal Laceration:      Quantified Blood Loss (ml):    Est Blood Loss      For further details of the delivery see the delivery summary.    Her post partum course was complicated by:  None     Procedures performed: SVD with repair of 2nd degree
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Headache, fever, body aches, tired lasting about 24 hours
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Night sweats
Clinical narrative: The night that I received my third dose, I noticed that I started to have night sweats and that has never happened before. I was also very tired after the third dose. I'm still having night sweats form time to time.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE EVENTS NOTED POST VACCINATION- REPORTING DUE TO <18 YEARS OLD AT TIME OF MODERNA VACCINATION.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient complained of difficulty taking a breath approximately 15 minutes after vaccine administered.   Mother reported that this happened after his first Pfizer dose. At that time symptoms only lasted 10 minutes.  Patient observed. Stated that symptoms seemed like they were improving some. Patient was instructed to take deep breaths and was continually observed. Respiration rate at that time 22. Total observation period approximately 1 hour, symptoms stayed the same. No angioedema, abdominal pain, nausea, vomiting, chest pain.    Patient did not appear tachypneic.  Patient appeared non-distressed. Able to speak in full sentences. Skin color normal. No audible wheezing. No rashes/hives. Vital signs were taken about 30 minutes after vaccine administered and repeated about 15 minutes later. Vitals: pulse ox 96%, BP 128/73 mmHg, RR 22, Pulse 79, Temp 97.2 degrees F.  Based on patient appearance and vitals, on-site emergency protocols did not need to be deployed.   Patient instructed to call PCP to be evaluated, or go to ED if symptoms worsen.   Patient's mother spoke to PCP on the phone. Patient was instructed by PCP to be evaluated in emergency room. Patient's father came to school. Patient's parents left and took him to emergency room approximately 1.5 hours after vaccine administration.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: After 24 hours, tinnitus in left ear became severe for 20 hours; flared up again on day 7 and on day 9.  On day 9, my good ear (the right one) develooed low grade tinnitus .
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dry skin, Injection site dryness, Injection site reaction, Injection site swelling, Skin exfoliation
Clinical narrative: Rough, dry, flaky peeling skin at injection site, not red but little swollen to right arm injection site. Left arm injection site is just dry. Left arm Pfizer injection was given 11/22/21 same lot number.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-thyroid antibody increased, Blood test, Lymphadenopathy
Clinical narrative: I started having swollen lymph nodes under my arm pit. It comes and goes ever since I got my vaccine. I did talk to my doctor about it. I had blood work, my thyroid antibiotics was evaluated.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Bladder discomfort, COVID-19, Condition aggravated, Confusional state, Delusion
Clinical narrative: Attending Physician: (Privacy); Primary Care Physician: (Privacy)   Date of Admission:                                                4/2/2022       HISTORY   Chief Complaint: Bladder discomfort   Sourceof Information:  Patient and Available medical record   History of Present Illness:  This is a 61y.o. female who presented to the hospital with bladder discomfort.  Patient states she has been having urgency with sensation of urinary retention for the past couple of days, progressively getting worse.  Denies fevers, admits to chills.  Denies burning on urination.  No associated back pain.  Patient states that she called EMS because she was afraid she was going into septic shock. While in the hospital patient was having suicidal ideations.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Depressed mood, Micturition urgency, SARS-CoV-2 test positive, Suicidal ideation, Urinary retention
Clinical narrative: Attending Physician: (Privacy); Primary Care Physician: (Privacy)   Date of Admission:                                                4/2/2022       HISTORY   Chief Complaint: Bladder discomfort   Sourceof Information:  Patient and Available medical record   History of Present Illness:  This is a 61y.o. female who presented to the hospital with bladder discomfort.  Patient states she has been having urgency with sensation of urinary retention for the past couple of days, progressively getting worse.  Denies fevers, admits to chills.  Denies burning on urination.  No associated back pain.  Patient states that she called EMS because she was afraid she was going into septic shock. While in the hospital patient was having suicidal ideations.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Pt had an itchy red arm after receiving the moderna vaccine
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Erythema
Clinical narrative: My husband first noticed welts on my neck. I started itching on my thighs, neck, face, arms, and back. My skin broke out in hives. I was really itchy. I had to take OTC allergy medicine called Allegra D. I had to take it daily at that time. Anytime I would scratch I would get a welt. My skin would get really red and raise up. I had to take Allegra D daily for almost several months. Many years ago I went through a period where I would get hives for a few months, and then they would go away. This is the first time, in a long time, that I had the hives come back. I have to take Allegra D with me everywhere I go. When I caught COVID in November 2021 I had a cold and congestion. It took 10 days to clear up. I had lost my taste and smell. I could only taste salt. I slept a lot. I had post nasal drip and coughing.  I am getting my sense of smell back now.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Hyposmia, Nasopharyngitis, Pruritus, Rash
Clinical narrative: My husband first noticed welts on my neck. I started itching on my thighs, neck, face, arms, and back. My skin broke out in hives. I was really itchy. I had to take OTC allergy medicine called Allegra D. I had to take it daily at that time. Anytime I would scratch I would get a welt. My skin would get really red and raise up. I had to take Allegra D daily for almost several months. Many years ago I went through a period where I would get hives for a few months, and then they would go away. This is the first time, in a long time, that I had the hives come back. I have to take Allegra D with me everywhere I go. When I caught COVID in November 2021 I had a cold and congestion. It took 10 days to clear up. I had lost my taste and smell. I could only taste salt. I slept a lot. I had post nasal drip and coughing.  I am getting my sense of smell back now.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Scratch, Skin swelling, Upper-airway cough syndrome
Clinical narrative: My husband first noticed welts on my neck. I started itching on my thighs, neck, face, arms, and back. My skin broke out in hives. I was really itchy. I had to take OTC allergy medicine called Allegra D. I had to take it daily at that time. Anytime I would scratch I would get a welt. My skin would get really red and raise up. I had to take Allegra D daily for almost several months. Many years ago I went through a period where I would get hives for a few months, and then they would go away. This is the first time, in a long time, that I had the hives come back. I have to take Allegra D with me everywhere I go. When I caught COVID in November 2021 I had a cold and congestion. It took 10 days to clear up. I had lost my taste and smell. I could only taste salt. I slept a lot. I had post nasal drip and coughing.  I am getting my sense of smell back now.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: My husband first noticed welts on my neck. I started itching on my thighs, neck, face, arms, and back. My skin broke out in hives. I was really itchy. I had to take OTC allergy medicine called Allegra D. I had to take it daily at that time. Anytime I would scratch I would get a welt. My skin would get really red and raise up. I had to take Allegra D daily for almost several months. Many years ago I went through a period where I would get hives for a few months, and then they would go away. This is the first time, in a long time, that I had the hives come back. I have to take Allegra D with me everywhere I go. When I caught COVID in November 2021 I had a cold and congestion. It took 10 days to clear up. I had lost my taste and smell. I could only taste salt. I slept a lot. I had post nasal drip and coughing.  I am getting my sense of smell back now.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: In Clinic today 4/18/2022. it was noted he was in clinic 8/18/2021 and received a  dose noted  that day as immunocompromised 3rd dose , Patient states todayhe  is not immunocompromised but does have type 1 diabetes. Notes and Incident / Vaer's completed to change stated 3rd dose to 1st dose booster and received 2nd booster today .
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Pain, Pyrexia
Clinical narrative: It happened the night of vaccination, I had a fever of 102-103 fever, with tired and achy. I was tired, fatigue, and felt bad the next day. This lasted one day. I called my doctor and he said to treat it with Aspirin, fluids, and bed rest.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Exposure to SARS-CoV-2, Hyperaesthesia, Injection site erythema, Injection site induration
Clinical narrative: On morning of 4-17-22 had redness, pain, and swelling around injection site on left arm which is persisting at office visit today. Left outer arm 2 inch diameter of redness, induration, pain to light touch, just below deltoid muscle (3.5 inches from edge of shoulder). Had chills and muscle aches on 4-17-22 which has resolved. On 4-18-22 runny nose and mild sore throat.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Myalgia, Oropharyngeal pain
Clinical narrative: On morning of 4-17-22 had redness, pain, and swelling around injection site on left arm which is persisting at office visit today. Left outer arm 2 inch diameter of redness, induration, pain to light touch, just below deltoid muscle (3.5 inches from edge of shoulder). Had chills and muscle aches on 4-17-22 which has resolved. On 4-18-22 runny nose and mild sore throat.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: On morning of 4-17-22 had redness, pain, and swelling around injection site on left arm which is persisting at office visit today. Left outer arm 2 inch diameter of redness, induration, pain to light touch, just below deltoid muscle (3.5 inches from edge of shoulder). Had chills and muscle aches on 4-17-22 which has resolved. On 4-18-22 runny nose and mild sore throat.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Computerised tomogram abnormal, Cough, Dyspnoea
Clinical narrative: Pulmonary Embolism (Blood Clot in chest).  Sent to ER by Primary Care doctor.  CAT Scan revealed PE.  Received daily Levilox injections during 4-day stay in ICU & supplemental oxygen.  Symptoms were difficulty breathing and coughing, low blood oxygen level, very tired.  Sent home late on day-4 with 6-month Eliquis prescription.  Doing well now.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Intensive care, Oxygen saturation decreased, Pulmonary embolism, Pulmonary thrombosis
Clinical narrative: Pulmonary Embolism (Blood Clot in chest).  Sent to ER by Primary Care doctor.  CAT Scan revealed PE.  Received daily Levilox injections during 4-day stay in ICU & supplemental oxygen.  Symptoms were difficulty breathing and coughing, low blood oxygen level, very tired.  Sent home late on day-4 with 6-month Eliquis prescription.  Doing well now.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, Dyspnoea
Clinical narrative: (Privacy), DO Physician Emergency Medicine ED Provider Notes     Addendum Date of Service:  04/08/22 1734 Creation Time:  04/09/22 0106     Expand All Collapse All     Hide copied text  Hover for details     Chief Complaint Patient presents with ? Shortness of Breath     per EMS, pt usually wears 1-2L o2 was found to be 84% this morning. Per facility pt more lethargic than usual. Pt 96% on 3L on arrival     HPI  87-year-old male with history of CHF, COPD, on 2 L chronic home O2, CKD, brought in by EMS from care facility for evaluation of generalized weakness and shortness of breath.  Caregivers found patient to be hypoxic, patient had to increase his home O2 to 4 L to maintain SPO2.  Patient denies chest pain abdominal pain nausea or vomiting.  Patient endorses generalized weakness.  Patient states he first started feeling ill yesterday.  No known sick contacts.  Review of Systems  CONSTITUTIONAL: +generalized weakness. +fevers +chills.  EYES: No pain or redness.  ENT: No sore throat or congestion.  CARDIOVASCULAR: No chest pain or palpitations RESPIRATORY: +cough. +shortness of breath. Denies wheezes.  GASTROINTESTINAL: No nausea, vomiting, or diarrhea.  GENITOURINARY: No dysuria or frequency.  MUSCULOSKELETAL: No acute pain or deformities SKIN: No rashes.   NEUROLOGIC: No headache, weakness, paresthesias, or LOC.  PSYCHIATRIC: No depression or anxiety
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Influenza A virus test negative, Influenza B virus test, Lethargy, Malaise
Clinical narrative: (Privacy), DO Physician Emergency Medicine ED Provider Notes     Addendum Date of Service:  04/08/22 1734 Creation Time:  04/09/22 0106     Expand All Collapse All     Hide copied text  Hover for details     Chief Complaint Patient presents with ? Shortness of Breath     per EMS, pt usually wears 1-2L o2 was found to be 84% this morning. Per facility pt more lethargic than usual. Pt 96% on 3L on arrival     HPI  87-year-old male with history of CHF, COPD, on 2 L chronic home O2, CKD, brought in by EMS from care facility for evaluation of generalized weakness and shortness of breath.  Caregivers found patient to be hypoxic, patient had to increase his home O2 to 4 L to maintain SPO2.  Patient denies chest pain abdominal pain nausea or vomiting.  Patient endorses generalized weakness.  Patient states he first started feeling ill yesterday.  No known sick contacts.  Review of Systems  CONSTITUTIONAL: +generalized weakness. +fevers +chills.  EYES: No pain or redness.  ENT: No sore throat or congestion.  CARDIOVASCULAR: No chest pain or palpitations RESPIRATORY: +cough. +shortness of breath. Denies wheezes.  GASTROINTESTINAL: No nausea, vomiting, or diarrhea.  GENITOURINARY: No dysuria or frequency.  MUSCULOSKELETAL: No acute pain or deformities SKIN: No rashes.   NEUROLOGIC: No headache, weakness, paresthesias, or LOC.  PSYCHIATRIC: No depression or anxiety
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: (Privacy), DO Physician Emergency Medicine ED Provider Notes     Addendum Date of Service:  04/08/22 1734 Creation Time:  04/09/22 0106     Expand All Collapse All     Hide copied text  Hover for details     Chief Complaint Patient presents with ? Shortness of Breath     per EMS, pt usually wears 1-2L o2 was found to be 84% this morning. Per facility pt more lethargic than usual. Pt 96% on 3L on arrival     HPI  87-year-old male with history of CHF, COPD, on 2 L chronic home O2, CKD, brought in by EMS from care facility for evaluation of generalized weakness and shortness of breath.  Caregivers found patient to be hypoxic, patient had to increase his home O2 to 4 L to maintain SPO2.  Patient denies chest pain abdominal pain nausea or vomiting.  Patient endorses generalized weakness.  Patient states he first started feeling ill yesterday.  No known sick contacts.  Review of Systems  CONSTITUTIONAL: +generalized weakness. +fevers +chills.  EYES: No pain or redness.  ENT: No sore throat or congestion.  CARDIOVASCULAR: No chest pain or palpitations RESPIRATORY: +cough. +shortness of breath. Denies wheezes.  GASTROINTESTINAL: No nausea, vomiting, or diarrhea.  GENITOURINARY: No dysuria or frequency.  MUSCULOSKELETAL: No acute pain or deformities SKIN: No rashes.   NEUROLOGIC: No headache, weakness, paresthesias, or LOC.  PSYCHIATRIC: No depression or anxiety
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered
Clinical narrative: Patient was booked at facility under incorrect name and birthday on 3/14/2022. Patient verified this was correct and age appropriate vaccines were agreed upon by clinician and guardian and administered due to no shot record available.  Age appropriate vaccines included Menveo, Bexsero, and Gardasil 9.  During follow up visit, 4/18/2022, patient corrected name and birthday.  Upon looking up this given name and birthday information in system, nurse found patient had already received one dose of Menveo after age 16.  Per CDC guidelines, this patient did not need second dose of Menveo administered 3/14/22.  It was also found that patient had 2 previous doses of Men B.  The Men B, Bexsero, dose administered on 3/14/22 was dose #3.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune thyroiditis, Blood test, Cough, Interstitial lung disease, Pyrexia
Clinical narrative: I was diagnosed with interstitial pneumonitis, I had a lot of coughing and a fever when I went to the doctor. A follow-up showed that Hashimoto's disease caused the flare up.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Coordination abnormal, Gait disturbance, Mobility decreased, Muscular weakness
Clinical narrative: No problem for 24 hours. Next day, almost exactly 24 hours later I had great difficulty walking, uncoordinated, and muscular weakness.  For instance my husband had to push me into bed that night.  When I woke up the next morning, 11/05  I was back to normal. I also had these symptoms after a GI flu in 2020, and also passed out during 2 respiratory flus , 2019 and possibly 2017.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray normal, Chest pain, Cough, Electrocardiogram normal
Clinical narrative: I first got sick like I had the flu. I had body aches and headaches and started to transition to chest pain for me. So I went to the emergency room and they did an x-ray and EKG and everything was fine. I went to the emergency room a total of 3 times. That went on for about a week and then I started to feel better but then a about a week later I started to have chest pain and body aches again and that lasted about another week. Overall it all lasted about a month. I also had a dry cough for the first 2-3 weeks.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Malaise, Pain
Clinical narrative: I first got sick like I had the flu. I had body aches and headaches and started to transition to chest pain for me. So I went to the emergency room and they did an x-ray and EKG and everything was fine. I went to the emergency room a total of 3 times. That went on for about a week and then I started to feel better but then a about a week later I started to have chest pain and body aches again and that lasted about another week. Overall it all lasted about a month. I also had a dry cough for the first 2-3 weeks.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt. received one dose of the vial that expired 4/6/22-6 days prior. I made a  full report to Moderna.  No action was recommended.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Balance disorder, Chest pain, Disturbance in attention, Dizziness
Clinical narrative: Sharp pain in opposite shoulder to one receiving vaccine nearly immediately.  Intermittently off-balance & dizzy within a half-hour & continuing throughout day, cramps in feet for days, very sore throat & body aches for days, felt too hot then too cold for days, headaches for days, legs felt very heavy for days, difficulty focusing, body aches for days, left chest pains one and off that have not completely gone away and have come back weeks and months later.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling of body temperature change, Headache, Immediate post-injection reaction, Limb discomfort, Muscle spasms
Clinical narrative: Sharp pain in opposite shoulder to one receiving vaccine nearly immediately.  Intermittently off-balance & dizzy within a half-hour & continuing throughout day, cramps in feet for days, very sore throat & body aches for days, felt too hot then too cold for days, headaches for days, legs felt very heavy for days, difficulty focusing, body aches for days, left chest pains one and off that have not completely gone away and have come back weeks and months later.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain
Clinical narrative: Sharp pain in opposite shoulder to one receiving vaccine nearly immediately.  Intermittently off-balance & dizzy within a half-hour & continuing throughout day, cramps in feet for days, very sore throat & body aches for days, felt too hot then too cold for days, headaches for days, legs felt very heavy for days, difficulty focusing, body aches for days, left chest pains one and off that have not completely gone away and have come back weeks and months later.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Syringe issue
Clinical narrative: Patient came to receive his 2nd booster. LVN reported that when she inserted the needle in his arm and injected, the syringe popped off of the needle, the needle remained in his arm and she thinks none of the vaccine was administered. LVN used a leur lock syringe and a BD SafetyGlide Needle 25 g x1 inch.  She states she checked prior to administration that the needle was secured properly to the syringe.  Patient was informed of the situation. LVN was instructed to give the patient a ?repeat dose? immediately and document accordingly. Patient was understanding and agreeable to the plan.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Dyspnoea exertional
Clinical narrative: I started getting symptoms of diarrhea, fatigue, headache, cough, and sore throat. The fatigue continued and then I also started getting shortness of breath on exertion. I took an at home COVID-19 test which was positive. A couple of days later, I did a rapid and PCR test that was negative at the doctors office.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of diarrhea, fatigue, headache, cough, and sore throat. The fatigue continued and then I also started getting shortness of breath on exertion. I took an at home COVID-19 test which was positive. A couple of days later, I did a rapid and PCR test that was negative at the doctors office.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Dyspnoea, Hypotension, Influenza A virus test negative
Clinical narrative: History & Physical   Attending Physician: DO Date: 4/16/2022    HPI:   This is a 73y.o.female with history of hypertension, CHF, COPD on 2 L nasal cannula at home, A. fib on Eliquis, lung cancer who presents secondary to shortness of breath and altered mental status.  Upon arrival SPO2 was 86%.  She was placed on 4 L nasal cannula with improvement in oxygen saturations.  She has bilateral lower extremity swelling.  She is fully vaccinated for COVID.  Her COVID test returned positive.  Chest x-ray is no acute process.  She was found to be hypotensive and given IV fluids.  Infectious disease has been consulted.    ROS:
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Mental status changes, Peripheral swelling, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: History & Physical   Attending Physician: DO Date: 4/16/2022    HPI:   This is a 73y.o.female with history of hypertension, CHF, COPD on 2 L nasal cannula at home, A. fib on Eliquis, lung cancer who presents secondary to shortness of breath and altered mental status.  Upon arrival SPO2 was 86%.  She was placed on 4 L nasal cannula with improvement in oxygen saturations.  She has bilateral lower extremity swelling.  She is fully vaccinated for COVID.  Her COVID test returned positive.  Chest x-ray is no acute process.  She was found to be hypotensive and given IV fluids.  Infectious disease has been consulted.    ROS:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lymphadenopathy, Mobility decreased, Pain in extremity
Clinical narrative: Left arm and shoulder pain, lympoadenopathy, and restricted movement. Pain killer, topic pain lotion, and exercise. Lasted close to 1 year with 80-90% recovery in movement.
Age: 1.08
Sex: F
Vaccine: DTAPIPVHIB, HEP, HEPA, MMR, PNC13, VARCEL
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Adult dose 1ml instead of the peds dose of 0.5 ml  -no adverse effects noted from the adult dose given mom has not  reported any adverse effects.  Call has been p[laced to om x2 to check on patient.  Message left mom has not returned  my call.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Vaccine administration error. Covid vaccine given ahead of recommended minimal interval at 14 days.  Medical director and patient's mother notified of administration error. No current indication to repeat vaccination series or administer additional dose.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood pressure increased, Condition aggravated, Diarrhoea, Heart rate increased
Clinical narrative: 4 hours post injection, swelling and intense pain at injection site (Deltoid muscle) right arm. 24 hours post injection severe diarrhea that was uncontrolled for 12 hours.  24 hours post injection AFIB was present . Very high irregular heart rate and elevated BP. Controlled with Toporol 12 1/2 ml and 30 ml Diltiazan every 20 minutes until normal heart rate returned.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Injection site pain, Injection site swelling
Clinical narrative: 4 hours post injection, swelling and intense pain at injection site (Deltoid muscle) right arm. 24 hours post injection severe diarrhea that was uncontrolled for 12 hours.  24 hours post injection AFIB was present . Very high irregular heart rate and elevated BP. Controlled with Toporol 12 1/2 ml and 30 ml Diltiazan every 20 minutes until normal heart rate returned.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Pain, Pyrexia, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: I was running a fever and I was very achy. I ended up getting COVID test and throat culture at a walk in clinic. They came back negative and it lasted for four days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I woke on 12/25/2021 with a sore throat and was under the weather. My daughter had a COVID 19 test kit and I took it and it was positive. I bought another COVID 19 test from the pharmacy and that was also positive. I had a fever that stayed with me for about 10 days. It was a low grade fever around 99.4 degrees. After one week I was feeling better. My doctor advised me to quarantine. I did not go to the doctor, I stayed home and quarantined for 14 days.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Inappropriate schedule of product administration, Lethargy, Lymphadenopathy, Oedema peripheral
Clinical narrative: 4 weeks post 2nd shot, exhaustion, lethargy and low grade fever commenced for 5 days.  In addition, large swollen pymph nodes under right armpit.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Ultrasound scan
Clinical narrative: 4 weeks post 2nd shot, exhaustion, lethargy and low grade fever commenced for 5 days.  In addition, large swollen pymph nodes under right armpit.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pain, Rash, Rash pruritic, Weight bearing difficulty
Clinical narrative: The day after the 1st dose I developed bumps on my left heel and ankle which were itchy and burning. I tried Benadryl but it didn't help. They following morning the pain was worse and I couldn't put weight on my leg. I went to the doctor. 1 week later and got some ointment and pain medication. They went away a few days later.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Accidental administration to 17 year old.  Birthdate had been omitted from the consent form and when collected later the mistake became apparent.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthma, Chills, Condition aggravated, Fatigue, Respiratory disorder
Clinical narrative: Chills and extreme fatigue. Respiratory issues including asthma
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Electroencephalogram normal, Impaired driving ability, Respiratory arrest, Seizure
Clinical narrative: I had a seizure that evening on the 29th and I had not had a seizure before that for over 20 years. I think it was an indicator that the vaccine increased my seizure threshold. Outside of the seizure, there wasn't too much I remembered about it. I bit my tongue and I didn't breathe for a minute and my husband called 911, but they didn't take me to the hospital. I have not had another seizure since. It was the one off seizure and that was the only thing that happened. I couldn't drive as a result of it, and just recently started driving again (about a week ago). I did go to the doctor and he made an assessment and we both agreed we did not need to go back on seizure medication. He did do an EEG and they didn't find anything from that. Definitely seems to be suspect of the timing of the vaccine which is why I reported it.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue biting
Clinical narrative: I had a seizure that evening on the 29th and I had not had a seizure before that for over 20 years. I think it was an indicator that the vaccine increased my seizure threshold. Outside of the seizure, there wasn't too much I remembered about it. I bit my tongue and I didn't breathe for a minute and my husband called 911, but they didn't take me to the hospital. I have not had another seizure since. It was the one off seizure and that was the only thing that happened. I couldn't drive as a result of it, and just recently started driving again (about a week ago). I did go to the doctor and he made an assessment and we both agreed we did not need to go back on seizure medication. He did do an EEG and they didn't find anything from that. Definitely seems to be suspect of the timing of the vaccine which is why I reported it.
Age: 63.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Rash on her left upper arm that is descending down to her elbow. Rash extending downward. Measures approximately 18 cm x 6-8 cm in width. No blistering present. Swelling noted at injection site
Age: 2.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Pyrexia, Rash macular
Clinical narrative: Slight redness at injection site with red blotch appeared approximately 20 hours after shot (daughter complained of pain in leg). - Few hours later (approximately 5pm), daughter slept (uncharacteristic of her) and soon after woke up, vomiting (x1) - Leg pain reported as more intense (screaming and wanting ice applied) - Teledoc contacted (w/ picture of area emailed) for appointment (suspected cellulitis) - Fever of 100º (101 via underarm and also head scan) - MD on telephone advised to circle red area and if spread, then indeed cellulitis (abx ordered to treat) - Throughout night, symptoms of pain reported more extreme, fever peaked up to 103.5º - During early morning hours of 4/17 pediatrician exchange contacted - NP on call did not believe at time could be cellulitis, advised to closely monitor (circled red area) - within few hours, redness had spread (Pediatrician also contacted by NP), confirmed cellulitis, another abx ordered
Age: 2.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Screaming, Somnolence, Vomiting
Clinical narrative: Slight redness at injection site with red blotch appeared approximately 20 hours after shot (daughter complained of pain in leg). - Few hours later (approximately 5pm), daughter slept (uncharacteristic of her) and soon after woke up, vomiting (x1) - Leg pain reported as more intense (screaming and wanting ice applied) - Teledoc contacted (w/ picture of area emailed) for appointment (suspected cellulitis) - Fever of 100º (101 via underarm and also head scan) - MD on telephone advised to circle red area and if spread, then indeed cellulitis (abx ordered to treat) - Throughout night, symptoms of pain reported more extreme, fever peaked up to 103.5º - During early morning hours of 4/17 pediatrician exchange contacted - NP on call did not believe at time could be cellulitis, advised to closely monitor (circled red area) - within few hours, redness had spread (Pediatrician also contacted by NP), confirmed cellulitis, another abx ordered
Age: 2.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Cough, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Slight redness at injection site with red blotch appeared approximately 20 hours after shot (daughter complained of pain in leg). - Few hours later (approximately 5pm), daughter slept (uncharacteristic of her) and soon after woke up, vomiting (x1) - Leg pain reported as more intense (screaming and wanting ice applied) - Teledoc contacted (w/ picture of area emailed) for appointment (suspected cellulitis) - Fever of 100º (101 via underarm and also head scan) - MD on telephone advised to circle red area and if spread, then indeed cellulitis (abx ordered to treat) - Throughout night, symptoms of pain reported more extreme, fever peaked up to 103.5º - During early morning hours of 4/17 pediatrician exchange contacted - NP on call did not believe at time could be cellulitis, advised to closely monitor (circled red area) - within few hours, redness had spread (Pediatrician also contacted by NP), confirmed cellulitis, another abx ordered
Age: 2.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Laboratory test, Otitis media, Respiratory tract congestion, Restlessness, Sinusitis
Clinical narrative: Slight redness at injection site with red blotch appeared approximately 20 hours after shot (daughter complained of pain in leg). - Few hours later (approximately 5pm), daughter slept (uncharacteristic of her) and soon after woke up, vomiting (x1) - Leg pain reported as more intense (screaming and wanting ice applied) - Teledoc contacted (w/ picture of area emailed) for appointment (suspected cellulitis) - Fever of 100º (101 via underarm and also head scan) - MD on telephone advised to circle red area and if spread, then indeed cellulitis (abx ordered to treat) - Throughout night, symptoms of pain reported more extreme, fever peaked up to 103.5º - During early morning hours of 4/17 pediatrician exchange contacted - NP on call did not believe at time could be cellulitis, advised to closely monitor (circled red area) - within few hours, redness had spread (Pediatrician also contacted by NP), confirmed cellulitis, another abx ordered