chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Discomfort, Hypoaesthesia, Magnetic resonance imaging, Magnetic resonance imaging neck
Clinical narrative: I started to notice what felt like cold or numbness in my feet, which I thought was just the fan hitting my feet because I sleep with the fan at night. That feeling didn't go away. My feet feel like they're swollen, and it is more pronounced in my left foot and goes into my ankle on my right foot. It stayed in my toes and maybe in the past couple days it feels like it's moving up. Sometimes I've had shooting pain in my right toe, not frequent but it happened a couple months ago, and I felt something last night as well. The feeling is just constant and there's no pattern to it. It is a constant feeling of numbness, swelling, and I can move my feet and toes and curl and flex them and walk on them. It's just more so discomfort and neuropathy. I started going to PCP and I mentioned it to them, and they did a test and sent me to neurology and that was sometime in July (early) and they did a doppler and cervical and lumbar MRI, blood panel. I've had a few follow ups most recently because my c proactive protein was high, so I went to hematologist this past Tuesday 11/16. They did another blood panel and should have those results come back next week to see if anything that indicates the cause. Not sure exactly when it started.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Pain, Pain in extremity, Peripheral coldness, Peripheral swelling
Clinical narrative: I started to notice what felt like cold or numbness in my feet, which I thought was just the fan hitting my feet because I sleep with the fan at night. That feeling didn't go away. My feet feel like they're swollen, and it is more pronounced in my left foot and goes into my ankle on my right foot. It stayed in my toes and maybe in the past couple days it feels like it's moving up. Sometimes I've had shooting pain in my right toe, not frequent but it happened a couple months ago, and I felt something last night as well. The feeling is just constant and there's no pattern to it. It is a constant feeling of numbness, swelling, and I can move my feet and toes and curl and flex them and walk on them. It's just more so discomfort and neuropathy. I started going to PCP and I mentioned it to them, and they did a test and sent me to neurology and that was sometime in July (early) and they did a doppler and cervical and lumbar MRI, blood panel. I've had a few follow ups most recently because my c proactive protein was high, so I went to hematologist this past Tuesday 11/16. They did another blood panel and should have those results come back next week to see if anything that indicates the cause. Not sure exactly when it started.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Ultrasound Doppler
Clinical narrative: I started to notice what felt like cold or numbness in my feet, which I thought was just the fan hitting my feet because I sleep with the fan at night. That feeling didn't go away. My feet feel like they're swollen, and it is more pronounced in my left foot and goes into my ankle on my right foot. It stayed in my toes and maybe in the past couple days it feels like it's moving up. Sometimes I've had shooting pain in my right toe, not frequent but it happened a couple months ago, and I felt something last night as well. The feeling is just constant and there's no pattern to it. It is a constant feeling of numbness, swelling, and I can move my feet and toes and curl and flex them and walk on them. It's just more so discomfort and neuropathy. I started going to PCP and I mentioned it to them, and they did a test and sent me to neurology and that was sometime in July (early) and they did a doppler and cervical and lumbar MRI, blood panel. I've had a few follow ups most recently because my c proactive protein was high, so I went to hematologist this past Tuesday 11/16. They did another blood panel and should have those results come back next week to see if anything that indicates the cause. Not sure exactly when it started.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration date. Vial moved from freezer to fridge on 10/7/21 with 30 day expiration of 11/6/21.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 08/02/2021. PATIENT FULLY VACCINATED ON 03/23/2021
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy thyroid gland, Interchange of vaccine products, Magnetic resonance imaging, Thyroid mass, Ultrasound thyroid abnormal
Clinical narrative: My first dose was Johnson and Johnson seven months ago; this dose was a Moderna booster. I went in to get an MRI, because of my neurological condition and a nodule was found on my thyroid. I then had to have an ultrasound, where they found four of them. Today, I had a fine needle biopsy and am awaiting results to see if it is benign or cancerous.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: The patient began her menses the day after her first injection, which was early for her.  She is generally regular as she is on BCP. That cycle lasted through June 4th.  July and August she did not experience any menstrual bleeding. September and October she had irregular spotting. As of November her cycles appear to have resumed normally.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal distension, Anion gap increased, Blood bicarbonate decreased, Blood creatinine normal, Blood glucose increased
Clinical narrative: PFizer 6/8/21, 7/1/21, 10/26/21  CHIEF COMPLAINT Hyperglycemia   HISTORY OF PRESENT ILLNESS Patient is a 21 y.o. female with medical comorbidities including  type 1 diabetes, transaminitis likely due to NASH, and macrocytic anemia who presents with hyperglycemia.   She had an outpatient video visit on 11/17 for evaluation of lower extremity edema, abdominal swelling, and worsening type 1 diabetes.  See the note of Dr. on 11/17 for a very detailed recent patient history.  Essentially, she has had a couple of admissions for DKA along with some issues with severe transaminitis thought to be due to NASH.  She has some labs obtained 11/18 following this visit and they showed a glucose over 900 and a sodium of 118.  She was then told to come into the emergency department.   In the emergency department, vital signs were largely unremarkable.  Labs showed a normal hemoglobin, WBC, and platelet count.  Sodium was 125, bicarbonate 20, anion gap 22, potassium 4.5.  Creatinine was normal.  She had a undetectable beta hydroxybutyrate.  Initial lactate was quite elevated at 9.1.  She was given 2 L of IV fluids in the subsequently improved to 4.4.  VBG showed a normal pH of 7.37.  CT abdomen and pelvis showed no acute findings.  ECG was unremarkable.  She incidentally tested positive for COVID with no symptoms.  She is vaccinated.  She was not given any insulin, but she was admitted to the floor.   On arrival to the floor she was lying in bed.  She appeared sleepy but would answer questions.  She states that she normally takes 33 units of Lantus in the morning and 1:10 carb correction.  She denies any cough, chest pain, shortness of breath, or abdominal pain.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood ketone body, Blood lactic acid increased, Blood pH normal, Blood potassium normal, Blood sodium decreased
Clinical narrative: PFizer 6/8/21, 7/1/21, 10/26/21  CHIEF COMPLAINT Hyperglycemia   HISTORY OF PRESENT ILLNESS Patient is a 21 y.o. female with medical comorbidities including  type 1 diabetes, transaminitis likely due to NASH, and macrocytic anemia who presents with hyperglycemia.   She had an outpatient video visit on 11/17 for evaluation of lower extremity edema, abdominal swelling, and worsening type 1 diabetes.  See the note of Dr. on 11/17 for a very detailed recent patient history.  Essentially, she has had a couple of admissions for DKA along with some issues with severe transaminitis thought to be due to NASH.  She has some labs obtained 11/18 following this visit and they showed a glucose over 900 and a sodium of 118.  She was then told to come into the emergency department.   In the emergency department, vital signs were largely unremarkable.  Labs showed a normal hemoglobin, WBC, and platelet count.  Sodium was 125, bicarbonate 20, anion gap 22, potassium 4.5.  Creatinine was normal.  She had a undetectable beta hydroxybutyrate.  Initial lactate was quite elevated at 9.1.  She was given 2 L of IV fluids in the subsequently improved to 4.4.  VBG showed a normal pH of 7.37.  CT abdomen and pelvis showed no acute findings.  ECG was unremarkable.  She incidentally tested positive for COVID with no symptoms.  She is vaccinated.  She was not given any insulin, but she was admitted to the floor.   On arrival to the floor she was lying in bed.  She appeared sleepy but would answer questions.  She states that she normally takes 33 units of Lantus in the morning and 1:10 carb correction.  She denies any cough, chest pain, shortness of breath, or abdominal pain.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram abdomen normal, Condition aggravated, Diabetes mellitus, Electrocardiogram normal
Clinical narrative: PFizer 6/8/21, 7/1/21, 10/26/21  CHIEF COMPLAINT Hyperglycemia   HISTORY OF PRESENT ILLNESS Patient is a 21 y.o. female with medical comorbidities including  type 1 diabetes, transaminitis likely due to NASH, and macrocytic anemia who presents with hyperglycemia.   She had an outpatient video visit on 11/17 for evaluation of lower extremity edema, abdominal swelling, and worsening type 1 diabetes.  See the note of Dr. on 11/17 for a very detailed recent patient history.  Essentially, she has had a couple of admissions for DKA along with some issues with severe transaminitis thought to be due to NASH.  She has some labs obtained 11/18 following this visit and they showed a glucose over 900 and a sodium of 118.  She was then told to come into the emergency department.   In the emergency department, vital signs were largely unremarkable.  Labs showed a normal hemoglobin, WBC, and platelet count.  Sodium was 125, bicarbonate 20, anion gap 22, potassium 4.5.  Creatinine was normal.  She had a undetectable beta hydroxybutyrate.  Initial lactate was quite elevated at 9.1.  She was given 2 L of IV fluids in the subsequently improved to 4.4.  VBG showed a normal pH of 7.37.  CT abdomen and pelvis showed no acute findings.  ECG was unremarkable.  She incidentally tested positive for COVID with no symptoms.  She is vaccinated.  She was not given any insulin, but she was admitted to the floor.   On arrival to the floor she was lying in bed.  She appeared sleepy but would answer questions.  She states that she normally takes 33 units of Lantus in the morning and 1:10 carb correction.  She denies any cough, chest pain, shortness of breath, or abdominal pain.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemoglobin normal, Hyperglycaemia, Laboratory test, Oedema peripheral, Platelet count normal
Clinical narrative: PFizer 6/8/21, 7/1/21, 10/26/21  CHIEF COMPLAINT Hyperglycemia   HISTORY OF PRESENT ILLNESS Patient is a 21 y.o. female with medical comorbidities including  type 1 diabetes, transaminitis likely due to NASH, and macrocytic anemia who presents with hyperglycemia.   She had an outpatient video visit on 11/17 for evaluation of lower extremity edema, abdominal swelling, and worsening type 1 diabetes.  See the note of Dr. on 11/17 for a very detailed recent patient history.  Essentially, she has had a couple of admissions for DKA along with some issues with severe transaminitis thought to be due to NASH.  She has some labs obtained 11/18 following this visit and they showed a glucose over 900 and a sodium of 118.  She was then told to come into the emergency department.   In the emergency department, vital signs were largely unremarkable.  Labs showed a normal hemoglobin, WBC, and platelet count.  Sodium was 125, bicarbonate 20, anion gap 22, potassium 4.5.  Creatinine was normal.  She had a undetectable beta hydroxybutyrate.  Initial lactate was quite elevated at 9.1.  She was given 2 L of IV fluids in the subsequently improved to 4.4.  VBG showed a normal pH of 7.37.  CT abdomen and pelvis showed no acute findings.  ECG was unremarkable.  She incidentally tested positive for COVID with no symptoms.  She is vaccinated.  She was not given any insulin, but she was admitted to the floor.   On arrival to the floor she was lying in bed.  She appeared sleepy but would answer questions.  She states that she normally takes 33 units of Lantus in the morning and 1:10 carb correction.  She denies any cough, chest pain, shortness of breath, or abdominal pain.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Somnolence, White blood cell count normal
Clinical narrative: PFizer 6/8/21, 7/1/21, 10/26/21  CHIEF COMPLAINT Hyperglycemia   HISTORY OF PRESENT ILLNESS Patient is a 21 y.o. female with medical comorbidities including  type 1 diabetes, transaminitis likely due to NASH, and macrocytic anemia who presents with hyperglycemia.   She had an outpatient video visit on 11/17 for evaluation of lower extremity edema, abdominal swelling, and worsening type 1 diabetes.  See the note of Dr. on 11/17 for a very detailed recent patient history.  Essentially, she has had a couple of admissions for DKA along with some issues with severe transaminitis thought to be due to NASH.  She has some labs obtained 11/18 following this visit and they showed a glucose over 900 and a sodium of 118.  She was then told to come into the emergency department.   In the emergency department, vital signs were largely unremarkable.  Labs showed a normal hemoglobin, WBC, and platelet count.  Sodium was 125, bicarbonate 20, anion gap 22, potassium 4.5.  Creatinine was normal.  She had a undetectable beta hydroxybutyrate.  Initial lactate was quite elevated at 9.1.  She was given 2 L of IV fluids in the subsequently improved to 4.4.  VBG showed a normal pH of 7.37.  CT abdomen and pelvis showed no acute findings.  ECG was unremarkable.  She incidentally tested positive for COVID with no symptoms.  She is vaccinated.  She was not given any insulin, but she was admitted to the floor.   On arrival to the floor she was lying in bed.  She appeared sleepy but would answer questions.  She states that she normally takes 33 units of Lantus in the morning and 1:10 carb correction.  She denies any cough, chest pain, shortness of breath, or abdominal pain.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Chest pain, Cough, Hypersensitivity, Nausea
Clinical narrative: ALLERGIC REACTION COUGH NAUSEA HIVES ANAPHYLAXIS CHEST PAIN J18.9 - Pneumonia, unspecified organism
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, Urticaria
Clinical narrative: ALLERGIC REACTION COUGH NAUSEA HIVES ANAPHYLAXIS CHEST PAIN J18.9 - Pneumonia, unspecified organism
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored beyond use date.  Moderna analysis requested.  Full vaccine efficacy not shown.  Recommended that patient receive an additional vaccine.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Heart rate irregular
Clinical narrative: Patient reports chills on/off, one episode week of 11/8/21 and on 11/18/21 as well as fatigue on/off starting 5 days after booster dose administered 10/30/21. She also reports an irregular heartbeat detected on her home blood pressure monitor a couple of times, states no additional symptoms when detected. Patient saw cardiologist for routine appointment before her booster with no concerns reported and also saw her primary care physician after her booster for a routine visit and reports no irregular heartbeat detected, no other concerns noted. Patient also notes she felt fine after her first two doses and these new concerns started 5 days after her booster.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Moderna Vaccine 6/25/2021, 5/21/2021. Hospitalized 11/18/21
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis requested.  Full vaccine efficacy not shown.  Recommended that patient receive an additional vaccine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Condition aggravated
Clinical narrative: Within 48 hours my blood pressure, which was under control, shot up to 210/124. I immediately went to my physician's office.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Impaired work ability, Pyrexia
Clinical narrative: Sunday morning, started with upset stomach and then diarrhea. Later, vomiting's and continuous diarrhea (like liquids) throughout the night. Fever up to 101.7, chills and fainted. Eventually after 48 hrs. since the booster shot, I finally took some Tylenol and helped brought down fever, which eventually made me feel better. Diarrhea started to slow down by Tuesday. Went back to work on Wednesday but stomach was still not all well.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Sunday morning, started with upset stomach and then diarrhea. Later, vomiting's and continuous diarrhea (like liquids) throughout the night. Fever up to 101.7, chills and fainted. Eventually after 48 hrs. since the booster shot, I finally took some Tylenol and helped brought down fever, which eventually made me feel better. Diarrhea started to slow down by Tuesday. Went back to work on Wednesday but stomach was still not all well.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Cold sweat, Dizziness, Hyperhidrosis
Clinical narrative: Patient felt sweaty, dizzy and anxious. RN noted patient felt clammy and diaphoretic. VS obtained at 14:53- 110/72, 83, 22, and 97% SpO2 on room air. Patient offered and accepted water to drink, father at side. RN spoke calmly with patient and anxiety decreased. In less than 10 min, patient had no dizziness, anxiety, or any additional symptoms. Patient stated she was feeling much better. RN instructed patient's father to follow-up with PCP or report to ER if symptoms returned or worsened. Father verbalized agreement.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: Patient was injected using 5/8 inch needle instead of 1 inch needle when receiving vaccination
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Local reaction
Clinical narrative: >2 weeks of large local immune reaction.  Treated with Ibuprofen.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Immunisation, Incorrect dose administered, Incorrect route of product administration, Injury associated with device
Clinical narrative: The patient jerked to the right and the needle entered the sub-dermal layer of the patient and caused it to be raised and red. A second needle was utilized the patient got scrapped by the needle tip before it even got close to the arm this was also wasted due to bloodborne pathogen risks and concerns. The 3rd attempt was done fine after the mother had a bear hug the patient with back rub support.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: The patient jerked to the right and the needle entered the sub-dermal layer of the patient and caused it to be raised and red. A second needle was utilized the patient got scrapped by the needle tip before it even got close to the arm this was also wasted due to bloodborne pathogen risks and concerns. The 3rd attempt was done fine after the mother had a bear hug the patient with back rub support.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incomplete course of vaccination
Clinical narrative: Child pulled out needle before administration
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Epistaxis, Pneumonia
Clinical narrative: J18.9 - Pneumonia, unspecified organism J96.01 - Acute respiratory failure with hypoxia N17.9 - Acute kidney failure, unspecified R04.0 - Epistaxis
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Heavy menstrual bleeding, Joint range of motion decreased, Menstruation irregular, Pain in extremity
Clinical narrative: Patient reported 2 issues developed since her first dose of the Pfizer COVID-19 vaccine. The first issue is a very sore arm. She stated it began hurting with the first dose and became even more sore after the second dose she received 3 weeks later. She reported worsening pain, weakness and limited range of motion. The second issue is a change in her menstrual cycle. She stated since receiving her first dose of this vaccine, her periods have increased in frequency. She has a much heavier flow and is now having very large clots.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Influenza like illness, Pyrexia
Clinical narrative: Mild to moderate flu-like symptoms five hours after injection; relieved with OTC ibuprofen. Moderate flu-like symptoms new onset 26 hours after vaccine administration, not relieved by ibuprofen. Extreme fatigue, mild chills, mild fever, slight cough.
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Heart rate increased, Hypersensitivity, Rash
Clinical narrative: I had a common symptom and after I got a shot I had an allergy, rash, difficulty breathing, fast heartbeat and weakness.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: generalized urticarial rash
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION. TESTED POSITIVE ON 08/26/2021. PATIENT FULLY VACCINATED ON 03/18/2021.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyskinesia, Gaze palsy, Malaise, Nausea
Clinical narrative: Approximately 10 minutes after receiving the vaccine the patient reported to the nurse that she was "not feeling well and I feel like I am going to faint"  The nurse seated the patient.  The patient began to have seizure-like symptoms to include eyes rolling back in her head, arm and limb jerking, not responding to verbal stimulation.  These s/s continued for approximately 45 seconds.   After muscle jerking stopped the patient remained unresponsive to verbal stim for approximately one minute.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Unresponsive to stimuli
Clinical narrative: Approximately 10 minutes after receiving the vaccine the patient reported to the nurse that she was "not feeling well and I feel like I am going to faint"  The nurse seated the patient.  The patient began to have seizure-like symptoms to include eyes rolling back in her head, arm and limb jerking, not responding to verbal stimulation.  These s/s continued for approximately 45 seconds.   After muscle jerking stopped the patient remained unresponsive to verbal stim for approximately one minute.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Mobility decreased, Pain, Pyrexia
Clinical narrative: Uncontrolable shaking, couldn't breathe. Severe body aches, difficult and painful to move. Severe headache. Fever of 102.5 degrees.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Uncontrolable shaking, couldn't breathe. Severe body aches, difficult and painful to move. Severe headache. Fever of 102.5 degrees.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event
Clinical narrative: No adverse event related to COVID vaccine. Patient was admitted for non-COVID reasons.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Flatulence
Clinical narrative: Loose bowels, gas
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: Patient was given influenza vaccination using 5/8 inch needle instead of 1 inch needle
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial flutter, Electrocardiogram abnormal, Electrocardiogram normal, Gait disturbance
Clinical narrative: Patient states he received his booster Materna Covid shot approximately 3 weeks ago and he feels that since this immunization was given, he has lost ground in terms of ability to walk distance and overall energy level.  He has not had any overt shortness of breath and denies any chest pain or ankle swelling.   Comes in the clinic this morning with an EKG obtained this morning showing atrial flutter with a variable ventricular response same as previous.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Differential white blood cell count, Electrocardiogram normal, Fibrin D dimer, Full blood count
Clinical narrative: Palpitations, Sinus Tachycardia. Woke up in the middle of  the night, around 2 am.. I was sweaty, clammy, and my heart was beating really fast. My resting heart rate jumped between 105 and 140 and has stayed high since. I went to the emergency room. EKG and blood work was normal so they sent me home a d recommending I rest.  Heart rate is now resting at around 100bpm, so it has gone down a bit.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Metabolic function test, Palpitations, Sinus tachycardia
Clinical narrative: Palpitations, Sinus Tachycardia. Woke up in the middle of  the night, around 2 am.. I was sweaty, clammy, and my heart was beating really fast. My resting heart rate jumped between 105 and 140 and has stayed high since. I went to the emergency room. EKG and blood work was normal so they sent me home a d recommending I rest.  Heart rate is now resting at around 100bpm, so it has gone down a bit.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I
Clinical narrative: Palpitations, Sinus Tachycardia. Woke up in the middle of  the night, around 2 am.. I was sweaty, clammy, and my heart was beating really fast. My resting heart rate jumped between 105 and 140 and has stayed high since. I went to the emergency room. EKG and blood work was normal so they sent me home a d recommending I rest.  Heart rate is now resting at around 100bpm, so it has gone down a bit.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Interchange of vaccine products, Pyrexia, Urticaria
Clinical narrative: Fever over 104 and severe hives
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism
Clinical narrative: I26.99 - Pulmonary emboli (CMS/HCC) I26.99 - Acute pulmonary embolism, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present (CMS/HCC)
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram, Deep vein thrombosis, Laboratory test, Pain in extremity
Clinical narrative: Left arm pain and swelling  started approximately 12 hours after receiving vaccine, patient was seen in the ER and dx with Acute Deep Venous Thromboembolism, patient started on Eliquis
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Ultrasound scan
Clinical narrative: Left arm pain and swelling  started approximately 12 hours after receiving vaccine, patient was seen in the ER and dx with Acute Deep Venous Thromboembolism, patient started on Eliquis
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Palpitations
Clinical narrative: Experienced persisting intermittent heart palpitations sustained leading to vagal maneuvers on two occassions and increase in atenolol dosage. Now saw cardiologist who has ordered halter monitor and lab work
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Palpitations, Tremor
Clinical narrative: Client received Pfizer booster at approximately 1455 Client alerted nurse she was feeling palpitations while sitting in the observation area. She stated she wanted her vital signs to be taken. Client was AAOx3 and was breathing normally. Client denied shortness of breath or difficulty breathing. No hives or redness observed on client arms, neck or face. Client stated she had received Janssen as her first dose but had no reactions to the vaccine. Client vital signs were taken by EMT  1500 BP 140/80 HR 76 RR 14 PUPILS PERLA within normal limits. Client sat in gravity chair without assistance.  Client stated she was feeling ?like a pounding feeling in her chest all the way to her ears?. At 1507 Auscultation of heart was done by EMT and confirmed palpitations every 3-5 secs. Client stated she had no medical conditions except for gastritis and takes some meds for it. She stated she had no allergies. She stated she only feels out breath when she?s in a hurry when busy. But no history of palpitations. Client stated she felt chest pressure and felt ?shaky?. 1510 BP 130/82 HR 78 with palpitations. At 1516 EMS was called for further assessment of client. Client?s Husband informed RN that two years ago an Arrythmia had been confirmed to patient, but no further follow-up was done. Client was very shaky due to being anxious about the situation and was being guided to have controlled breathing with Student nurse.. At Approximately 1525 EMS arrived at vaccination site and took over client?s care. AT 1539 Client walked with assistance by paramedics to the EMS truck. Client was taken to hospital.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Computerised tomogram, Subarachnoid haemorrhage
Clinical narrative: Subarachnoid hemorrhage with f/u angio normal no risk factors, no trretment
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Mydriasis, Nausea
Clinical narrative: Dizziness, nausea, dilated pupils, cold sweat. EMS called and released.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: Patient received influenza vaccine using 5/8 inch needle instead of 1 inch needle
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Neuralgia, Tremor
Clinical narrative: NERVE PAIN IN HAND AND ARM OF INJECTION SITE -INVOLUNTARY TREMORS; AND IN MOUTH AREA
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Computerised tomogram, Full blood count normal, Headache, Influenza virus test negative
Clinical narrative: Patient is a 6 year old ex 28 week twin male with hx of grade 3 IVH and VP shunt  (last revised 8/2020) with recently diagnosed focal epilepsy, well controlled on Keppra.  He received his first dose of Pfizer vaccine on 11/6 around 9:30 am. The next day, dad states he c/o headache and some stomach upset.  On 11/7 in the evening, he had 1x episode of emesis just prior to bed.  After this episode, per dad, he was staring into space and not responsive.  Denies eye deviation or extremity shaking.  EMS was called and was intermittently sleepy and not back to baseline for ~1 hour.     Patient was seen initially at where he had a reassuring BMP, CBC.  They gave him his evening dose of Keppra via IV.  He was then transferred to for further management given VP shunt and concern for seizure.   No fevers, headache, diarrhea, rash, URI symptoms within the week leading up to the vaccine.   Last (and first) seizure was in January 2021.  Takes daily Keppra.  Last medication change was around March 2021.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Metabolic function test, Metabolic function test normal, SARS-CoV-2 test negative, Somnolence
Clinical narrative: Patient is a 6 year old ex 28 week twin male with hx of grade 3 IVH and VP shunt  (last revised 8/2020) with recently diagnosed focal epilepsy, well controlled on Keppra.  He received his first dose of Pfizer vaccine on 11/6 around 9:30 am. The next day, dad states he c/o headache and some stomach upset.  On 11/7 in the evening, he had 1x episode of emesis just prior to bed.  After this episode, per dad, he was staring into space and not responsive.  Denies eye deviation or extremity shaking.  EMS was called and was intermittently sleepy and not back to baseline for ~1 hour.     Patient was seen initially at where he had a reassuring BMP, CBC.  They gave him his evening dose of Keppra via IV.  He was then transferred to for further management given VP shunt and concern for seizure.   No fevers, headache, diarrhea, rash, URI symptoms within the week leading up to the vaccine.   Last (and first) seizure was in January 2021.  Takes daily Keppra.  Last medication change was around March 2021.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Staring, Unresponsive to stimuli, Vomiting
Clinical narrative: Patient is a 6 year old ex 28 week twin male with hx of grade 3 IVH and VP shunt  (last revised 8/2020) with recently diagnosed focal epilepsy, well controlled on Keppra.  He received his first dose of Pfizer vaccine on 11/6 around 9:30 am. The next day, dad states he c/o headache and some stomach upset.  On 11/7 in the evening, he had 1x episode of emesis just prior to bed.  After this episode, per dad, he was staring into space and not responsive.  Denies eye deviation or extremity shaking.  EMS was called and was intermittently sleepy and not back to baseline for ~1 hour.     Patient was seen initially at where he had a reassuring BMP, CBC.  They gave him his evening dose of Keppra via IV.  He was then transferred to for further management given VP shunt and concern for seizure.   No fevers, headache, diarrhea, rash, URI symptoms within the week leading up to the vaccine.   Last (and first) seizure was in January 2021.  Takes daily Keppra.  Last medication change was around March 2021.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/2021 with 30-min expiration on 11/6/2021. Verified no repeat dose needed with manufacturer.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: tested for covid r/t temp of 102 F and known recent exposure to covid positive individual-  tested positive for COVID
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/2021. Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Systemic inflammatory response syndrome
Clinical narrative: R65.10 - SIRS (systemic inflammatory response syndrome)  N17.9 - Acute kidney injury
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anion gap increased, Atelectasis, Blood bicarbonate normal, Blood calcium decreased, Blood creatinine increased
Clinical narrative: CHIEF COMPLAINT Fever and sore throat    HISTORY OF PRESENT ILLNESS Patient  is a 71 y.o. male who presents with past medical history  (residing in adult foster care, wheelchair mobile) with medical conditions including HTN, diabetes type II, intellectual disability, schizophrenia, prior HIT (2012), prior stroke, bronchiectasis, anemia of chronic disease, CKD stage 5 (rising baseline creatinine most recently around 5.5, patient interested in peritoneal HD), renal mass (likely RCC, currently under surveillance, associated with pulmonary micronodules which may represent metastatic disease).    Patient presented to Hospital with complaint of cough, dyspnea, sore throat and fever.  He reports that there are many people in his group home that are COVID positive.  He denies any vomiting or diarrhea.  Plans in the emergency department were for him to undergo monoclonal antibodies and he had agreed, but lab results returned with a creatinine in noted at 6.14 and glucose of 49 (asymptomatic).  He was found to be COVID positive.  Hemoglobin 9.8, hematocrit 29.3, white blood cell count 7.8, glucose 48, sodium 138, potassium 4.2, bicarb 21, and gap of 19, creatinine of 6.14, BUN of 106, calcium 8.3, chest x-ray shows interval resolution of small bilateral pleural effusions and associated bibasilar atelectasis.  Given the concern for increasing creatinine in level above his baseline and hypoglycemia he was admitted to the hospital for further evaluation and treatment.   Patient was seen in room. He reports doing well and is eating dinner. He reports that his entire group home has come down with COVID and he started developing symptoms.  He denies any dizziness, lightheadedness, shaking related to his hypoglycemia.  He reports that he has not eaten anything since this morning, as he has been in the emergency department this entire time.  He denies any chills.  He reports his shortness of breath is only intermittent and denies any at this current time.  He denies any chest pain, nausea, vomiting and diarrhea constipation or urinary complaints.  He has remained on room air.  He endorses that he has been followed with outpatient Nephrology with the consideration of peritoneal hemodialysis given his recent rising creatinine levels.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood glucose decreased, Blood potassium normal, Blood sodium normal, Blood urea increased, Chest X-ray abnormal
Clinical narrative: CHIEF COMPLAINT Fever and sore throat    HISTORY OF PRESENT ILLNESS Patient  is a 71 y.o. male who presents with past medical history  (residing in adult foster care, wheelchair mobile) with medical conditions including HTN, diabetes type II, intellectual disability, schizophrenia, prior HIT (2012), prior stroke, bronchiectasis, anemia of chronic disease, CKD stage 5 (rising baseline creatinine most recently around 5.5, patient interested in peritoneal HD), renal mass (likely RCC, currently under surveillance, associated with pulmonary micronodules which may represent metastatic disease).    Patient presented to Hospital with complaint of cough, dyspnea, sore throat and fever.  He reports that there are many people in his group home that are COVID positive.  He denies any vomiting or diarrhea.  Plans in the emergency department were for him to undergo monoclonal antibodies and he had agreed, but lab results returned with a creatinine in noted at 6.14 and glucose of 49 (asymptomatic).  He was found to be COVID positive.  Hemoglobin 9.8, hematocrit 29.3, white blood cell count 7.8, glucose 48, sodium 138, potassium 4.2, bicarb 21, and gap of 19, creatinine of 6.14, BUN of 106, calcium 8.3, chest x-ray shows interval resolution of small bilateral pleural effusions and associated bibasilar atelectasis.  Given the concern for increasing creatinine in level above his baseline and hypoglycemia he was admitted to the hospital for further evaluation and treatment.   Patient was seen in room. He reports doing well and is eating dinner. He reports that his entire group home has come down with COVID and he started developing symptoms.  He denies any dizziness, lightheadedness, shaking related to his hypoglycemia.  He reports that he has not eaten anything since this morning, as he has been in the emergency department this entire time.  He denies any chills.  He reports his shortness of breath is only intermittent and denies any at this current time.  He denies any chest pain, nausea, vomiting and diarrhea constipation or urinary complaints.  He has remained on room air.  He endorses that he has been followed with outpatient Nephrology with the consideration of peritoneal hemodialysis given his recent rising creatinine levels.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Coronavirus infection, Coronavirus test positive, Cough, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: CHIEF COMPLAINT Fever and sore throat    HISTORY OF PRESENT ILLNESS Patient  is a 71 y.o. male who presents with past medical history  (residing in adult foster care, wheelchair mobile) with medical conditions including HTN, diabetes type II, intellectual disability, schizophrenia, prior HIT (2012), prior stroke, bronchiectasis, anemia of chronic disease, CKD stage 5 (rising baseline creatinine most recently around 5.5, patient interested in peritoneal HD), renal mass (likely RCC, currently under surveillance, associated with pulmonary micronodules which may represent metastatic disease).    Patient presented to Hospital with complaint of cough, dyspnea, sore throat and fever.  He reports that there are many people in his group home that are COVID positive.  He denies any vomiting or diarrhea.  Plans in the emergency department were for him to undergo monoclonal antibodies and he had agreed, but lab results returned with a creatinine in noted at 6.14 and glucose of 49 (asymptomatic).  He was found to be COVID positive.  Hemoglobin 9.8, hematocrit 29.3, white blood cell count 7.8, glucose 48, sodium 138, potassium 4.2, bicarb 21, and gap of 19, creatinine of 6.14, BUN of 106, calcium 8.3, chest x-ray shows interval resolution of small bilateral pleural effusions and associated bibasilar atelectasis.  Given the concern for increasing creatinine in level above his baseline and hypoglycemia he was admitted to the hospital for further evaluation and treatment.   Patient was seen in room. He reports doing well and is eating dinner. He reports that his entire group home has come down with COVID and he started developing symptoms.  He denies any dizziness, lightheadedness, shaking related to his hypoglycemia.  He reports that he has not eaten anything since this morning, as he has been in the emergency department this entire time.  He denies any chills.  He reports his shortness of breath is only intermittent and denies any at this current time.  He denies any chest pain, nausea, vomiting and diarrhea constipation or urinary complaints.  He has remained on room air.  He endorses that he has been followed with outpatient Nephrology with the consideration of peritoneal hemodialysis given his recent rising creatinine levels.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hypoglycaemia, Malaise, Oropharyngeal pain
Clinical narrative: CHIEF COMPLAINT Fever and sore throat    HISTORY OF PRESENT ILLNESS Patient  is a 71 y.o. male who presents with past medical history  (residing in adult foster care, wheelchair mobile) with medical conditions including HTN, diabetes type II, intellectual disability, schizophrenia, prior HIT (2012), prior stroke, bronchiectasis, anemia of chronic disease, CKD stage 5 (rising baseline creatinine most recently around 5.5, patient interested in peritoneal HD), renal mass (likely RCC, currently under surveillance, associated with pulmonary micronodules which may represent metastatic disease).    Patient presented to Hospital with complaint of cough, dyspnea, sore throat and fever.  He reports that there are many people in his group home that are COVID positive.  He denies any vomiting or diarrhea.  Plans in the emergency department were for him to undergo monoclonal antibodies and he had agreed, but lab results returned with a creatinine in noted at 6.14 and glucose of 49 (asymptomatic).  He was found to be COVID positive.  Hemoglobin 9.8, hematocrit 29.3, white blood cell count 7.8, glucose 48, sodium 138, potassium 4.2, bicarb 21, and gap of 19, creatinine of 6.14, BUN of 106, calcium 8.3, chest x-ray shows interval resolution of small bilateral pleural effusions and associated bibasilar atelectasis.  Given the concern for increasing creatinine in level above his baseline and hypoglycemia he was admitted to the hospital for further evaluation and treatment.   Patient was seen in room. He reports doing well and is eating dinner. He reports that his entire group home has come down with COVID and he started developing symptoms.  He denies any dizziness, lightheadedness, shaking related to his hypoglycemia.  He reports that he has not eaten anything since this morning, as he has been in the emergency department this entire time.  He denies any chills.  He reports his shortness of breath is only intermittent and denies any at this current time.  He denies any chest pain, nausea, vomiting and diarrhea constipation or urinary complaints.  He has remained on room air.  He endorses that he has been followed with outpatient Nephrology with the consideration of peritoneal hemodialysis given his recent rising creatinine levels.