chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Somnolence, Tachypnoea, Troponin normal
Clinical narrative: Patient arrives via EMS with complaint of shortness of breath and fever that started yesterday.  Patient is on 3 and half liters nasal cannula at baseline, home health nurse has turned off the oxygen.  Upon EMS arrival patient was 82%, she was placed on 6 L nasal cannula with improvement of her pulse ox.  Patient complains of worsening cough and fever since yesterday.  Patient feels more short of breath, unable to move or exert herself secondary to the dyspnea and overwhelming weakness.  Patient also complains of pain to her right lower extremity with a skin tear where she actually dropped an oxygen tank onto her leg.  Patient can planes of generalized body aches, rates it 5 out of 10, radiates throughout her whole body, started yesterday with fever.  Patient has a cough that is nonproductive.  Patient just finished a course of outpatient antibiotics for pneumonia, has a PICC line in her right upper extremity.  Patient denies chest pain, nausea, vomiting, diarrhea or constipation.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was giving  Pfizer Booster vaccination 7 days prior to their "5 month" period.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: patient described injection site as swollen and painful, warm to the touch, and getting worse. advised patient to seek medical attention via walk-in clinic or emergency room if symptoms became unbearable/concerning
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Loss of consciousness
Clinical narrative: When I woke up the morning after get my third dose, I went to urinate and passed out while I was washing my hands. I hit my head on the tile floor. I lost consciousness for a few seconds.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dehydration, Diarrhoea, Impaired work ability, Laboratory test
Clinical narrative: Messenteric Panniculitis. 2 months almost to the day I was given 2nd dose. Ended up in the ER. An immune response to something. Never had anything like it before. Missed multiple days of work, CT scan done, multiple labs etc. 15 lb weight loss. Dehydration. IV's given. Severe Diarhea  Wondering if there is any connection to the Vaccine? I decided to report it.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Mesenteric panniculitis, Weight decreased
Clinical narrative: Messenteric Panniculitis. 2 months almost to the day I was given 2nd dose. Ended up in the ER. An immune response to something. Never had anything like it before. Missed multiple days of work, CT scan done, multiple labs etc. 15 lb weight loss. Dehydration. IV's given. Severe Diarhea  Wondering if there is any connection to the Vaccine? I decided to report it.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given the Pfizer Booster vaccination 5 days prior to the "5 month" period. No adverse event was reported from receiving the vaccination early.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Magnetic resonance imaging
Clinical narrative: Severe shoulder pain and weakness
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error, Vomiting
Clinical narrative: Patient was given 0.3ml of undiluted vaccine.  Patient reported some vomitting but stated that this is normal for him post dialysis.  No other adverse events reported.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough   dose 1 Pfizer 3/9/21 EN6208 dose 2 Pfizer 3/30/21 EW0150
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Had Covid  Vaccination.  Admit to hospital with covid related diagnosis
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Memory impairment, Pain, Transient ischaemic attack
Clinical narrative: TIA immediately above right eye at four.  Inclusive of 4 pinpoint spots.  Severe short-term pain.  Loss of neighbors names was noticeable within 24 hours.  Names had to be re-learned from community directory.  Spoke at length with Dr. during exam preceding colonoscopy.  He identitified COVID shot as likely cause confirming my suspicion from in depth research of Covid shot adverse effects.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: light vaginal bleeding
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Had Covid Vaccine.  Admit to hospital with Covid related diagnosis
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Admit to hospital with Covid diagnosis.  Had Covid Vaccine
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram thorax, Electrocardiogram, Lymph node pain, Lymphadenopathy
Clinical narrative: Swelling and pain in L axilla with pain radiating to chest. Actual injection site was not swollen or painful.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Swelling and pain in L axilla with pain radiating to chest. Actual injection site was not swollen or painful.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given vaccine to early.  Patient was 2 months to her 18th birthday and vaccine was given at her well child visit.  Patient did not have any reaction to the vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough event
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives and itching. Started around 10-12 days after vaccination. Still going on after over 5 weeks of vaccination. 10mg Cetirizine seems to keep the symptoms in check. Also happened after the first shot (More severe symptoms at that time but last for only 1 week).
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Had Covid Vaccine, admit to facility with Covid related diagnosis
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Had Covid Vaccine.  Admit to hospital with Covid related diagnosis.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Blood creatinine increased, C-reactive protein increased, COVID-19
Clinical narrative: Patient is fully vaccinated and boosted on 12/6/2021.  Hospitalized on 12/21/2021.An 88-year-old female, was in assisted living, was admitted due to low blood pressure and COVID-19 positive.  Positive on admission for weakness, tiredness, difficult to breathe.    Has history of tremors.  No fever or chills at present. The patient's creatinine is 1.13, today is 1.66.  CRP is 150.  White count is increased to 17,000 from 15,000. D-dimer is more than 10,000. Admission dx:  acute deep vein thrombosis, altered menal status and COVID 19.  Heparin for DVT, no steroids, no remdesivir, IV fluids. HG (10.1 low) d-dimer > 10,000.  Discharged with home health care services.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Dyspnoea, Fatigue, Fibrin D dimer, Haemoglobin decreased
Clinical narrative: Patient is fully vaccinated and boosted on 12/6/2021.  Hospitalized on 12/21/2021.An 88-year-old female, was in assisted living, was admitted due to low blood pressure and COVID-19 positive.  Positive on admission for weakness, tiredness, difficult to breathe.    Has history of tremors.  No fever or chills at present. The patient's creatinine is 1.13, today is 1.66.  CRP is 150.  White count is increased to 17,000 from 15,000. D-dimer is more than 10,000. Admission dx:  acute deep vein thrombosis, altered menal status and COVID 19.  Heparin for DVT, no steroids, no remdesivir, IV fluids. HG (10.1 low) d-dimer > 10,000.  Discharged with home health care services.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Mental status changes, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Patient is fully vaccinated and boosted on 12/6/2021.  Hospitalized on 12/21/2021.An 88-year-old female, was in assisted living, was admitted due to low blood pressure and COVID-19 positive.  Positive on admission for weakness, tiredness, difficult to breathe.    Has history of tremors.  No fever or chills at present. The patient's creatinine is 1.13, today is 1.66.  CRP is 150.  White count is increased to 17,000 from 15,000. D-dimer is more than 10,000. Admission dx:  acute deep vein thrombosis, altered menal status and COVID 19.  Heparin for DVT, no steroids, no remdesivir, IV fluids. HG (10.1 low) d-dimer > 10,000.  Discharged with home health care services.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Underdose
Clinical narrative: The patient did not report any adverse events.  Technician administered pediatric pfizer instead of pfizer (patient recently turned 12 years old; 6 days prior)
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Sciatica
Clinical narrative: I hadn't performed any strenous activity for three weeks following the vaccine, yet within less than a month, I began feeing symptoms of sciatica.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given booster dose of the Pfizer vaccine 1 month after finishing the initial 2 dose series in December. Patient was unable to recall when last shot was given, no longer had her card and states it was "a long time ago". No adverse events have need reported at this time.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pain in extremity, Paraesthesia, Sleep disorder, Tinnitus
Clinical narrative: Tingling sensation, arm pain not at injection site but more like muscle pain weeks after the vaccination . I also had it bad on the 2nd dose where a sudden pain on the left lef and left arm will wake me up. I had a one day left groin pain too. Booster caused me tinnitus
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Tingling sensation, arm pain not at injection site but more like muscle pain weeks after the vaccination . I also had it bad on the 2nd dose where a sudden pain on the left lef and left arm will wake me up. I had a one day left groin pain too. Booster caused me tinnitus
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Idiopathic urticaria, Urticaria
Clinical narrative: Shortly after being vaccinated I broke out in hives. Idiopathic urticaria, treated by antihistamines and steroids. They were starting to go away when I contracted Covid-19 a second time early January this year. They are now worse.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation error
Clinical narrative: Patient was given higher dose then recommended.  The pediatric dose was not mixed with dilution.   Patients parents were contacted of the error.  The patient had no adverse reaction.
Age: 50.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: COVID-19, Impaired work ability, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID virus after being vaccinated with all three doses. I was seen at the doctor 12/27/2022, 01/03/2022, 01/11/2022. Still out of work with lingering symptoms.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature for too long.  We have recommended to the patient to get revaccinated.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, C-reactive protein increased, COVID-19, Chest X-ray normal, Computerised tomogram thorax normal
Clinical narrative: Patient is fully vaccinated.  Hospitalized on 12/22/2021.  COVID + on 12/22/2021. 62-year-old female patient with history of severe COPD on 3 L nasal cannula at home, presents to the ED with increased shortness of breath and cough.The patient states that she is having coughing fits with pleuritic chest pain without sputum production. She states that she has a history of DVT, though not on any anticoagulation.  Denies any abdominal pain, nausea, vomiting, or diarrhea.  She does have a historyof colostomy bag with n ormal output. Admitting dx:  SOB, COVID 19, acute kidney injury. CT PE: No evidence of acute pulmonary embolism. CXR No acute cardiopulmonary abnormality, stable chest.Venous Duplex BL LE--negative for DVT. D-dimer 547-397; CRP 9.1-5.4Positive for Thrombocytopenia, 118-108.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fibrin D dimer, Pleuritic pain, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  Hospitalized on 12/22/2021.  COVID + on 12/22/2021. 62-year-old female patient with history of severe COPD on 3 L nasal cannula at home, presents to the ED with increased shortness of breath and cough.The patient states that she is having coughing fits with pleuritic chest pain without sputum production. She states that she has a history of DVT, though not on any anticoagulation.  Denies any abdominal pain, nausea, vomiting, or diarrhea.  She does have a historyof colostomy bag with n ormal output. Admitting dx:  SOB, COVID 19, acute kidney injury. CT PE: No evidence of acute pulmonary embolism. CXR No acute cardiopulmonary abnormality, stable chest.Venous Duplex BL LE--negative for DVT. D-dimer 547-397; CRP 9.1-5.4Positive for Thrombocytopenia, 118-108.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombocytopenia, Ultrasound Doppler normal
Clinical narrative: Patient is fully vaccinated.  Hospitalized on 12/22/2021.  COVID + on 12/22/2021. 62-year-old female patient with history of severe COPD on 3 L nasal cannula at home, presents to the ED with increased shortness of breath and cough.The patient states that she is having coughing fits with pleuritic chest pain without sputum production. She states that she has a history of DVT, though not on any anticoagulation.  Denies any abdominal pain, nausea, vomiting, or diarrhea.  She does have a historyof colostomy bag with n ormal output. Admitting dx:  SOB, COVID 19, acute kidney injury. CT PE: No evidence of acute pulmonary embolism. CXR No acute cardiopulmonary abnormality, stable chest.Venous Duplex BL LE--negative for DVT. D-dimer 547-397; CRP 9.1-5.4Positive for Thrombocytopenia, 118-108.
Age: 34.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Petechiae, Rash pruritic, Urticaria
Clinical narrative: 24 hours following the booster dose of Moderna, I began to experience an urticarial rash that began over the medial aspect of proximal bilateral lower extremities. This was proceeded by petechial rash over the right lower extremity in the pattern of self-inflicted excoriations as the rash was quite pruritic. There have been daily occurrences of this rash over bilateral upper extremities, torso, and lower extremities since receiving the booster dose of the vaccine. The rash improves approximately 2 hrs. after taking 10 mg Cetirizine, but will return after 24 hrs. in various locations.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient states she is itchy and requests IM Benadryl injection, patient is visibly itchy and lagging. Patient given therapy then monitored for 30 minutes prior to release from observation.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Biopsy kidney, Biopsy liver, Computerised tomogram, Inflammation
Clinical narrative: Inflammatory response within 3 months that resulted in a 10 day hospitalization and detection of 2 new autoimmune disorders.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test increased, Magnetic resonance imaging, Renal function test abnormal, Ultrasound scan
Clinical narrative: Inflammatory response within 3 months that resulted in a 10 day hospitalization and detection of 2 new autoimmune disorders.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Skin discolouration, Vomiting
Clinical narrative: Patient developed blue discoloration in her hands and feet 2 hour after receiving her Moderna 0.25mL booster. Approximately 24 hours after receiving she developed fever, nausea and vomiting.  All adverse reactions completely resolved 48-72 hours after receiving her dose.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine given to pediatric patient.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: My menstrual cycle has been abnormal since being vaccinated. I may be developing PCOS which affects fertility as stated by my OBGYN. My period was heavier then usual, and the date of menses has not been regular.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest X-ray, Chest pain, Computerised tomogram, Dyspnoea
Clinical narrative: Developed pleurisy.  Shortness of breath, chest pain radiating into shoulders (predominantly the left shoulder).  Presented to doctor's office, did lab work, did chest x-ray, did CT, did echo, followed up with cardiologist new patient consultant and received diagnosis of pleurisy.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Laboratory test, Pain, Pleurisy
Clinical narrative: Developed pleurisy.  Shortness of breath, chest pain radiating into shoulders (predominantly the left shoulder).  Presented to doctor's office, did lab work, did chest x-ray, did CT, did echo, followed up with cardiologist new patient consultant and received diagnosis of pleurisy.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient called doctor on 1/21/22 and stated that when looking at her account she noticed her second dose of the Moderna covid vaccine given on 1/20/22 was the 50 mcg dose. Patient thought both doses 1 and 2 were supposed to be 100 mcg. RN called to urgent care to verify, and it was found that patient was correct, she should have been given 100 mcg dose. Patient was made aware that error occurred.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature for too long.  We have recommended to the patient to get revaccinated.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a 4th dose of vaccine 2 months after 3rd dose.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Retching, Vomiting
Clinical narrative: Extreme nausea and vomiting, with migraine, lasting 38 hours after the vaccine was administered. Took Dramamine to help with nausea, but continued dry heaving for the next 2 days.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Diverticulitis
Clinical narrative: Flare up of diverticulitis. Treated with antibiotic and diet restrictions. Better after 5 days.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood lactic acid increased, COVID-19, Cardio-respiratory arrest
Clinical narrative: Admitted on 1/22 with acute renal failure, dehydration, eleveated lactic acid, severe sepsis from COVID-19.  Symprtoms started several days before presentation and COVID-19 + on admission. Given 3 liters IVF. Creatinine greater than 4 with baseline of 0.8-0.9. Taking losartan with HCTZ at home.EKG shows sinus rhythm with no eveidence of acute ischemia or infarction. Hhg oxygen requirments with D-dimer done.  Seen hours later and looked improved clinically compared to when in the ER.  Patient was found by phlembotomy blue and unresponsive. Code blue without response.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cyanosis, Dehydration, Electrocardiogram normal, Fibrin D dimer, Malaise
Clinical narrative: Admitted on 1/22 with acute renal failure, dehydration, eleveated lactic acid, severe sepsis from COVID-19.  Symprtoms started several days before presentation and COVID-19 + on admission. Given 3 liters IVF. Creatinine greater than 4 with baseline of 0.8-0.9. Taking losartan with HCTZ at home.EKG shows sinus rhythm with no eveidence of acute ischemia or infarction. Hhg oxygen requirments with D-dimer done.  Seen hours later and looked improved clinically compared to when in the ER.  Patient was found by phlembotomy blue and unresponsive. Code blue without response.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Unresponsive to stimuli
Clinical narrative: Admitted on 1/22 with acute renal failure, dehydration, eleveated lactic acid, severe sepsis from COVID-19.  Symprtoms started several days before presentation and COVID-19 + on admission. Given 3 liters IVF. Creatinine greater than 4 with baseline of 0.8-0.9. Taking losartan with HCTZ at home.EKG shows sinus rhythm with no eveidence of acute ischemia or infarction. Hhg oxygen requirments with D-dimer done.  Seen hours later and looked improved clinically compared to when in the ER.  Patient was found by phlembotomy blue and unresponsive. Code blue without response.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Cardio-respiratory arrest, Death, Dehydration, Hypophagia
Clinical narrative: Admitted on 1/22 with acute renal failure, dehydration, eleveated lactic acid, severe sepsis from COVID-19.  Symprtoms started several days before presentation and COVID-19 + on admission. Given 3 liters IVF. Creatinine greater than 4 with baseline of 0.8-0.9. Taking losartan with HCTZ at home.EKG shows sinus rhythm with no eveidence of acute ischemia or infarction. Hhg oxygen requirments with D-dimer done.  Seen hours later and looked improved clinically compared to when in the ER.  Patient was found by phlembotomy blue and unresponsive. Code blue without response.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Unresponsive to stimuli
Clinical narrative: Admitted on 1/22 with acute renal failure, dehydration, eleveated lactic acid, severe sepsis from COVID-19.  Symprtoms started several days before presentation and COVID-19 + on admission. Given 3 liters IVF. Creatinine greater than 4 with baseline of 0.8-0.9. Taking losartan with HCTZ at home.EKG shows sinus rhythm with no eveidence of acute ischemia or infarction. Hhg oxygen requirments with D-dimer done.  Seen hours later and looked improved clinically compared to when in the ER.  Patient was found by phlembotomy blue and unresponsive. Code blue without response.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pain in extremity, Paraesthesia
Clinical narrative: This employee reports having "excruciating pain when moving her L. arm up and down in a lateral motion and reports having tingling in her ring finger. Denies swelling/redness reports that the pain is worse with certain movements. The pain started 1/19/2022. This employee states she is continuing physical movements to help with soreness.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature for too long.  We have recommended to the patient to get revaccinated.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaemia, Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt admitted d/t anemia and found to have covid. no sx.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appetite disorder, COVID-19, Computerised tomogram, Cough
Clinical narrative: Patient is fully vaccinated. ED visit on 12/23/2021 and COVID positive. Patient is a 56y.o. female presenting to the emergency department for abdominal pain. Patient states she had a headache, however has since resolved. Patient denies chest pain, difficulty breathing. Patient does admit to cough and fever. Patient states she has a history of cerebral palsy and uses a wheelchair. Patient states she has been exposed to people with COVID-19. Positive for appetitie change, fever, rhinorrhea, cough, leg swelling, abdominal pain and headache and tachychardia.  Temperature improved with Toradol. Heart rate improved in the emergency department after lowering temperature and IV fluids.  Patient's vital signs are within normal limits.  CT: Bibasilar regional groundglass opacities concerning for infectious infiltrate, such as atypical viral pneumonia. Large hiatal hernia. Large amount stool throughout the colon and rectal vault with circumferential rectal skin thickening. Correlate for constipation and fecal impaction. Patient is well appearing and is resting comfortably in no acute distress. Discharged.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Headache, Peripheral swelling, Pyrexia, Rhinorrhoea
Clinical narrative: Patient is fully vaccinated. ED visit on 12/23/2021 and COVID positive. Patient is a 56y.o. female presenting to the emergency department for abdominal pain. Patient states she had a headache, however has since resolved. Patient denies chest pain, difficulty breathing. Patient does admit to cough and fever. Patient states she has a history of cerebral palsy and uses a wheelchair. Patient states she has been exposed to people with COVID-19. Positive for appetitie change, fever, rhinorrhea, cough, leg swelling, abdominal pain and headache and tachychardia.  Temperature improved with Toradol. Heart rate improved in the emergency department after lowering temperature and IV fluids.  Patient's vital signs are within normal limits.  CT: Bibasilar regional groundglass opacities concerning for infectious infiltrate, such as atypical viral pneumonia. Large hiatal hernia. Large amount stool throughout the colon and rectal vault with circumferential rectal skin thickening. Correlate for constipation and fecal impaction. Patient is well appearing and is resting comfortably in no acute distress. Discharged.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Patient is fully vaccinated. ED visit on 12/23/2021 and COVID positive. Patient is a 56y.o. female presenting to the emergency department for abdominal pain. Patient states she had a headache, however has since resolved. Patient denies chest pain, difficulty breathing. Patient does admit to cough and fever. Patient states she has a history of cerebral palsy and uses a wheelchair. Patient states she has been exposed to people with COVID-19. Positive for appetitie change, fever, rhinorrhea, cough, leg swelling, abdominal pain and headache and tachychardia.  Temperature improved with Toradol. Heart rate improved in the emergency department after lowering temperature and IV fluids.  Patient's vital signs are within normal limits.  CT: Bibasilar regional groundglass opacities concerning for infectious infiltrate, such as atypical viral pneumonia. Large hiatal hernia. Large amount stool throughout the colon and rectal vault with circumferential rectal skin thickening. Correlate for constipation and fecal impaction. Patient is well appearing and is resting comfortably in no acute distress. Discharged.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: Hospitalized 01/17/2022; COVID-19 positive 01/17/2022; fully vaccinated plus booster  Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 1/17/2022 Discharge Date:  1/19/2022 PRESENTING PROBLEM: Acute respiratory failure with hypoxia  [J96.01] Other acute pulmonary embolism with acute cor pulmonale  [I26.09] Acute pulmonary embolism with acute cor pulmonale, unspecified pulmonary embolism type [I26.09] Suspected COVID-19 virus infection [Z20.822]   HOSPITAL COURSE: The patient is a 71-year-old male with a history of essential tremor as well as diabetes mellitus type 2, mild obesity and dyslipidemia who presented with increasing shortness of breath on 1/17.  At the time of admission, CT showed bilateral ground-glass infiltrates as well as large PE with evidence of right heart strain.  Patient was started on heparin and admitted to the hospital service.  Film array was positive for COVID as well as RSV.  The patient was started on remdesivir and dexamethasone.  An echocardiogram was performed as biomarkers were elevated.  Ultrasound of the lower extremities did show residual clot in the left lower extremity in the popliteal vein.  Echocardiogram showed significant right heart strain and medical team was activated.  After evaluation it was felt the patient would benefit from a thrombectomy, but no need for IVC filter.  Thrombectomy was performed by IR on 01/18/2022.  After undergoing thrombectomy the patient's hypoxia resolved.  The patient was continued on heparin, and transition to Xarelto prior to discharge.  With clinical improvement, it was felt that he did not require further treatment with remdesivir, but was prescribed dexamethasone at the time of discharge.  Patient's thrombosis was considered precipitated by his COVID infection and recent long automobile trip, with 3-6 months of anticoagulation being recommended.  Pulmonary does recommend a repeat echocardiogram to reassess pulmonary hypertension in the next 90 days. As patient was clinically stable, he was discharged to home on 01/19/2022
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cor pulmonale acute, Deep vein thrombosis, Dyspnoea, Echocardiogram abnormal, Inflammatory marker increased
Clinical narrative: Hospitalized 01/17/2022; COVID-19 positive 01/17/2022; fully vaccinated plus booster  Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 1/17/2022 Discharge Date:  1/19/2022 PRESENTING PROBLEM: Acute respiratory failure with hypoxia  [J96.01] Other acute pulmonary embolism with acute cor pulmonale  [I26.09] Acute pulmonary embolism with acute cor pulmonale, unspecified pulmonary embolism type [I26.09] Suspected COVID-19 virus infection [Z20.822]   HOSPITAL COURSE: The patient is a 71-year-old male with a history of essential tremor as well as diabetes mellitus type 2, mild obesity and dyslipidemia who presented with increasing shortness of breath on 1/17.  At the time of admission, CT showed bilateral ground-glass infiltrates as well as large PE with evidence of right heart strain.  Patient was started on heparin and admitted to the hospital service.  Film array was positive for COVID as well as RSV.  The patient was started on remdesivir and dexamethasone.  An echocardiogram was performed as biomarkers were elevated.  Ultrasound of the lower extremities did show residual clot in the left lower extremity in the popliteal vein.  Echocardiogram showed significant right heart strain and medical team was activated.  After evaluation it was felt the patient would benefit from a thrombectomy, but no need for IVC filter.  Thrombectomy was performed by IR on 01/18/2022.  After undergoing thrombectomy the patient's hypoxia resolved.  The patient was continued on heparin, and transition to Xarelto prior to discharge.  With clinical improvement, it was felt that he did not require further treatment with remdesivir, but was prescribed dexamethasone at the time of discharge.  Patient's thrombosis was considered precipitated by his COVID infection and recent long automobile trip, with 3-6 months of anticoagulation being recommended.  Pulmonary does recommend a repeat echocardiogram to reassess pulmonary hypertension in the next 90 days. As patient was clinically stable, he was discharged to home on 01/19/2022
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lung opacity, Pulmonary embolism, Respiratory syncytial virus test positive, SARS-CoV-2 test positive, Suspected COVID-19
Clinical narrative: Hospitalized 01/17/2022; COVID-19 positive 01/17/2022; fully vaccinated plus booster  Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 1/17/2022 Discharge Date:  1/19/2022 PRESENTING PROBLEM: Acute respiratory failure with hypoxia  [J96.01] Other acute pulmonary embolism with acute cor pulmonale  [I26.09] Acute pulmonary embolism with acute cor pulmonale, unspecified pulmonary embolism type [I26.09] Suspected COVID-19 virus infection [Z20.822]   HOSPITAL COURSE: The patient is a 71-year-old male with a history of essential tremor as well as diabetes mellitus type 2, mild obesity and dyslipidemia who presented with increasing shortness of breath on 1/17.  At the time of admission, CT showed bilateral ground-glass infiltrates as well as large PE with evidence of right heart strain.  Patient was started on heparin and admitted to the hospital service.  Film array was positive for COVID as well as RSV.  The patient was started on remdesivir and dexamethasone.  An echocardiogram was performed as biomarkers were elevated.  Ultrasound of the lower extremities did show residual clot in the left lower extremity in the popliteal vein.  Echocardiogram showed significant right heart strain and medical team was activated.  After evaluation it was felt the patient would benefit from a thrombectomy, but no need for IVC filter.  Thrombectomy was performed by IR on 01/18/2022.  After undergoing thrombectomy the patient's hypoxia resolved.  The patient was continued on heparin, and transition to Xarelto prior to discharge.  With clinical improvement, it was felt that he did not require further treatment with remdesivir, but was prescribed dexamethasone at the time of discharge.  Patient's thrombosis was considered precipitated by his COVID infection and recent long automobile trip, with 3-6 months of anticoagulation being recommended.  Pulmonary does recommend a repeat echocardiogram to reassess pulmonary hypertension in the next 90 days. As patient was clinically stable, he was discharged to home on 01/19/2022
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Thrombectomy, Ultrasound Doppler abnormal, Ventricular dysfunction
Clinical narrative: Hospitalized 01/17/2022; COVID-19 positive 01/17/2022; fully vaccinated plus booster  Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 1/17/2022 Discharge Date:  1/19/2022 PRESENTING PROBLEM: Acute respiratory failure with hypoxia  [J96.01] Other acute pulmonary embolism with acute cor pulmonale  [I26.09] Acute pulmonary embolism with acute cor pulmonale, unspecified pulmonary embolism type [I26.09] Suspected COVID-19 virus infection [Z20.822]   HOSPITAL COURSE: The patient is a 71-year-old male with a history of essential tremor as well as diabetes mellitus type 2, mild obesity and dyslipidemia who presented with increasing shortness of breath on 1/17.  At the time of admission, CT showed bilateral ground-glass infiltrates as well as large PE with evidence of right heart strain.  Patient was started on heparin and admitted to the hospital service.  Film array was positive for COVID as well as RSV.  The patient was started on remdesivir and dexamethasone.  An echocardiogram was performed as biomarkers were elevated.  Ultrasound of the lower extremities did show residual clot in the left lower extremity in the popliteal vein.  Echocardiogram showed significant right heart strain and medical team was activated.  After evaluation it was felt the patient would benefit from a thrombectomy, but no need for IVC filter.  Thrombectomy was performed by IR on 01/18/2022.  After undergoing thrombectomy the patient's hypoxia resolved.  The patient was continued on heparin, and transition to Xarelto prior to discharge.  With clinical improvement, it was felt that he did not require further treatment with remdesivir, but was prescribed dexamethasone at the time of discharge.  Patient's thrombosis was considered precipitated by his COVID infection and recent long automobile trip, with 3-6 months of anticoagulation being recommended.  Pulmonary does recommend a repeat echocardiogram to reassess pulmonary hypertension in the next 90 days. As patient was clinically stable, he was discharged to home on 01/19/2022
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Incorrect dose administered
Clinical narrative: Patient did not inform us that she had received a third dose in August 2021. She was administered 0.5ml instead of the recommended 0.25ml for immunocompromised patient booster.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient requested Pfizer and was given Moderna. Records updated to show correct vaccine.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: See attached nurses note.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna is only approved for 18 years and older. Patient received vaccine at 16 years old.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long. We have recommended to the patient to get revaccinated.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Cough, Headache, Influenza virus test negative
Clinical narrative: Thursday, Jan 6th, 2022: He came home from school complaining of headache and just wanted to lay down. I gave him ibuprofen and he went to sleep. Woke up to eat dinner and then went back to sleep. At 10:30PM that night I gave him more ibuprofen. The next day he still had a headache and congestion and elevated temperature 99.8, I continued to give ib. Saturday He had a cough, Sunday his throat hurt. His dad looked at and his tonsils appeared to swollen, we gave him honey. January 10th I took him to his pediatrician's office. He was swabbed for Covid, flu and strep. The next day they told us he tested positive for Covid. Symptoms. He felt better on Wednesday the 12th, but symptoms continued off and on for about a week. Brothers and Father were tested and they were Negative. Mother tested Positive.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Streptococcus test negative
Clinical narrative: Thursday, Jan 6th, 2022: He came home from school complaining of headache and just wanted to lay down. I gave him ibuprofen and he went to sleep. Woke up to eat dinner and then went back to sleep. At 10:30PM that night I gave him more ibuprofen. The next day he still had a headache and congestion and elevated temperature 99.8, I continued to give ib. Saturday He had a cough, Sunday his throat hurt. His dad looked at and his tonsils appeared to swollen, we gave him honey. January 10th I took him to his pediatrician's office. He was swabbed for Covid, flu and strep. The next day they told us he tested positive for Covid. Symptoms. He felt better on Wednesday the 12th, but symptoms continued off and on for about a week. Brothers and Father were tested and they were Negative. Mother tested Positive.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthritis, Blood test, Dermatitis, Feeling abnormal, Lethargy
Clinical narrative: Have been experiencing lethargy and inflammation of skin and joints. Did not connect it to the vaccine until I did some reading recently. Had a really bad flareup in Nov. and affected my skin my joints and that is when I saw my doctor. About 2 months after getting my Moderna booster inflammation in joints and skin increased. Still having the lethargy. I will good for a while then there will be a spike and I don't feel good for a while. Not sure if it is the vaccine but before the vaccine I did have weeks of time where I felt bad like this or had sustained inflammation.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Atrial fibrillation, Blood creatinine increased, Blood potassium decreased, COVID-19
Clinical narrative: Patient is fully vaccinate. 64y.o. female with a past medical history of A-fib, Depression, GERD, IBS, CVA, HTN,  presenting for rapid heart rate. She states an EKG was performed and she was found to be in A-fib with RVR and asked to come to the ED. She admits to experiencing shortness of breath at rest and on exertion, but states this has been occurring for over a year. she did have palpitations one night. At that time, she had 5 episodes of emesis along with dizziness and lightheadedness. She took an Aspirin and her symptoms resolved. Patient states she does have chronic, intermittent, non-radiating sharp chest pain that is located on the left side. She also has chronic abdominal pain. She is vaccinated, but was diagnosed with COVID on 12/11/21. Admits to subjective fever, having a headache, but denies diarrhea. In the ED, patient was hypertensive and tachycardic. EKG showed A-fib with RVR, and she was started on Cardizem. Initial troponin was 0.04, second troponin was 0.02. WBC 15.1, potassium was 3.2 and replaced. Creatinine was elevated to 1.75 (baseline 1.3-1.4). CXR demonstrated interstitial coarsening which could reflect chronic inflammatory changes or atypical viral infection such as COVID. COVID treatment:  patient does not require supplemental oxygen so not decadron, no need for Lovenox.  Continue with Xaralto at home. Patient discharged.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Condition aggravated, Dizziness, Dyspnoea at rest
Clinical narrative: Patient is fully vaccinate. 64y.o. female with a past medical history of A-fib, Depression, GERD, IBS, CVA, HTN,  presenting for rapid heart rate. She states an EKG was performed and she was found to be in A-fib with RVR and asked to come to the ED. She admits to experiencing shortness of breath at rest and on exertion, but states this has been occurring for over a year. she did have palpitations one night. At that time, she had 5 episodes of emesis along with dizziness and lightheadedness. She took an Aspirin and her symptoms resolved. Patient states she does have chronic, intermittent, non-radiating sharp chest pain that is located on the left side. She also has chronic abdominal pain. She is vaccinated, but was diagnosed with COVID on 12/11/21. Admits to subjective fever, having a headache, but denies diarrhea. In the ED, patient was hypertensive and tachycardic. EKG showed A-fib with RVR, and she was started on Cardizem. Initial troponin was 0.04, second troponin was 0.02. WBC 15.1, potassium was 3.2 and replaced. Creatinine was elevated to 1.75 (baseline 1.3-1.4). CXR demonstrated interstitial coarsening which could reflect chronic inflammatory changes or atypical viral infection such as COVID. COVID treatment:  patient does not require supplemental oxygen so not decadron, no need for Lovenox.  Continue with Xaralto at home. Patient discharged.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Electrocardiogram abnormal, Headache, Heart rate increased, Hypertension
Clinical narrative: Patient is fully vaccinate. 64y.o. female with a past medical history of A-fib, Depression, GERD, IBS, CVA, HTN,  presenting for rapid heart rate. She states an EKG was performed and she was found to be in A-fib with RVR and asked to come to the ED. She admits to experiencing shortness of breath at rest and on exertion, but states this has been occurring for over a year. she did have palpitations one night. At that time, she had 5 episodes of emesis along with dizziness and lightheadedness. She took an Aspirin and her symptoms resolved. Patient states she does have chronic, intermittent, non-radiating sharp chest pain that is located on the left side. She also has chronic abdominal pain. She is vaccinated, but was diagnosed with COVID on 12/11/21. Admits to subjective fever, having a headache, but denies diarrhea. In the ED, patient was hypertensive and tachycardic. EKG showed A-fib with RVR, and she was started on Cardizem. Initial troponin was 0.04, second troponin was 0.02. WBC 15.1, potassium was 3.2 and replaced. Creatinine was elevated to 1.75 (baseline 1.3-1.4). CXR demonstrated interstitial coarsening which could reflect chronic inflammatory changes or atypical viral infection such as COVID. COVID treatment:  patient does not require supplemental oxygen so not decadron, no need for Lovenox.  Continue with Xaralto at home. Patient discharged.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia, Tachycardia, Troponin, Vomiting
Clinical narrative: Patient is fully vaccinate. 64y.o. female with a past medical history of A-fib, Depression, GERD, IBS, CVA, HTN,  presenting for rapid heart rate. She states an EKG was performed and she was found to be in A-fib with RVR and asked to come to the ED. She admits to experiencing shortness of breath at rest and on exertion, but states this has been occurring for over a year. she did have palpitations one night. At that time, she had 5 episodes of emesis along with dizziness and lightheadedness. She took an Aspirin and her symptoms resolved. Patient states she does have chronic, intermittent, non-radiating sharp chest pain that is located on the left side. She also has chronic abdominal pain. She is vaccinated, but was diagnosed with COVID on 12/11/21. Admits to subjective fever, having a headache, but denies diarrhea. In the ED, patient was hypertensive and tachycardic. EKG showed A-fib with RVR, and she was started on Cardizem. Initial troponin was 0.04, second troponin was 0.02. WBC 15.1, potassium was 3.2 and replaced. Creatinine was elevated to 1.75 (baseline 1.3-1.4). CXR demonstrated interstitial coarsening which could reflect chronic inflammatory changes or atypical viral infection such as COVID. COVID treatment:  patient does not require supplemental oxygen so not decadron, no need for Lovenox.  Continue with Xaralto at home. Patient discharged.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Patient is fully vaccinate. 64y.o. female with a past medical history of A-fib, Depression, GERD, IBS, CVA, HTN,  presenting for rapid heart rate. She states an EKG was performed and she was found to be in A-fib with RVR and asked to come to the ED. She admits to experiencing shortness of breath at rest and on exertion, but states this has been occurring for over a year. she did have palpitations one night. At that time, she had 5 episodes of emesis along with dizziness and lightheadedness. She took an Aspirin and her symptoms resolved. Patient states she does have chronic, intermittent, non-radiating sharp chest pain that is located on the left side. She also has chronic abdominal pain. She is vaccinated, but was diagnosed with COVID on 12/11/21. Admits to subjective fever, having a headache, but denies diarrhea. In the ED, patient was hypertensive and tachycardic. EKG showed A-fib with RVR, and she was started on Cardizem. Initial troponin was 0.04, second troponin was 0.02. WBC 15.1, potassium was 3.2 and replaced. Creatinine was elevated to 1.75 (baseline 1.3-1.4). CXR demonstrated interstitial coarsening which could reflect chronic inflammatory changes or atypical viral infection such as COVID. COVID treatment:  patient does not require supplemental oxygen so not decadron, no need for Lovenox.  Continue with Xaralto at home. Patient discharged.