chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Presented complaining of worsening shortness of breath, cough and generalized weakness. Dx w/  COVID-19 PNA complicated by acute hypoxemic respiratory failure; tx w/steroids, O2, zinc; weaned off O2 for dc home
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cystitis, SARS-CoV-2 test positive
Clinical narrative: Admitted for acute cystitis; incidental COVID-19+ finding but asymptomatic
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Confusional state, Pyrexia
Clinical narrative: Presented to ED w c/o Intermittent Confusion, Fever, Chills, Generalized Weakness; acute COVID infection prior to arrival; admitted for acute toxic metabolic encaphalopathy d/t COVID infection but asymptomatic w/COVID.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Toxic encephalopathy
Clinical narrative: Presented to ED w c/o Intermittent Confusion, Fever, Chills, Generalized Weakness; acute COVID infection prior to arrival; admitted for acute toxic metabolic encaphalopathy d/t COVID infection but asymptomatic w/COVID.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, Respiratory failure
Clinical narrative: Presented with sob.  He was admitted for respiratory failure and covid pneumonia. Tx w/abx, steroids, zinc, O2; pt did not improve and family elected to withraw care.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cough, Infection
Clinical narrative: Presented to the ED complaining of a cough; reports seeing PCP and prescribed abx for infection; cough did not improve prompting ED visit. Pt dx w/COVID-19 pna; tx w/ remdesivir, O2, and steroids.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Fatigue, Headache, Injection site pain
Clinical narrative: Headache, Arthralgia, NauseaVomiting, FATIGUE, UNEASY STOMACH, POOR APPETITE, PAIN INJ SITE, TENDER LOCAL LYMPH NODE ON SIDE OF INJ(SUBMANDIBULAR JOINT Narrative:
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Nausea, Vomiting
Clinical narrative: Headache, Arthralgia, NauseaVomiting, FATIGUE, UNEASY STOMACH, POOR APPETITE, PAIN INJ SITE, TENDER LOCAL LYMPH NODE ON SIDE OF INJ(SUBMANDIBULAR JOINT Narrative:
Age: 10.0
Sex: F
Vaccine: MNQ
Symptoms: Hyperhidrosis, Nausea
Clinical narrative: After receiving the vaccine, pt stood up and felt nauseous + sweaty. She was laid down, ice to back of neck, legs raised, given a popcicle + felt better. She did not faint. She was feeling well when she left
Age: 21.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: No adverse event; The patient was received a Moderna bivalent booster dose of 0.25ml instead of 0.5ml; This spontaneous case was reported by a physician and describes the occurrence of UNDERDOSE (The patient was received a Moderna bivalent booster dose of 0.25ml instead of 0.5ml) and NO ADVERSE EVENT (No adverse event) in a 21-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 024422A) for COVID-19 prophylaxis.     The patient had no allergies to medications, food, and other products.  Previously administered products included for Product used for unknown indication: PFIZER BIONTECH COVID-19 VACCINE and Janssen COVID-19 vaccine. Past adverse reactions to the above products included No adverse event with Janssen COVID-19 vaccine and PFIZER BIONTECH COVID-19 VACCINE.    On 30-Nov-2022 at 11:00 AM, the patient received third dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular) .25 milliliter. On 30-Nov-2022 at 11:00 AM, the patient experienced UNDERDOSE (The patient was received a Moderna bivalent booster dose of 0.25ml instead of 0.5ml). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, UNDERDOSE (The patient was received a Moderna bivalent booster dose of 0.25ml instead of 0.5ml) and NO ADVERSE EVENT (No adverse event) outcome was unknown.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessment was provided for UNDERDOSE (The patient was received a Moderna bivalent booster dose of 0.25ml instead of 0.5ml).    No concomitant medications were reported.  It was unknown whether the patient ever been diagnosed with/ tested positive for COVID-19. The patient had no acute illnesses at the time of vaccination and up to one month before. It was unknown if the patient received any other vaccines in the 4 weeks prior to COVID-19 vaccine.  No treatment medications were reported.   This case was linked to US-MODERNATX, INC.-MOD-2023-707980, US-MODERNATX, INC.-MOD-2023-732971 (E2B Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 14-Jul-2023: Follow-up information received included no new information. On 14-Jul-2023: Upon internal review on 25-Jul-2023, significant corrections performed to update narrative and historical vaccine.; Sender's Comments:  US-MODERNATX, INC.-MOD-2023-707980:Case for patient 1 US-MODERNATX, INC.-MOD-2023-732971:Monovalent
Sex: M
Vaccine: COVID19
Symptoms: Body temperature, COVID-19, Drug ineffective, Metabolic disorder, SARS-CoV-2 test
Clinical narrative: He had COVID; He had COVID; amigdalitis; metabolic disorder; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the parent.  A male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), as dose number unknown, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Kawasaki" (unspecified if ongoing); "immune suppressed" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "He had COVID"; TONSILLITIS (non-serious), outcome "unknown", described as "amigdalitis"; METABOLIC DISORDER (non-serious), outcome "unknown", described as "metabolic disorder ". The events "he had covid" and "amigdalitis" required emergency room visit. The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: positive; Body temperature: 104 Fahrenheit. Therapeutic measures were taken as a result of drug ineffective, covid-19. Clinical course: Reporter stated that Kawasaki was worst enemy because of the fever, the higher the fever, the worse the mitral valves work . Patient fever was under control but he started coughing. He was confirmed last Monday that he had COVID and was treated with antibiotic and was advised to take rest and drink lot of liquid but got really congested and had a 104 fever. Reporter managed to bring it down and then by once he was better but then he couldn't stop weird cough. He was taken to emergency room  because of congestion, and had amigdalitis, his amygdala's in the throat. He had really bad sore throat infection on top of COVID. Patient also had a metabolic disorder that he doesn't create muscle mass unless he is given certain medications like Carnitine. The patient was to be treated with Paxlovid. Patient's mother wondered how to administer Paxlovid to her son since he has multiple conditions.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.
Sex: M
Vaccine: COVID19
Symptoms: Tonsillitis
Clinical narrative: He had COVID; He had COVID; amigdalitis; metabolic disorder; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the parent.  A male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), as dose number unknown, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Kawasaki" (unspecified if ongoing); "immune suppressed" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "He had COVID"; TONSILLITIS (non-serious), outcome "unknown", described as "amigdalitis"; METABOLIC DISORDER (non-serious), outcome "unknown", described as "metabolic disorder ". The events "he had covid" and "amigdalitis" required emergency room visit. The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: positive; Body temperature: 104 Fahrenheit. Therapeutic measures were taken as a result of drug ineffective, covid-19. Clinical course: Reporter stated that Kawasaki was worst enemy because of the fever, the higher the fever, the worse the mitral valves work . Patient fever was under control but he started coughing. He was confirmed last Monday that he had COVID and was treated with antibiotic and was advised to take rest and drink lot of liquid but got really congested and had a 104 fever. Reporter managed to bring it down and then by once he was better but then he couldn't stop weird cough. He was taken to emergency room  because of congestion, and had amigdalitis, his amygdala's in the throat. He had really bad sore throat infection on top of COVID. Patient also had a metabolic disorder that he doesn't create muscle mass unless he is given certain medications like Carnitine. The patient was to be treated with Paxlovid. Patient's mother wondered how to administer Paxlovid to her son since he has multiple conditions.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chronic respiratory failure, Hypoxia, Respiratory failure
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Hypotension, Obstructive sleep apnoea syndrome, Symptom recurrence
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA ACUTE NON ST ELEVATION MI HYPOTENSION 2/13/2023,  2/26/2023,  1/15/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Obstructive sleep apnoea syndrome, Symptom recurrence
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA ACUTE NON ST ELEVATION MI 2/7/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 84.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Hypotension, Pulmonary embolism, Symptom recurrence
Clinical narrative: HYPOTENSION ACUTE HYPOXEMIC RESPIRATORY FAILURE ACUTE PULMONARY EMBOLISM 3/2/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Epilepsy
Clinical narrative: EPILEPSY, UNSPECIFIED
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient Deceased
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory failure
Clinical narrative: RESPIRATORY FAILURE, UNSPECIFIED ACUITY
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI 2/12/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient Deceased
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Deep vein thrombosis, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 2/23/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 0.33
Sex: F
Vaccine: PNC20
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Pt was administered Prevnar 20 instead of Prevnar 13 per CDC guidelines. Pt is fine no signs or symptoms of any kind. Mom has been informed of the error. Pt seems to be doing just fine. Still no signs or symptoms
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient Deceased
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Wrong product administered
Clinical narrative: Patient was suppose to receive Tdap but was given Td (Tenivac) instead.  Patient is to return and receive the correct vaccine.
Age: 0.17
Sex: F
Vaccine: HEP, RV1
Symptoms: Cardiac arrest, Cardiac assistance device user, Endotracheal intubation, Lung assist device therapy
Clinical narrative: 2 days after vaccines, she suffered Sudden Cardiac Arrest requiring defibrillation, intubation, and ECMO.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome, Symptom recurrence
Clinical narrative: OBSTRUCTIVE SLEEP APNEA 10/28/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cerebrovascular accident, Lacunar stroke, Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Embolic stroke, Embolism arterial, Obstructive sleep apnoea syndrome
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE OBSTRUCTIVE SLEEP APNEA ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient deceased
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID related death; breakthrough case
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Angina unstable, Coronary artery occlusion, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE UNSTABLE ANGINA ACUTE NON ST ELEVATION MI ACUTE CORONARY OCCLUSION WO MI 3/6/2023 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE ST ELEVATION MI, UNSPECIFIED
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome, Symptom recurrence
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA 1/14/2023,  1/19/2023,  1/6/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 12.0
Sex: M
Vaccine: HPV9, PNC15
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: pneumonia 15 given to a 12 year old.  No adverse reactions noted in clinic.  Mother states that child was ok on 07/20/2023
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient deceased
Age: 6.0
Sex: M
Vaccine: DTPPVHBHPB, DTPPVHBHPB
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine given outside of age range. Vaxelis is approved through age five, patient is six years old. No adverse s/s reported. Nurse called mother who states patient has not had any s/s of adverse reaction.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Chronic respiratory failure, Respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE CHRONIC HYPERCAPNIC RESPIRATORY FAILURE
Age: 19.0
Sex: M
Vaccine: RAB
Symptoms: Impaired work ability, Pruritus, Skin warm, Vision blurred
Clinical narrative: Patient states that around 22:00 he started to notice that is skin was itching, skin felt hot to the touch, and he had blurry vision. Denies nausea or vomiting, loss consciousness, headache, body aches. Denies taking medication, visiting a doctor or other interventions. Pt states that he did call out of work the next day. States that symptoms lasted the rest of the night but were gone by the next day. Denies symptoms after first vaccine in the series given 28JUNE2023.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Deep vein thrombosis
Clinical narrative: ACUTE DVT OF LEFT FEMORAL VEIN
Age: 12.0
Sex: M
Vaccine: HEPA, HPV9, MNQ
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Large/Severe local reaction at site of Menveo vaccine: Erythema and edema extending entire upper arm (7x5in), warm and tender to touch. No presence of system symptoms (hives, SOB, CP, throat closing).
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Chills, Computerised tomogram head abnormal, Neurological symptom, Pyrexia
Clinical narrative: Fever, chills, tremors and stroke symptoms. CT scan shows stroke
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Fever, chills, tremors and stroke symptoms. CT scan shows stroke
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Fall, Head injury, Pain in extremity, Syncope
Clinical narrative: Pt fainted about 8-10 minutes after receiving vaccine. Pt had reported she was fine but her arm was sore after vaccination. Pt was standing to leave awaiting paperwork and fainted hitting her head on floor.  Pt was evaluated by nursing staff and EMS, noting not with redness on back of head, but no laceration or bleeding from site. Observed pt arm, no skin reaction noted from vaccine administration site. Pt denied any difficulty breathing.
Age: 19.0
Sex: M
Vaccine: HEPAB, IPV, TDAP
Symptoms: Hypoaesthesia, Paraesthesia, Pruritus, Swelling face
Clinical narrative: face tingling/numbness, facial itching and swelling.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient deceased
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI 2/20/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 15.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse events, however dose was administered days prior to 16th birthday
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Facial paresis
Clinical narrative: RIGHT FACIAL MUSCLE WEAKNESS
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Hypoxia, Respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY HYPOXIA
Age: 51.0
Sex: M
Vaccine: TYP
Symptoms: Injection site pain, Injection site warmth
Clinical narrative: arm soreness and warm to touch since injection occured
Age: 2.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED THE BLUE CAP/GRAY LABEL MODERNA COVID VACCINE 0.25CC INSTEAD OF THE MODERNA COVID BOOSTER FOR 2M-5YO.  NO ADVERSE EVENTS WERE SEEN WHILE PT AND FAMILY WAITED IN WAITING ROOM FOR 30 MINUTES. CDC GUIDANCE IS TO NOT REPEAT THE DOSE.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA 11/24/2022 &  3/5/2023  --
Age: 31.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema, Swelling
Clinical narrative: received Varivax #1 on 7/24/2023 and on the morning of 7/25/2023 noted to have redness 7cm X 10cm left backside of arm and swelling.  APRN will prescribe Keflex.
Age: 0.75
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was supposed to receive the 6mo-4yr covid vaccine due to being 9 months of age. Patient received the 5-11yr covid vaccine in error. Provider was notified.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient deceased
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: B-cell lymphoma, Blood test, Chemotherapy, Injected limb mobility decreased, Injection site pain
Clinical narrative: Pain in shoulder and arm and as time passed not being able to lift left arm (starting in the early Fall 2021 and continuing).  Lymphoma (large B Cell) in left shoulder and arm.  4 cycles of chemo, major surgery on left shoulder and arm (reconstruction of shoulder with titanium) and removal of cancer, 21 days of radiation and currently starting physical therapy for range of motion of left shoulder and arm.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint range of motion decreased, Laboratory test, Limb operation, Limb reconstructive surgery, Magnetic resonance imaging
Clinical narrative: Pain in shoulder and arm and as time passed not being able to lift left arm (starting in the early Fall 2021 and continuing).  Lymphoma (large B Cell) in left shoulder and arm.  4 cycles of chemo, major surgery on left shoulder and arm (reconstruction of shoulder with titanium) and removal of cancer, 21 days of radiation and currently starting physical therapy for range of motion of left shoulder and arm.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Positron emission tomogram, Radiotherapy, Shoulder operation, Tumour excision
Clinical narrative: Pain in shoulder and arm and as time passed not being able to lift left arm (starting in the early Fall 2021 and continuing).  Lymphoma (large B Cell) in left shoulder and arm.  4 cycles of chemo, major surgery on left shoulder and arm (reconstruction of shoulder with titanium) and removal of cancer, 21 days of radiation and currently starting physical therapy for range of motion of left shoulder and arm.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: Pain in shoulder and arm and as time passed not being able to lift left arm (starting in the early Fall 2021 and continuing).  Lymphoma (large B Cell) in left shoulder and arm.  4 cycles of chemo, major surgery on left shoulder and arm (reconstruction of shoulder with titanium) and removal of cancer, 21 days of radiation and currently starting physical therapy for range of motion of left shoulder and arm.
Age: 1.58
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Decreased appetite, Diarrhoea, Feeling abnormal, Gait inability, Injection site pain
Clinical narrative: Rash spread to entire thigh, fever (103) for 4 days, diarrhea, wouldn?t eat for 4 days, minimal fluid intake for 4 days, wouldn?t walk/run due to leg pain at injection site, fussy for 4 days.  Rash spread for 6 days.
Age: 1.58
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Injection site rash, Pyrexia
Clinical narrative: Rash spread to entire thigh, fever (103) for 4 days, diarrhea, wouldn?t eat for 4 days, minimal fluid intake for 4 days, wouldn?t walk/run due to leg pain at injection site, fussy for 4 days.  Rash spread for 6 days.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient deceased
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Hypoxia, Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 53.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Hypoaesthesia, Musculoskeletal pain
Clinical narrative: Left shoulder and scapular pain and swelling per pt. Left thumb numbness. No swelling on exam
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chronic left ventricular failure, Coronary arterial stent insertion, Coronary artery bypass, Coronary artery disease, Diastolic dysfunction
Clinical narrative: 030L20A 1/22/2021 039K20A 2/20/2021 051F21A 11/8/2021  6/4/2023 - 6/14/2023 (10 days)  DC to SNF tx: Remdesivir & ceftriaxone azithromycin -HTN -HLD -CAD s/p  CABG -s/p  stents -chronic systolic and diastolic heart failure with last known ejection fraction of 30-35% with grade 2 diastolic dysfunction in February 2023
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ejection fraction decreased, Hyperlipidaemia, Hypertension
Clinical narrative: 030L20A 1/22/2021 039K20A 2/20/2021 051F21A 11/8/2021  6/4/2023 - 6/14/2023 (10 days)  DC to SNF tx: Remdesivir & ceftriaxone azithromycin -HTN -HLD -CAD s/p  CABG -s/p  stents -chronic systolic and diastolic heart failure with last known ejection fraction of 30-35% with grade 2 diastolic dysfunction in February 2023
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 12.0
Sex: U
Vaccine: MENB, MNQ, TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient given wrong Meningococcal (Men B) vaccine by CMA, did not have RN or Dr. check her vaccines.  Mother was called and patient returned to clinic. No redness, edema, no adverse reaction noted at site.   Correct Vaccine paper and Meningococcal4 acwy given by RN in opposite Deltoid Right after reviewing CDC recommendations.  Observed for 20min after vaccine to ensure no A/R - none.
Age: 92.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension, Hypoxia
Clinical narrative: HYPOTENSION HYPOXIA
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Deep vein thrombosis
Clinical narrative: ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Hypoxia, Idiopathic partial epilepsy
Clinical narrative: EPILEPSY, PARTIAL IDIOPATHIC ACUTE RESPIRATORY FAILURE HYPOXIA
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: patient stated right sided leg and hip pain.  has bene taking Tylenol extra strength for it . says pain came on 5 hrs after injection given in evening time  pt advised to seek ER/UC TREATMENT within the next 24 hours , or sooner if leg pain returns given history of dm and blood clots in leg due to her history of lupus.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Malaise, Skin discolouration, Somnolence, Vomiting
Clinical narrative: Patient was scared to get her vaccines mom informed us. Prior to vaccines Patient resisted to receive first vaccine and I was able to calm her down and she sat still to receive vaccines. After administartion Patient would hold her breath and mom and I would have to tell her to take some deep breaths and she would respond by talking or taking some breaths. Within a few minutes after vaccines I saw a change in her face color and asked her if she felt ok. She stated she needed to get sick. She laid on exam table and after 5 minutes felt better. BP was within normal limits. Mom stated she passed out when she got her ear pierced recently. I explained if she starts to feel not good then she needs to lay down or if she has anything life threatening go to ER.   7/24/23 10:00 PM - Mom reached out to me on my personal phone at 10:00 PM to call her. I called her and Cami vomited before she got in shower and almost passed out in shower. She  had ate dinner at a resaurant and then headed home prior to this. Their BP cuff was not working. Cami was laying down in bed and felt better, but not 100%. She just wanted to go to sleep and the mom was concerned. I explained usually any fainting/vomiting/etc happens within 5-10 minutes after vaccines. I also explained in the 12 years I have been working at LPCHD I have not had any reports of anything like this hours after vaccine. Mom wanted to know if she should take her to hospital. I explained that anything considered life threatening we send individuals to the ER. In this case i cannot recommend not to go to ER, but if she feels concerned and she does not improve she can choose to take her to ER. Mom said she would watch her for an hour and decide. I also explained common symptoms of BP problems are dizziness, headache, not feeling well, etc. I would follow-up in morning with mom.   7-25-23 10:00 AM  Mom states that Cami feels OK and slept all night. She will take her to doctor if it happens again.
Age: 0.42
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Erythema, Injection site mass, Injection site warmth, Pyrexia, Urticaria
Clinical narrative: At time of visit after waiting 5 minutes pt appeared to not have any adverse reactions. Parent states about 24 hours later pt began to have  hives, low grade fever, and redness on both cheeks but more red on left side. Left thigh were PCV13 was given  is warm to touch and has small lump. PT came in office to have provider look at reaction. provider plan of treatment is to apply cool compresses to thigh and face, gave instructions on what signs to look out for in case pt needs to be seen at an ER . parents agree w plan of care.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Pain
Clinical narrative: Soreness at spot of injection General body aches for 12 hours
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: On July 26, 2023, the patient requests information on pending covid vaccines. Patient is identified and already has two doses of bivalent vaccine with a month of separation between doses.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Cough
Clinical narrative: 6/5/2023 - 6/7/2023 (2 days) 006B21A 4/6/2021 031B21A 5/4/2021 041J21A 12/18/2021 azithromycin IV/ceftriaxone IV  weakness, cough
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia, Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM HYPOXIA
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood culture, Blood lactic acid, Blood magnesium, COVID-19, Computerised tomogram abdomen normal
Clinical narrative: Despite history of multiple vaccinations, patient presented to the Emergency Department on 7/22/23 testing positive for COVID.  She was brought in by family secondary to a fall in the bathroom, and stating that in their opinion the patient felt hot to the touch despite being in air conditioning.  She was admitted to the hospital the same day secondary to febrile illness, fall, and acute COVID infection.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Computerised tomogram head normal, Computerised tomogram spine, Computerised tomogram thorax normal, Differential white blood cell count, Electrocardiogram abnormal
Clinical narrative: Despite history of multiple vaccinations, patient presented to the Emergency Department on 7/22/23 testing positive for COVID.  She was brought in by family secondary to a fall in the bathroom, and stating that in their opinion the patient felt hot to the touch despite being in air conditioning.  She was admitted to the hospital the same day secondary to febrile illness, fall, and acute COVID infection.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fall, Full blood count, Metabolic function test, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Despite history of multiple vaccinations, patient presented to the Emergency Department on 7/22/23 testing positive for COVID.  She was brought in by family secondary to a fall in the bathroom, and stating that in their opinion the patient felt hot to the touch despite being in air conditioning.  She was admitted to the hospital the same day secondary to febrile illness, fall, and acute COVID infection.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sinus tachycardia, Skin warm
Clinical narrative: Despite history of multiple vaccinations, patient presented to the Emergency Department on 7/22/23 testing positive for COVID.  She was brought in by family secondary to a fall in the bathroom, and stating that in their opinion the patient felt hot to the touch despite being in air conditioning.  She was admitted to the hospital the same day secondary to febrile illness, fall, and acute COVID infection.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Fall, Nausea, Syncope
Clinical narrative: As patient was leaving the vaccination site, patient had a syncopal episode resulting in fainting. Dad was present during the fall. Patient reported feeling dizzy, lightheaded, and nauseous (no emesis). Patient breathing was not compromised. We observed patient for about 15 minutes. Water was provided and school staff gave her some Popsicles. Patient's parent reported patient did not eat prior to vaccination and was also out in the sun/heat for about 30 minutes in the registration line. Obtained vitals prior to patient being discharged home with parent. SpO2: 98, HR: 74, BP: 110/70. Patient recovered well and went home with no further issues.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Diarrhoea, Fatigue
Clinical narrative: 6/6/2023 - 6/7/2023 (19 hours) Presented to the hospital generalized weakness. Patient elected to leave against medical advice.   030L20A 1/22/2021 039K20A 2/20/2021 939905 11/2/2021 FM7553 6/17/2022 generalized weakness and fatigue for the last 2 days with associated loose stools.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was on dupixent for eczema, last taken 6/30/2023.  Caregiver did not report medication on vaccine screening checklist for contraindications, and MMRV was given.  Called CDC info, and they advised that best practice would be to vaccinate after dupixent held for three months  due to possible immune suppression.  They also advised to repeat vaccine after not taking the medication for three months keeping in mind that the patient should be immune competent at that time.  CDC advised to submit VAERS report.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Aphasia, Chest discomfort, Diplopia, Neurological symptom
Clinical narrative: 6/7/2023 - 6/9/2023 (2 days) Presented to the hospital after experiencing neurologic symptoms such as diplopia and difficulty speaking.  She also had chest discomfort concerning for acute coronary syndrome  EW0153 4/6/2021 EN6208 4/27/2021 330308D 11/29/2021 FM0173 6/4/2022
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Neuropathy peripheral, Symptom recurrence
Clinical narrative: PERIPHERAL NEUROPATHY ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN 1/25/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Symptom recurrence
Clinical narrative: HYPOXIA 1/6/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Loss of consciousness
Clinical narrative: The patient passed out after shingle shot and woke up after 2-3 minutes. We called EMS and they took him for further check up. When he woke up, he said that he had fainted at home last week but he woke up  after few minutes and he has been seeing his doctor
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Respiratory failure
Clinical narrative: RESPIRATORY FAILURE, UNSPECIFIED ACUITY HYPOXIA
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Amenorrhoea, Asthenia, Menstrual headache, Nausea
Clinical narrative: absence of menses for prolonged durations / pre-menses experience of debilitating nausea  & headaches
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood pressure decreased, Mental status changes
Clinical narrative: 6/7/2023 - 6/11/2023 (4 days) Presented to the hospital with altered mental status and diminished blood pressure. 012M20A 1/28/2021 002A21A 3/1/2021 939909 11/13/2021 006M21A 7/13/2022
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient received Bivalent 5-11 via left arm, instead of Bivalent 12+; no symptoms or reaction.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Inadvertently mixed patient birthday up believing she was 12 and not 11 years 9 months. Informed mother she was given the one for age 12 and older. Child had no s/s of any adverse effects during visit.
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain lower
Clinical narrative: 5/28/2023 - 6/13/2023 (16 days) treated with IV remdesivir/Decadron off oxygen left lower abdominal pain  030B21A 4/14/2021 003C21A 5/12/2021 032H21A 12/7/2021 016A22A 6/29/2022
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 4/27/21 Lot# Ew0176;  Pfzer 5/18/21 lot# Ew0183;  Pfizer 12/18/21 lot# FE3594
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Blood test, Cerebrovascular accident, Electrocardiogram, Magnetic resonance imaging
Clinical narrative: Bells palsy diagnosed 6/11/2021-went to local urgent care.   Stroke 12/28/2021 went to emergency room
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines  Moderna 4/15/21 lot# 030A21A;  Moderna 5/13/21 Lot# 030A21A;  Pfizer 12/6/21 lot# FJ1620
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness
Clinical narrative: Patient had Menveo vaccine administered felt lightheaded and team alert was called. Brought back to clinic, vitals done, given juice/crackers and layed down. Dr. notified, came to exam patient. Vital repeated after 20 minutes and discharged in stable condition per Dr. verbal orders.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 4/26/21 lot# Ew0176;  Pfizer 5/17/21 lot# EW0183
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 1/14/21 lot# 012L20A;  Moderna 2/11/21 lot# 039K20A
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: In December 2022, I woke up one morning and got ready to go to work. I felt feverish, sluggish, and tired, plus I had chills and a headache. I wondered if I had caught a cold or the flu. I took a home antigen test, though, and it turned out that I actually had COVID-19. I called in sick to work and had a telehealth visit with my doctor, who prescribed Paxlovid, vitamin D3, and zinc. I was to take the medication and the two supplements in combination. I began taking them that day. On the first day, I just had bed rest, but by the second day, I felt better. I took the entire five-day course of the medication and got a lot of bed rest, occasional movement around the house, and the occasional necessary trip outside of home to run errands. I always made it a point to mask when I went out in public. I eventually tested negative on another home antigen test, and I was able to return to work afterwards.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sluggishness
Clinical narrative: In December 2022, I woke up one morning and got ready to go to work. I felt feverish, sluggish, and tired, plus I had chills and a headache. I wondered if I had caught a cold or the flu. I took a home antigen test, though, and it turned out that I actually had COVID-19. I called in sick to work and had a telehealth visit with my doctor, who prescribed Paxlovid, vitamin D3, and zinc. I was to take the medication and the two supplements in combination. I began taking them that day. On the first day, I just had bed rest, but by the second day, I felt better. I took the entire five-day course of the medication and got a lot of bed rest, occasional movement around the house, and the occasional necessary trip outside of home to run errands. I always made it a point to mask when I went out in public. I eventually tested negative on another home antigen test, and I was able to return to work afterwards.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 3/31/21 lot# Ew0150;  Pfizer 4/2/21 lot# ER8735;  MOderna 12/22/21 lot# 070H21a;  Moderna 12/1/22 lot# 059F22A
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines Pfizer 2/25/21 lot# EN6202;  Pfizer 3/18/21 lot# ER2613;  Pfizer 9/27/21 lot# FE3592;  Pfizer 4/7/22 lot# FM0698;  Pfizer 10/6/22 Lot# GH9702
Age: 4.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Client to health center today for first dose of COVID.  Nurse mistakenly administered Pfizer 5-11 dose and patient is 4 years old.  Error was not noticed until patient and family had left center.  Nurse contacted Pfizer and was advised to inform the recipient, complete adverse event form, and to not repeat dose.  Nurse contacted Pfizer a second time for further counsel of dosing due to child's age and incorrect dose received and advised to wait three weeks and then administer one dose of Pfizer 6mos-4years and return 8 weeks following dose for second dose of appropriate age.  Nurse contacted patient's father, and advised of medication error.  Father states that patient is doing well with no adverse symptoms at this time.  Nurse informed patient's father of instruction received from Pfizer.  Patient's father wants to speak to spouse and will contact the Agency or Health Center for future appointment if desired.  Patient's father was understanding of information with no concerns at this time.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paresis, Ischaemic stroke
Clinical narrative: ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY LEFT FACIAL MUSCLE WEAKNESS
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines Moderna 1/14/21 lot# 012L20A;  Moderna 2/11/21 lot# 039K20A; Moderna 12/9/21 lot# 060H21Q;  Moderna 7/10/22 lot# 0144B22A;  Pfizer 11/13/22 lot# GH9702
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Hypoxia, Respiratory failure, Symptom recurrence
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXIA 9/15/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines Moderna 2/16/21 lot# 038K20A;  Moderna 3/16/21 lot# 030A21A;  Moderna 11/1/21 lot# 088D21A;  Moderna 5/1/22 lot# 057M21A;  Moderna 10/20/22 lot# 049D22A
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulopathy, Pulmonary embolism
Clinical narrative: COAGULOPATHY, UNSPECIFIED TYPE ACUTE PULMONARY EMBOLISM
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines  Moderna 1/30/21 lot# 007M20A ; Moderna 2/27/21 lot# 038K20A;  Moderna 11/5/21 no lot #
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: C-reactive protein, Cough, Full blood count, Injection site pain, Injection site swelling
Clinical narrative: 7/19 - significant pain on administration 7/20 - expected warmth, swelling and soreness at  injection site  7/21 - extreme pain to area around right deltoid, right clavicle and right scapula. Persistent ache 7-8/10, intermittent sharp pain 8-9/10.  Pain unresolved, 6-7/10 for @ 1 hr with OTC ibuprofen 800mg.  7/22 - visit with chiropractor, beemer and laser therapy.  Ongoing OTC ibuprofen 800 mg every 8 hrs and ice pack every 2-3 hrs. Minimal to mild relief with ibuprofen. Mild relief with ice pack. 7/23 - on going OTC ibuprofen, rest and ice pack. Persistent pain range 5-8. Cough, sneeze or laugh spikes stabbing pain to 10. 07/25 - MD appointment . Full exam, ROM and labwork. Diagnosis SIRVA
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Injection site warmth, Laboratory test, Laser therapy, Musculoskeletal pain, Pain
Clinical narrative: 7/19 - significant pain on administration 7/20 - expected warmth, swelling and soreness at  injection site  7/21 - extreme pain to area around right deltoid, right clavicle and right scapula. Persistent ache 7-8/10, intermittent sharp pain 8-9/10.  Pain unresolved, 6-7/10 for @ 1 hr with OTC ibuprofen 800mg.  7/22 - visit with chiropractor, beemer and laser therapy.  Ongoing OTC ibuprofen 800 mg every 8 hrs and ice pack every 2-3 hrs. Minimal to mild relief with ibuprofen. Mild relief with ice pack. 7/23 - on going OTC ibuprofen, rest and ice pack. Persistent pain range 5-8. Cough, sneeze or laugh spikes stabbing pain to 10. 07/25 - MD appointment . Full exam, ROM and labwork. Diagnosis SIRVA
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Shoulder injury related to vaccine administration, Sneezing
Clinical narrative: 7/19 - significant pain on administration 7/20 - expected warmth, swelling and soreness at  injection site  7/21 - extreme pain to area around right deltoid, right clavicle and right scapula. Persistent ache 7-8/10, intermittent sharp pain 8-9/10.  Pain unresolved, 6-7/10 for @ 1 hr with OTC ibuprofen 800mg.  7/22 - visit with chiropractor, beemer and laser therapy.  Ongoing OTC ibuprofen 800 mg every 8 hrs and ice pack every 2-3 hrs. Minimal to mild relief with ibuprofen. Mild relief with ice pack. 7/23 - on going OTC ibuprofen, rest and ice pack. Persistent pain range 5-8. Cough, sneeze or laugh spikes stabbing pain to 10. 07/25 - MD appointment . Full exam, ROM and labwork. Diagnosis SIRVA
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Epilepsy
Clinical narrative: EPILEPSY, UNSPECIFIED
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: delayed and/or interrupted menses; unusually heavy volume
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines  Moderna 3/14/21 lot# 044A21A;  Moderna 4/10/21 lot# 025B21A;  Pfizer 10/25/21 lot# FF2590;
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 10/26/21 lot# 017F21A;  Moderna 4/5/22 lot# 048L21A;  Moderna 5/4/22 Lot# unknown
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia
Clinical narrative: 6/8/2023 - 6/12/2023 (4 days) weakness No indications for COVID-19 specific therapy. EJ1685 1/7/2021 EL3248 1/28/2021 FF2588 8/30/2021 FK9893 5/11/2022
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 3/12/21Lot# EN6206;  Pfizer 4/2/21 lot# ER8732
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cardiogenic shock
Clinical narrative: ACUTE ST ELEVATION MI, ANTERIOR WALL ACUTE MI CARDIOGENIC SHOCK
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 3/0/21 lot# EN6207;  Pfizer 3/31/21 lot# Ew0150
Age: 21.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient came to several clinics for Pfizer Bivalent boosters even though the patient did not require or meet the criteria for any more COVID vaccinations. It is assumed that the patient took advantage of County's $25 gift card incentive program for patients that receive COVID vaccines. Pt was given unnecessary Pfizer Bivalent booster and asked to wait the required 15 minute wait period and did not complain of any effects from vaccine prior to leaving clinic.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Respiratory failure, Symptom recurrence
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE CHRONIC HYPERCAPNIC RESPIRATORY FAILURE ACUTE ON CHRONIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/12/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS