chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyslipidaemia, Emphysema, Essential hypertension, Fatigue, Fibrin D dimer
Clinical narrative: Hospitalized 11/29/2021-still admitted currently; COVID-19 positive 11/24/21; fully vaccinated  ASSESSMENT Principal Problem:   Pneumonia due to COVID-19 virus Active Problems:   Emphysema   OSA (obstructive sleep apnea)   Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin   Dyslipidemia   Essential hypertension   Depression with anxiety   History of ITP   Rheumatoid arthritis   Acute respiratory failure with hypoxia   Chronic, continuous use of opioids   Coronary artery disease involving native coronary artery of native heart without angina pectoris   Chronic diastolic heart failure  PLAN Cont O2 support, wean as able; currently on 2L Day of illness: 5 Cont Decadron x 10 days total Remdesivir - multiple high risk factors Cont other supportive measures CXR - no significant infiltrates Still at high risk of worsening as she reaches day 7 to 10 of illness 12/2/2021 note: Acute hypoxic respiratory failure-secondary to Covid infection vs COPD Sx start 11/24/21: weakness, fatigue, diarrhea, cough Covid + 11/24/21 CRP: 15 D-dimer: 950 BNP 370 CXR: no acute abnormalities Will cont remdesivir and decadron  Lovenox for DVT ppx Will continue supplemental oxygen to maintain SaO2>90% Cont mucinex and tessalon pearls The patient is on 1 L NC  Dispo: Will monitor respiratory status. Improvement in kidney function. PT/OT. Likely dc home in 2-3 days.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperglycaemia, Insulin-requiring type 2 diabetes mellitus, Rheumatoid arthritis, SARS-CoV-2 test positive, Sleep apnoea syndrome
Clinical narrative: Hospitalized 11/29/2021-still admitted currently; COVID-19 positive 11/24/21; fully vaccinated  ASSESSMENT Principal Problem:   Pneumonia due to COVID-19 virus Active Problems:   Emphysema   OSA (obstructive sleep apnea)   Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin   Dyslipidemia   Essential hypertension   Depression with anxiety   History of ITP   Rheumatoid arthritis   Acute respiratory failure with hypoxia   Chronic, continuous use of opioids   Coronary artery disease involving native coronary artery of native heart without angina pectoris   Chronic diastolic heart failure  PLAN Cont O2 support, wean as able; currently on 2L Day of illness: 5 Cont Decadron x 10 days total Remdesivir - multiple high risk factors Cont other supportive measures CXR - no significant infiltrates Still at high risk of worsening as she reaches day 7 to 10 of illness 12/2/2021 note: Acute hypoxic respiratory failure-secondary to Covid infection vs COPD Sx start 11/24/21: weakness, fatigue, diarrhea, cough Covid + 11/24/21 CRP: 15 D-dimer: 950 BNP 370 CXR: no acute abnormalities Will cont remdesivir and decadron  Lovenox for DVT ppx Will continue supplemental oxygen to maintain SaO2>90% Cont mucinex and tessalon pearls The patient is on 1 L NC  Dispo: Will monitor respiratory status. Improvement in kidney function. PT/OT. Likely dc home in 2-3 days.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram head normal, Computerised tomogram neck, Cough, Fall
Clinical narrative: This is a 74y.o. female with a medical history of breast cancer, bipolar disorder, hypothyroidism, Parkinson's disease, COPD, history of DVT and Eliquis who presented to the emergency department secondary to a fall. She states that she has been feeling ill and having significant body aches and myalgias over the past 7-10 days. She says that she was attempting to ambulate around her house when she fell. She states that her cough has been worsening over the past week. Patient states that she was vaccinated for COVID however her sister recently tested positive for COVID.    On presentation, patient was found to be positive for COVID 19. CT of the head and neck showed no acute process
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pain, SARS-CoV-2 test positive, Uterine dilation and curettage
Clinical narrative: This is a 74y.o. female with a medical history of breast cancer, bipolar disorder, hypothyroidism, Parkinson's disease, COPD, history of DVT and Eliquis who presented to the emergency department secondary to a fall. She states that she has been feeling ill and having significant body aches and myalgias over the past 7-10 days. She says that she was attempting to ambulate around her house when she fell. She states that her cough has been worsening over the past week. Patient states that she was vaccinated for COVID however her sister recently tested positive for COVID.    On presentation, patient was found to be positive for COVID 19. CT of the head and neck showed no acute process
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac flutter, Cardiac monitoring, Cardiac stress test, Dyspnoea
Clinical narrative: Heart palpitations, racing, difficulty breathing, chest pain, shortness of breath, flutters after receiving second dose. Symptoms still occurring.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Palpitations, Ultrasound scan
Clinical narrative: Heart palpitations, racing, difficulty breathing, chest pain, shortness of breath, flutters after receiving second dose. Symptoms still occurring.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Vaginal haemorrhage
Clinical narrative: Vaginal bleeding  This was outside of  my normal menstrual cycle and hasn?t happened prior to the vaccine.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Approximately 13 minutes of pt receiving her booster vaccine she started ?feeling itchy on both arms and legs?. A bottle of water was provided and her vital signs were obtained at 1:47pm, O2 99%, HR 99, BP 115/84. Patient did not show signs  of respiratory distress. Patient stated she did not experience a reaction with the first 2 doses. RN continue to observe pt for an additional 20 minutes. Additional VS obtained at 1:57pm O2 99%, HR 105. Educated patient to go to ER if symptoms persist or worsen. Cleared by RN
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Disturbance in attention, Gait disturbance, Malaise
Clinical narrative: The 1st dose, 5 days later I was diagnosed w/covid. Very Sick  for 2 weeks. Dr. put me on antibiotics and prednisone. Started feeling better 3 or 4 weeks. 2nd shot sick. Did not get out of bed for 2 days. Could barely walk. Very very weeks. Hard time concentrating . Muscles extremely weak. Took about five days to start feeling better. As time goes by my symptoms go up and down. I am however getting weaker and weaker I can barely go up a step my muscles are so weak. I?m trying extra supplements a little more proteins. Vitamins. My weakness is getting worse my muscles are very weak and I have rashes all over my body.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Rash
Clinical narrative: The 1st dose, 5 days later I was diagnosed w/covid. Very Sick  for 2 weeks. Dr. put me on antibiotics and prednisone. Started feeling better 3 or 4 weeks. 2nd shot sick. Did not get out of bed for 2 days. Could barely walk. Very very weeks. Hard time concentrating . Muscles extremely weak. Took about five days to start feeling better. As time goes by my symptoms go up and down. I am however getting weaker and weaker I can barely go up a step my muscles are so weak. I?m trying extra supplements a little more proteins. Vitamins. My weakness is getting worse my muscles are very weak and I have rashes all over my body.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives on the inside of both arms for 3-4 days Hives on the inside of both knees for3-4 days Itching near my eyes, on arms, back and legs continual since the first shot.   Itching is getting less and less and off and on.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: My ears started ringing a few hours after I received my booster and they haven't stopped since
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic perforation, Blood test, Magnetic resonance imaging
Clinical narrative: 09/14/2021 I went in for my yearly physical and I got a lung check with an MRI. The MRI found says I do not have any cancer but they did see a slightly enlarged acceding aorta.
Age: 22.0
Sex: F
Vaccine: HPV9
Symptoms: Abdominal pain upper, Antinuclear antibody negative, Anxiety, Blood immunoglobulin G abnormal, Borrelia test negative
Clinical narrative: Headache, paresthesia, anxiety, epigastric pain, chest pain, palpitations for weeks with  resolution in 3 months
Age: 22.0
Sex: F
Vaccine: HPV9
Symptoms: C-reactive protein increased, COVID-19, Echocardiogram normal, Electrocardiogram ambulatory normal, Full blood count normal
Clinical narrative: Headache, paresthesia, anxiety, epigastric pain, chest pain, palpitations for weeks with  resolution in 3 months
Age: 22.0
Sex: F
Vaccine: HPV9
Symptoms: Headache, Magnetic resonance imaging head normal, Metabolic function test normal, Palpitations, Paraesthesia
Clinical narrative: Headache, paresthesia, anxiety, epigastric pain, chest pain, palpitations for weeks with  resolution in 3 months
Age: 22.0
Sex: F
Vaccine: HPV9
Symptoms: SARS-CoV-2 test positive, Ultrasound abdomen normal
Clinical narrative: Headache, paresthesia, anxiety, epigastric pain, chest pain, palpitations for weeks with  resolution in 3 months
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Vision blurred
Clinical narrative: Vision blurred.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive...family contact
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Angiogram pulmonary abnormal, Blood creatine increased, Brain natriuretic peptide increased, COVID-19
Clinical narrative: ADMISSION:   12012021  Patient is a 55-year-old man with a history of diastolic heart failure, moderate/severe pulmonary hypertension, COPD, CAD, and DMII who presented to the ED with subacute worsening of shortness of breath.  He tested positive for COVID-19 upon admission.   Patient was recently admitted to this facility from  10/25 - 11/5.  He was treated for left upper lobe pneumonia and CHF exacerbation during that admission.  His hospital course was complicated by an AKI.  He responded appropriately to diuresis.  Patient underwent a RHC that admission which was notable for moderate/severe pulmonary hypertension that was not responsive to vasodilator therapy.  Since being discharged from hospital, patient reports that his oxygen status has been intermittently worsening.  He reports that he was discharged on 4 L NC.  Patient reports that he has been adhering to low-sodium diet and fluid restriction with good results.  He reports that his dyspnea has fluctuated quite a bit since his discharge and that he has "good days and bad days."  Patient reports having a cough which is largely chronic and does not seem to be much worse than baseline.  Patient denies having any fever or infectious symptoms.  Patient reported acute worsening of his shortness of breath one day prior to admission which prompted him to come to ED for further evaluation.    Upon arrival to ED, patient was noted to be tachycardic to the low 100's.  He was noted to be hypoxic on his home 4 L nasal cannula and had to be increased up to 6 L NC.  Admission lab work was notable for WBC 7, creatinine 1.3 (close to baseline), BNP mildly elevated to 800.  Patient tested positive for COVID-19.  CXR showed cardiomegaly with no acute airspace disease.  CTA chest showed no PEs, but did comment on some ground-glass opacities which could be seen in viral pneumonia.  Hospitalist was then contacted for admission.    Of note, patient reports that he was fully vaccinated with mRNA vaccine (not sure which) around 7/2021.  Patient is unsure about date of finishing his vaccine series, but thinks it was around 7/2021.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure congestive, Cardiomegaly, Catheterisation cardiac abnormal, Chest X-ray abnormal, Condition aggravated
Clinical narrative: ADMISSION:   12012021  Patient is a 55-year-old man with a history of diastolic heart failure, moderate/severe pulmonary hypertension, COPD, CAD, and DMII who presented to the ED with subacute worsening of shortness of breath.  He tested positive for COVID-19 upon admission.   Patient was recently admitted to this facility from  10/25 - 11/5.  He was treated for left upper lobe pneumonia and CHF exacerbation during that admission.  His hospital course was complicated by an AKI.  He responded appropriately to diuresis.  Patient underwent a RHC that admission which was notable for moderate/severe pulmonary hypertension that was not responsive to vasodilator therapy.  Since being discharged from hospital, patient reports that his oxygen status has been intermittently worsening.  He reports that he was discharged on 4 L NC.  Patient reports that he has been adhering to low-sodium diet and fluid restriction with good results.  He reports that his dyspnea has fluctuated quite a bit since his discharge and that he has "good days and bad days."  Patient reports having a cough which is largely chronic and does not seem to be much worse than baseline.  Patient denies having any fever or infectious symptoms.  Patient reported acute worsening of his shortness of breath one day prior to admission which prompted him to come to ED for further evaluation.    Upon arrival to ED, patient was noted to be tachycardic to the low 100's.  He was noted to be hypoxic on his home 4 L nasal cannula and had to be increased up to 6 L NC.  Admission lab work was notable for WBC 7, creatinine 1.3 (close to baseline), BNP mildly elevated to 800.  Patient tested positive for COVID-19.  CXR showed cardiomegaly with no acute airspace disease.  CTA chest showed no PEs, but did comment on some ground-glass opacities which could be seen in viral pneumonia.  Hospitalist was then contacted for admission.    Of note, patient reports that he was fully vaccinated with mRNA vaccine (not sure which) around 7/2021.  Patient is unsure about date of finishing his vaccine series, but thinks it was around 7/2021.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Coronavirus test positive, Cough, Diuretic therapy, Dyspnoea, Fluid intake restriction
Clinical narrative: ADMISSION:   12012021  Patient is a 55-year-old man with a history of diastolic heart failure, moderate/severe pulmonary hypertension, COPD, CAD, and DMII who presented to the ED with subacute worsening of shortness of breath.  He tested positive for COVID-19 upon admission.   Patient was recently admitted to this facility from  10/25 - 11/5.  He was treated for left upper lobe pneumonia and CHF exacerbation during that admission.  His hospital course was complicated by an AKI.  He responded appropriately to diuresis.  Patient underwent a RHC that admission which was notable for moderate/severe pulmonary hypertension that was not responsive to vasodilator therapy.  Since being discharged from hospital, patient reports that his oxygen status has been intermittently worsening.  He reports that he was discharged on 4 L NC.  Patient reports that he has been adhering to low-sodium diet and fluid restriction with good results.  He reports that his dyspnea has fluctuated quite a bit since his discharge and that he has "good days and bad days."  Patient reports having a cough which is largely chronic and does not seem to be much worse than baseline.  Patient denies having any fever or infectious symptoms.  Patient reported acute worsening of his shortness of breath one day prior to admission which prompted him to come to ED for further evaluation.    Upon arrival to ED, patient was noted to be tachycardic to the low 100's.  He was noted to be hypoxic on his home 4 L nasal cannula and had to be increased up to 6 L NC.  Admission lab work was notable for WBC 7, creatinine 1.3 (close to baseline), BNP mildly elevated to 800.  Patient tested positive for COVID-19.  CXR showed cardiomegaly with no acute airspace disease.  CTA chest showed no PEs, but did comment on some ground-glass opacities which could be seen in viral pneumonia.  Hospitalist was then contacted for admission.    Of note, patient reports that he was fully vaccinated with mRNA vaccine (not sure which) around 7/2021.  Patient is unsure about date of finishing his vaccine series, but thinks it was around 7/2021.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Lung opacity, Medical diet, Oxygen saturation decreased, Pneumonia
Clinical narrative: ADMISSION:   12012021  Patient is a 55-year-old man with a history of diastolic heart failure, moderate/severe pulmonary hypertension, COPD, CAD, and DMII who presented to the ED with subacute worsening of shortness of breath.  He tested positive for COVID-19 upon admission.   Patient was recently admitted to this facility from  10/25 - 11/5.  He was treated for left upper lobe pneumonia and CHF exacerbation during that admission.  His hospital course was complicated by an AKI.  He responded appropriately to diuresis.  Patient underwent a RHC that admission which was notable for moderate/severe pulmonary hypertension that was not responsive to vasodilator therapy.  Since being discharged from hospital, patient reports that his oxygen status has been intermittently worsening.  He reports that he was discharged on 4 L NC.  Patient reports that he has been adhering to low-sodium diet and fluid restriction with good results.  He reports that his dyspnea has fluctuated quite a bit since his discharge and that he has "good days and bad days."  Patient reports having a cough which is largely chronic and does not seem to be much worse than baseline.  Patient denies having any fever or infectious symptoms.  Patient reported acute worsening of his shortness of breath one day prior to admission which prompted him to come to ED for further evaluation.    Upon arrival to ED, patient was noted to be tachycardic to the low 100's.  He was noted to be hypoxic on his home 4 L nasal cannula and had to be increased up to 6 L NC.  Admission lab work was notable for WBC 7, creatinine 1.3 (close to baseline), BNP mildly elevated to 800.  Patient tested positive for COVID-19.  CXR showed cardiomegaly with no acute airspace disease.  CTA chest showed no PEs, but did comment on some ground-glass opacities which could be seen in viral pneumonia.  Hospitalist was then contacted for admission.    Of note, patient reports that he was fully vaccinated with mRNA vaccine (not sure which) around 7/2021.  Patient is unsure about date of finishing his vaccine series, but thinks it was around 7/2021.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia viral, Pulmonary hypertension, Tachycardia, Therapy non-responder, Vasodilation procedure
Clinical narrative: ADMISSION:   12012021  Patient is a 55-year-old man with a history of diastolic heart failure, moderate/severe pulmonary hypertension, COPD, CAD, and DMII who presented to the ED with subacute worsening of shortness of breath.  He tested positive for COVID-19 upon admission.   Patient was recently admitted to this facility from  10/25 - 11/5.  He was treated for left upper lobe pneumonia and CHF exacerbation during that admission.  His hospital course was complicated by an AKI.  He responded appropriately to diuresis.  Patient underwent a RHC that admission which was notable for moderate/severe pulmonary hypertension that was not responsive to vasodilator therapy.  Since being discharged from hospital, patient reports that his oxygen status has been intermittently worsening.  He reports that he was discharged on 4 L NC.  Patient reports that he has been adhering to low-sodium diet and fluid restriction with good results.  He reports that his dyspnea has fluctuated quite a bit since his discharge and that he has "good days and bad days."  Patient reports having a cough which is largely chronic and does not seem to be much worse than baseline.  Patient denies having any fever or infectious symptoms.  Patient reported acute worsening of his shortness of breath one day prior to admission which prompted him to come to ED for further evaluation.    Upon arrival to ED, patient was noted to be tachycardic to the low 100's.  He was noted to be hypoxic on his home 4 L nasal cannula and had to be increased up to 6 L NC.  Admission lab work was notable for WBC 7, creatinine 1.3 (close to baseline), BNP mildly elevated to 800.  Patient tested positive for COVID-19.  CXR showed cardiomegaly with no acute airspace disease.  CTA chest showed no PEs, but did comment on some ground-glass opacities which could be seen in viral pneumonia.  Hospitalist was then contacted for admission.    Of note, patient reports that he was fully vaccinated with mRNA vaccine (not sure which) around 7/2021.  Patient is unsure about date of finishing his vaccine series, but thinks it was around 7/2021.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: ADMISSION:   12012021  Patient is a 55-year-old man with a history of diastolic heart failure, moderate/severe pulmonary hypertension, COPD, CAD, and DMII who presented to the ED with subacute worsening of shortness of breath.  He tested positive for COVID-19 upon admission.   Patient was recently admitted to this facility from  10/25 - 11/5.  He was treated for left upper lobe pneumonia and CHF exacerbation during that admission.  His hospital course was complicated by an AKI.  He responded appropriately to diuresis.  Patient underwent a RHC that admission which was notable for moderate/severe pulmonary hypertension that was not responsive to vasodilator therapy.  Since being discharged from hospital, patient reports that his oxygen status has been intermittently worsening.  He reports that he was discharged on 4 L NC.  Patient reports that he has been adhering to low-sodium diet and fluid restriction with good results.  He reports that his dyspnea has fluctuated quite a bit since his discharge and that he has "good days and bad days."  Patient reports having a cough which is largely chronic and does not seem to be much worse than baseline.  Patient denies having any fever or infectious symptoms.  Patient reported acute worsening of his shortness of breath one day prior to admission which prompted him to come to ED for further evaluation.    Upon arrival to ED, patient was noted to be tachycardic to the low 100's.  He was noted to be hypoxic on his home 4 L nasal cannula and had to be increased up to 6 L NC.  Admission lab work was notable for WBC 7, creatinine 1.3 (close to baseline), BNP mildly elevated to 800.  Patient tested positive for COVID-19.  CXR showed cardiomegaly with no acute airspace disease.  CTA chest showed no PEs, but did comment on some ground-glass opacities which could be seen in viral pneumonia.  Hospitalist was then contacted for admission.    Of note, patient reports that he was fully vaccinated with mRNA vaccine (not sure which) around 7/2021.  Patient is unsure about date of finishing his vaccine series, but thinks it was around 7/2021.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anosmia, Chest discomfort, Chills, Cough, Dyspnoea
Clinical narrative: sore throat and mild cough on 11/30. She then developed nausea, body aches, chills and sweats. She has had SOB starting yesterday with some chest tightness-she does have asthma, and her albuterol is helping. She has mild nasal congestion, sore throat is now mild. Loss of smell today Her boyfriend got a positive COVId-19 result last night .
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Nasal congestion, Nausea, Oropharyngeal pain, Pain
Clinical narrative: sore throat and mild cough on 11/30. She then developed nausea, body aches, chills and sweats. She has had SOB starting yesterday with some chest tightness-she does have asthma, and her albuterol is helping. She has mild nasal congestion, sore throat is now mild. Loss of smell today Her boyfriend got a positive COVId-19 result last night .
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hypotension, SARS-CoV-2 test positive, Syncope
Clinical narrative: came to ED with syncope. tested positive for COVID 2 days prior and given Regeneron 12/1 prior to coming to ED
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Laboratory test, Nausea
Clinical narrative: Nausea, chills and ongoing chest pain.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: FF2593 Vial specified that expiration date was 11/2021. The pharmacy notified team that vial was expired 11/24/21. The vaccine was administered 11/30/21.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: 12-01-2021- Patient received second Pfizer-COV (5-11) Immz, 0.2 mls/ IM. (parent had forgotten to bring COV-Card from first Immz). This was given in Error on Day 15, post first COV-Immz Date (11/16/2021). As soon as error was discovered -while patient & father were still in office; Dr ; who began investigating for proper protocol steps.  Dr spoke with father in exam room and then again by phone, providing all COV-Immz.-Information with Recommendations. Father stated he will discuss with Mother and call back with their decision concerning another Immz. Patient had no immediate s/s of any  adverse reaction, when leaving office. Proper Error Reports /VAERS & MO-Incident Report will be completed by the nurse. A new plan was put in place to prevent this error in the future, with several "double checks & confirmations".  12-02-2021- Follow Up call has been placed to parent of pt.; Mother reports; pt is doing well, no s/s of adverse reactions. Asked Mom to call back if anything changes, mom voiced understanding.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: I woke up 12 hours after my booster with chills, a fever, headache and body aches. I took Tylenol and went back to bed. I woke up at 8 feeling the same. It?s 3:19pm on 12/2 and my fever and chills are back. I still have a headache and body aches.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive family contact
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Headache, Hypersomnia, Lethargy, Pain
Clinical narrative: #2  vaccine in series:   High fever (101- 104 ear thermometer) confirmed with oral mercury thermometer (1 degree lower)lasting 24 hours;  tx'd with Tylenol; headache, body aches, extreme lethargy- slept for long periods of time with brief waking to drink and medicate  # 3 booster :  High fever 101-104 ear thermometer) confirmed with oral  mercury thermometer (~ 1 degree lower) lasting  ~48 ;  day 2 fever up to 101 @ 48 hrs post vax- same with HA, body aches and extreme lethargy; slept for long periods of time with brief waking to drink and medicate; day 2 lethargy improved  but fever 101 remained ; last recorded fever was @ ~ 48 hours post vax
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: #2  vaccine in series:   High fever (101- 104 ear thermometer) confirmed with oral mercury thermometer (1 degree lower)lasting 24 hours;  tx'd with Tylenol; headache, body aches, extreme lethargy- slept for long periods of time with brief waking to drink and medicate  # 3 booster :  High fever 101-104 ear thermometer) confirmed with oral  mercury thermometer (~ 1 degree lower) lasting  ~48 ;  day 2 fever up to 101 @ 48 hrs post vax- same with HA, body aches and extreme lethargy; slept for long periods of time with brief waking to drink and medicate; day 2 lethargy improved  but fever 101 remained ; last recorded fever was @ ~ 48 hours post vax
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Dialysis hypotension, Haemolytic anaemia, Laboratory test, Platelet count decreased
Clinical narrative: TTP (hemolytic anemia , thrombocytopenia with negative Coombs , high ldh and retic counts ) all testing rules out everything else and alluded to the vaccine . Confirmed by oncology clinic.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Reticulocyte count increased, Spleen disorder, Thrombocytopenia
Clinical narrative: TTP (hemolytic anemia , thrombocytopenia with negative Coombs , high ldh and retic counts ) all testing rules out everything else and alluded to the vaccine . Confirmed by oncology clinic.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Injection site pain, Myalgia, Pain
Clinical narrative: By the next evening after the vaccine I had chills, body/muscle aches, felt weak and had a fever. Also, my arm was very soar at the injection sight and while it is less severe today, just slightly painful upon touching it, it is still soar. Both my husband and I got our first vaccine on that same date and both of us had the same symptoms the next day. We heard most people feel crappy after the 2nd dose not the first dose. But we felt pretty bad after that first dose. We both had the Covid Delta variant in August and had waited the 90 days before getting our first Covid vaccine as instructed.  Maybe that had something to o with it?   Both my husband & I are fine now except for that little pain in our arms.  Not a big deal, just letting you know what happened in case you're interested in keeping track.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: By the next evening after the vaccine I had chills, body/muscle aches, felt weak and had a fever. Also, my arm was very soar at the injection sight and while it is less severe today, just slightly painful upon touching it, it is still soar. Both my husband and I got our first vaccine on that same date and both of us had the same symptoms the next day. We heard most people feel crappy after the 2nd dose not the first dose. But we felt pretty bad after that first dose. We both had the Covid Delta variant in August and had waited the 90 days before getting our first Covid vaccine as instructed.  Maybe that had something to o with it?   Both my husband & I are fine now except for that little pain in our arms.  Not a big deal, just letting you know what happened in case you're interested in keeping track.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase normal, Blood creatinine increased, Blood lactate dehydrogenase increased, C-reactive protein increased, COVID-19
Clinical narrative: This is a 77y.o. male with atrial fibrillation/flutter on Coumadin, COPD, stage 3 chronic kidney disease, CHF, and hypertension who presents from group home complaining of shortness of breath on exertion x 2 days. He also has chills, malaise, myalgias, cough, and chest tightness with coughing and admits to being in close contact with his roommate who is also ill. He reports he is fully vaccinated against COVID-19. He denies known fever, nausea, vomiting, abdominal pain, or diarrhea. He has chronic orthopnea, but denies lower extremity swelling or calf pain.   Upon arrival to the ED, BP was 163/110. He was afebrile, SpO2 92% on room air and 1 liter of supplemental oxygen applied, which was then escalated to 3 liters. COVID-19 detected. No acute process seen on chest x-ray. Labs notable for D-dimer 500, CRP 128, troponin negative, ferritin 201, LDH 237, CK 109. Creatinine 1.84, near baseline. Procalcitonin 0.11. The patient was admitted on IV dexamethasone. ID consulted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Chills, Cough, Dyspnoea exertional
Clinical narrative: This is a 77y.o. male with atrial fibrillation/flutter on Coumadin, COPD, stage 3 chronic kidney disease, CHF, and hypertension who presents from group home complaining of shortness of breath on exertion x 2 days. He also has chills, malaise, myalgias, cough, and chest tightness with coughing and admits to being in close contact with his roommate who is also ill. He reports he is fully vaccinated against COVID-19. He denies known fever, nausea, vomiting, abdominal pain, or diarrhea. He has chronic orthopnea, but denies lower extremity swelling or calf pain.   Upon arrival to the ED, BP was 163/110. He was afebrile, SpO2 92% on room air and 1 liter of supplemental oxygen applied, which was then escalated to 3 liters. COVID-19 detected. No acute process seen on chest x-ray. Labs notable for D-dimer 500, CRP 128, troponin negative, ferritin 201, LDH 237, CK 109. Creatinine 1.84, near baseline. Procalcitonin 0.11. The patient was admitted on IV dexamethasone. ID consulted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to communicable disease, Fibrin D dimer, Malaise, Myalgia, Procalcitonin
Clinical narrative: This is a 77y.o. male with atrial fibrillation/flutter on Coumadin, COPD, stage 3 chronic kidney disease, CHF, and hypertension who presents from group home complaining of shortness of breath on exertion x 2 days. He also has chills, malaise, myalgias, cough, and chest tightness with coughing and admits to being in close contact with his roommate who is also ill. He reports he is fully vaccinated against COVID-19. He denies known fever, nausea, vomiting, abdominal pain, or diarrhea. He has chronic orthopnea, but denies lower extremity swelling or calf pain.   Upon arrival to the ED, BP was 163/110. He was afebrile, SpO2 92% on room air and 1 liter of supplemental oxygen applied, which was then escalated to 3 liters. COVID-19 detected. No acute process seen on chest x-ray. Labs notable for D-dimer 500, CRP 128, troponin negative, ferritin 201, LDH 237, CK 109. Creatinine 1.84, near baseline. Procalcitonin 0.11. The patient was admitted on IV dexamethasone. ID consulted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Serum ferritin normal, Troponin normal
Clinical narrative: This is a 77y.o. male with atrial fibrillation/flutter on Coumadin, COPD, stage 3 chronic kidney disease, CHF, and hypertension who presents from group home complaining of shortness of breath on exertion x 2 days. He also has chills, malaise, myalgias, cough, and chest tightness with coughing and admits to being in close contact with his roommate who is also ill. He reports he is fully vaccinated against COVID-19. He denies known fever, nausea, vomiting, abdominal pain, or diarrhea. He has chronic orthopnea, but denies lower extremity swelling or calf pain.   Upon arrival to the ED, BP was 163/110. He was afebrile, SpO2 92% on room air and 1 liter of supplemental oxygen applied, which was then escalated to 3 liters. COVID-19 detected. No acute process seen on chest x-ray. Labs notable for D-dimer 500, CRP 128, troponin negative, ferritin 201, LDH 237, CK 109. Creatinine 1.84, near baseline. Procalcitonin 0.11. The patient was admitted on IV dexamethasone. ID consulted.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient presented to the office for her Moderna booster vaccine (0.25 mL). It was brought to the attention of the vaccine manager, that the efficacy of the vaccines being administered that morning was diminished due to the length of time that the vaccine vial had been open for. The vial had been open for 24 hours at that point in time. The patient stayed under standard observation for 15 minutes and exhibited no ill effects.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact with father-in-law
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Injection site reaction, Nausea, Pain, Pruritus
Clinical narrative: Large red rash at site, approximately 6? diameter. Hot to touch. Sore and slightly itchy.  Diarrhea Nausea
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Skin warm
Clinical narrative: Large red rash at site, approximately 6? diameter. Hot to touch. Sore and slightly itchy.  Diarrhea Nausea
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Autoimmune thyroiditis, Blood test, Condition aggravated, Discomfort
Clinical narrative: Made all dormant illnesses/infections flare-up (etc. Hashimoto's, Epstein Barr, HSV-1) also affected menstrual cycle and symptoms. Experiencing extreme fatigue and weakness, headaches and brain fog, menstrual irregularities, and discomfort.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epstein-Barr virus infection, Fatigue, Feeling abnormal, Headache, Herpes simplex
Clinical narrative: Made all dormant illnesses/infections flare-up (etc. Hashimoto's, Epstein Barr, HSV-1) also affected menstrual cycle and symptoms. Experiencing extreme fatigue and weakness, headaches and brain fog, menstrual irregularities, and discomfort.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder, Menstruation irregular
Clinical narrative: Made all dormant illnesses/infections flare-up (etc. Hashimoto's, Epstein Barr, HSV-1) also affected menstrual cycle and symptoms. Experiencing extreme fatigue and weakness, headaches and brain fog, menstrual irregularities, and discomfort.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: FF2593 vial specified expiration date of 11/2021. The pharmacy notified team vial expired 11/24/2021. The vaccine administered 11/29/2021.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: vaccine booster event was organized for IMSA boosters approved at time for only 18 plus. pt is not yet 18. Parent was contacted and notified of vaccination. Father was not concerned. Stated patient was fine and no issues.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated against COVID-19 and became hospitalized with COVID.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: last week on Sunday I ended up with vertigo I was doing some pluming work and after I got up from  doing my works its when it hit me.  I saw the doctor. on Monday they diagnosed me with vertigo without nystagmus. it stayed for about 4 days.  They recommended that I do some specialized exercise for the issue and this helped me.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Swollen tongue
Clinical narrative: About 30 minutes following vaccination, the patient reported left-sided numbness. At first it was just her left jaw, which she described as feeling like "she just received a novocaine shot" and said you could "drill her tooth and she wouldn't feel it." She also reported numbness down her left side of her neck and arm. About an hour after vaccination, she could not feel her tongue. No other symptoms were present. No swelling, tingling, redness, urticaria, etc. Her BP was taken at 3:10pm and was 131/88mmHg, pulse of 81bpm. The patient has a history of migraines, but has never experienced this symptom before. I advised the patient to go to the ER after her tongue was swelling and even offered to drive her. She refused, saying that she "doesn't want to catch COVID" and she will go home and have her adult son monitor her. I advised that she take a benadryl, to which she said she would do when she got home. I let her know that I will follow up with her in 2 hours and again tomorrow. She left the store at 3:25pm.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE STORED AT IMPROPER TEMPERATURE
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Chest pain, Cough, Nasopharyngitis, Pain, Peroneal nerve palsy
Clinical narrative: patient states she has vaccines in late March/April 2021 This is a 63y.o. female with hx of COPD, HTN who presents to the hospital with a chief complaint of chest pain since 10/19 4pm. Pt states that the pain is in the middle of the chest and feels like she go punched in the chest. Her chest pain radiates to the right side. Pt  Was Covid vaccinated with Pfizer in march/april. Pt states that she has been coughing since 10/16 on which she went to a kids football game and she was sitting outside, so she attributed it to getting a small cold. Right knee replaced 2021. Pt states she has drop foot of the left foot which she sees a orthopedic doctor with providence after clubfoot repair. Pt states that she smokes 1/2 PPD but quit recently and relapsed. Pt states that she does not drink.  Pt states that daughter can make medical decisions for her if she becomes incapacitated. Pt states that she had surgery in the past to fuse vertebrae of the neck and lower back with recurrent nerve damage after the procedure and associated neuropathy.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Lymphadenopathy, Palpitations
Clinical narrative: Heart palpitations that started 2 hours after injection. Continuous since 11.23.21. Heart rate between 150-160. Abnormal EKG. Swollen lymph node the size of a softball under arm
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotonia, Loss of consciousness, Muscle rigidity, Seizure, Unresponsive to stimuli
Clinical narrative: I reviewed patient Consent Form and patient stated that she was going to look away and  to tell her when it was all over. After administration,  patient became limp and her head fell backwards.  I took the patient's mask off, nudged and called her with no response.  Patient loss consciousness in chair and her body became rigid.  Patient had a series of convulsions and recovered in chair. Emergency services was called and took over the scene.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: FF2593 Vial specified that expiration date was 11/2021. The pharmacy notified team that vial was expired 11/24/21. The vaccine was administered 11/30/21.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Mechanical urticaria, Pruritus, Rash, Urticaria
Clinical narrative: Two weeks post Moderna booster, I developed hives and rash - starting on neck/hairline, moving to groin/armpit/upper back. Took Benadryl. Have come back daily - usually start to appear on wrists, then move around the body randomly. Spread quickly in affected area. Often appear where I touch or scratch - like dermatographic urticaria. Still taking Benadryl at night to sleep and stop the itching. Have not changed any eating habits or products - nothing else environmentally. No known allergies other than mild seasonal nasal issues. Starting on daily Zyrtec. This is day 5 and they are not subsiding.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Dyspepsia, Herpes zoster, Skin haemorrhage
Clinical narrative: I had an active shingles case from February 2018 until April 2021. The two Moderna regular  shots only gave me a soreness in the shoulder. The booster shot delivered on 11.16/2021 was the only one that bothered. Approximately 12 hours after receiving the shot, I experienced extreme heart burn which lasted some 4 hours  and soreness in shoulder the next day. By this report, I only want to highlight the reactivation of the shingles big time, lots of festering and bleeding. That occurred over the next two weeks and is still progressing. Also,, a very similar spot between my thumb and index finger on the right hand has shown up. The original shingles was at my tail bone, mostly on the right side.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Skin weeping
Clinical narrative: I had an active shingles case from February 2018 until April 2021. The two Moderna regular  shots only gave me a soreness in the shoulder. The booster shot delivered on 11.16/2021 was the only one that bothered. Approximately 12 hours after receiving the shot, I experienced extreme heart burn which lasted some 4 hours  and soreness in shoulder the next day. By this report, I only want to highlight the reactivation of the shingles big time, lots of festering and bleeding. That occurred over the next two weeks and is still progressing. Also,, a very similar spot between my thumb and index finger on the right hand has shown up. The original shingles was at my tail bone, mostly on the right side.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymph node pain, Lymphadenopathy
Clinical narrative: After receiving the 3rd Booster of Pfizer 11/29/2021, patient started experiencing symptoms on 11/30/2021 of swelling and pain in the left lymph node. Experienced extreme fatigue lasting 24 hours (has since subsided). Primary communications 12/01/2021 (still waiting on recommendations).
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Menstruation delayed, Nausea
Clinical narrative: New painful period cramps and nausea. Delayed period onset.
Age: 13.0
Sex: F
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: none
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE STORED AT IMPROPER TEMPERATURES.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Laboratory test, Nausea
Clinical narrative: Dizzy, Nausea,  Headache
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Syncope
Clinical narrative: Patient had no initial side effects until Day 6 after getting the vaccine. He had a seizure for the first time at around 7:10am when he was getting ready for school. He had just begun to brush his teeth when he collapsed and had a seizure. He has no medical reason to have seizures and had never had one until 6 days after getting the vaccine. Patient had to be taken the the ER to be monitored because it was his 1st seizure and then had to follow up the next day with his regular pediatrician. He will have to see Neurology, but won't see that department until January 2022. No medications were given for him to take and his was cleared to resume all normal activities again.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Inappropriate schedule of product administration, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Received COVID and Flu shot together in left arm on Thursday and Saturday my are was swollen in a 4x4 inch area raised 1/4 inch off arm. Red hot ache spot. Lasted for 3 weeks
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Death, Hepatomegaly, Hyperhidrosis, Insomnia
Clinical narrative: Trembles, Diaforesis, Hepatomegalia,  Insomnia and Death by Heart Failure
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Trembles, Diaforesis, Hepatomegalia,  Insomnia and Death by Heart Failure
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dose: Moderna booster dose administered 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Contusion, Full blood count, Platelet count decreased
Clinical narrative: This only occurred after the 3rd vaccine (booster). Went to the doctor for a regular physical and was told my platelet count was low after a routine blood test. She asked me if I noticed that I was bruising more easily or if cuts took longer to heal and I agreed, noticing those symptoms. Doctor ordered a second blood test to double check since it was done a few days after the injection, that it was be my body reacting normally to the booster. Second blood test came back the same. (A bruise developed where the needle went in and took over two weeks to heal) Doctor ordered me to wait about a week to retake a CBC test to check platelet levels again. Have yet to take that test because of a move out of state and no insurance until January 2022 due to that. As of 11/29/2021 a bruise is re-developing where the second blood test's needle went in, as well as feeling pulses in that same area and on the left-side of my head, above the ear, and around my left thigh.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive..family contact