chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Hypoxia, Nausea, Refusal of treatment by patient, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 7/24/2021: Pt presents to ED complaining of migrating joint pain and back pain for the past 3 days.  She notes that she did vomit 1 time earlier today, but is no longer nauseous.  She has been compliant with her diabetes medications.  Patient noticed some dysuria earlier today.. The onset was 3  days ago. Patient dc home same day. 7/25/2021: Pt presents to ED with similar symptoms as day prior. Patient tests positive for COVID-19 upon admission. Patient discharged home on 8/1 8/1/2021: Pt presents to ED with CC  SOB. Per patient, recently tested positive for COVID-19 (7/24/2021) and reports having worsening SOB and hypoxia that was recorded at 66% O2 at room air with her home monitoring kit. Pt arrives to the ED in
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Bronchial irritation, Chest X-ray, Influenza like illness, Mass
Clinical narrative: Raised Red hive/lump size of a silver dollar that lasted for 6 days and includes flu/bronchitis type symptoms.  After the 6 days the Bronchitis type symptoms still persist to the present day  and are on going!!!
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urticaria
Clinical narrative: Raised Red hive/lump size of a silver dollar that lasted for 6 days and includes flu/bronchitis type symptoms.  After the 6 days the Bronchitis type symptoms still persist to the present day  and are on going!!!
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Feeling abnormal, Hyperhidrosis
Clinical narrative: Moderate site pain yesterday and today with a lump Terrible chills and sweats the entire night of the shot Next day rash ALL over stomach and neck Next day feel like I?ve been hit by a bus and run over repeatedly. Sore, weak, tired
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain, Pain, Rash
Clinical narrative: Moderate site pain yesterday and today with a lump Terrible chills and sweats the entire night of the shot Next day rash ALL over stomach and neck Next day feel like I?ve been hit by a bus and run over repeatedly. Sore, weak, tired
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea
Clinical narrative: 8/4/2021 Patient came to the emergency room on account of shortness of breath and acute hypoxemic respiratory failure.  Chest x-ray showed bilateral pulmonary infiltrates and was positive for Covid 19 pneumonitis on the day of admission.  She is on a heated high flow  15 L oxygen nasal cannula. She denies any chest pain no shortness of breath or palpitation no nausea no vomiting no diarrhea but was febrile when she came in. Of note, patient received Pfizer COVID vaccine, last dose administered March 2021. 8/16/2021: Patient still admitted as of this report submission.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 8/4/2021 Patient came to the emergency room on account of shortness of breath and acute hypoxemic respiratory failure.  Chest x-ray showed bilateral pulmonary infiltrates and was positive for Covid 19 pneumonitis on the day of admission.  She is on a heated high flow  15 L oxygen nasal cannula. She denies any chest pain no shortness of breath or palpitation no nausea no vomiting no diarrhea but was febrile when she came in. Of note, patient received Pfizer COVID vaccine, last dose administered March 2021. 8/16/2021: Patient still admitted as of this report submission.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal dreams, Arthralgia, Condition aggravated, Immediate post-injection reaction, Lyme disease
Clinical narrative: So this is what is going on, I went to the DR because I felt the shot go into my arm, go down my arm and into my right ring finger and stay there. After that shot, also, my Lyme disease from 2016 had been horrible. My limbs, my joints, everything felt like they were being pulled apart. It felt as though my Lyme disease was reoccurring all over again. I told the DR that and he said he has had an increase of people going in. I was bed ridden for a long time, I do not even remember. But my DR re-treated me for Lyme disease when I went in, he put me on Doxycycline daily. Each day, I do not know what to expect. Some days I am okay and other days I feel horrible for hours and hours. I take a doxycycline as night and it could feel fine, or it could feel like I am being ripped apart. Again, it was never ever this severe until after the second shot. And tomorrow is my last day on the doxycycline. Really it's like the lyme disease completely reactivated. Also, I had a rash immediately after the injection, it was double the size and thickness of a half dollar coin - it was also hot to touch. I also had five back to back, very vivid nightmares in the night and they were so bad that it distorted my reality. It was the most horrifying thing I have ever gone through. Though, the vivid dreams have continued although they are not back to back they happen here and there and they are just horrific.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Nightmare, Pain, Rash, Sensory disturbance
Clinical narrative: So this is what is going on, I went to the DR because I felt the shot go into my arm, go down my arm and into my right ring finger and stay there. After that shot, also, my Lyme disease from 2016 had been horrible. My limbs, my joints, everything felt like they were being pulled apart. It felt as though my Lyme disease was reoccurring all over again. I told the DR that and he said he has had an increase of people going in. I was bed ridden for a long time, I do not even remember. But my DR re-treated me for Lyme disease when I went in, he put me on Doxycycline daily. Each day, I do not know what to expect. Some days I am okay and other days I feel horrible for hours and hours. I take a doxycycline as night and it could feel fine, or it could feel like I am being ripped apart. Again, it was never ever this severe until after the second shot. And tomorrow is my last day on the doxycycline. Really it's like the lyme disease completely reactivated. Also, I had a rash immediately after the injection, it was double the size and thickness of a half dollar coin - it was also hot to touch. I also had five back to back, very vivid nightmares in the night and they were so bad that it distorted my reality. It was the most horrifying thing I have ever gone through. Though, the vivid dreams have continued although they are not back to back they happen here and there and they are just horrific.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: So this is what is going on, I went to the DR because I felt the shot go into my arm, go down my arm and into my right ring finger and stay there. After that shot, also, my Lyme disease from 2016 had been horrible. My limbs, my joints, everything felt like they were being pulled apart. It felt as though my Lyme disease was reoccurring all over again. I told the DR that and he said he has had an increase of people going in. I was bed ridden for a long time, I do not even remember. But my DR re-treated me for Lyme disease when I went in, he put me on Doxycycline daily. Each day, I do not know what to expect. Some days I am okay and other days I feel horrible for hours and hours. I take a doxycycline as night and it could feel fine, or it could feel like I am being ripped apart. Again, it was never ever this severe until after the second shot. And tomorrow is my last day on the doxycycline. Really it's like the lyme disease completely reactivated. Also, I had a rash immediately after the injection, it was double the size and thickness of a half dollar coin - it was also hot to touch. I also had five back to back, very vivid nightmares in the night and they were so bad that it distorted my reality. It was the most horrifying thing I have ever gone through. Though, the vivid dreams have continued although they are not back to back they happen here and there and they are just horrific.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Computerised tomogram abdomen, Computerised tomogram abnormal, Epstein-Barr virus antigen positive, Epstein-Barr virus infection
Clinical narrative: Came to ER on 5.4.21 w/ abdominal pain. -- > L-sided abdominal pain, dull aching up to 4/10 pain scale non-radiating not associated with nausea, vomiting, diarrhea, constipation  or fever.  WBC was 1.6 with ANC 1.1, low and absolute lymphocyte count of 0.4, low Hb was 9.9 g/dl Plt count was 85 5.4.21 CT abd/pelvis w/IV and po contrast revealed splenomegaly 12.8 x 29.8 x 25.1 cm with retroperitoneal lymphadenopathy.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Lymphocyte count decreased, Neutrophil count decreased, Pain, Platelet count decreased
Clinical narrative: Came to ER on 5.4.21 w/ abdominal pain. -- > L-sided abdominal pain, dull aching up to 4/10 pain scale non-radiating not associated with nausea, vomiting, diarrhea, constipation  or fever.  WBC was 1.6 with ANC 1.1, low and absolute lymphocyte count of 0.4, low Hb was 9.9 g/dl Plt count was 85 5.4.21 CT abd/pelvis w/IV and po contrast revealed splenomegaly 12.8 x 29.8 x 25.1 cm with retroperitoneal lymphadenopathy.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Positron emission tomogram, Retroperitoneal lymphadenopathy, Scan with contrast abnormal, Splenomegaly, Ultrasound scan
Clinical narrative: Came to ER on 5.4.21 w/ abdominal pain. -- > L-sided abdominal pain, dull aching up to 4/10 pain scale non-radiating not associated with nausea, vomiting, diarrhea, constipation  or fever.  WBC was 1.6 with ANC 1.1, low and absolute lymphocyte count of 0.4, low Hb was 9.9 g/dl Plt count was 85 5.4.21 CT abd/pelvis w/IV and po contrast revealed splenomegaly 12.8 x 29.8 x 25.1 cm with retroperitoneal lymphadenopathy.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Came to ER on 5.4.21 w/ abdominal pain. -- > L-sided abdominal pain, dull aching up to 4/10 pain scale non-radiating not associated with nausea, vomiting, diarrhea, constipation  or fever.  WBC was 1.6 with ANC 1.1, low and absolute lymphocyte count of 0.4, low Hb was 9.9 g/dl Plt count was 85 5.4.21 CT abd/pelvis w/IV and po contrast revealed splenomegaly 12.8 x 29.8 x 25.1 cm with retroperitoneal lymphadenopathy.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pain, Peripheral swelling
Clinical narrative: 7/28/21: Pt presents to the ED with SOB x 4 days. Pt states he was recently tested positive for COVID-19 and complains of SOB, body aches, cough, and fever. He also complains of bilateral LE swelling. The onset was 4  days ago. Pt states he was recently admitted to Health Central 4 days ago for evaluation of his symptoms, but was discharged after 2 days. He mentioned he is fully vaccinated with Pfizer  for COVID-19. Last COVID vaccine admin in April 2021.  7/28/2021: SARS CoV 2 PCR COVID-19 Positive  7/30/21: Pt discharged
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 7/28/21: Pt presents to the ED with SOB x 4 days. Pt states he was recently tested positive for COVID-19 and complains of SOB, body aches, cough, and fever. He also complains of bilateral LE swelling. The onset was 4  days ago. Pt states he was recently admitted to Health Central 4 days ago for evaluation of his symptoms, but was discharged after 2 days. He mentioned he is fully vaccinated with Pfizer  for COVID-19. Last COVID vaccine admin in April 2021.  7/28/2021: SARS CoV 2 PCR COVID-19 Positive  7/30/21: Pt discharged
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Blood test normal, Cardiovascular evaluation, Chest X-ray normal, Chest discomfort
Clinical narrative: Cardiac chest pain. Burning, crushing 7/10 for 8 hours.  Gradual reduction in discomfort over 3-6 weeks. Sought medical evaluation 2 weeks after via telehealth recommendation ibuprofen and Tylenol. Pain decreased.  6 weeks after:Chest X-ray and full cardiac work with echocardiogram. Pain and discomfort down to a 1 or 2 out of 10 after two months. Continuing to be noticeable as of 8/20/2021
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Discomfort, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: Cardiac chest pain. Burning, crushing 7/10 for 8 hours.  Gradual reduction in discomfort over 3-6 weeks. Sought medical evaluation 2 weeks after via telehealth recommendation ibuprofen and Tylenol. Pain decreased.  6 weeks after:Chest X-ray and full cardiac work with echocardiogram. Pain and discomfort down to a 1 or 2 out of 10 after two months. Continuing to be noticeable as of 8/20/2021
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Seizure
Clinical narrative: convulsions lasting for a half hour, starting at 6 AM the day after vaccination. Per patient, venous distention in entire body.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Nodule, Pain in extremity
Clinical narrative: Over the course of the day after vaccination, arm pain worsened and patient found a "knot" above the injection site, near where the shoulder meets the neck. He said that pressing on the knot or moving his arm around made his arm go numb.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: 7/29/2021: presented to HCF via EMS for Fever. Per patients' son she has been febrile over the last 24 hours as high as 102.5. She did receive the Johnson & Johnson Vaccine about 1 month ago. On arrival to ED pt's temperature is 103.4, blood pressure 219/88. Chest x ray showed cardiomegaly with CHF.  Pt tests positive for COVID 7/29/21. Transferred to another HCF for care same day.  7/31/2021: Pt dc to home, then 8/11/2021: Per patient, since getting home from her recent discharge on 07/31/21 pt has been having persistent cough and congestion. Pt was treated for COVID-19. Her PCP has prescribed her medication to avoid visiting the ED, however pt has had worsening fatigue as she reportedly sleeps all day and has been nonproductive. 8/16/2021: Patient still hospitalized at the time of this report submission.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Fatigue, Pyrexia, Respiratory tract congestion
Clinical narrative: 7/29/2021: presented to HCF via EMS for Fever. Per patients' son she has been febrile over the last 24 hours as high as 102.5. She did receive the Johnson & Johnson Vaccine about 1 month ago. On arrival to ED pt's temperature is 103.4, blood pressure 219/88. Chest x ray showed cardiomegaly with CHF.  Pt tests positive for COVID 7/29/21. Transferred to another HCF for care same day.  7/31/2021: Pt dc to home, then 8/11/2021: Per patient, since getting home from her recent discharge on 07/31/21 pt has been having persistent cough and congestion. Pt was treated for COVID-19. Her PCP has prescribed her medication to avoid visiting the ED, however pt has had worsening fatigue as she reportedly sleeps all day and has been nonproductive. 8/16/2021: Patient still hospitalized at the time of this report submission.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Somnolence
Clinical narrative: 7/29/2021: presented to HCF via EMS for Fever. Per patients' son she has been febrile over the last 24 hours as high as 102.5. She did receive the Johnson & Johnson Vaccine about 1 month ago. On arrival to ED pt's temperature is 103.4, blood pressure 219/88. Chest x ray showed cardiomegaly with CHF.  Pt tests positive for COVID 7/29/21. Transferred to another HCF for care same day.  7/31/2021: Pt dc to home, then 8/11/2021: Per patient, since getting home from her recent discharge on 07/31/21 pt has been having persistent cough and congestion. Pt was treated for COVID-19. Her PCP has prescribed her medication to avoid visiting the ED, however pt has had worsening fatigue as she reportedly sleeps all day and has been nonproductive. 8/16/2021: Patient still hospitalized at the time of this report submission.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, Cardioversion, Pulse abnormal
Clinical narrative: Evening of 2/22 (5 days after 2nd Pfizer shot) I had onset of fast and erratic pulse (120+/min). I had a 10-yr history of paroxysmal atrial fibrillation and had a successful ablation about 4 yrs before this event. Being familiar with Afib symptoms, this even felt very different. I contacted my electrophysiologist, Dr. on 2/23 and on 2/24 Dr. after diagnosing an "atypical atrial flutter", performed a cardioversion at Hospital center restoring sinus rhythm (stable now for 7+ months). I did not initially connect the atrial flutter event to the 2nd Pfizer injection at the time (February 2021), but after reading much later about the very rare cardio problems in mostly younger males shortly after r
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Aspartate aminotransferase increased, Blood test, Erythema, Fatigue
Clinical narrative: Later during the day of the vaccination and the following 2nd through 4th day, I experienced common symptoms such as injection site pain, joint pain, fatigue and itchiness. On the 5th day, the palms of my hands became very itchy and turned red and splotchy although I refrained from scratching. My arms felt itchy as well. Late that night (4/30), I broke out in full body hives. By morning, when I woke up, I felt itchy, but the hives had resolved. I continued to feel occasional itchiness and joint pain for several more days. On 6/3/21, I completed blood tests for my 6-month check with my oncologist/hematologist. My AST level, typically/historically in the 20's, was elevated at 112. A 6/22/21 abdominal ultrasound showed signs of fatty liver infiltration. This was a new development, and I do not fit the typical physical/lifestyle profile of someone at risk for liver disease. A 2nd round of blood tests ordered by my primary care physician were completed on 8/13/21, and my AST had dropped to 36. I am now waiting for an appointment with a GI specialist as recommended by my primary care physician. My oncologist/hematologist and his nurse had both mentioned seeing an unusual number of patients with sudden elevation of liver enzymes which caused me to wonder if there is any connection with the vaccine?
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatic steatosis, Injection site pain, Pruritus, Rash macular, Ultrasound abdomen abnormal
Clinical narrative: Later during the day of the vaccination and the following 2nd through 4th day, I experienced common symptoms such as injection site pain, joint pain, fatigue and itchiness. On the 5th day, the palms of my hands became very itchy and turned red and splotchy although I refrained from scratching. My arms felt itchy as well. Late that night (4/30), I broke out in full body hives. By morning, when I woke up, I felt itchy, but the hives had resolved. I continued to feel occasional itchiness and joint pain for several more days. On 6/3/21, I completed blood tests for my 6-month check with my oncologist/hematologist. My AST level, typically/historically in the 20's, was elevated at 112. A 6/22/21 abdominal ultrasound showed signs of fatty liver infiltration. This was a new development, and I do not fit the typical physical/lifestyle profile of someone at risk for liver disease. A 2nd round of blood tests ordered by my primary care physician were completed on 8/13/21, and my AST had dropped to 36. I am now waiting for an appointment with a GI specialist as recommended by my primary care physician. My oncologist/hematologist and his nurse had both mentioned seeing an unusual number of patients with sudden elevation of liver enzymes which caused me to wonder if there is any connection with the vaccine?
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Later during the day of the vaccination and the following 2nd through 4th day, I experienced common symptoms such as injection site pain, joint pain, fatigue and itchiness. On the 5th day, the palms of my hands became very itchy and turned red and splotchy although I refrained from scratching. My arms felt itchy as well. Late that night (4/30), I broke out in full body hives. By morning, when I woke up, I felt itchy, but the hives had resolved. I continued to feel occasional itchiness and joint pain for several more days. On 6/3/21, I completed blood tests for my 6-month check with my oncologist/hematologist. My AST level, typically/historically in the 20's, was elevated at 112. A 6/22/21 abdominal ultrasound showed signs of fatty liver infiltration. This was a new development, and I do not fit the typical physical/lifestyle profile of someone at risk for liver disease. A 2nd round of blood tests ordered by my primary care physician were completed on 8/13/21, and my AST had dropped to 36. I am now waiting for an appointment with a GI specialist as recommended by my primary care physician. My oncologist/hematologist and his nurse had both mentioned seeing an unusual number of patients with sudden elevation of liver enzymes which caused me to wonder if there is any connection with the vaccine?
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received a Pfizer 2nd dose on 8/13/2021 after receiving a Moderna 1st dose on  7/16/2021. The mistake was due to miscommunication among the clinical team.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Atrial fibrillation, Benign prostatic hyperplasia, Coronary artery disease, Dyspnoea
Clinical narrative: COVID VACCINATIONS 1/6/21 MODERNA LOT # 032H20A GIVEN AT HEALTH DEPT SECOND DOSE NOTED ABOVE. PATIENT SEEN AT ER. TRANSFERRED TO MEDICAL CENTER FOR HIGHER LEVEL OF CAE. PATIENT NOTED TO HAVE FEVERS 101, PRODUCTIVE COUGH, SHORTNESS OF BREATH. REQUIRED 3L OF O2.PATIENT DID NOT USE HOME O2 PRIOR . NOW O2 UP TO 6 L. DX; PNA, ACUTE RENAL FAILURE, ATRIAL FEB, CAD, HYPERTENSION, HYPERLIIDEMIA, BPH.PATIENT TREATED ON STEP DOWN MEDICAL UNIT. DISCHARGED 8/18/21 TO HOME WITH HOME HEALTH NURSING AND THERAPY.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperlipidaemia, Hypertension, Productive cough, Pulmonary amyloidosis, Pyrexia
Clinical narrative: COVID VACCINATIONS 1/6/21 MODERNA LOT # 032H20A GIVEN AT HEALTH DEPT SECOND DOSE NOTED ABOVE. PATIENT SEEN AT ER. TRANSFERRED TO MEDICAL CENTER FOR HIGHER LEVEL OF CAE. PATIENT NOTED TO HAVE FEVERS 101, PRODUCTIVE COUGH, SHORTNESS OF BREATH. REQUIRED 3L OF O2.PATIENT DID NOT USE HOME O2 PRIOR . NOW O2 UP TO 6 L. DX; PNA, ACUTE RENAL FAILURE, ATRIAL FEB, CAD, HYPERTENSION, HYPERLIIDEMIA, BPH.PATIENT TREATED ON STEP DOWN MEDICAL UNIT. DISCHARGED 8/18/21 TO HOME WITH HOME HEALTH NURSING AND THERAPY.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID VACCINATIONS 1/6/21 MODERNA LOT # 032H20A GIVEN AT HEALTH DEPT SECOND DOSE NOTED ABOVE. PATIENT SEEN AT ER. TRANSFERRED TO MEDICAL CENTER FOR HIGHER LEVEL OF CAE. PATIENT NOTED TO HAVE FEVERS 101, PRODUCTIVE COUGH, SHORTNESS OF BREATH. REQUIRED 3L OF O2.PATIENT DID NOT USE HOME O2 PRIOR . NOW O2 UP TO 6 L. DX; PNA, ACUTE RENAL FAILURE, ATRIAL FEB, CAD, HYPERTENSION, HYPERLIIDEMIA, BPH.PATIENT TREATED ON STEP DOWN MEDICAL UNIT. DISCHARGED 8/18/21 TO HOME WITH HOME HEALTH NURSING AND THERAPY.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Somnolence, Vomiting
Clinical narrative: Fever vomiting sleepiness
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Patient was screened ahead of vaccination and asked if he had received any previous doses of any covid vaccine. He said that he had not, and specifically wanted the Janssen single-injection. The vaccine was administered, then when it was logged in CIR (vaccine reporting system), it was discovered that he had already previously received both doses of Pfizer (12/21/20 and 01/11/21) and both doses of Moderna (05/28/21 and 06/25/21). No adverse effects have been observed, but he received several more doses than currently recommended.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Condition aggravated, Glossodynia, Rash, Skin exfoliation
Clinical narrative: I have auto immune issues and began with a rash on my scalp ears upper back the morning after the skin in my mouth sloughed off and tongue was sore
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse drug reaction
Clinical narrative: This was a reaction to Lisenopril and was not  related to the Covid vaccine.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypoacusis, Tinnitus
Clinical narrative: Patient reported feeling lightheaded, feeling hard of hearing, and having ringing in the ears. Patient was sweaty upon observation. Patient was given water and a snack and reported starting to feel better after about two minutes had elapsed. Patient remained in the pharmacy for about 30 minutes after he began to feel better to make sure he was ok. Patient left feeling ok, per patient.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 16 Year old female inadvertently administered both doses of moderna covid 19 vaccine to a person under the age of 18.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Client inadvertently received the Moderna vaccine during an employee vaccine clinic. Client was not of eligible age for the Moderna vaccine and the age was not caught until post vaccination. Client monitored for 30 minutes post vaccination. No adverse signs and symptoms noted. Client was informed of the event and provided next step instructions.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia
Clinical narrative: Tingling throat - Benadryl IM 50mg per protocol, patient reported tingling went away in 20 minutes after Benadryl injection
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest discomfort, Chills, Dyspnoea
Clinical narrative: presents in the facility with complaints worsening dyspnea.  States patient has not been feeling good for the past 5 days with onset of dyspnea on exertion about 2 days ago.  He reports that last night, he experiences chest tightness and orthopnea while lying in bed with chills and generalized weakness,
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea exertional, Feeling abnormal, Orthopnoea, SARS-CoV-2 test positive
Clinical narrative: presents in the facility with complaints worsening dyspnea.  States patient has not been feeling good for the past 5 days with onset of dyspnea on exertion about 2 days ago.  He reports that last night, he experiences chest tightness and orthopnea while lying in bed with chills and generalized weakness,
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: Arm and back pain when she was first given vaccine. Patient is underage 15 years old.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase, Aspartate aminotransferase, Blood alkaline phosphatase, Blood bilirubin, Blood gases
Clinical narrative: Elevated heart rate and chest pain, shortness of breath and difficulty breathing. Ended up in the Emergency Room on 08/16/2021  and now have follow up appointments and blood work to be completed on 08/23/2021.  No treatments or outcomes have been found. COVID test was taken to rule out symptom but it came back NEGATIVE.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid, Blood thyroid stimulating hormone, Chest X-ray, Chest pain, Computerised tomogram thorax
Clinical narrative: Elevated heart rate and chest pain, shortness of breath and difficulty breathing. Ended up in the Emergency Room on 08/16/2021  and now have follow up appointments and blood work to be completed on 08/23/2021.  No treatments or outcomes have been found. COVID test was taken to rule out symptom but it came back NEGATIVE.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Differential white blood cell count, Dyspnoea, Electrocardiogram abnormal, Fibrin D dimer, Full blood count
Clinical narrative: Elevated heart rate and chest pain, shortness of breath and difficulty breathing. Ended up in the Emergency Room on 08/16/2021  and now have follow up appointments and blood work to be completed on 08/23/2021.  No treatments or outcomes have been found. COVID test was taken to rule out symptom but it came back NEGATIVE.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Human chorionic gonadotropin, Laboratory test, Lipase, SARS-CoV-2 test negative
Clinical narrative: Elevated heart rate and chest pain, shortness of breath and difficulty breathing. Ended up in the Emergency Room on 08/16/2021  and now have follow up appointments and blood work to be completed on 08/23/2021.  No treatments or outcomes have been found. COVID test was taken to rule out symptom but it came back NEGATIVE.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinus tachycardia, Troponin I
Clinical narrative: Elevated heart rate and chest pain, shortness of breath and difficulty breathing. Ended up in the Emergency Room on 08/16/2021  and now have follow up appointments and blood work to be completed on 08/23/2021.  No treatments or outcomes have been found. COVID test was taken to rule out symptom but it came back NEGATIVE.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Heart rate increased, SARS-CoV-2 test
Clinical narrative: Elevated heart rate and chest pain, shortness of breath and difficulty breathing. Ended up in the Emergency Room on 08/16/2021  and now have follow up appointments and blood work to be completed on 08/23/2021.  No treatments or outcomes have been found. COVID test was taken to rule out symptom but it came back NEGATIVE.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope, Ventricular fibrillation
Clinical narrative: pt with syncopal episode, found to be in v fib. shocked with return of HR to 110s, transferred to local hospital for monitoring.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac assistance device user, Cardiac monitoring abnormal, Cardioversion, Computerised tomogram, Echocardiogram
Clinical narrative: pt with syncopal episode, found to be in v fib. shocked with return of HR to 110s, transferred to local hospital for monitoring.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Intensive care, Laboratory test, Loss of consciousness, Pulse absent
Clinical narrative: pt with syncopal episode, found to be in v fib. shocked with return of HR to 110s, transferred to local hospital for monitoring.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Resuscitation, Scan with contrast, Ventricular fibrillation
Clinical narrative: pt with syncopal episode, found to be in v fib. shocked with return of HR to 110s, transferred to local hospital for monitoring.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Lethargy, Nausea, Throat tightness
Clinical narrative: Staff received 1st dose of Covid 19 vaccine. pt reports hx of allergy to shellfish. pt reports to observation RN that she is feeling nauseous, dizziness, and lethargic. VS taken at 1444 BP 120/64, RR 22, HR 85, SPO2 100%. pt reported that her "throat feels like tightening and closing" Called the on-call provider, MD, and 1 dose of epi pen was given at 1450 per providers order. immediately after, pt reports, "I feel a lot better; I felt a cool rush and I can breathe so much better." Called EMT 1452 per MD's advice for pt to be transported and observed in the ED. 1502 EMT arrived and pt BP 117/60 HR 93 RR 19 SPO2 100%. pt transported to ED.  Per ED report, pt was monitored, evaluated, and D/C home the next day. Pt received Benadryl x1 in the ED.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: at this time, no adverse events
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal rigidity, Biopsy, Blood test, Colonoscopy
Clinical narrative: Abdominal Pain; ER - I had an ileus and every test done in the sun: Endoscopy; Diagnosed with me - possible upper bowel obstruction and thickening of the small bowel - severe abdominal pain and constipation Endoscopy; colonoscopy; three CAT SCANs with - two different contrasts IV and oral  and two with IV contrasts - biopsies of the small bowel; I went to the doctor yesterday - I have to leave work with severe abdominal pain and vomiting - have had every blood test, too. I am going to get a breath test for bacteria - drink something and then breathe into different tubes throughout the day; more stool specimens scheduled too. Irritated -stomach lining - when they did the endoscopy last month or the month before - that is when they saw it was irritated. Went to ER last week. Another time they said ileus was fine. Three or four ER visits all together so far. They just give me pain medication and send me home - they gave me Fentanyl  - through nasal or IV - that's all I have been able to take.  More blood work - scheduled as well. Treatment: bland diet - I've lost 20 minutes - 10 of it in a week because of I was throwing it what I ate. He ordered medication for me for when I get the abdominal pains - I haven't got it yet - it's for the spasms that are occurring when I get the pain. Still getting symptoms off and on - not linked to anything.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Constipation, Endoscopy abnormal, Epigastric discomfort, Ileus
Clinical narrative: Abdominal Pain; ER - I had an ileus and every test done in the sun: Endoscopy; Diagnosed with me - possible upper bowel obstruction and thickening of the small bowel - severe abdominal pain and constipation Endoscopy; colonoscopy; three CAT SCANs with - two different contrasts IV and oral  and two with IV contrasts - biopsies of the small bowel; I went to the doctor yesterday - I have to leave work with severe abdominal pain and vomiting - have had every blood test, too. I am going to get a breath test for bacteria - drink something and then breathe into different tubes throughout the day; more stool specimens scheduled too. Irritated -stomach lining - when they did the endoscopy last month or the month before - that is when they saw it was irritated. Went to ER last week. Another time they said ileus was fine. Three or four ER visits all together so far. They just give me pain medication and send me home - they gave me Fentanyl  - through nasal or IV - that's all I have been able to take.  More blood work - scheduled as well. Treatment: bland diet - I've lost 20 minutes - 10 of it in a week because of I was throwing it what I ate. He ordered medication for me for when I get the abdominal pains - I haven't got it yet - it's for the spasms that are occurring when I get the pain. Still getting symptoms off and on - not linked to anything.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Scan with contrast, Vomiting
Clinical narrative: Abdominal Pain; ER - I had an ileus and every test done in the sun: Endoscopy; Diagnosed with me - possible upper bowel obstruction and thickening of the small bowel - severe abdominal pain and constipation Endoscopy; colonoscopy; three CAT SCANs with - two different contrasts IV and oral  and two with IV contrasts - biopsies of the small bowel; I went to the doctor yesterday - I have to leave work with severe abdominal pain and vomiting - have had every blood test, too. I am going to get a breath test for bacteria - drink something and then breathe into different tubes throughout the day; more stool specimens scheduled too. Irritated -stomach lining - when they did the endoscopy last month or the month before - that is when they saw it was irritated. Went to ER last week. Another time they said ileus was fine. Three or four ER visits all together so far. They just give me pain medication and send me home - they gave me Fentanyl  - through nasal or IV - that's all I have been able to take.  More blood work - scheduled as well. Treatment: bland diet - I've lost 20 minutes - 10 of it in a week because of I was throwing it what I ate. He ordered medication for me for when I get the abdominal pains - I haven't got it yet - it's for the spasms that are occurring when I get the pain. Still getting symptoms off and on - not linked to anything.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aphasia, COVID-19, COVID-19 pneumonia, Chest discomfort
Clinical narrative: 61 Y male with h/o GERD, myotonic dystrophy (adult onset muscular dystrophy dx age early 40s, now with bilateral hand and leg weakness, difficulty with balance, fecal incontinence, last neuro note from 1/20/21), ?tachyarrhythmias followed by cardiology (last in 3/2020), right knee OA, who presents with increasing shortness of breath. Pt started having headache, sore throat, cough, myalgias on 8/2. He had a positive covid test on 8/11/21. He was vaccinated with pfizer on 4/12/21, 5/3/21.   The last two days he has been feeling much worse. He has shortness of breath, wheezing, cough, chest congestion, fatigue, more sputum production. He has had chest discomfort across both sides of his chest. He had a VAV today and was referred to ED for evaluation. Per ED Dr  "Pt placed on o2 by nursing as sats were at 90% on ra.  I had him do squats in the room off o2. His oxygen levels initially dropped into the high 80's, but then became very dyspneic/tachypenic and felt like he was going to syncopize.  His o2 levels rebounded quickly with rest and his increased respiratory rate, but pt did not feel comfortable going home."   Regarding his myotonic dystrophy, he reports that his weakness has been steadily worsening monthly. He is still able to eat and swallow normal texture foods. Last night he was able to eat steak and mashed potatoes. No choking episodes. However, sometimes his jaw "catches" and he is unable to chew or speak temporarily. His hands and legs are weak. On ROS, he denies fever, abd pain, nausea, vomiting, dysuria, hematochezia, melena. He has a walker but does not use it. He still drives; his car is in our parking lot. He takes an occasional antiacid for GERD but it is mostly controlled by diet and lifestyle modification. "   1) COVID Pneumonia, Acute hypoxemic Respiratory failure - Symptom onset on 8/2/2021. Patient found to be COVID positive on 8/11/2021.  Patient was on nasal Cannula at 2Lpm and now on RA.  Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (started 8/14/2021) or until no longer hypoxic. - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (started 8/14/2021), last dose 8/18/21. - Daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - Pecid for GI prophylaxis - trend inflammatory markers - Lovenox 40mg SQ daily and hold for Plt <25k, Fibrinogen <100, active bleeding - continue isolation in hospital per Regional/Local ID guidance. -Plan to increase activity levels in room and check 02 sats on RA tomorrow.   Modified IMPROVE VTE SCORE (for discharge) Age more than 60 years. - 1 POINTS Total Points: 1 o Consider anticoagulation if IMPROVE VTE score greater or equal to 4 OR IMPROVE VTE score is 2 or more, and the D-dimer is greater than 2x ULN on discharge.  o Anticoagulate with Rivaroxaban 10mg orally daily for 30 days total post-discharge or Enoxaparin 40mg SC q24 hours
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dizziness, Dyspnoea, Fatigue, Feeding disorder
Clinical narrative: 61 Y male with h/o GERD, myotonic dystrophy (adult onset muscular dystrophy dx age early 40s, now with bilateral hand and leg weakness, difficulty with balance, fecal incontinence, last neuro note from 1/20/21), ?tachyarrhythmias followed by cardiology (last in 3/2020), right knee OA, who presents with increasing shortness of breath. Pt started having headache, sore throat, cough, myalgias on 8/2. He had a positive covid test on 8/11/21. He was vaccinated with pfizer on 4/12/21, 5/3/21.   The last two days he has been feeling much worse. He has shortness of breath, wheezing, cough, chest congestion, fatigue, more sputum production. He has had chest discomfort across both sides of his chest. He had a VAV today and was referred to ED for evaluation. Per ED Dr  "Pt placed on o2 by nursing as sats were at 90% on ra.  I had him do squats in the room off o2. His oxygen levels initially dropped into the high 80's, but then became very dyspneic/tachypenic and felt like he was going to syncopize.  His o2 levels rebounded quickly with rest and his increased respiratory rate, but pt did not feel comfortable going home."   Regarding his myotonic dystrophy, he reports that his weakness has been steadily worsening monthly. He is still able to eat and swallow normal texture foods. Last night he was able to eat steak and mashed potatoes. No choking episodes. However, sometimes his jaw "catches" and he is unable to chew or speak temporarily. His hands and legs are weak. On ROS, he denies fever, abd pain, nausea, vomiting, dysuria, hematochezia, melena. He has a walker but does not use it. He still drives; his car is in our parking lot. He takes an occasional antiacid for GERD but it is mostly controlled by diet and lifestyle modification. "   1) COVID Pneumonia, Acute hypoxemic Respiratory failure - Symptom onset on 8/2/2021. Patient found to be COVID positive on 8/11/2021.  Patient was on nasal Cannula at 2Lpm and now on RA.  Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (started 8/14/2021) or until no longer hypoxic. - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (started 8/14/2021), last dose 8/18/21. - Daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - Pecid for GI prophylaxis - trend inflammatory markers - Lovenox 40mg SQ daily and hold for Plt <25k, Fibrinogen <100, active bleeding - continue isolation in hospital per Regional/Local ID guidance. -Plan to increase activity levels in room and check 02 sats on RA tomorrow.   Modified IMPROVE VTE SCORE (for discharge) Age more than 60 years. - 1 POINTS Total Points: 1 o Consider anticoagulation if IMPROVE VTE score greater or equal to 4 OR IMPROVE VTE score is 2 or more, and the D-dimer is greater than 2x ULN on discharge.  o Anticoagulate with Rivaroxaban 10mg orally daily for 30 days total post-discharge or Enoxaparin 40mg SC q24 hours
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Headache, Myalgia, Oropharyngeal pain, Pulmonary congestion
Clinical narrative: 61 Y male with h/o GERD, myotonic dystrophy (adult onset muscular dystrophy dx age early 40s, now with bilateral hand and leg weakness, difficulty with balance, fecal incontinence, last neuro note from 1/20/21), ?tachyarrhythmias followed by cardiology (last in 3/2020), right knee OA, who presents with increasing shortness of breath. Pt started having headache, sore throat, cough, myalgias on 8/2. He had a positive covid test on 8/11/21. He was vaccinated with pfizer on 4/12/21, 5/3/21.   The last two days he has been feeling much worse. He has shortness of breath, wheezing, cough, chest congestion, fatigue, more sputum production. He has had chest discomfort across both sides of his chest. He had a VAV today and was referred to ED for evaluation. Per ED Dr  "Pt placed on o2 by nursing as sats were at 90% on ra.  I had him do squats in the room off o2. His oxygen levels initially dropped into the high 80's, but then became very dyspneic/tachypenic and felt like he was going to syncopize.  His o2 levels rebounded quickly with rest and his increased respiratory rate, but pt did not feel comfortable going home."   Regarding his myotonic dystrophy, he reports that his weakness has been steadily worsening monthly. He is still able to eat and swallow normal texture foods. Last night he was able to eat steak and mashed potatoes. No choking episodes. However, sometimes his jaw "catches" and he is unable to chew or speak temporarily. His hands and legs are weak. On ROS, he denies fever, abd pain, nausea, vomiting, dysuria, hematochezia, melena. He has a walker but does not use it. He still drives; his car is in our parking lot. He takes an occasional antiacid for GERD but it is mostly controlled by diet and lifestyle modification. "   1) COVID Pneumonia, Acute hypoxemic Respiratory failure - Symptom onset on 8/2/2021. Patient found to be COVID positive on 8/11/2021.  Patient was on nasal Cannula at 2Lpm and now on RA.  Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (started 8/14/2021) or until no longer hypoxic. - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (started 8/14/2021), last dose 8/18/21. - Daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - Pecid for GI prophylaxis - trend inflammatory markers - Lovenox 40mg SQ daily and hold for Plt <25k, Fibrinogen <100, active bleeding - continue isolation in hospital per Regional/Local ID guidance. -Plan to increase activity levels in room and check 02 sats on RA tomorrow.   Modified IMPROVE VTE SCORE (for discharge) Age more than 60 years. - 1 POINTS Total Points: 1 o Consider anticoagulation if IMPROVE VTE score greater or equal to 4 OR IMPROVE VTE score is 2 or more, and the D-dimer is greater than 2x ULN on discharge.  o Anticoagulate with Rivaroxaban 10mg orally daily for 30 days total post-discharge or Enoxaparin 40mg SC q24 hours