chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Blood thyroid stimulating hormone, Chills, Fatigue, Lymphadenopathy
Clinical narrative: Lymph nodes swollen, chills, fatigue, pulsatile tinnitus, tension headaches
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Tension headache, Tinnitus
Clinical narrative: Lymph nodes swollen, chills, fatigue, pulsatile tinnitus, tension headaches
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid Infection
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Cough, Somnolence, Throat irritation
Clinical narrative: Client presented to the vaccination site with her husband. Client received Pfizer booster, Lot# FK9895 at 1022 on 02/10/2022 (left deltoid). At approximately 1040, client reported, ?My throat feels itchy, and I feel like I want to cough.? Nurse assessed client.  Client was alert and oriented to person, place, time, situation, and sitting in chair. At 1041, client's vital signs were obtained: blood pressure 152/78; pulse rate 61; SpO2 98%, and temperature 97 degrees F. Client denied difficulty breathing, chest pain, blurred vision, and dizziness. Client has no known allergies. Client received the 1st dose Pfizer, Lot# ER8737 on 03/30/2021 and 2nd dose Pfizer, Lot# EW0171 on 04/20/2021. Client denied any allergic reactions with her 1st and 2nd dose of Pfizer Covid vaccines. Client was not taking any medications. At 1043, client was given diphenhydramine 50mg/1mL in left deltoid. At 1048, nurse reassessed patient: elevated blood pressure 160/88; pulse rate 59; and SpO2 97%. Client denied itchiness in throat, difficulty breathing, and blurred vision. Client reported feeling a little drowsy. At 1053, client' s vital signs: blood pressure 148/72; pulse rate 60; and SpO2 98%. Client denied itchiness in throat, difficulty breathing and dizziness. Client continued to report mild drowsiness. Client was educated on side effects of diphenhydramine, follow up with PCP, signs and symptoms of when to seek emergency care, and use of V-safe. Client verbalized understanding. Client's vital signs at 1058: blood pressure 138/80, pulse rate 64, Sp02 97%. Client reported, ? I still feel drowsy, my throat is not itchy.? Client stated that her husband will drive her home. Client left facility with unlabored respirations and a steady gait at 1125.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Dyspnoea
Clinical narrative: Patient received 1st dose Pfizer at 1245 on 12/17/2022. Five minutes into observation, patient began complaining of shortness of breath, difficulty breathing, and bluish discoloration was present around her lips.   Interventions Performed: 1250 Vitals were taken ? 94% oxygen saturation and 108 heart rate, and Safety Specialist called emergency medical services (EMS). Patient was given Benadryl 50mg at 1259. Symptoms did not improve. Epinephrine was administered at 1304 ? NDC 4950210201, Lot number 0FM499, Exp 5/22. Immediately patient experienced relief of symptoms.  Vitals taken again  - 129/79 blood pressure, 99% oxygen saturation, 91 heart rate.   Patient Outcome: Patient was transferred to care of EMS at 1315 ? patient headed to hospital ED.  Concern/Issue Resolved?: Immediate danger resolved ? patient in care of EMS 911 Contacted?: Yes Patient Transported Via EMS?: Yes Did Patient Refuse EMS Transport Upon Arrival?: No
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Magnetic resonance imaging, Polymyalgia rheumatica, Transient ischaemic attack
Clinical narrative: PMR (Polymyalgia Rheumatica) TIA (Transient Ischemic Attack) - mini strokes
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid Infection
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Faeces soft
Clinical narrative: BREAKTHROUGH COVID: PT who presents with weakness, fatigue, soft stools, SOB and cough for the past several weeks. He states his last usual state of health was almost 1 month ago, but has gotten worse. FIRST DOSE 6/17/21.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID: PT who presents with weakness, fatigue, soft stools, SOB and cough for the past several weeks. He states his last usual state of health was almost 1 month ago, but has gotten worse. FIRST DOSE 6/17/21.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood electrolytes normal, COVID-19, Dizziness, Electrocardiogram normal, Exposure during pregnancy
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: 18 weeks pregnant patient presented to emergency department with lightheadedness and presyncope.  Patient monitored, IV fluids administered, symptoms improved/resolved, and patient discharged to home medically stable. Birth weight not available: patient still pregnant.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, SARS-CoV-2 test positive, Ultrasound antenatal screen normal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: 18 weeks pregnant patient presented to emergency department with lightheadedness and presyncope.  Patient monitored, IV fluids administered, symptoms improved/resolved, and patient discharged to home medically stable. Birth weight not available: patient still pregnant.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy lymph gland, Fatigue, Impaired work ability, Lymphadenopathy, Mobility decreased
Clinical narrative: The initial event started the night of the vaccine with sore arm, tired, achy ,fever and lasted about 36 hours. Swollen lymph nodes on left side (neck) for two weeks, I could not lift my arm (24 hours). Unable to go to work for 2 days. By the third day, felt fatigue and tired but able to work. Thyroid nodules was biopsied because it was so swollen and painful. Took Tylenol for the pain, warm compresses to get relief.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Ultrasound thyroid
Clinical narrative: The initial event started the night of the vaccine with sore arm, tired, achy ,fever and lasted about 36 hours. Swollen lymph nodes on left side (neck) for two weeks, I could not lift my arm (24 hours). Unable to go to work for 2 days. By the third day, felt fatigue and tired but able to work. Thyroid nodules was biopsied because it was so swollen and painful. Took Tylenol for the pain, warm compresses to get relief.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid Infection
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Laboratory test, Muscle spasms, Paraesthesia
Clinical narrative: I had fever, chills, shivers, head pain for 48 hrs after. Both legs became extremely cramped feeling (charlie horse and tingling) for about 14 days after. My right leg still has episodes of this problem.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary function test, Pyrexia
Clinical narrative: I had fever, chills, shivers, head pain for 48 hrs after. Both legs became extremely cramped feeling (charlie horse and tingling) for about 14 days after. My right leg still has episodes of this problem.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Hypoaesthesia, Myelitis transverse, Neck pain
Clinical narrative: Assuming Transverse Myelitis based on symptoms. Began in the right shoulder, eventually spread to the left shoulder though not as severe. From the elbow, through the shoulder on both sides. Neck relatively unaffected. Symptoms - numbness, pain (moderate to significant), sleep disruption due to the discomfort, especially when sleeping on my side. Symptoms exacerbated with lateral use of arms/shoulders... lifting, overhead reaching, etc.  Current - symptoms are moderating and about half what they were at the peak.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Sleep disorder
Clinical narrative: Assuming Transverse Myelitis based on symptoms. Began in the right shoulder, eventually spread to the left shoulder though not as severe. From the elbow, through the shoulder on both sides. Neck relatively unaffected. Symptoms - numbness, pain (moderate to significant), sleep disruption due to the discomfort, especially when sleeping on my side. Symptoms exacerbated with lateral use of arms/shoulders... lifting, overhead reaching, etc.  Current - symptoms are moderating and about half what they were at the peak.
Age: 8.0
Sex: M
Vaccine: HEPA, TD
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose of Hepatitis A given less than 6 months from dose 1. Did verify with a second RN but was not caught that it was given early until patient checked out.  It was brought to my attention, I immediately went to speak with parents and informed them that I had administered 2nd dose too early and that it would have to be repeated for school, 6 months from 1st dose administration. Parents verbalized understanding.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Computerised tomogram, Deep vein thrombosis, Pulmonary embolism
Clinical narrative: In May, I had an embolism in my lung and a DVT in my leg. I was hospitalized at a local HCF for over a day. They did CT scan, x-rays, ultrasound, and blood work. I was put on blood thinners.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan, X-ray
Clinical narrative: In May, I had an embolism in my lung and a DVT in my leg. I was hospitalized at a local HCF for over a day. They did CT scan, x-rays, ultrasound, and blood work. I was put on blood thinners.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid infection
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Cardiac stress test
Clinical narrative: I did not have any symptoms but when I was having my general check up with my cardiologist and I was having a stress test he said that there was an abnormality with my heart and this all happened after my vaccination. I don't know if this has any relation to the vaccine but just for documentation purposes.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Fatigue, Night sweats, Pain in extremity
Clinical narrative: heart pain along with fatigue, arm pain, and night sweats
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given was in fridge one day past use by date
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Mental impairment, Mental status changes
Clinical narrative: Patient developed significant mental status decline starting 2 weeks after his third booster.  The decline accelerated and became profound within 3-4 months.  Developed balance issues as well.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough covid infection
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood creatine phosphokinase decreased, Hyponatraemia, Muscle spasms, Muscular weakness
Clinical narrative: Acute rhabdomyolysis, nontraumatic. Possible reaction to COVID-19 booster while on statin therapy. Rheumatology also following for possible PMR/myositis. Symptoms and lab work improving.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Rhabdomyolysis
Clinical narrative: Acute rhabdomyolysis, nontraumatic. Possible reaction to COVID-19 booster while on statin therapy. Rheumatology also following for possible PMR/myositis. Symptoms and lab work improving.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Oropharyngeal pain, Pain, Respiratory tract congestion
Clinical narrative: I was having a lot of congestion, problems breathing and sore throat. No fever but I did have body aches and was really tired. Went to the doctor and they tested me for Covid as soon as I came in but it was negative. The doctor provided me steroids' & antibiotics, I then started to feel better after 3-5 days but still have on going mucus in throat.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: I was having a lot of congestion, problems breathing and sore throat. No fever but I did have body aches and was really tired. Went to the doctor and they tested me for Covid as soon as I came in but it was negative. The doctor provided me steroids' & antibiotics, I then started to feel better after 3-5 days but still have on going mucus in throat.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Client informed RN that got dizzy 3-4hrs after Pfizer dose 2. She got dizzy for about an hr. Client didn?t seek emergency care, or primary care provider. She took no meds. Client states she?s gotten dizzy before due to menopause, and vertigo, that hasn?t been diagnosed. Client didn?t think much of it. The following day she felt weakness and mild dizziness that went away. Client has no allergies. No other medical conditions. A medical consult was submitted by RN to Clinical Project Coordinator. Client received approval to receive Pfizer COVID vaccine Booster by MD. Client received Pfizer Booster Lot # FK9896. Client reported no symptoms while waiting in observation area for 15mins. Client left vaccination area in steady gait.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: breakthrough covid infection
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Colonoscopy, Endoscopy, Loss of consciousness, Rectal haemorrhage, Transfusion
Clinical narrative: Extreme blood loss through my rear end, Passed out on the toilet and had to call the ambulance to go to the hospital. Had to receive 7 pints of blood and then over the summer I had to receive 4 different iron infusions.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site urticaria, Pain in extremity, Urticaria
Clinical narrative: Arm was numb and soreness. Hives around the injection and also on her left arm, thighs, side and chest.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose abnormal, COVID-19, Chest discomfort, Cough, Diarrhoea
Clinical narrative: Patient is a 59 y.o. female with past medical history significant for diabetes, smoking, asthma who presents to the emergency department with shortness of breath and diarrhea.  Constitutional: Positive for fatigue.  Respiratory: Positive for cough, chest tightness and shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea. Negative for nausea and vomiting.   She was on 6L NC on admission, moved to HFNC on 1/17 night. Started on dex and Remdesivir on 1/16. She completed a course of remdesivir and received 8 doses of Dex 6mg PO QD.  Baricitinib was started on 1/18. She was on this from 1/18-1/23.  She also completed a course of azithromycin/ceftriaxone for suspected CAP. After starting the dexamethasone her glucose became uncontrolled. She spent some time on an insulin gtt but was weaned down and stable with Glargine 48u at bedtime and lispro 12 u QAC. After starting the baricitinib, she had marked improvement in her oxygenation. She was weaned down daily until she plateaued at 2L NC. She is able to perform her ADLs and ambulating in the room w/ O2. She is requesting to go home to care for her son who has COVID as well.  We will discharge her w/ home O2 and set her up with hospital at home. I will also refer her to pulmonary rehab.   Discharge Disposition/Condition Disposition: Home w/ hospital at home Condition: Stable (s/sx potential problems absent or manageable)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 59 y.o. female with past medical history significant for diabetes, smoking, asthma who presents to the emergency department with shortness of breath and diarrhea.  Constitutional: Positive for fatigue.  Respiratory: Positive for cough, chest tightness and shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea. Negative for nausea and vomiting.   She was on 6L NC on admission, moved to HFNC on 1/17 night. Started on dex and Remdesivir on 1/16. She completed a course of remdesivir and received 8 doses of Dex 6mg PO QD.  Baricitinib was started on 1/18. She was on this from 1/18-1/23.  She also completed a course of azithromycin/ceftriaxone for suspected CAP. After starting the dexamethasone her glucose became uncontrolled. She spent some time on an insulin gtt but was weaned down and stable with Glargine 48u at bedtime and lispro 12 u QAC. After starting the baricitinib, she had marked improvement in her oxygenation. She was weaned down daily until she plateaued at 2L NC. She is able to perform her ADLs and ambulating in the room w/ O2. She is requesting to go home to care for her son who has COVID as well.  We will discharge her w/ home O2 and set her up with hospital at home. I will also refer her to pulmonary rehab.   Discharge Disposition/Condition Disposition: Home w/ hospital at home Condition: Stable (s/sx potential problems absent or manageable)
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: Patient got primary series of Moderna (12/28/2020 & 1/25/2021). Chose Janssen for heterologous booster (11/3/2021).  Reported 11/10/2021 chest pain, SOB, leg and arm pain, difficulty to find resting position, peaked at 36 hours from onset, lasted 48 hours, resolved without treatment.  Time elapsed without issue, but then patient was hospitalized 3 different times (12/24/2021 , 1/17/2022, and 2/14/2022) diagnosed with Idiopathic recurrent pericarditis , treated with Aspirin and Prednisone. Hospitalized.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Pain in extremity, Pericarditis
Clinical narrative: Patient got primary series of Moderna (12/28/2020 & 1/25/2021). Chose Janssen for heterologous booster (11/3/2021).  Reported 11/10/2021 chest pain, SOB, leg and arm pain, difficulty to find resting position, peaked at 36 hours from onset, lasted 48 hours, resolved without treatment.  Time elapsed without issue, but then patient was hospitalized 3 different times (12/24/2021 , 1/17/2022, and 2/14/2022) diagnosed with Idiopathic recurrent pericarditis , treated with Aspirin and Prednisone. Hospitalized.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: breakthrough covid infection
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was unknowingly  given Booster dose with expired vaccine.  Patient was contacted by his provider once the error was realized
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure
Clinical narrative: was having seizures and went to hospital
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Condition aggravated, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Following my second dose of Moderna I have had high blood pressure and have been treated with HCT. On Sunday Feb 6th I experienced a spike in blood pressure, with chest tightness, difficulty breathing and nausea. All symptoms gradually subsided over a few hours.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Nausea
Clinical narrative: Following my second dose of Moderna I have had high blood pressure and have been treated with HCT. On Sunday Feb 6th I experienced a spike in blood pressure, with chest tightness, difficulty breathing and nausea. All symptoms gradually subsided over a few hours.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death from COVID-19 of fully vaccinated individual
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase increased, Blood culture negative, Burning sensation, Chest X-ray normal, Fatigue
Clinical narrative: One week after I got the vaccine, on Saturday, I developed a fever over 100 degrees and felt lousy for a couple of days. It went away, and I returned to work.  The following Thursday, Feb 3, the fever returned. I had a fever of over 101 or 102 every day for 10 days (from Feb 3-12) accompanied by a terrible headache. I took Tylenol and ibuprofen every day to control the fever and headaches. The headache went away when the fever subsided.  Sometime during the week I developed a burning sensation in my leg muscles (like lactic acid?) On the morning of Feb 12, I broke out in a rash on my feet, ankles and lower legs, so I stopped taking the ibuprofen. I also stopped taking Tylenol due to my liver enzymes being high (see below re lab tests). From Feb 13, I have had no fever or a low-grade fever (not over 100), but I still feel extremely fatigued.  I have been unable to work since Feb 3.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hepatic enzyme abnormal, Hepatic steatosis, Hepatitis viral test negative, Impaired work ability
Clinical narrative: One week after I got the vaccine, on Saturday, I developed a fever over 100 degrees and felt lousy for a couple of days. It went away, and I returned to work.  The following Thursday, Feb 3, the fever returned. I had a fever of over 101 or 102 every day for 10 days (from Feb 3-12) accompanied by a terrible headache. I took Tylenol and ibuprofen every day to control the fever and headaches. The headache went away when the fever subsided.  Sometime during the week I developed a burning sensation in my leg muscles (like lactic acid?) On the morning of Feb 12, I broke out in a rash on my feet, ankles and lower legs, so I stopped taking the ibuprofen. I also stopped taking Tylenol due to my liver enzymes being high (see below re lab tests). From Feb 13, I have had no fever or a low-grade fever (not over 100), but I still feel extremely fatigued.  I have been unable to work since Feb 3.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Treponema test negative, Ultrasound abdomen, Urine analysis normal
Clinical narrative: One week after I got the vaccine, on Saturday, I developed a fever over 100 degrees and felt lousy for a couple of days. It went away, and I returned to work.  The following Thursday, Feb 3, the fever returned. I had a fever of over 101 or 102 every day for 10 days (from Feb 3-12) accompanied by a terrible headache. I took Tylenol and ibuprofen every day to control the fever and headaches. The headache went away when the fever subsided.  Sometime during the week I developed a burning sensation in my leg muscles (like lactic acid?) On the morning of Feb 12, I broke out in a rash on my feet, ankles and lower legs, so I stopped taking the ibuprofen. I also stopped taking Tylenol due to my liver enzymes being high (see below re lab tests). From Feb 13, I have had no fever or a low-grade fever (not over 100), but I still feel extremely fatigued.  I have been unable to work since Feb 3.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patients mom allowed her 4 year old child to receive the Pfizer vaccine. No adverse events were noted.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: breakthrough covid infection
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, Asthenia, Blood glucose increased, COVID-19
Clinical narrative: Patient vaccinated with Pfizer, last dose 04/06/21, who admitted to the hospital with a positive COVID test.  Provider discharge summary below:  "71 year old female who presented to the ED on 11/12/21 due to shortness of breath and weakness and was noted to be covid positive. She was started on COVID directed therapies and her symptoms continued to improve. Her stay was complicated by the development of an anterior pelvic hematoma without any active bleeding evident so no intervention was required. Her plavix and DVT prophylaxis were held with improvement in her symptoms. Her CBC remained stable and her abdominal pain substantially improved. She will have to follow up with her PCP for a CBC tomorrow and possible re-initiation of plavix. She also continued to have elevated blood sugars due to steroids that were initiated for COVID treatment. Her home medications were held and she required higher doses of insulin. She will be sent home with her home regimen in addition to prandial insulin and instructions to take her blood sugar 4x daily. She only has 1 additional day of steroids. Her PO medications were restarted on discharge. The patient also did have notable hyperkalemia during her stay. Her ARB was discontinued and her HCTZ dose was increased per nephrology recommendations with improvement, she will have a BMP checked tomorrow outpatient and her family physician/nephrologist can adjust BP medications as necessary. On day of discharge she was in improved and stable condition, she was still requiring O2 so she will be sent home with home O2 and home care."
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dyspnoea, Full blood count, Hyperglycaemia, Hyperkalaemia
Clinical narrative: Patient vaccinated with Pfizer, last dose 04/06/21, who admitted to the hospital with a positive COVID test.  Provider discharge summary below:  "71 year old female who presented to the ED on 11/12/21 due to shortness of breath and weakness and was noted to be covid positive. She was started on COVID directed therapies and her symptoms continued to improve. Her stay was complicated by the development of an anterior pelvic hematoma without any active bleeding evident so no intervention was required. Her plavix and DVT prophylaxis were held with improvement in her symptoms. Her CBC remained stable and her abdominal pain substantially improved. She will have to follow up with her PCP for a CBC tomorrow and possible re-initiation of plavix. She also continued to have elevated blood sugars due to steroids that were initiated for COVID treatment. Her home medications were held and she required higher doses of insulin. She will be sent home with her home regimen in addition to prandial insulin and instructions to take her blood sugar 4x daily. She only has 1 additional day of steroids. Her PO medications were restarted on discharge. The patient also did have notable hyperkalemia during her stay. Her ARB was discontinued and her HCTZ dose was increased per nephrology recommendations with improvement, she will have a BMP checked tomorrow outpatient and her family physician/nephrologist can adjust BP medications as necessary. On day of discharge she was in improved and stable condition, she was still requiring O2 so she will be sent home with home O2 and home care."
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pelvic haematoma, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated with Pfizer, last dose 04/06/21, who admitted to the hospital with a positive COVID test.  Provider discharge summary below:  "71 year old female who presented to the ED on 11/12/21 due to shortness of breath and weakness and was noted to be covid positive. She was started on COVID directed therapies and her symptoms continued to improve. Her stay was complicated by the development of an anterior pelvic hematoma without any active bleeding evident so no intervention was required. Her plavix and DVT prophylaxis were held with improvement in her symptoms. Her CBC remained stable and her abdominal pain substantially improved. She will have to follow up with her PCP for a CBC tomorrow and possible re-initiation of plavix. She also continued to have elevated blood sugars due to steroids that were initiated for COVID treatment. Her home medications were held and she required higher doses of insulin. She will be sent home with her home regimen in addition to prandial insulin and instructions to take her blood sugar 4x daily. She only has 1 additional day of steroids. Her PO medications were restarted on discharge. The patient also did have notable hyperkalemia during her stay. Her ARB was discontinued and her HCTZ dose was increased per nephrology recommendations with improvement, she will have a BMP checked tomorrow outpatient and her family physician/nephrologist can adjust BP medications as necessary. On day of discharge she was in improved and stable condition, she was still requiring O2 so she will be sent home with home O2 and home care."
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Patient describes large red bump around the size of a coin at site of injection 2 days after receipt. Patient states it is warm to the touch. Pain at injection site. Patient describes no other symptoms a this time. Patient will continue to monitor for possible infection vs localized reaction over coming days. Instructed to seek medical attention if increases in size / pain / or fever. Will follow up with patient.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was unknowingly given Booster Dose with expired vaccine.  Patient was contacted by his provider once the error was realized
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: ADMITTED TO HOSPITAL
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Pneumonia, SARS-CoV-2 test negative
Clinical narrative: Jan. 13, 2022  was feeling unwell with deep cough in middle of chest .Veteran; Sick for three days major symptoms deep cough in chest and after the third day it was gone however, Contact physician on first day 01/13/2022, she prescribed  guaifenesin, like Mucinex, albuterol inhaler breathing treatment recovered with the three days and did not need the medicine. Medicine sent by mail and stayed in quarantine 13 days since the vaccination home test x 3 putting at positive so consulted Dr. with signs and symptoms and was approved to be off with dr. prior to being off quarantine. Tested on PCR test Negative for COVID, diagnosed with Lung infection.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Jan. 13, 2022  was feeling unwell with deep cough in middle of chest .Veteran; Sick for three days major symptoms deep cough in chest and after the third day it was gone however, Contact physician on first day 01/13/2022, she prescribed  guaifenesin, like Mucinex, albuterol inhaler breathing treatment recovered with the three days and did not need the medicine. Medicine sent by mail and stayed in quarantine 13 days since the vaccination home test x 3 putting at positive so consulted Dr. with signs and symptoms and was approved to be off with dr. prior to being off quarantine. Tested on PCR test Negative for COVID, diagnosed with Lung infection.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: PT WAS GIVEN A VACCINE THAT EXPIRED ON FEBUARY 12TH, IT WAS STORED IN THE FRIDGE AND NOT USED UNTIL THIS POINT.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Mammogram abnormal, Ultrasound breast abnormal
Clinical narrative: lump in breast that showed up on multiple mammogram and ultrasounds
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Individual developed body aches, chills, and fever approximately 12 hours after administration of the booster shot. Symptoms continued for 2 days.  Individual developed redness at the site of injection which continued to spread over the course of 3 days. Area was warm, hard, and swollen. Individual was prescribed Keflex.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Physical examination, Pyrexia
Clinical narrative: Individual developed body aches, chills, and fever approximately 12 hours after administration of the booster shot. Symptoms continued for 2 days.  Individual developed redness at the site of injection which continued to spread over the course of 3 days. Area was warm, hard, and swollen. Individual was prescribed Keflex.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody, Arthralgia, Blood creatine phosphokinase normal, Borrelia test, C-reactive protein increased
Clinical narrative: 10/6/21 pcp office visit    Has some concerns about symptoms after his recent COVID-19 vaccination COVID vaccination history:  1/30 had Moderna dose #1 - a week later had dizziness but no chills or fever, lasted about a week 2/27 had Moderna dose #2 - a week later had mild myalgia perhaps 2-3 days  9/7 had Moderna dose #3 - about a week later, had stiffness and severe muscle aches for a few days, then went away   Yesterday he started with proximal muscle weakness and aches again, but much worse For example this morning could not lift his thigh without pulling it up with his arms Had to grab on to something to pull himself up this morning Achy from shoulders to upper arm   Went to chiropractor this morning who noticed he was stiff  Took 2 Advil and feels markedly better than he did this morning   Has his physical with Dr. every year, this has been a tradition for him for decades and plans to continue to do so until he should retire   He needs a refill of his alprazolam which he primarily uses to help sleep at night   He sees a cardiologist for monitoring of his coronary artery disease  Review of Systems
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Differential white blood cell count, Dysstasia, Fatigue, Full blood count
Clinical narrative: 10/6/21 pcp office visit    Has some concerns about symptoms after his recent COVID-19 vaccination COVID vaccination history:  1/30 had Moderna dose #1 - a week later had dizziness but no chills or fever, lasted about a week 2/27 had Moderna dose #2 - a week later had mild myalgia perhaps 2-3 days  9/7 had Moderna dose #3 - about a week later, had stiffness and severe muscle aches for a few days, then went away   Yesterday he started with proximal muscle weakness and aches again, but much worse For example this morning could not lift his thigh without pulling it up with his arms Had to grab on to something to pull himself up this morning Achy from shoulders to upper arm   Went to chiropractor this morning who noticed he was stiff  Took 2 Advil and feels markedly better than he did this morning   Has his physical with Dr. every year, this has been a tradition for him for decades and plans to continue to do so until he should retire   He needs a refill of his alprazolam which he primarily uses to help sleep at night   He sees a cardiologist for monitoring of his coronary artery disease  Review of Systems
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Hypercholesterolaemia, Hypertension, Joint range of motion decreased, Lipids normal, Metabolic function test
Clinical narrative: 10/6/21 pcp office visit    Has some concerns about symptoms after his recent COVID-19 vaccination COVID vaccination history:  1/30 had Moderna dose #1 - a week later had dizziness but no chills or fever, lasted about a week 2/27 had Moderna dose #2 - a week later had mild myalgia perhaps 2-3 days  9/7 had Moderna dose #3 - about a week later, had stiffness and severe muscle aches for a few days, then went away   Yesterday he started with proximal muscle weakness and aches again, but much worse For example this morning could not lift his thigh without pulling it up with his arms Had to grab on to something to pull himself up this morning Achy from shoulders to upper arm   Went to chiropractor this morning who noticed he was stiff  Took 2 Advil and feels markedly better than he did this morning   Has his physical with Dr. every year, this has been a tradition for him for decades and plans to continue to do so until he should retire   He needs a refill of his alprazolam which he primarily uses to help sleep at night   He sees a cardiologist for monitoring of his coronary artery disease  Review of Systems
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Musculoskeletal stiffness, Myalgia, Pain in extremity, Polymyalgia rheumatica
Clinical narrative: 10/6/21 pcp office visit    Has some concerns about symptoms after his recent COVID-19 vaccination COVID vaccination history:  1/30 had Moderna dose #1 - a week later had dizziness but no chills or fever, lasted about a week 2/27 had Moderna dose #2 - a week later had mild myalgia perhaps 2-3 days  9/7 had Moderna dose #3 - about a week later, had stiffness and severe muscle aches for a few days, then went away   Yesterday he started with proximal muscle weakness and aches again, but much worse For example this morning could not lift his thigh without pulling it up with his arms Had to grab on to something to pull himself up this morning Achy from shoulders to upper arm   Went to chiropractor this morning who noticed he was stiff  Took 2 Advil and feels markedly better than he did this morning   Has his physical with Dr. every year, this has been a tradition for him for decades and plans to continue to do so until he should retire   He needs a refill of his alprazolam which he primarily uses to help sleep at night   He sees a cardiologist for monitoring of his coronary artery disease  Review of Systems
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, Sleep apnoea syndrome
Clinical narrative: 10/6/21 pcp office visit    Has some concerns about symptoms after his recent COVID-19 vaccination COVID vaccination history:  1/30 had Moderna dose #1 - a week later had dizziness but no chills or fever, lasted about a week 2/27 had Moderna dose #2 - a week later had mild myalgia perhaps 2-3 days  9/7 had Moderna dose #3 - about a week later, had stiffness and severe muscle aches for a few days, then went away   Yesterday he started with proximal muscle weakness and aches again, but much worse For example this morning could not lift his thigh without pulling it up with his arms Had to grab on to something to pull himself up this morning Achy from shoulders to upper arm   Went to chiropractor this morning who noticed he was stiff  Took 2 Advil and feels markedly better than he did this morning   Has his physical with Dr. every year, this has been a tradition for him for decades and plans to continue to do so until he should retire   He needs a refill of his alprazolam which he primarily uses to help sleep at night   He sees a cardiologist for monitoring of his coronary artery disease  Review of Systems
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Abdominal discomfort, Crying, Headache, Migraine, Screaming
Clinical narrative: Patient had her shot that day around 10:30 am as part of her yearly physical. She took it fine in the moment with no complaints or pain. We left the office and went to get lunch around 11:15. Patient ate her lunch, but said her stomach felt queezy. By the time we arrived home in the car she mentioned her head was suddenly hurting. As we were preparing to go back to school that day from her appointment, we stopped home to get some advil for her head first. By the time we got inside our home - around 11:45 - patient said she felt as though she had the worst headache of her life. She tried to lie down - but said her head hurt too badly. I immediately called the pediatrician's office where we had just been to report this problem and to ask for advice. By this time patient was grabbing at her head whining and then shrieking. Soon after that she was in the bathroom throwing up violently and crying. This was so loud the nurse on the phone could hear it and asked me if that was patient in the background throwing up and crying. I answered, yes. The pediatricians nurse told me to get her to the ER and she would have her doctor call me as soon as possible which she later did.  Patient threw up repeatedly on the way in the car. Once we got to the ER - we were processed in the hospital ER. Once we were shown to a bed, a nurse and doc examined her and deemed this event to be a migraine. She was given oral fluids and ibuprofen. These doctors explored the idea of giving her a brain scan to rule out injury. They did not do the scan. I wish they had.   Patient has never, ever had a migraine for any reason in her life.   It is my strong belief as a parent there is a correlation between this drug and her sudden headache. And it really was scary. She will have to have a second dose and I dont think we should do it.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Vomiting
Clinical narrative: Patient had her shot that day around 10:30 am as part of her yearly physical. She took it fine in the moment with no complaints or pain. We left the office and went to get lunch around 11:15. Patient ate her lunch, but said her stomach felt queezy. By the time we arrived home in the car she mentioned her head was suddenly hurting. As we were preparing to go back to school that day from her appointment, we stopped home to get some advil for her head first. By the time we got inside our home - around 11:45 - patient said she felt as though she had the worst headache of her life. She tried to lie down - but said her head hurt too badly. I immediately called the pediatrician's office where we had just been to report this problem and to ask for advice. By this time patient was grabbing at her head whining and then shrieking. Soon after that she was in the bathroom throwing up violently and crying. This was so loud the nurse on the phone could hear it and asked me if that was patient in the background throwing up and crying. I answered, yes. The pediatricians nurse told me to get her to the ER and she would have her doctor call me as soon as possible which she later did.  Patient threw up repeatedly on the way in the car. Once we got to the ER - we were processed in the hospital ER. Once we were shown to a bed, a nurse and doc examined her and deemed this event to be a migraine. She was given oral fluids and ibuprofen. These doctors explored the idea of giving her a brain scan to rule out injury. They did not do the scan. I wish they had.   Patient has never, ever had a migraine for any reason in her life.   It is my strong belief as a parent there is a correlation between this drug and her sudden headache. And it really was scary. She will have to have a second dose and I dont think we should do it.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was unknowingly given Dose #1 with expired vaccine.  Patient was contacted by his provider once the error was realized
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Asthenia, Atelectasis, C-reactive protein increased, COVID-19
Clinical narrative: Case completed Covid vaccine primary series, then was hospitalized for Covid in AUgust 2021. He was hospitalized at the hospital for 4 days, then at the Medical Center for 20 days.  * Pneumonia due to COVID-19 virus Assessment & Plan Sent to the ER from urgent care 8/13. Progressively more ill, F, diarrhea, fatigue, myalgias, altered taste, cough, sob, and very poor appetite (limited oral intake 48 hours).  Fully vaccinated in Feb 2021- exposed by unvaccinated son and grandson on Aug 2 and has been ill since Aug 4, so he was treated with both dexamethasone + remdesivir.  8/13 with a fever of 101 but has since improved. CXR initially with patchy infiltrates but mild. CRP was 14 and improving daily. He continues to improve clinically as well and expresses desire to d/c home today. He is now ambulating independently in the room and doing squats. He is tolerating a diet, though still has no appetite or taste. Is aware he needs to eat and drink more. Continues on oxygen, was on 5L for the last 72 hours which hasn't changed. I suspect a large part of this is atelectasis as he was so immobile the first few days of his hosp stay. Fatigue and weakness have improved sig per patient report. RT did arrange for home oxygen.    Case was admitted to hospital severall days after being discharged from the other hospital. He was on BiPap x 5 days,  then O2 on nasal canula, and underwent repeat dexamethosone treatment, and was discharged to home after 20 days in (Privacy).
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Cough, Decreased appetite, Diarrhoea
Clinical narrative: Case completed Covid vaccine primary series, then was hospitalized for Covid in AUgust 2021. He was hospitalized at the hospital for 4 days, then at the Medical Center for 20 days.  * Pneumonia due to COVID-19 virus Assessment & Plan Sent to the ER from urgent care 8/13. Progressively more ill, F, diarrhea, fatigue, myalgias, altered taste, cough, sob, and very poor appetite (limited oral intake 48 hours).  Fully vaccinated in Feb 2021- exposed by unvaccinated son and grandson on Aug 2 and has been ill since Aug 4, so he was treated with both dexamethasone + remdesivir.  8/13 with a fever of 101 but has since improved. CXR initially with patchy infiltrates but mild. CRP was 14 and improving daily. He continues to improve clinically as well and expresses desire to d/c home today. He is now ambulating independently in the room and doing squats. He is tolerating a diet, though still has no appetite or taste. Is aware he needs to eat and drink more. Continues on oxygen, was on 5L for the last 72 hours which hasn't changed. I suspect a large part of this is atelectasis as he was so immobile the first few days of his hosp stay. Fatigue and weakness have improved sig per patient report. RT did arrange for home oxygen.    Case was admitted to hospital severall days after being discharged from the other hospital. He was on BiPap x 5 days,  then O2 on nasal canula, and underwent repeat dexamethosone treatment, and was discharged to home after 20 days in (Privacy).
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Fatigue, Hypophagia, Lung infiltration
Clinical narrative: Case completed Covid vaccine primary series, then was hospitalized for Covid in AUgust 2021. He was hospitalized at the hospital for 4 days, then at the Medical Center for 20 days.  * Pneumonia due to COVID-19 virus Assessment & Plan Sent to the ER from urgent care 8/13. Progressively more ill, F, diarrhea, fatigue, myalgias, altered taste, cough, sob, and very poor appetite (limited oral intake 48 hours).  Fully vaccinated in Feb 2021- exposed by unvaccinated son and grandson on Aug 2 and has been ill since Aug 4, so he was treated with both dexamethasone + remdesivir.  8/13 with a fever of 101 but has since improved. CXR initially with patchy infiltrates but mild. CRP was 14 and improving daily. He continues to improve clinically as well and expresses desire to d/c home today. He is now ambulating independently in the room and doing squats. He is tolerating a diet, though still has no appetite or taste. Is aware he needs to eat and drink more. Continues on oxygen, was on 5L for the last 72 hours which hasn't changed. I suspect a large part of this is atelectasis as he was so immobile the first few days of his hosp stay. Fatigue and weakness have improved sig per patient report. RT did arrange for home oxygen.    Case was admitted to hospital severall days after being discharged from the other hospital. He was on BiPap x 5 days,  then O2 on nasal canula, and underwent repeat dexamethosone treatment, and was discharged to home after 20 days in (Privacy).