chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Joint stiffness, Joint swelling, Skin warm, X-ray
Clinical narrative: Joint swelling, pain and stiffness on both left and right side of the body. Knees swelling, finger and toe joints swelling, red, warm and painful. Wrist stiffness and pain. Started every couple weeks, then went to weekly. Seeing Rheumatogist
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: I've had worsening joint pain since that has been notable since January.  Fingers, elbows, shoulders, as well as toes, ankles, knees, and hips.  (Was diagnosed with osteoartritis of knees and hips in fall 2019).
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring abnormal, Cardiac stress test normal, Dyspnoea, Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: I am having chest palpitations, irregular heartbeats, and SOB and this made it worse because I have asthma. This started in August of 2021.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Heart rate irregular, Palpitations, Supraventricular extrasystoles, Ventricular extrasystoles
Clinical narrative: I am having chest palpitations, irregular heartbeats, and SOB and this made it worse because I have asthma. This started in August of 2021.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Death, Endotracheal intubation
Clinical narrative: Patient transferred from small hospital to a larger for higher level of care; positive for COVID; hypoxic; O2 supplementation; treated with remdesivir, dexamethasone, Lovenox, inhalers; required intubation; critically ill; developed fever; given ABX; no improvement; developed A Fib with rapid ventricular response; sinus rhythm resumed; Patient continued to worsen and passed away in the hospital.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Hypoxia, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient transferred from small hospital to a larger for higher level of care; positive for COVID; hypoxic; O2 supplementation; treated with remdesivir, dexamethasone, Lovenox, inhalers; required intubation; critically ill; developed fever; given ABX; no improvement; developed A Fib with rapid ventricular response; sinus rhythm resumed; Patient continued to worsen and passed away in the hospital.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus rhythm
Clinical narrative: Patient transferred from small hospital to a larger for higher level of care; positive for COVID; hypoxic; O2 supplementation; treated with remdesivir, dexamethasone, Lovenox, inhalers; required intubation; critically ill; developed fever; given ABX; no improvement; developed A Fib with rapid ventricular response; sinus rhythm resumed; Patient continued to worsen and passed away in the hospital.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site pain, Injection site swelling, Lymphadenopathy, Pain
Clinical narrative: The morning after my shot I noticed extreme tenderness in my left armpit of the arm I got the shot. As my day went on there was extremely noticeable swelling, tenderness, and pain when touching or abruptly moving the armor site area.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Compression garment application, Dyspnoea, Heart rate irregular, Mobility decreased
Clinical narrative: Some adverse events included Sore left arm, left side unusual chest pains, unusual irregular heart beats developed, twitching in various areas of legs and arms . . . Report submitted via VAERS Adverse Event Reporting via text and also in a timely basis. I registered via online for VAERS services and supports as suggested.   TO DATE SOME NEW CONDITIONS INCLUDES: PAD/Venous Insufficiency multiple sites. Current treatment includes compression stocking and pneumatic compression device. Decrease mobility treatment is physical therapy .Shortness of Breath . . .   This is Report one of two adverse reports submitted.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Pain in extremity, Peripheral arterial occlusive disease, Peripheral venous disease, Pneumatic compression therapy
Clinical narrative: Some adverse events included Sore left arm, left side unusual chest pains, unusual irregular heart beats developed, twitching in various areas of legs and arms . . . Report submitted via VAERS Adverse Event Reporting via text and also in a timely basis. I registered via online for VAERS services and supports as suggested.   TO DATE SOME NEW CONDITIONS INCLUDES: PAD/Venous Insufficiency multiple sites. Current treatment includes compression stocking and pneumatic compression device. Decrease mobility treatment is physical therapy .Shortness of Breath . . .   This is Report one of two adverse reports submitted.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: Some adverse events included Sore left arm, left side unusual chest pains, unusual irregular heart beats developed, twitching in various areas of legs and arms . . . Report submitted via VAERS Adverse Event Reporting via text and also in a timely basis. I registered via online for VAERS services and supports as suggested.   TO DATE SOME NEW CONDITIONS INCLUDES: PAD/Venous Insufficiency multiple sites. Current treatment includes compression stocking and pneumatic compression device. Decrease mobility treatment is physical therapy .Shortness of Breath . . .   This is Report one of two adverse reports submitted.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial infarction
Clinical narrative: She was reported to have had a heart attack the night after getting the vaccine and is in the hospital and remains there currently
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Right ear ringing since my 3rd shot (booster), on 2/21/22
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose decreased, Condition aggravated, Dizziness, Dysmenorrhoea
Clinical narrative: I had severe period cramps in my life. Most of my cramps are at a level 2 but this was at a level 8. These lasted for about 5 days. I also have been having a blood sugar crashes. I been lightheaded. This has been happening 3 or 4 times a week ever since I got my last dose. I have a doctor appointment about this.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Death, Hypoxia, Pyrexia
Clinical narrative: Hospital course Initially admitted for severe weakness suggestive of a UTI.  Transitioned to DNR/Comfort care and transferred back to LTC facility.  Same evening she became febrile, and tested positive for Covid 19 and sent back to hospital for isolation.   She became hypoxic and required oxygen supplementation and started on dexamethasone.  She died on 01/16/2022.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Hospital course Initially admitted for severe weakness suggestive of a UTI.  Transitioned to DNR/Comfort care and transferred back to LTC facility.  Same evening she became febrile, and tested positive for Covid 19 and sent back to hospital for isolation.   She became hypoxic and required oxygen supplementation and started on dexamethasone.  She died on 01/16/2022.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site discolouration, Swelling, Thrombosis
Clinical narrative: PATIENT EXPERIANCE SWELLING THE NEXT DAY WITH HEAD ACHE, FOLLOWED BY DISCOLORIZATION OF THE ENTORE UPER ARM FROM THE SITE IF INJECTION TO LOWER YELBOW WITH CLOTS.
Age: 27.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: COVID-19, Cough, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: On Sunday I started coming down with headache, dizziness and fogginess. I took a PCR and rapid test that were COVID Positive. I took a rapid test from a different manufacturer and it came back positive. I had a fever all that week, 100 to 101 until that April 1st. Initially my symptoms were still fever fatigue, dizziness, and headache. In a few days I started developing a runny nose and cough. By the that next week my fever broke, it's been stable at 99.5. Right now I still dealing with the same symptoms they come and go. But I do feel better than I did last week. I took Dayquil and alternated with Ibuprofen, Mucinex and I was prescribed with a cough suppressant, DM Promethazine for cough symptoms. I took another rapid test on last Saturday, it still shows positive.
Age: 27.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Headache, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On Sunday I started coming down with headache, dizziness and fogginess. I took a PCR and rapid test that were COVID Positive. I took a rapid test from a different manufacturer and it came back positive. I had a fever all that week, 100 to 101 until that April 1st. Initially my symptoms were still fever fatigue, dizziness, and headache. In a few days I started developing a runny nose and cough. By the that next week my fever broke, it's been stable at 99.5. Right now I still dealing with the same symptoms they come and go. But I do feel better than I did last week. I took Dayquil and alternated with Ibuprofen, Mucinex and I was prescribed with a cough suppressant, DM Promethazine for cough symptoms. I took another rapid test on last Saturday, it still shows positive.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Limb discomfort, Nasopharyngitis, Neck pain
Clinical narrative: Patient reports palpitations, sore back and neck on left side. Cold symptoms with headache and arm soreness. She was okay at the clinic. She didn't start feeling symptoms until that night  (April 4th 2022).
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Patient reports palpitations, sore back and neck on left side. Cold symptoms with headache and arm soreness. She was okay at the clinic. She didn't start feeling symptoms until that night  (April 4th 2022).
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Spinal fusion surgery
Clinical narrative: Patient hospitalized for Lumbar 2-3, 3-4 and 4-5 transforaminal lumbar interbody fusion within 6 weeks of receiving covid vaccination.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory abnormal, Extrasystoles
Clinical narrative: On 11/12/2021, Approximately 2 weeks after Pfizer booster ( 10/27/2021), I experienced intermittent "flutters" in my chest. I have not had this prior to the vaccine.  I have been a critical care RN for almost 37 years, so with my stethoscope I could hear the irregular "skipped" beats.  A week later I had an appt with my primary care doctor and brought this to her attention. The decision to follow and report increased symptoms was agreed on. I have continued to notice intermittent palpitations but on 02/12/2022 I began to notice a steady increase to multiple times daily.  On 2/24/2022 I again saw Primary care doctor regarding the palpitations. EKG/Echocardiogram done. On 3/18/2022 I again saw Primary care for follow up. I was referred to a Cardiologist.  On 3/30/2022 I had a 24 hr. Holter monitor placed that confirmed Premature ventricular contraction, Premature atrial contractions.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Palpitations, Supraventricular extrasystoles, Ventricular extrasystoles
Clinical narrative: On 11/12/2021, Approximately 2 weeks after Pfizer booster ( 10/27/2021), I experienced intermittent "flutters" in my chest. I have not had this prior to the vaccine.  I have been a critical care RN for almost 37 years, so with my stethoscope I could hear the irregular "skipped" beats.  A week later I had an appt with my primary care doctor and brought this to her attention. The decision to follow and report increased symptoms was agreed on. I have continued to notice intermittent palpitations but on 02/12/2022 I began to notice a steady increase to multiple times daily.  On 2/24/2022 I again saw Primary care doctor regarding the palpitations. EKG/Echocardiogram done. On 3/18/2022 I again saw Primary care for follow up. I was referred to a Cardiologist.  On 3/30/2022 I had a 24 hr. Holter monitor placed that confirmed Premature ventricular contraction, Premature atrial contractions.
Age: 0.75
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: Flushing, Insomnia, Irritability, Rash, Rash pruritic
Clinical narrative: Patient came in on 4/6/2022 around 2:30pm. Mom states patient would not sleep last night, very fussy, and started with a itchy rash all over. No fever, but felt hot to touch. Gave Motrin 30 minutes before appointment today. Doctor examined patient and she indeed did have hives on both legs and on abdomen. Flushed face. Not sure which vaccine cause this since rash is all over. Patient is stable otherwise. 3.4ml of Benadryl given and patient sent home with return precautions.
Age: 0.75
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: Skin warm, Urticaria
Clinical narrative: Patient came in on 4/6/2022 around 2:30pm. Mom states patient would not sleep last night, very fussy, and started with a itchy rash all over. No fever, but felt hot to touch. Gave Motrin 30 minutes before appointment today. Doctor examined patient and she indeed did have hives on both legs and on abdomen. Flushed face. Not sure which vaccine cause this since rash is all over. Patient is stable otherwise. 3.4ml of Benadryl given and patient sent home with return precautions.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Caesarean section, Exposure during pregnancy, Salpingectomy
Clinical narrative: Bilateral - cesarean delivery with bilateral salpingectomy  Primary Diagnosis: pregnancy at 39w0d. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Feeling abnormal, Mobility decreased, Neck pain, Pain
Clinical narrative: For the past two weeks, left side has been hurting (off and on). There's a pain in my neck and shoulder. Recently, it has become difficult to lift my left arm past a certain point (mid-body). Sometimes, left arm feels hot. It feels like someone is sticking something in my back near shoulder area and along neck.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: For the past two weeks, left side has been hurting (off and on). There's a pain in my neck and shoulder. Recently, it has become difficult to lift my left arm past a certain point (mid-body). Sometimes, left arm feels hot. It feels like someone is sticking something in my back near shoulder area and along neck.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Erythema, Inflammation, Rash, Swelling
Clinical narrative: Developed hives three days after the vaccine. "Not very swollen or inflamed-over whole body". Not itchy. A little less red now but still present. Also had an itchy throat recently. Lymphoma now out of remission (had stem cell transplant).  Had been in remission the last 7 years. Nothing going on at the time of the shot. Changed laundry detergent etc. after developiing the rash.  Had a hostory of a rash with initial mantel cell lymphoma. Going to start Car T transplant in a week. Oncology team reccomended the booster dose and is aware of the rash. Has taken pictures. Has not notified primary MD. Encouraged to notify and discuss if another dose is eligible to consider close observation for anaphlaxis Cont. or not receving the same type of COVID vaccine. States "I don't think I will be getting another one". Wanted to report the rash in case others need to know that it could be a side effect.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Throat irritation, Urticaria
Clinical narrative: Developed hives three days after the vaccine. "Not very swollen or inflamed-over whole body". Not itchy. A little less red now but still present. Also had an itchy throat recently. Lymphoma now out of remission (had stem cell transplant).  Had been in remission the last 7 years. Nothing going on at the time of the shot. Changed laundry detergent etc. after developiing the rash.  Had a hostory of a rash with initial mantel cell lymphoma. Going to start Car T transplant in a week. Oncology team reccomended the booster dose and is aware of the rash. Has taken pictures. Has not notified primary MD. Encouraged to notify and discuss if another dose is eligible to consider close observation for anaphlaxis Cont. or not receving the same type of COVID vaccine. States "I don't think I will be getting another one". Wanted to report the rash in case others need to know that it could be a side effect.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Cardiac stress test, Echocardiogram, Electrocardiogram, Extrasystoles
Clinical narrative: About 2 weeks after the vaccine, I noticed my heart skipping a beat. This went on for 2 months. I went to my doctor and they lowered my dosage of Omeprazole which did not help so then went back to my normal dosage. I went back for the second doctor appt, I was tested with a stress test, EKG, and echocardiogram. I am also scheduled to get a Holter monitor. It was indicated as PVC. A month before the vaccine, I had an EKG and nothing was indicated. This causes me anxiety and is worse when I lay down.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: About 2 weeks after the vaccine, I noticed my heart skipping a beat. This went on for 2 months. I went to my doctor and they lowered my dosage of Omeprazole which did not help so then went back to my normal dosage. I went back for the second doctor appt, I was tested with a stress test, EKG, and echocardiogram. I am also scheduled to get a Holter monitor. It was indicated as PVC. A month before the vaccine, I had an EKG and nothing was indicated. This causes me anxiety and is worse when I lay down.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Not eligible due to age
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Colonoscopy abnormal, Diverticulum intestinal, Haemorrhoids, Lower gastrointestinal haemorrhage
Clinical narrative: Acute lower gastrointestinal bleeding - Patient seen by GI?status post diagnostic colonoscopy which revealed diverticulosis in the left colon and internal hemorrhoids.  Resolved lower GI bleed without intervention. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Visual impairment
Clinical narrative: She got her vaccine, 4th one.  She had chills, fatigue over the weekend, but was nothing.  Then on Wednesday morning, 3/9/22, was down in her basement and was closing the exterior garage door button for it to close.  She came into the basement and the interior door was all distorted buckling to her, but it really was not.  She looked at the frame and felt that it was sticking out on her, which lasted for about 10-15 seconds.  She was busy and had children coming, and had a busy day going on and did not do anything about that, had no other symptoms of headache, dizziness or anything before or after that event.  She has been fine since that event.    The next day she was telling a friend about that who told her to call her doctor.  She has a neurologist as she has RA and has trouble walking.  She called him at a local facility and they did not get back to her, and she described what had happened.  The weekend by and by 3/14/22 she called again to see if she could talk to the doctor or get a call back.  During that conversation she asked if she should call her PCP, which she called.  She went into the records and said that she should have an eye check up.   She did that on 3/21/22 and her neurologist incidentally called and told her he would see her in June at her regular appointment and did not seem interested in her event.  The eye doctor told her that it could have possibly been a TIA in one or both eyes, but no other neurological symptoms of any kind.  She said that it could be an eye problem or ONJ which is an adverse reaction to some medications.  That doctor is going to call her regarding possibly this is what it might be.  She is concerned that it may have been that, if it was, should she be concerned and should she take further vaccines, just a lot of unanswered questions.    Eye doctor gave her instructions in the event that it happens again and to do within 5 minutes or call 911 or get to an ophthalmologist or seek medical attention.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Patient hospitalized for Pneumonia due to COVID-19 virus within 6 weeks of receiving covid vaccination.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: Patient reports itchiness at injection site 24 hours post injection
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Client presented requesting DTaP, IPV, MMR. After reviewing vaccine record I determined he needed a DTaP since his 5th dose was DT and he has no hx of allergic rxn to pertussis. Database also recommended DTaP that day.  Vaccine was administered. 04/07/2022. I contacted clients mother, she reports no known adverse reaction and that client is doing well
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram peripheral abnormal, Anticoagulant therapy, Catheter directed thrombolysis, Foot amputation, Haemoglobin decreased
Clinical narrative: Thrombosis of femoro-popliteal bypass graft -  presented to the clinic for vascular follow-up and was found to have occlusion of his of his femoral popliteal graft.  He was admitted.  Interventional radiology consulted and he underwent a series of right lower extremity angiograms with catheter thrombolysis as described above in procedures.  See procedure notes for details.  IV heparin was transitioned to Eliquis and aspirin.  He received a transfusion of 1 unit of packed red blood cells for hemoglobin of 7.2.  He was seen in consultation by podiatry for consideration of right transmetatarsal amputation due to ischemic changes to the right distal foot.  He was taken to the operating room by podiatry on January 3, 2022 for right transmetatarsal amputation.  Hyperbaric medicine consulted and he underwent hyperbaric oxygen therapy. Discharged home. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell transfusion, Vascular graft occlusion, Vascular graft thrombosis
Clinical narrative: Thrombosis of femoro-popliteal bypass graft -  presented to the clinic for vascular follow-up and was found to have occlusion of his of his femoral popliteal graft.  He was admitted.  Interventional radiology consulted and he underwent a series of right lower extremity angiograms with catheter thrombolysis as described above in procedures.  See procedure notes for details.  IV heparin was transitioned to Eliquis and aspirin.  He received a transfusion of 1 unit of packed red blood cells for hemoglobin of 7.2.  He was seen in consultation by podiatry for consideration of right transmetatarsal amputation due to ischemic changes to the right distal foot.  He was taken to the operating room by podiatry on January 3, 2022 for right transmetatarsal amputation.  Hyperbaric medicine consulted and he underwent hyperbaric oxygen therapy. Discharged home. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Influenza like illness, Pain
Clinical narrative: 11 hours after vaccination I began to feel like someone was carving on my bones. I felt flu like symptoms and felt achy. Took 400mg NSAIDS every 8 hours for two days.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Wants to report breakthrough case. Received vaccine 4/2021, then came down with COVID in October 2021.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Blood creatine phosphokinase, C-reactive protein, Chest X-ray, Echocardiogram, Electrocardiogram
Clinical narrative: Developed an acute pericarditis without any other known risk factors.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Full blood count, Metabolic function test, Pericarditis, Red blood cell sedimentation rate, Respiratory viral panel
Clinical narrative: Developed an acute pericarditis without any other known risk factors.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Troponin
Clinical narrative: Developed an acute pericarditis without any other known risk factors.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Feeling abnormal, Interchange of vaccine products, Pain, Urticaria
Clinical narrative: Patient had Moderna vaccine for doses 1, 2 and first booster. Got Pfizer vaccine for second booseter. Developed Hives Late Monday night after bosoter was given Had Pfizer the booster on Monday AM  Developed hives on Monday night  Lasted about 12 hours  Resolved  Felt crummy yesterday with body aches  Hives returned again last night even worse Arms, back, abdomen  No difficulty breathing  Swallowing WNL  Site WNL  Took Clairitin with relief  All 3 doses were Moderna and booster was Pfizer  No other changes in lifestyle/diet/laundry detergent/soaps
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Delusion, SARS-CoV-2 test positive, Thinking abnormal, Treatment noncompliance
Clinical narrative: Patient with Moderna COVID vaccinations, last dose 05/25/22, who admitted to hospital with incidental COVID detected test.  No hypoxia during stay.  Provider d/c note below:  "54-year-old very pleasant female with history of mood disorder and prior COVID infection was admitted under hospitalist service.  Prior to admission she was initially accepted at psychiatric unit on December 23, 2021.  Reportedly patient has stopped taking her psychiatric medications and she was experiencing delusional thoughts.  Patient presented to the hospital.  And she was authorized for an inpatient psychiatric hospitalization.  Patient had a COVID screening test prior to her transfer to psych facility which turned out to be positive. she was then admitted to the hospitalist team.  Patient was basically asymptomatic.  She did not require any COVID directed treatments.  Psychiatry team manage her medications.  She will be discharged home after completing 8 days of hospital stay.  Technically she is out of isolation window suggested by the CDC.  Patient will is still stay socially distant for next couple of days.  Her medications will be provided by her cousin.  Patient was completely asymptomatic."
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Crohn's disease, Ileostomy, Intestinal anastomosis, Intestinal resection, Large intestinal stenosis
Clinical narrative: Crohn's disease of small intestine with other complication. Patient was found to have stricture and partial obstruction proximal to her ileorectal anastomosis. She presented 10/21 for resection of ileorectal anastomosis and creation of new ileorectal anastomosis with diverting loop ileostomy. Post operatively, she did well. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rectal obstruction
Clinical narrative: Crohn's disease of small intestine with other complication. Patient was found to have stricture and partial obstruction proximal to her ileorectal anastomosis. She presented 10/21 for resection of ileorectal anastomosis and creation of new ileorectal anastomosis with diverting loop ileostomy. Post operatively, she did well. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gene sequencing, Mobility decreased, Sinusitis, Spinal disorder
Clinical narrative: I had no problems besides a sore arm after receiving the 1st dose. I see that my manufacturer is also different from my second dose. After receiving the 2nd dose I was totally exhausted couldn't do anything for 2 full months or about 8 or 9 weeks.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Fatigue, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: My arm was sore for about a day or two and I felt really tired. I ended up testing positive for COVID in January 2022.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test
Clinical narrative: My arm was sore for about a day or two and I felt really tired. I ended up testing positive for COVID in January 2022.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site swelling, Injection site warmth, Ultrasound scan
Clinical narrative: Left arm at injections site still swollen and painful six months after last injection. Sensitive to touch and fees warm to the touch.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Left arm at injections site still swollen and painful six months after last injection. Sensitive to touch and fees warm to the touch.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Condition aggravated, Myotonic dystrophy, Respiratory failure
Clinical narrative: Acute on chronic respiratory failure with hypoxia. What was found was that he is a chronic CO2 retainer so his oxygen was titrated to maintain his oxygen saturations between 88-92%. The most likely etiology of his acute on chronic hypoxic respiratory failure is from his myotonic dystrophy as he already has home NIPPV and has already been prescribed home oxygen but he has not set up his home oxygen. He was then discharged on 4 L of supplemental oxygen via anoxia mask as this helped him maintain oxygen saturations better than the nasal cannula. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 13.0
Sex: M
Vaccine: MENB
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Meningitis B # 2 was inadvertently administered at age 13.  First dose was administered 2 months earlier by another provider 2 months prior.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Atrial fibrillation, Blood culture positive, Cardiac failure, Escherichia test positive
Clinical narrative: Admitted from the residential facility with hypoxemia, AKI, rapid AF. Blood cultures positive for Klebsiella pneumoniae and E coli. He did have some mild heart failure, most likely systolic. Did require diuresis. He did need a higher dose of metoprolol. Now transitioned back to his home dose. Did receive digoxin loading dose, but was not continued. His oxygen requirements have markedly reduced. He was on high-flow nasal cannula, now down to 1 L a day. Discharged back to the residential facility. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Klebsiella test positive, Left ventricular failure, Polyuria
Clinical narrative: Admitted from the residential facility with hypoxemia, AKI, rapid AF. Blood cultures positive for Klebsiella pneumoniae and E coli. He did have some mild heart failure, most likely systolic. Did require diuresis. He did need a higher dose of metoprolol. Now transitioned back to his home dose. Did receive digoxin loading dose, but was not continued. His oxygen requirements have markedly reduced. He was on high-flow nasal cannula, now down to 1 L a day. Discharged back to the residential facility. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, COVID-19 pneumonia, Death, Dyspnoea
Clinical narrative: pt admitted to hosp with sx of mild SOB, productive cough; found to be positive for COVID; treated with steroids; experienced A Fib; through course of hospitalization, pt's O2 requirements increased; O2 supplementation; pt's condition worsened; ICU; family requested DNR; eventually transitioned to comfort measures; he passed away in the hospital with Pneumonia due to COVID 19 listed as one of the causes of death per death certificate
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Intensive care, Productive cough, SARS-CoV-2 test positive
Clinical narrative: pt admitted to hosp with sx of mild SOB, productive cough; found to be positive for COVID; treated with steroids; experienced A Fib; through course of hospitalization, pt's O2 requirements increased; O2 supplementation; pt's condition worsened; ICU; family requested DNR; eventually transitioned to comfort measures; he passed away in the hospital with Pneumonia due to COVID 19 listed as one of the causes of death per death certificate
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Haemostasis, Left atrial appendage closure implant, Medical device implantation
Clinical narrative: Patient presented for scheduled WATCHMAN placement. Successful placement of a 35 mm WATCHMAN FLX device was performed on 1/5/22. Access for left atrial appendage closure was obtained via transseptal puncture. Hemostasis was adequately achieved postoperatively. Patient ambulatory and working with PT/OT with recommendations for discharge to home after 28 hours. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.5ml given instead of 0.3ml dose
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Ear pain, Headache, Neck pain
Clinical narrative: No immediate reaction. Received a call today specifying that later the day of administration and continuing into today, patient experienced severe headache, ear pain, left arm/shoulder pain (opposite to location of administration), neck pain, and back pain (which she believes may or may not be related). Pain is relieved by sitting upright and aggravated by laying down. Patient has taken 2 aspirin (325 mg she believes) for the pain. Symptoms seem to be persisting. I recommended Tylenol (acetaminophen) in addition for pain and recommended she call her doctor as well for symptomatic recommendations or if symptoms persist. She reports that she just got off the phone with her doctor who told her to call us and report it.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: No immediate reaction. Received a call today specifying that later the day of administration and continuing into today, patient experienced severe headache, ear pain, left arm/shoulder pain (opposite to location of administration), neck pain, and back pain (which she believes may or may not be related). Pain is relieved by sitting upright and aggravated by laying down. Patient has taken 2 aspirin (325 mg she believes) for the pain. Symptoms seem to be persisting. I recommended Tylenol (acetaminophen) in addition for pain and recommended she call her doctor as well for symptomatic recommendations or if symptoms persist. She reports that she just got off the phone with her doctor who told her to call us and report it.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbness on left side of face
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypersensitivity
Clinical narrative: Reported allergy to COVID-19 MRNA vaccine. Medium severity reaction - joint pain.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acupuncture, Axillary pain, Back pain, Impaired work ability, Injection site pain
Clinical narrative: Experienced expected fever at ~ 24 hours post vaccine #2, then next day exquisite pain in lower back radiating down left leg. 4 days after vaccine experienced exquisite pain in left shoulder radiating from axilla to hand, followed by muscle weakness and neuropathy to pinky and ring finger (ulnar nerve). Saw chiropractor same day with little relief, then PT on day 11 post shot. Used acupuncture treatments until 4/19/21 before finger function was back, but still weak.  Had planned rotator cuff surgery on 5/6/21. 2-3 weeks post-op experienced horrific nerve pain from top of hand extending to 2nd knuckle of all fingers and up to top of forearm almost to elbow. Used acupuncture again for pain until 6/28/21 and returned to work on 7/1/21 Decreased sensation to top of hand and some weakness in right hand remain.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Neuralgia, Neuropathy peripheral, Pain, Pain in extremity
Clinical narrative: Experienced expected fever at ~ 24 hours post vaccine #2, then next day exquisite pain in lower back radiating down left leg. 4 days after vaccine experienced exquisite pain in left shoulder radiating from axilla to hand, followed by muscle weakness and neuropathy to pinky and ring finger (ulnar nerve). Saw chiropractor same day with little relief, then PT on day 11 post shot. Used acupuncture treatments until 4/19/21 before finger function was back, but still weak.  Had planned rotator cuff surgery on 5/6/21. 2-3 weeks post-op experienced horrific nerve pain from top of hand extending to 2nd knuckle of all fingers and up to top of forearm almost to elbow. Used acupuncture again for pain until 6/28/21 and returned to work on 7/1/21 Decreased sensation to top of hand and some weakness in right hand remain.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rotator cuff repair, Sensory loss
Clinical narrative: Experienced expected fever at ~ 24 hours post vaccine #2, then next day exquisite pain in lower back radiating down left leg. 4 days after vaccine experienced exquisite pain in left shoulder radiating from axilla to hand, followed by muscle weakness and neuropathy to pinky and ring finger (ulnar nerve). Saw chiropractor same day with little relief, then PT on day 11 post shot. Used acupuncture treatments until 4/19/21 before finger function was back, but still weak.  Had planned rotator cuff surgery on 5/6/21. 2-3 weeks post-op experienced horrific nerve pain from top of hand extending to 2nd knuckle of all fingers and up to top of forearm almost to elbow. Used acupuncture again for pain until 6/28/21 and returned to work on 7/1/21 Decreased sensation to top of hand and some weakness in right hand remain.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test positive, Anaphylactic reaction, Angioedema, Chronic spontaneous urticaria, Food allergy
Clinical narrative: Between 6-7 weeks after my first shot I began noticing hives. To this day, just about 1 year later I still have hives and dermatographia, and chronic spontaneous urticaria. The hives continued to get worse over a couple of months and I sometimes would have a flare, & before the full body flare had went always I would get another flare. I was prescribed Pepcid and antihistamines. I took a course of steroids & after it wore out I ended up in the ER (after sipping on a red and blue slush with my daughter) for what seemed to be anaphylactic event. I had severe angioedema of my lips. I ended up taking 4-5 courses of steroids including steroid injections, and was prescribed an Epipen. An allergy test was done and I found out I was allergic to peanuts, almonds, hazelnuts, sesame seeds, wheat, gluten, & soy. I have had flares of hives since, & often a thousand hives at one time.I Have also had many episodes of angioedema to the lips and also eyes.  I was prescribed Xolair, and I just received my third shot today. Things seem to be calming down with  the Xolai, however most days I still have anywhere between 50-100 hives.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gluten sensitivity, Mechanical urticaria, Urticaria
Clinical narrative: Between 6-7 weeks after my first shot I began noticing hives. To this day, just about 1 year later I still have hives and dermatographia, and chronic spontaneous urticaria. The hives continued to get worse over a couple of months and I sometimes would have a flare, & before the full body flare had went always I would get another flare. I was prescribed Pepcid and antihistamines. I took a course of steroids & after it wore out I ended up in the ER (after sipping on a red and blue slush with my daughter) for what seemed to be anaphylactic event. I had severe angioedema of my lips. I ended up taking 4-5 courses of steroids including steroid injections, and was prescribed an Epipen. An allergy test was done and I found out I was allergic to peanuts, almonds, hazelnuts, sesame seeds, wheat, gluten, & soy. I have had flares of hives since, & often a thousand hives at one time.I Have also had many episodes of angioedema to the lips and also eyes.  I was prescribed Xolair, and I just received my third shot today. Things seem to be calming down with  the Xolai, however most days I still have anywhere between 50-100 hives.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain upper, Diarrhoea, Feeding disorder
Clinical narrative: Within 5 hours of receiving the vaccine, pt. began complaining of nausea and stomach cramping.  He pointed to his upper abdominal as well as his lower abdominal area as sources of sharp pain and discomfort.  Each day following his symptoms compounded including diarrhea and vomiting regularly through out the day.  Within 1 week, he had lost 8 lbs and was unable to eat most days.  We have had to incorporate high protein Boost/Ensure drinks to attempt to get Calories into him, but he can only consume a few ounces at a time before becoming nauseous.  He cannot eat more than a few bites or a few ounces of fluid at a time and we attempt to feed him 8-10 times a day now just to get Calories in.  He has a scheduled appointment with his doctor next week (earliest available appointment).
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting, Weight decreased
Clinical narrative: Within 5 hours of receiving the vaccine, pt. began complaining of nausea and stomach cramping.  He pointed to his upper abdominal as well as his lower abdominal area as sources of sharp pain and discomfort.  Each day following his symptoms compounded including diarrhea and vomiting regularly through out the day.  Within 1 week, he had lost 8 lbs and was unable to eat most days.  We have had to incorporate high protein Boost/Ensure drinks to attempt to get Calories into him, but he can only consume a few ounces at a time before becoming nauseous.  He cannot eat more than a few bites or a few ounces of fluid at a time and we attempt to feed him 8-10 times a day now just to get Calories in.  He has a scheduled appointment with his doctor next week (earliest available appointment).
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Eye pain, Oedema peripheral, Pain in extremity, Peripheral swelling
Clinical narrative: Swollen underarm and right side chest area. Swollen, pain and sensations travel down arms almost to wrist, stabbing pain in eye area.   (NOTE: Those were some of the newer adverse reactions that occurred after dose 1 February 12, 2021 . Adverse reactions from first dose February 12, 2021 which included chest pain, irregular heart beat, pain and twitching movements travelling down arms and legs. . .)  Report submitted via VAERS Adverse Event Reporting via text also on timely basis.   TO DATE SOME NEW CONDITIONS INCLUDES: PAD/Venous Insufficiency multiple sites. Current treatment includes compression stocking and pneumatic compression device. Decrease mobility treatment is physical therapy . . .
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance, Swelling, Ultrasound Doppler
Clinical narrative: Swollen underarm and right side chest area. Swollen, pain and sensations travel down arms almost to wrist, stabbing pain in eye area.   (NOTE: Those were some of the newer adverse reactions that occurred after dose 1 February 12, 2021 . Adverse reactions from first dose February 12, 2021 which included chest pain, irregular heart beat, pain and twitching movements travelling down arms and legs. . .)  Report submitted via VAERS Adverse Event Reporting via text also on timely basis.   TO DATE SOME NEW CONDITIONS INCLUDES: PAD/Venous Insufficiency multiple sites. Current treatment includes compression stocking and pneumatic compression device. Decrease mobility treatment is physical therapy . . .
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Disorientation, Vitamin B1 deficiency
Clinical narrative: Patient presented to the ED on 1/4/22 for disorientation and acute confusion. Patient presented to the ED and was subsequently hospitalized for confusion, weakness, vitamin B1 deficiency. These visits are within 6 weeks of receiving covid vaccination.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site pruritus, Lethargy, Pain
Clinical narrative: 1.  Extreme skin sensitivity.  Clothing felt like sandpaper rubbing her skin all day.   2.  Sharp pain (causing lightheadedness upon standing) on lower left rear base of skull.   3.  Lethargy Above 3 symptoms started on day 2 and subsided after 13.5 hours of sleep.  However,  4.  Intense itching at injection site was noticed on day 3.  It may or may not have been there before.  But due to the pain the clothing caused, the itch was not observed until the pain subsided.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin
Clinical narrative: 1.  Extreme skin sensitivity.  Clothing felt like sandpaper rubbing her skin all day.   2.  Sharp pain (causing lightheadedness upon standing) on lower left rear base of skull.   3.  Lethargy Above 3 symptoms started on day 2 and subsided after 13.5 hours of sleep.  However,  4.  Intense itching at injection site was noticed on day 3.  It may or may not have been there before.  But due to the pain the clothing caused, the itch was not observed until the pain subsided.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Chest X-ray, Urine analysis
Clinical narrative: October 05, 2021 was diagnosed with COVID and seen in the ER and released home. Sent home with pulse OX. Did not run fever and pulse ox didn't drop below 93.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Photopsia, Visual impairment
Clinical narrative: no issues during administration. patient called at 12:25 reporting that she had developed vision issues 15 minutes prior that had not gone away.  patient reports a sparkling in right part of right eye.  patient reports not being able to clearly read literature online as she looked up this issue via internet.  she reported no pain at the time.  patient was recommended to monitor and if problem continues or progresses to seek medical help immediately.  patient reported having tiredness after previous shots and stated she would take a nap and see how she was when she woke up.  I requested she follow up with us regarding conditition.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Magnetic resonance imaging normal
Clinical narrative: Hearing loss in the left ear about two months after the booster.  Saw my PCP in January right after significant hearing loss.  Finally got in to see ENT in March.  The hearing test showed significant loss without any reason.  MRI was done on March 23, 2022.  No reason for hearing loss was discovered on the MRI.  Now I'm being told to medically get hearing aids.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Nephrolithiasis
Clinical narrative: Right ureteral stone - treated and discharged in 13 hours. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fall, Myalgia, Pain in extremity, Pruritus
Clinical narrative: sores in mouth, fell, itching, fever, muscle pain, chills,arm pain