chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral coldness, Tremor
Clinical narrative: Extreme arm pain, lip swelling,  extreme nauseas, bad weakness, extreme head ache, excessive tremors shaking uncontrollably, hands were really cold, high heart rate, took 2 ibuprofen 400mg total
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Amniorrhoea, Caesarean section, Exposure during pregnancy
Clinical narrative: Patient  G3P0202 at 31.3 weeks who presents with leaking fluid. She was given betamethasone and a magnesium bolus as well as her first dose of latency phase antibiotics and transferred to alternate facility for further care. Plan was for in-house monitoring until 34 weeks EGA or earlier date if medically indicated.  The patient did reach 34 weeks EGA. The patient underwent a repeat cesarean delivery.  Mother and baby did well with the procedure.  The mother was sent to the floor in good condition, the baby was sent to the clinic. Birthweight (5 lb 9.2 oz). Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: There are no adverse reactions. The wrong vaccine was given. I gave Pfizer undiluted pediatric to an adult.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Urticaria
Clinical narrative: Urticaria starting 10 days after 2nd and 3rd dose of Moderna. Angioedema after 2nd dose.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin disorder, Urticaria
Clinical narrative: Hives, itching, skin changes
Age: 50.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Electromyogram normal, Myalgia, Pain, Pain in extremity
Clinical narrative: Left arm upper outer muscle became extremely sore. in some positions, can't lift my left arm above shoulder level without pain. Some positions don't hurt. Example: CAn't reach out car window to get mail out of mailbox with left arm.  Saw doctor. Was given steroids without any effect. Had EMG that was normal on 01/05/2022. Currently, pain is less, but still present.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Pain in extremity
Clinical narrative: SEVERE ARM/SHOULDER PAIN, UNABLE TO MOVE OR RAISE ARM
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Incorrect dose administered, Interchange of vaccine products
Clinical narrative: Patient received single J&J vaccine on 12/29/22. NP misinterpreted information on CDC interim covid-19 immunization schedule, so instructed LPN to administer full dose of Moderna rather than booster dose of Moderna.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Blood sodium decreased, Blood urea increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient with 2 Moderna COVID vaccinations, last dose 06/01/21, who admitted with complications from COVID.  Provider note:    "Reason for Admission: Ground level fall   Brief Summary of Hospital Stay:  76-year-old female presenting for evaluation of a ground level fall after having syncopal episode. She was found by her husband who subsequently called EMS. She reported to have  subjective fevers and was evaluated by her family doctor day before the ED arrival, via telemedicine and was placed on doxycycline for suspected sinusitis. Pt was tested COVID pos on arrival. Patienthad received both of her COVID vaccinations. CXR revealed suspicious for covid pneumonia. Pt's symptoms was started 10 days prior to arrival and she was not eligible for remdesivir or regeneron. Pt became hypoxic and dexamethasone initiated. Patient with significant middle back pain for which  scheduled Tylenol as well as PRN  Norco/fentanyl later switched to Toradol with Tylenol PRN. Lack of food intake prior to arrival , therefore, IVF initiated. Pt's condition was deteriorated for a day during the stay, however, she recovered well with passing neuro exam without abnormality. Pt was initially paced on 2L oxygen and weaned off yesterday. However, pt de-satted to 85% during the walk test prior to discharge and ordered oxygen at the discharge. Pt's BP was soft during the stay. But pt was asymptomatic and BP has been stable. Pt confirmed that her BP normally runs low. Her BUN was mildly elevated this AM. Few hours of Normal saline  At 100ml/hr was given prior to discharge. Pt was discharged with oxygen, home care on 12/22/21. Pt was hyponatremic on admission (Na 132) and it was resolved prior to discharge. Pt to finish her dexamethazone dose and use tessalon Pearls as needed for her cough. Pt to f/u with her PCP for her ongoing covid issues and also discuss about possible trial of bisphosphonate for her compression fractures. "
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Cough, Fall, General physical health deterioration, Hyponatraemia
Clinical narrative: Patient with 2 Moderna COVID vaccinations, last dose 06/01/21, who admitted with complications from COVID.  Provider note:    "Reason for Admission: Ground level fall   Brief Summary of Hospital Stay:  76-year-old female presenting for evaluation of a ground level fall after having syncopal episode. She was found by her husband who subsequently called EMS. She reported to have  subjective fevers and was evaluated by her family doctor day before the ED arrival, via telemedicine and was placed on doxycycline for suspected sinusitis. Pt was tested COVID pos on arrival. Patienthad received both of her COVID vaccinations. CXR revealed suspicious for covid pneumonia. Pt's symptoms was started 10 days prior to arrival and she was not eligible for remdesivir or regeneron. Pt became hypoxic and dexamethasone initiated. Patient with significant middle back pain for which  scheduled Tylenol as well as PRN  Norco/fentanyl later switched to Toradol with Tylenol PRN. Lack of food intake prior to arrival , therefore, IVF initiated. Pt's condition was deteriorated for a day during the stay, however, she recovered well with passing neuro exam without abnormality. Pt was initially paced on 2L oxygen and weaned off yesterday. However, pt de-satted to 85% during the walk test prior to discharge and ordered oxygen at the discharge. Pt's BP was soft during the stay. But pt was asymptomatic and BP has been stable. Pt confirmed that her BP normally runs low. Her BUN was mildly elevated this AM. Few hours of Normal saline  At 100ml/hr was given prior to discharge. Pt was discharged with oxygen, home care on 12/22/21. Pt was hyponatremic on admission (Na 132) and it was resolved prior to discharge. Pt to finish her dexamethazone dose and use tessalon Pearls as needed for her cough. Pt to f/u with her PCP for her ongoing covid issues and also discuss about possible trial of bisphosphonate for her compression fractures. "
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypophagia, Hypotension, Hypoxia, Neurological examination normal, Pyrexia
Clinical narrative: Patient with 2 Moderna COVID vaccinations, last dose 06/01/21, who admitted with complications from COVID.  Provider note:    "Reason for Admission: Ground level fall   Brief Summary of Hospital Stay:  76-year-old female presenting for evaluation of a ground level fall after having syncopal episode. She was found by her husband who subsequently called EMS. She reported to have  subjective fevers and was evaluated by her family doctor day before the ED arrival, via telemedicine and was placed on doxycycline for suspected sinusitis. Pt was tested COVID pos on arrival. Patienthad received both of her COVID vaccinations. CXR revealed suspicious for covid pneumonia. Pt's symptoms was started 10 days prior to arrival and she was not eligible for remdesivir or regeneron. Pt became hypoxic and dexamethasone initiated. Patient with significant middle back pain for which  scheduled Tylenol as well as PRN  Norco/fentanyl later switched to Toradol with Tylenol PRN. Lack of food intake prior to arrival , therefore, IVF initiated. Pt's condition was deteriorated for a day during the stay, however, she recovered well with passing neuro exam without abnormality. Pt was initially paced on 2L oxygen and weaned off yesterday. However, pt de-satted to 85% during the walk test prior to discharge and ordered oxygen at the discharge. Pt's BP was soft during the stay. But pt was asymptomatic and BP has been stable. Pt confirmed that her BP normally runs low. Her BUN was mildly elevated this AM. Few hours of Normal saline  At 100ml/hr was given prior to discharge. Pt was discharged with oxygen, home care on 12/22/21. Pt was hyponatremic on admission (Na 132) and it was resolved prior to discharge. Pt to finish her dexamethazone dose and use tessalon Pearls as needed for her cough. Pt to f/u with her PCP for her ongoing covid issues and also discuss about possible trial of bisphosphonate for her compression fractures. "
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sinusitis, Syncope, Walking distance test
Clinical narrative: Patient with 2 Moderna COVID vaccinations, last dose 06/01/21, who admitted with complications from COVID.  Provider note:    "Reason for Admission: Ground level fall   Brief Summary of Hospital Stay:  76-year-old female presenting for evaluation of a ground level fall after having syncopal episode. She was found by her husband who subsequently called EMS. She reported to have  subjective fevers and was evaluated by her family doctor day before the ED arrival, via telemedicine and was placed on doxycycline for suspected sinusitis. Pt was tested COVID pos on arrival. Patienthad received both of her COVID vaccinations. CXR revealed suspicious for covid pneumonia. Pt's symptoms was started 10 days prior to arrival and she was not eligible for remdesivir or regeneron. Pt became hypoxic and dexamethasone initiated. Patient with significant middle back pain for which  scheduled Tylenol as well as PRN  Norco/fentanyl later switched to Toradol with Tylenol PRN. Lack of food intake prior to arrival , therefore, IVF initiated. Pt's condition was deteriorated for a day during the stay, however, she recovered well with passing neuro exam without abnormality. Pt was initially paced on 2L oxygen and weaned off yesterday. However, pt de-satted to 85% during the walk test prior to discharge and ordered oxygen at the discharge. Pt's BP was soft during the stay. But pt was asymptomatic and BP has been stable. Pt confirmed that her BP normally runs low. Her BUN was mildly elevated this AM. Few hours of Normal saline  At 100ml/hr was given prior to discharge. Pt was discharged with oxygen, home care on 12/22/21. Pt was hyponatremic on admission (Na 132) and it was resolved prior to discharge. Pt to finish her dexamethazone dose and use tessalon Pearls as needed for her cough. Pt to f/u with her PCP for her ongoing covid issues and also discuss about possible trial of bisphosphonate for her compression fractures. "
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood immunoglobulin G decreased, Hypogammaglobulinaemia, Metabolic function test abnormal, Protein total decreased, Selective IgA immunodeficiency
Clinical narrative: Patient has been receiving anti-cancer treatment for the past 7 years. She was switched to paclitaxel about 6 months ago. Her labs include a monthly CMP. In Feb., 2022, these labs revealed a low total protein level, but normal albumin. To define the abnormality, she recently had multiple serum and urine protein levels. The primary abnormality is a deficiency of IgG and IgA, with a normal IgM. I performed a literature search looking for reactions to her regular meds, including paclitaxel, but found no association with hypogammaglobulinemia.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Product preparation issue
Clinical narrative: There are no adverse events. The wrong vaccine was given. I gave the Pfizer pediatric undiluted dose 0.3ml was given.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breast cyst, Breast mass, Breast pain, Breast swelling, Mammogram abnormal
Clinical narrative: Multiple pain, swelling, and cysts in left breast.    First vaccine:  3 cysts, Aetna Teledoc Visit, given 10-day Antibiotic (Bactrim) - pain for about 6 weeks   Booster: 4 cysts, went to family practitioner, received mammogram and ultrasound, given 10-Day Antibiotic (Bactrim) - pain for about 8 weeks
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound breast abnormal
Clinical narrative: Multiple pain, swelling, and cysts in left breast.    First vaccine:  3 cysts, Aetna Teledoc Visit, given 10-day Antibiotic (Bactrim) - pain for about 6 weeks   Booster: 4 cysts, went to family practitioner, received mammogram and ultrasound, given 10-Day Antibiotic (Bactrim) - pain for about 8 weeks
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction occurred. Patient received a Moderna vaccine that expired 03/27/22. Manufacture was contacted the response was: The vaccine administered  lot number 059H21A maintained the activity necessary to  protect against the SARS-CoV-2 (COVID-19) virus at time of administration.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Angiopathy, Arthralgia, Blister, Blood test, Chest pain
Clinical narrative: Rigors with extreme body pain.  Internal organs felt inflamed, left hip, neck and shoulder pain persisted.  Raynaud's flare up.   After April 20th, I had severe leg pain and chest pain, with continues arm and shoulder pain, throbbing in the backs of my thighs and down into my calf - all left side oriented.  I developed numbness and tingling into my left hand and acute pain in my left arm.  My shoulder became frozen after many months of pain.  By May/June, I had developed a indentation in my left thigh muscle that was very painful and warm to the touch.  I still had severe left hip pain and shoulder pain as well.  Blistering started to occur on my skin at the left hip and back of shoulder blade.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hypoaesthesia, Inflammation, Laboratory test, Myalgia
Clinical narrative: Rigors with extreme body pain.  Internal organs felt inflamed, left hip, neck and shoulder pain persisted.  Raynaud's flare up.   After April 20th, I had severe leg pain and chest pain, with continues arm and shoulder pain, throbbing in the backs of my thighs and down into my calf - all left side oriented.  I developed numbness and tingling into my left hand and acute pain in my left arm.  My shoulder became frozen after many months of pain.  By May/June, I had developed a indentation in my left thigh muscle that was very painful and warm to the touch.  I still had severe left hip pain and shoulder pain as well.  Blistering started to occur on my skin at the left hip and back of shoulder blade.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Necrosis, Neurological examination, Pain, Pain in extremity
Clinical narrative: Rigors with extreme body pain.  Internal organs felt inflamed, left hip, neck and shoulder pain persisted.  Raynaud's flare up.   After April 20th, I had severe leg pain and chest pain, with continues arm and shoulder pain, throbbing in the backs of my thighs and down into my calf - all left side oriented.  I developed numbness and tingling into my left hand and acute pain in my left arm.  My shoulder became frozen after many months of pain.  By May/June, I had developed a indentation in my left thigh muscle that was very painful and warm to the touch.  I still had severe left hip pain and shoulder pain as well.  Blistering started to occur on my skin at the left hip and back of shoulder blade.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Periarthritis, Rash, Raynaud's phenomenon, Skin indentation
Clinical narrative: Rigors with extreme body pain.  Internal organs felt inflamed, left hip, neck and shoulder pain persisted.  Raynaud's flare up.   After April 20th, I had severe leg pain and chest pain, with continues arm and shoulder pain, throbbing in the backs of my thighs and down into my calf - all left side oriented.  I developed numbness and tingling into my left hand and acute pain in my left arm.  My shoulder became frozen after many months of pain.  By May/June, I had developed a indentation in my left thigh muscle that was very painful and warm to the touch.  I still had severe left hip pain and shoulder pain as well.  Blistering started to occur on my skin at the left hip and back of shoulder blade.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Ultrasound scan, X-ray, X-ray limb
Clinical narrative: Rigors with extreme body pain.  Internal organs felt inflamed, left hip, neck and shoulder pain persisted.  Raynaud's flare up.   After April 20th, I had severe leg pain and chest pain, with continues arm and shoulder pain, throbbing in the backs of my thighs and down into my calf - all left side oriented.  I developed numbness and tingling into my left hand and acute pain in my left arm.  My shoulder became frozen after many months of pain.  By May/June, I had developed a indentation in my left thigh muscle that was very painful and warm to the touch.  I still had severe left hip pain and shoulder pain as well.  Blistering started to occur on my skin at the left hip and back of shoulder blade.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Gait inability, Myalgia, Pyrexia, Rhabdomyolysis
Clinical narrative: Starting 4/6/2022 Fever of 104 Fever over 105 4/7/22 Started experiencing muscle pain in arms 4/8/22- 12pm stopped being able to walk. Took to ER Waited over hour for medical care instead took for outpatient lab work Was in episode of rhabdomyolysis needed IV treatment but ER "inundated" had to take home and treat with option of direct admission if needed
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given an expired vaccine (Moderna COVID-19). No adverse side effects noted.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Exposure during pregnancy
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction occurred. Patient received a Moderna vaccine that expired 03/27/22. Manufacture was contacted the response was: The vaccine administered  lot number 059H21A maintained the activity necessary to  protect against the SARS-CoV-2 (COVID-19) virus at time of administration.  Nor further treatment necessary.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-GAD antibody positive, Blood glucose increased, Glycosylated haemoglobin increased, Type 1 diabetes mellitus
Clinical narrative: Diagnosed with type 1 diabetes. First high glucose reading was take dec 7 2021. Officially diagnosed as type 1 in March of 2022.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction occurred. Patient received a Moderna vaccine that expired 03/27/22. Manufacture was contacted the response was: The vaccine administered  lot number 059H21A maintained the activity necessary to  protect against the SARS-CoV-2 (COVID-19) virus at time of administration.  Nor further treatment necessary.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Fall, Hypoxia
Clinical narrative: Patient with 2 Pfizer COVID vaccinations, last dose 02/10/21, who admitted to hospital with complications from COVID.  Provider D/C note below:  "Brief Summary of Hospital Stay:  Patient had a Fall at home without suffering any injuries but due to  Weakness generalized she could not get up off the floor.  When evaluated she was found to have evidence or Acute respiratory insufficieny with hypoxia.  The respiratory disturbance and weakness appear to be due to a COVID 19 infection.  Though the patient was vaccinated she may not have had as robust response due immunosuppression from METHOTREXATE and PREDNISONE she takes for Adult-onset Still's disease.  She was started on DECADRON (course continued at discharge) and REMDESIVIR (course not completed).  Patient's weakness improved quickly and she did well with physical therapy.  Her oxygen requirements were improving rapidly as well.  She was discharge with supplemental oxygen but suspect she will not need support for long."
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 Pfizer COVID vaccinations, last dose 02/10/21, who admitted to hospital with complications from COVID.  Provider D/C note below:  "Brief Summary of Hospital Stay:  Patient had a Fall at home without suffering any injuries but due to  Weakness generalized she could not get up off the floor.  When evaluated she was found to have evidence or Acute respiratory insufficieny with hypoxia.  The respiratory disturbance and weakness appear to be due to a COVID 19 infection.  Though the patient was vaccinated she may not have had as robust response due immunosuppression from METHOTREXATE and PREDNISONE she takes for Adult-onset Still's disease.  She was started on DECADRON (course continued at discharge) and REMDESIVIR (course not completed).  Patient's weakness improved quickly and she did well with physical therapy.  Her oxygen requirements were improving rapidly as well.  She was discharge with supplemental oxygen but suspect she will not need support for long."
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction occurred. Patient received a Moderna vaccine that expired 03/27/22. Manufacture was contacted the response was: The vaccine administered  lot number 059H21A maintained the activity necessary to  protect against the SARS-CoV-2 (COVID-19) virus at time of administration.  Nor further treatment necessary.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered, No adverse event
Clinical narrative: Gave patient a full dose of Moderna (0.5ml) as a booster on 4-11-2022 around 11:45am. Patient went home after waiting for 30 minutes and was stable with no complaints. Patient notified on 4-12-2022 of error and patient reported that he was fine and has not had any adverse reactions.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Electrocardiogram normal, Injection site pain, Pain in extremity, Weight bearing difficulty
Clinical narrative: After the initial shot, I only experienced pain at the injection site. A month later, I noticed waves of pain from my upper arm all the way down to my wrist. It felt like arthritic pain, I could not lay on it or put weight on it. It hurt mostly at night. After two weeks, I went to the urgent care clinic where they did an x-ray. They did not find any breakage or fractures in the x-ray. They prescribed me medication for the pain, but when I ran out of the pain medication, the pain lasted for another 2 to 3 months before it subsided.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: After the initial shot, I only experienced pain at the injection site. A month later, I noticed waves of pain from my upper arm all the way down to my wrist. It felt like arthritic pain, I could not lay on it or put weight on it. It hurt mostly at night. After two weeks, I went to the urgent care clinic where they did an x-ray. They did not find any breakage or fractures in the x-ray. They prescribed me medication for the pain, but when I ran out of the pain medication, the pain lasted for another 2 to 3 months before it subsided.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction occurred. Patient received a Moderna vaccine that expired 03/27/22. Manufacture was contacted the response was: The vaccine administered  lot number 059H21A maintained the activity necessary to  protect against the SARS-CoV-2 (COVID-19) virus at time of administration.  Nor further treatment necessary.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Exposure during pregnancy, Labour induction
Clinical narrative: Vaginal delivery on 3/4/22; 39 weeks; G2P0010; presented for induction of labor
Age: 13.0
Sex: M
Vaccine: HEP, TDAP, VARCEL
Symptoms: Seizure, Sluggishness
Clinical narrative: Pt was scheduled for catch up immunizations. TDap, Hep B, Varicella, MMR and IPV ordered. RMA gave 3 (Tdap, Hep B and Varicella) of 5 ordered vaccines and pt had a seizure lasting 2 minutes. Pt was breathing and had a pulse. Woke up sluggish. Due to language barrier, translator called for mother and pt. Called 911 and pt and mother were transported to hospital via ambulance for further evaluation
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction occurred. Patient received a Moderna vaccine that expired 03/27/22. Manufacture was contacted the response was: The vaccine administered  lot number 059H21A maintained the activity necessary to  protect against the SARS-CoV-2 (COVID-19) virus at time of administration.  Nor further treatment necessary.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood disorder, Hypersensitivity, Hypoaesthesia, Laboratory test, Monoclonal gammopathy
Clinical narrative: The biggest symptoms monoclonal gameography of unspecified origin, MGUF, blood disorder; numbness;  The other issues were noted in each Vsafe check-in. I have an allergy to an ingredient in the vaccine but now I have been diagnosed with something that I don't understand.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Incorrect dose administered, Myalgia
Clinical narrative: Patient was given full dose instead of booster dose (half of dose) of Moderna vaccine. Patient experienced muscle soreness and headache symptoms.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Anaemia, Bladder catheterisation, COVID-19, Coagulation test
Clinical narrative: Patient up to date on COVID vaccinations admitted to hospital with incidental positive COVID test during admission testing.  No s/s of COVID during stay.  Provider d/c note below:  "87 yo M, hx of atrial flutter on warfarin, colon cancer s/p cholectomy and ileostomy, T2DM, and CKDIIIb who came to hospital on 12/20 because of red stool in his ostomy. Of note, he had epistaxis a few days before admission. In the ED, his vital signs were stable, initial CBC was unremarkable, BMP showed acute on chronic kidney injury, coag panel showed an INR of 2. He was started on Vitamin K and warfarin was held. He continued to have melanotic streaking, repeat CBC demonstrated worsening anemia and was started on Protonix GGT. Tested positive for COVID in the ED but denied any symptoms of fever, chills, cough, or SOB. GI was consulted, notes that he had epistaxis a few days prior and recommended observing. He developed significant hyperkalemia in the ED and an EKG showed peaked T waves, given dose of calcium gluconate and lokelma.  He later got a dose of lasix, but the patient was not urinating adequately. He was found to have significant urinary retention with 2 L of urine being excreted with a straight catheter. The urinary retention continued, and a foley catheter was placed. He continued to have drops in his hemoglobin with continued melena. Dr. performed a EGD and Ileoscopy and found a non-bleeding gastric ulcer. His melena resolved and his hemoglobin remained stable after the procedure. His foley catheter remained indwelling on discharge because of concern for continued urinary rentention on discharge. Family will help with his care of his foley catheter with follow up from urology in the future for voiding trial. He was sent home in stable medical condition."
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dysuria, Electrocardiogram T wave peaked, Endoscopy small intestine abnormal, Epistaxis, Faeces discoloured
Clinical narrative: Patient up to date on COVID vaccinations admitted to hospital with incidental positive COVID test during admission testing.  No s/s of COVID during stay.  Provider d/c note below:  "87 yo M, hx of atrial flutter on warfarin, colon cancer s/p cholectomy and ileostomy, T2DM, and CKDIIIb who came to hospital on 12/20 because of red stool in his ostomy. Of note, he had epistaxis a few days before admission. In the ED, his vital signs were stable, initial CBC was unremarkable, BMP showed acute on chronic kidney injury, coag panel showed an INR of 2. He was started on Vitamin K and warfarin was held. He continued to have melanotic streaking, repeat CBC demonstrated worsening anemia and was started on Protonix GGT. Tested positive for COVID in the ED but denied any symptoms of fever, chills, cough, or SOB. GI was consulted, notes that he had epistaxis a few days prior and recommended observing. He developed significant hyperkalemia in the ED and an EKG showed peaked T waves, given dose of calcium gluconate and lokelma.  He later got a dose of lasix, but the patient was not urinating adequately. He was found to have significant urinary retention with 2 L of urine being excreted with a straight catheter. The urinary retention continued, and a foley catheter was placed. He continued to have drops in his hemoglobin with continued melena. Dr. performed a EGD and Ileoscopy and found a non-bleeding gastric ulcer. His melena resolved and his hemoglobin remained stable after the procedure. His foley catheter remained indwelling on discharge because of concern for continued urinary rentention on discharge. Family will help with his care of his foley catheter with follow up from urology in the future for voiding trial. He was sent home in stable medical condition."
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Full blood count abnormal, Gastric ulcer, Haemoglobin decreased, Hyperkalaemia, International normalised ratio increased
Clinical narrative: Patient up to date on COVID vaccinations admitted to hospital with incidental positive COVID test during admission testing.  No s/s of COVID during stay.  Provider d/c note below:  "87 yo M, hx of atrial flutter on warfarin, colon cancer s/p cholectomy and ileostomy, T2DM, and CKDIIIb who came to hospital on 12/20 because of red stool in his ostomy. Of note, he had epistaxis a few days before admission. In the ED, his vital signs were stable, initial CBC was unremarkable, BMP showed acute on chronic kidney injury, coag panel showed an INR of 2. He was started on Vitamin K and warfarin was held. He continued to have melanotic streaking, repeat CBC demonstrated worsening anemia and was started on Protonix GGT. Tested positive for COVID in the ED but denied any symptoms of fever, chills, cough, or SOB. GI was consulted, notes that he had epistaxis a few days prior and recommended observing. He developed significant hyperkalemia in the ED and an EKG showed peaked T waves, given dose of calcium gluconate and lokelma.  He later got a dose of lasix, but the patient was not urinating adequately. He was found to have significant urinary retention with 2 L of urine being excreted with a straight catheter. The urinary retention continued, and a foley catheter was placed. He continued to have drops in his hemoglobin with continued melena. Dr. performed a EGD and Ileoscopy and found a non-bleeding gastric ulcer. His melena resolved and his hemoglobin remained stable after the procedure. His foley catheter remained indwelling on discharge because of concern for continued urinary rentention on discharge. Family will help with his care of his foley catheter with follow up from urology in the future for voiding trial. He was sent home in stable medical condition."
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Melaena, Metabolic function test abnormal, Oesophagogastroduodenoscopy abnormal, Renal injury, SARS-CoV-2 test positive
Clinical narrative: Patient up to date on COVID vaccinations admitted to hospital with incidental positive COVID test during admission testing.  No s/s of COVID during stay.  Provider d/c note below:  "87 yo M, hx of atrial flutter on warfarin, colon cancer s/p cholectomy and ileostomy, T2DM, and CKDIIIb who came to hospital on 12/20 because of red stool in his ostomy. Of note, he had epistaxis a few days before admission. In the ED, his vital signs were stable, initial CBC was unremarkable, BMP showed acute on chronic kidney injury, coag panel showed an INR of 2. He was started on Vitamin K and warfarin was held. He continued to have melanotic streaking, repeat CBC demonstrated worsening anemia and was started on Protonix GGT. Tested positive for COVID in the ED but denied any symptoms of fever, chills, cough, or SOB. GI was consulted, notes that he had epistaxis a few days prior and recommended observing. He developed significant hyperkalemia in the ED and an EKG showed peaked T waves, given dose of calcium gluconate and lokelma.  He later got a dose of lasix, but the patient was not urinating adequately. He was found to have significant urinary retention with 2 L of urine being excreted with a straight catheter. The urinary retention continued, and a foley catheter was placed. He continued to have drops in his hemoglobin with continued melena. Dr. performed a EGD and Ileoscopy and found a non-bleeding gastric ulcer. His melena resolved and his hemoglobin remained stable after the procedure. His foley catheter remained indwelling on discharge because of concern for continued urinary rentention on discharge. Family will help with his care of his foley catheter with follow up from urology in the future for voiding trial. He was sent home in stable medical condition."
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urinary retention
Clinical narrative: Patient up to date on COVID vaccinations admitted to hospital with incidental positive COVID test during admission testing.  No s/s of COVID during stay.  Provider d/c note below:  "87 yo M, hx of atrial flutter on warfarin, colon cancer s/p cholectomy and ileostomy, T2DM, and CKDIIIb who came to hospital on 12/20 because of red stool in his ostomy. Of note, he had epistaxis a few days before admission. In the ED, his vital signs were stable, initial CBC was unremarkable, BMP showed acute on chronic kidney injury, coag panel showed an INR of 2. He was started on Vitamin K and warfarin was held. He continued to have melanotic streaking, repeat CBC demonstrated worsening anemia and was started on Protonix GGT. Tested positive for COVID in the ED but denied any symptoms of fever, chills, cough, or SOB. GI was consulted, notes that he had epistaxis a few days prior and recommended observing. He developed significant hyperkalemia in the ED and an EKG showed peaked T waves, given dose of calcium gluconate and lokelma.  He later got a dose of lasix, but the patient was not urinating adequately. He was found to have significant urinary retention with 2 L of urine being excreted with a straight catheter. The urinary retention continued, and a foley catheter was placed. He continued to have drops in his hemoglobin with continued melena. Dr. performed a EGD and Ileoscopy and found a non-bleeding gastric ulcer. His melena resolved and his hemoglobin remained stable after the procedure. His foley catheter remained indwelling on discharge because of concern for continued urinary rentention on discharge. Family will help with his care of his foley catheter with follow up from urology in the future for voiding trial. He was sent home in stable medical condition."
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction occurred. Patient received a Moderna vaccine that expired 03/27/22. Manufacture was contacted the response was: The vaccine administered  lot number 059H21A maintained the activity necessary to  protect against the SARS-CoV-2 (COVID-19) virus at time of administration.  Nor further treatment necessary.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction occurred. Patient received a Moderna vaccine that expired 03/27/22. Manufacture was contacted the response was: The vaccine administered  lot number 059H21A maintained the activity necessary to  protect against the SARS-CoV-2 (COVID-19) virus at time of administration.  Nor further treatment necessary.
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given the wrong formulation of Pfizer vaccine.  She was given 0.3ml of Purple Cap (age 12+) Pfizer rather than the appropriate Orange Cap Pfizer (ages 5-11) dosage.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction occurred. Patient received a Moderna vaccine that expired 03/27/22. Manufacture was contacted the response was: The vaccine administered  lot number 059H21A maintained the activity necessary to  protect against the SARS-CoV-2 (COVID-19) virus at time of administration.  No further treatment necessary.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aspiration pleural cavity, COVID-19, COVID-19 pneumonia, Dyspnoea, Nausea
Clinical narrative: Patient with Pfizer COVID vaccinations x2 with last dose 02/23/21 who admitted with COVID complications.  Provider D/C note below:  "79-year-old Caucasian man with past medical history chronic renal failure, CVA, testicular and renal cancer.  Presented to emergency room with chief complain of nausea and shortness of breath.  He was found to have left-sided pleural effusion and COVID pneumonia.  He underwent thoracenteses was 1.5 L removed from the left side.  The pleural fluids indicated transudative secondary to possible volume overload.  He was not hypoxic.  Nephrology was consulted and recommended to initiate hemodialysis as outpatient.  His blood pressure medications were adjusted by increasing his hydralazine to 100 mg, adding Demadex and Imdur"
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pleural effusion, SARS-CoV-2 test positive
Clinical narrative: Patient with Pfizer COVID vaccinations x2 with last dose 02/23/21 who admitted with COVID complications.  Provider D/C note below:  "79-year-old Caucasian man with past medical history chronic renal failure, CVA, testicular and renal cancer.  Presented to emergency room with chief complain of nausea and shortness of breath.  He was found to have left-sided pleural effusion and COVID pneumonia.  He underwent thoracenteses was 1.5 L removed from the left side.  The pleural fluids indicated transudative secondary to possible volume overload.  He was not hypoxic.  Nephrology was consulted and recommended to initiate hemodialysis as outpatient.  His blood pressure medications were adjusted by increasing his hydralazine to 100 mg, adding Demadex and Imdur"
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 07/06/2021.  66 y/o female with PMHX of ESRD on hemodialysis MWF, Asthma, CAD s/p PCI 2017, HTN, gastritis, DM, Hypothyroidism, scolosis presents to ED with c/o SOB, wheezing, productive cough, dizziness and chest pain x1 day.   Room air sat 97%, CXR with no focal consolidation and pt with low grade temps.  Treated with IV steroids.  Covid severity score=0 per Admitting MD.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection, Wheezing
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 07/06/2021.  66 y/o female with PMHX of ESRD on hemodialysis MWF, Asthma, CAD s/p PCI 2017, HTN, gastritis, DM, Hypothyroidism, scolosis presents to ED with c/o SOB, wheezing, productive cough, dizziness and chest pain x1 day.   Room air sat 97%, CXR with no focal consolidation and pt with low grade temps.  Treated with IV steroids.  Covid severity score=0 per Admitting MD.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: I started to have severe ringing in my ears the day after the vaccine. The injection site began to turn red, swollen and hot to the touch. It spread from the injection site to my elbow. It started to go away after 1 week. I went to the Doctor clinic for the ringing in my ears 3 days after the injection. They referred me to a ENT doctor. They performed a hearing test and found moderate hearing loss. I was put on a steroid and that medication did nothing for me. They had me come back 3 months later and it was still not improved. It is still not improved today.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I started to have severe ringing in my ears the day after the vaccine. The injection site began to turn red, swollen and hot to the touch. It spread from the injection site to my elbow. It started to go away after 1 week. I went to the Doctor clinic for the ringing in my ears 3 days after the injection. They referred me to a ENT doctor. They performed a hearing test and found moderate hearing loss. I was put on a steroid and that medication did nothing for me. They had me come back 3 months later and it was still not improved. It is still not improved today.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: after the third shot I've experienced continual ringing in my ears.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn't noticed and sent to clinic who administered expired vaccine to patient on 4/6.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Depressed level of consciousness, Feeling abnormal, Hyperhidrosis, Nausea
Clinical narrative: received  2nd booster vaccination at 0900, reported feeling "fuzzy headed" approx  0915, denied any previous reactions to vaccination, reported no recent illnesses but was observed to have a cough but reported no recent illnesses or underlying medical issues, patient became pale,  diaphoretic, nausea, and episodes of responding only to verbal stimuli,  vitals were taken with bp 162/100, O2 97%, pulse 62,  proceeded to c/o head and arm feeling fuzzy and right arm pain also, EMS was called and patient was transported to local hospital
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pallor
Clinical narrative: received  2nd booster vaccination at 0900, reported feeling "fuzzy headed" approx  0915, denied any previous reactions to vaccination, reported no recent illnesses but was observed to have a cough but reported no recent illnesses or underlying medical issues, patient became pale,  diaphoretic, nausea, and episodes of responding only to verbal stimuli,  vitals were taken with bp 162/100, O2 97%, pulse 62,  proceeded to c/o head and arm feeling fuzzy and right arm pain also, EMS was called and patient was transported to local hospital
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Extra dose administered, Injection site rash, Injection site reaction
Clinical narrative: Patient described severe body shaking, followed by lethargy and the feeling of imminent loss of consciousness at which time her husband had to help lower her to the floor where she lay while the husband wiped her head with a cold washcloth and contemplated calling 911.  Patient gained strength after 30-45 minutes and 911 was not called. Patient went to bed and woke up with lesions/rash encompassing a significant portion of her upper arm around the injection site. All was resolved within a few days.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Skin lesion, Tremor
Clinical narrative: Patient described severe body shaking, followed by lethargy and the feeling of imminent loss of consciousness at which time her husband had to help lower her to the floor where she lay while the husband wiped her head with a cold washcloth and contemplated calling 911.  Patient gained strength after 30-45 minutes and 911 was not called. Patient went to bed and woke up with lesions/rash encompassing a significant portion of her upper arm around the injection site. All was resolved within a few days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Fibrosis, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: hospitalized with COVID-19 pneumonia and sepsis. Received additional oxygen, antibiotics, steroids, and remdesivir. Discharged to home medically stable.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Headache, Inappropriate schedule of product administration
Clinical narrative: On 4/7/22 patient received 2nd Covid booster 3 months after 1st booster rather than the recommended 4 month interval.  Patient reported a headache beginning 4/9/22.  She was unsure if it was related to the booster.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received expired vaccine. Vaccine expired on 4/4 in the freezer but wasn?t noticed and sent to clinic who administered expired vaccine to patient on 4/5
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Injury, Urticaria
Clinical narrative: I went to Clinic and had my 3rd shot, waited for 30 minutes and went back to my daily activity. Now 6 months later I had a fall and had to place band-aids and I broke out with welts. I had some medicine at home and am taking them now. I still have some welts but they are residing on their own.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given 2nd Covid booster too early.  It was given 3 months after the 1st booster rather than 4 months.  No adverse effects were reported per patient's wife/caregiver.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal discomfort, COVID-19, Chest X-ray abnormal, SARS-CoV-2 test positive
Clinical narrative: Patient with Moderna COVID vaccinations x3, last dose the day before admission.  Patient found to be COVID detected upon admission testing.  Provider d/c note below:  "58 year old woman with a hx of ESRD on HD and uncontrolled DM type 2 who presented to the hospital with GI complaints and was incidentally found to be covid-19 positive. Though she initially required high amounts of O2 including HFNC, she was rapidly weaned down and tolerating room air shortly after admission with saturations in the high 90s and RR in the teens. This maintained throughout the entirety of patient's hospitalization. There was additional concern for a superimposed bacterial pneumonia due to CXR findings particularly R>L and so patient was started on CAP coverage which was continued on discharge. Patient received dialysis while admitted as well.  She was cleared for discharge on 12/24 but unfortunately had difficulties arranging transport with family or through the hospital. Patient left the following day with private transport."
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Hyperhidrosis, Pyrexia, Urticaria
Clinical narrative: Patient felt sweaty and  feverish, but did not take temperature. She broke out in  hives. She has  been having hives off and on since receiving the first covid immunizations. She also had shortness of breath for about 24 hours