chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: On 11/3/2021, Medical assistant administered incorrect vaccine type-dose.  Patient received incorrect vaccine type-dose for his age.  Patient was to receive Covid-19 Pfizer Pediatric dose (0.2ml)  and instead received the wrong dose of Covid-19 Pfizer dose for 12 years old and up. RN followed up with parents and they voiced understanding of the error during vaccine administration and reported patient was doing well.   They agreed to monitor child for any side effect and call us to report concern.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Hyperhidrosis, Palpitations, Sleep disorder
Clinical narrative: Had heart palpitations after 12+ hours of receiving the 2nd dose of Pfizer COVID-19 vaccine. I was sleeping and it woke me up in the middle of the night at around 215am, where my heart rate was in the 200s (I was in SVT). I then drank a liter of water and then urinate which helped me calm down. I also took Tylenol to help alleviate my pain. I was also sweating profusely.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Dyspnoea, Headache
Clinical narrative: 1st injection had major chest pain and feeling of squeezing tightly in my chest, hard time breathing  2nd injection have chronic debilitating headache for 3 days, extreme dizziness and cloudy focus, rash developed at injection site.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site rash, Vision blurred
Clinical narrative: 1st injection had major chest pain and feeling of squeezing tightly in my chest, hard time breathing  2nd injection have chronic debilitating headache for 3 days, extreme dizziness and cloudy focus, rash developed at injection site.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Onychomadesis, Rash, Wound, Wound complication, Wound haemorrhage
Clinical narrative: A persistent rash on my right hand that will not heal, most of the time it is an open wound that bleeds and is very painful. The rash on my fourth finger has now taken half of my finger nail off.  My palm always has a sore in the middle and I have to keep it covered or it will open and bleed.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest pain, Chills, Heart rate increased
Clinical narrative: Chills, pain in chest, pain in stomach, elevated heart rate  Still some pain this morning, but seems to be subsiding.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Vaccination error
Clinical narrative: Charge nurse administered the COVID-19 Pfizer dose instead of the TB skin test using a tuberculin syringe subcutaneously. No negative effects reported.
Age: 32.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Extra dose administered, Injection site swelling, Injection site warmth, Interchange of vaccine products
Clinical narrative: 4cm in diameter swelling/warmth at the injection site.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event but patient is 16 and at this time, Moderna vaccine is only approved for patients 18+
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Progressive macular hypomelanosis, Rash, Tinea versicolour, Vitiligo
Clinical narrative: Approx. one month after the vaccine, I noticed a white rash on the center of my back but did not think it was anything and ignored it. I had been in the sun a couple of times and thought it was just tan lines. I had a skin check done in September, and was treated for possible tinea versicolor. After a few weeks, I noticed the white spots were spreading  to my shoulders and I went back to the dermatologist. Two skin biopsies were taken and sent to pathology where it was confirmed to be vitiligo. I have never had any skin or auto-immune issues in my life. I've never even had a flu shot. I am concerned that the covid vaccine has caused this diagnosis.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Peripheral swelling, Skin discolouration, Skin lesion
Clinical narrative: Left middle finger acutely became swollen  and discolored.  There was no injury to that hand or finger to have caused this Pernio-like lesion on that finger?   This was after receiving a booster dose of Pfizer covid vaccine.  2 days later swelling has improved but discoloration/bruising still present.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dizziness, Erythema, Feeling hot, Induration
Clinical narrative: Red, swollen, warm to touch, hard feeling covering a large are on my arm. I have also experienced, diarrhea vomiting, and  light headed.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, Vomiting
Clinical narrative: Red, swollen, warm to touch, hard feeling covering a large are on my arm. I have also experienced, diarrhea vomiting, and  light headed.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Coccydynia
Clinical narrative: Pain in the tailbone on the right side
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Fatigue, Product preparation issue
Clinical narrative: The patient was given 0.3 ml of undiluted Pfizer vaccine on 10/27/21. The patient was notified 11/4/21. He reports that he had fatigue the following day on 10/28/21. No other symptoms. Continues to do well now.
Age: 101.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza, Nasal congestion, Pain, Productive cough, SARS-CoV-2 test negative
Clinical narrative: I started noticing normal flu symptoms. Phlegmy throat; coughing and sneezing; congestion  in my throat and nose and some body aches. I did not have a fever. COVID-19 test - negative result at clinic. Road it out with no treatment - the symptoms lasted about a week and a half. All I have now is a stuffy nose. Had the flu vaccine - Had that around October 8 (around that week either prior or a bit after).
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I started noticing normal flu symptoms. Phlegmy throat; coughing and sneezing; congestion  in my throat and nose and some body aches. I did not have a fever. COVID-19 test - negative result at clinic. Road it out with no treatment - the symptoms lasted about a week and a half. All I have now is a stuffy nose. Had the flu vaccine - Had that around October 8 (around that week either prior or a bit after).
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Mammogram abnormal
Clinical narrative: Several months after the vaccine, I had an anomaly show up on a mammogram. This may have also been caused by a Shingles Vaccine I received a few weeks before the mammogram. The doctor suspects the anomaly might be a lymph reaction to a vaccine.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: resident found unresponsive, last seen alert around 9:15p by NOD
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administration error, Product storage error
Clinical narrative: Patient received vaccine after published expiration date. Moderna Company analyzed lot 007B21A and advised vaccine maintained activity necessary to protect against covid 19  on date vaccine was administered.  Also patient did not call to complain of adverse event.  This is administration error without adverse event.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Gingival bleeding, Gingival pain, Gingival swelling, Glossodynia
Clinical narrative: mouth sores and swelling of tongue, gums, neck. redness on neck and upper chest. bleeding and soreness of gums. pain of tongue.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Stomatitis, Swelling, Swollen tongue
Clinical narrative: mouth sores and swelling of tongue, gums, neck. redness on neck and upper chest. bleeding and soreness of gums. pain of tongue.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Exposure during pregnancy, Malaise, Nausea, Vomiting
Clinical narrative: Uneventful pregnancy, no complications, due end of Dec 2021. Symptoms included dizziness evening of vaccination and general malaise into the following day. Within 24 hours nausea and vomiting occurred.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Gait disturbance, Hypoaesthesia, Neuralgia
Clinical narrative: I first developed  a rash on my leg after two days of 1st dose. The rash became sensitive and hurt to the touch. The right side of my torso and leg were sensitive and painful to the touch. The rash spread down my right leg and was painful to the touch. My leg joins were painful and inflamed (it hurt to lift my thigh leg). I had difficulty walking because the pain in my thigh joint was very painful. It throbbed painfully for three days the following week after the first dose. My knee felt inflamed on the inside, as did my ankle. After three weeks, the pain started to subside. Only now, my leg and nerves seem to be getting better. My skin feels like it would if I was coming out of anesthesia on my leg.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash, Rheumatoid factor, Sensitive skin, Tenderness
Clinical narrative: I first developed  a rash on my leg after two days of 1st dose. The rash became sensitive and hurt to the touch. The right side of my torso and leg were sensitive and painful to the touch. The rash spread down my right leg and was painful to the touch. My leg joins were painful and inflamed (it hurt to lift my thigh leg). I had difficulty walking because the pain in my thigh joint was very painful. It throbbed painfully for three days the following week after the first dose. My knee felt inflamed on the inside, as did my ankle. After three weeks, the pain started to subside. Only now, my leg and nerves seem to be getting better. My skin feels like it would if I was coming out of anesthesia on my leg.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: I first developed  a rash on my leg after two days of 1st dose. The rash became sensitive and hurt to the touch. The right side of my torso and leg were sensitive and painful to the touch. The rash spread down my right leg and was painful to the touch. My leg joins were painful and inflamed (it hurt to lift my thigh leg). I had difficulty walking because the pain in my thigh joint was very painful. It throbbed painfully for three days the following week after the first dose. My knee felt inflamed on the inside, as did my ankle. After three weeks, the pain started to subside. Only now, my leg and nerves seem to be getting better. My skin feels like it would if I was coming out of anesthesia on my leg.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: 58 year old male who had already received two doses of shingrix (on 7/14/21 and 9/14/21) received 3rd dose of Shingrix today in error.  Immunization program was notified and consulted. Per Immunization program, there is no research supporting danger of getting an extra dose of shingrix. However, patient's immune response may be more robust and he may experience stronger side effects.  Patient was informed that shingrix dose he received today was in error and that he may experience increased side effects, but that it should not cause him any long-term harm.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Musculoskeletal discomfort, Myalgia, Pain, Sleep disorder
Clinical narrative: I noticed shortly after vaccine, the vaccine site was sore as with any vaccine in the muscle but that acute pain that lasted all the time went away but I noticed that at night when I slept on my left arm I can't do that anymore because my upper arm hurts when I rest my head on my arm and I noticed when I lift arm up and try to use muscle where I had the injection it's sore and it's not like searing pain but it's certainly sore and it's been like that since I've had the injection and hasn't gone away. I mentioned this to my Doctor and he said we could do a full shoulder work up at some time but it's not severe enough, it's just uncomfortable. I did have a mild reaction and small feeling of not being super well but I think I took advil for that feeling and feeling a little achy, but nothing other than that.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: I noticed shortly after vaccine, the vaccine site was sore as with any vaccine in the muscle but that acute pain that lasted all the time went away but I noticed that at night when I slept on my left arm I can't do that anymore because my upper arm hurts when I rest my head on my arm and I noticed when I lift arm up and try to use muscle where I had the injection it's sore and it's not like searing pain but it's certainly sore and it's been like that since I've had the injection and hasn't gone away. I mentioned this to my Doctor and he said we could do a full shoulder work up at some time but it's not severe enough, it's just uncomfortable. I did have a mild reaction and small feeling of not being super well but I think I took advil for that feeling and feeling a little achy, but nothing other than that.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea
Clinical narrative: Stomach ache for over 2 hours; then a bowel movement with some diarrhea 3 times that day. I had a stomach every morning until October 30th accompanied by some diarrhea 2 or 3 a day. I did not eat anything different. I ate what I usually eat. After the 30th, the stomach aches were very mild but, I still have some diarrhea 2 or 3 a day.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Computerised tomogram, Pain, Pain in extremity
Clinical narrative: MUSCLE ACHES THROUGHOUT BODY,LEG PAIN, BACK PAIN, SCIATICA PAIN, SHOULDER PAIN- TREATMENTS INCLUDE: PHYSICAL THERAPY, ACUPUNCTURE, BIOWAVE, TYLENOL.  NONE HAVE BEEN SUCCESSUL
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Sciatica, X-ray
Clinical narrative: MUSCLE ACHES THROUGHOUT BODY,LEG PAIN, BACK PAIN, SCIATICA PAIN, SHOULDER PAIN- TREATMENTS INCLUDE: PHYSICAL THERAPY, ACUPUNCTURE, BIOWAVE, TYLENOL.  NONE HAVE BEEN SUCCESSUL
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Electromyogram, Magnetic resonance imaging neck, Magnetic resonance imaging spinal, Muscle contractions involuntary
Clinical narrative: 1st dose of the Pfizer vaccine was received on August 23rd and I began experiencing neurological effects (muscle fatigue, constant fasciculations beginning in lower extremities working their way up to my face, pins and needles) within one hour of receiving the vaccine. Potential Guillain-Barré syndrome was/is a concern. These effects are still ongoing and consistent in nature. Because of this, I have been officially diagnosed as Adverse reaction to a COVID 19 vaccine".
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle fatigue, Muscle spasms, Neurological symptom, Paraesthesia, Rheumatoid factor increased
Clinical narrative: 1st dose of the Pfizer vaccine was received on August 23rd and I began experiencing neurological effects (muscle fatigue, constant fasciculations beginning in lower extremities working their way up to my face, pins and needles) within one hour of receiving the vaccine. Potential Guillain-Barré syndrome was/is a concern. These effects are still ongoing and consistent in nature. Because of this, I have been officially diagnosed as Adverse reaction to a COVID 19 vaccine".
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination complication
Clinical narrative: 1st dose of the Pfizer vaccine was received on August 23rd and I began experiencing neurological effects (muscle fatigue, constant fasciculations beginning in lower extremities working their way up to my face, pins and needles) within one hour of receiving the vaccine. Potential Guillain-Barré syndrome was/is a concern. These effects are still ongoing and consistent in nature. Because of this, I have been officially diagnosed as Adverse reaction to a COVID 19 vaccine".
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Electromyogram, Guillain-Barre syndrome, Investigation, Magnetic resonance imaging head
Clinical narrative: 1st dose of the Pfizer vaccine was received on August 23rd and I began experiencing neurological effects (muscle fatigue, constant fasciculations beginning in lower extremities working their way up to my face, pins and needles) within one hour of receiving the vaccine. Potential Guillain-Barré syndrome was/is a concern. These effects are still ongoing and consistent in nature. Because of this, I have been officially diagnosed as Adverse reaction to a COVID 19 vaccine".
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging spinal, Muscle contractions involuntary, Muscle fatigue, Muscle spasms, Muscle tightness
Clinical narrative: 1st dose of the Pfizer vaccine was received on August 23rd and I began experiencing neurological effects (muscle fatigue, constant fasciculations beginning in lower extremities working their way up to my face, pins and needles) within one hour of receiving the vaccine. Potential Guillain-Barré syndrome was/is a concern. These effects are still ongoing and consistent in nature. Because of this, I have been officially diagnosed as Adverse reaction to a COVID 19 vaccine".
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle twitching, Paraesthesia, Rheumatoid factor increased
Clinical narrative: 1st dose of the Pfizer vaccine was received on August 23rd and I began experiencing neurological effects (muscle fatigue, constant fasciculations beginning in lower extremities working their way up to my face, pins and needles) within one hour of receiving the vaccine. Potential Guillain-Barré syndrome was/is a concern. These effects are still ongoing and consistent in nature. Because of this, I have been officially diagnosed as Adverse reaction to a COVID 19 vaccine".
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Heavy menstrual bleeding
Clinical narrative: Very heavy periods, bright red and going through super plus tampon every 10 minutes along with a super pad; extreme abdominal cramping
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoacusis, Tinnitus
Clinical narrative: Roughly 1 hour after receiving the shot, I developed tinnitus and partial hearing loss in my left ear
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NONE
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received vaccine past the beyond use date. No adverse effects reported.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, Asymptomatic COVID-19, Computerised tomogram abdomen abnormal, Explorative laparotomy
Clinical narrative: Asymptomatic screening for admission  ED to Hosp-Admission  Current  10/27/2021 - present (8 days) Hospital SURGERY PROGRESS NOTE   Background:   The patient is a 75 year old male with history of follicular lymphoma with imaging-proven cancer involvement of the abdomen, who presented to the ED with one day of severe abdominal pain. Patient was febrile and tachycardic, with peritonitis noted on physical exam. A CT scan of the abdomen and pelvis revealed findings of foci of free air in the right lower quadrant, and diffuse bowel thickening, raising concern for viscus perforation. Patient now s/p laparotomy with 30 cm small bowel resection.        Subjective    NAEON.  Pain is well controlled.         Objective      Temperature:  [36.9 °C (98.4 °F)-37.5 °C (99.5 °F)] 37.5 °C (99.5 °F) Heart Rate:  [84-119] 109 Resp:  [16-18] 18 BP: (110-114)/(66-72) 110/68 Body mass index is 27.55 kg/m².   11/03 0701 - 11/04 0700 In: 540 [P.O.:360] Out: 950 [Urine:950]   Physical Exam: General - awake, alert, NAD Respiratory - non-labored CV - RRR GI -abdomen soft, minimally tender to palpation. Midline incision OTA with no drainage.  Ext - WWP   Labs & Images reviewed.        Assessment/Plan     75 y.o. male with small bowel perforation secondary to lymphoma status post exploratory laparotomy with resection of 30 cm of distal ileum and primary anastomosis, now 8 Days Post-Op.    o Home medications including aspirin and PO plavix restarted.  o PRN Oxy and ATC Tylenol  o Continued Leukopenia.  o Oncology consult- Patient will resume chemotherapy as an outpatient, no need to treat leukopenia unless ANC less than 1 o PT/OT: Recommending discharge to facility,  24/7 care cannot be provided at home. o DVT prophylaxis: SCDs, Lovenox o Adult diet Regular; Yes o Dispo: Will require hospitalization until 14 days after his COVID diagnosis and can then be discharged to facility   MD 11/4/2021 7:27 AM         MD at 11/3/2021  7:48 AM
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal wall thickening, Intestinal perforation, Intestinal resection, Leukopenia, Peritonitis
Clinical narrative: Asymptomatic screening for admission  ED to Hosp-Admission  Current  10/27/2021 - present (8 days) Hospital SURGERY PROGRESS NOTE   Background:   The patient is a 75 year old male with history of follicular lymphoma with imaging-proven cancer involvement of the abdomen, who presented to the ED with one day of severe abdominal pain. Patient was febrile and tachycardic, with peritonitis noted on physical exam. A CT scan of the abdomen and pelvis revealed findings of foci of free air in the right lower quadrant, and diffuse bowel thickening, raising concern for viscus perforation. Patient now s/p laparotomy with 30 cm small bowel resection.        Subjective    NAEON.  Pain is well controlled.         Objective      Temperature:  [36.9 °C (98.4 °F)-37.5 °C (99.5 °F)] 37.5 °C (99.5 °F) Heart Rate:  [84-119] 109 Resp:  [16-18] 18 BP: (110-114)/(66-72) 110/68 Body mass index is 27.55 kg/m².   11/03 0701 - 11/04 0700 In: 540 [P.O.:360] Out: 950 [Urine:950]   Physical Exam: General - awake, alert, NAD Respiratory - non-labored CV - RRR GI -abdomen soft, minimally tender to palpation. Midline incision OTA with no drainage.  Ext - WWP   Labs & Images reviewed.        Assessment/Plan     75 y.o. male with small bowel perforation secondary to lymphoma status post exploratory laparotomy with resection of 30 cm of distal ileum and primary anastomosis, now 8 Days Post-Op.    o Home medications including aspirin and PO plavix restarted.  o PRN Oxy and ATC Tylenol  o Continued Leukopenia.  o Oncology consult- Patient will resume chemotherapy as an outpatient, no need to treat leukopenia unless ANC less than 1 o PT/OT: Recommending discharge to facility,  24/7 care cannot be provided at home. o DVT prophylaxis: SCDs, Lovenox o Adult diet Regular; Yes o Dispo: Will require hospitalization until 14 days after his COVID diagnosis and can then be discharged to facility   MD 11/4/2021 7:27 AM         MD at 11/3/2021  7:48 AM
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumoperitoneum, Pyrexia, SARS-CoV-2 test positive, Tachycardia, Tenderness
Clinical narrative: Asymptomatic screening for admission  ED to Hosp-Admission  Current  10/27/2021 - present (8 days) Hospital SURGERY PROGRESS NOTE   Background:   The patient is a 75 year old male with history of follicular lymphoma with imaging-proven cancer involvement of the abdomen, who presented to the ED with one day of severe abdominal pain. Patient was febrile and tachycardic, with peritonitis noted on physical exam. A CT scan of the abdomen and pelvis revealed findings of foci of free air in the right lower quadrant, and diffuse bowel thickening, raising concern for viscus perforation. Patient now s/p laparotomy with 30 cm small bowel resection.        Subjective    NAEON.  Pain is well controlled.         Objective      Temperature:  [36.9 °C (98.4 °F)-37.5 °C (99.5 °F)] 37.5 °C (99.5 °F) Heart Rate:  [84-119] 109 Resp:  [16-18] 18 BP: (110-114)/(66-72) 110/68 Body mass index is 27.55 kg/m².   11/03 0701 - 11/04 0700 In: 540 [P.O.:360] Out: 950 [Urine:950]   Physical Exam: General - awake, alert, NAD Respiratory - non-labored CV - RRR GI -abdomen soft, minimally tender to palpation. Midline incision OTA with no drainage.  Ext - WWP   Labs & Images reviewed.        Assessment/Plan     75 y.o. male with small bowel perforation secondary to lymphoma status post exploratory laparotomy with resection of 30 cm of distal ileum and primary anastomosis, now 8 Days Post-Op.    o Home medications including aspirin and PO plavix restarted.  o PRN Oxy and ATC Tylenol  o Continued Leukopenia.  o Oncology consult- Patient will resume chemotherapy as an outpatient, no need to treat leukopenia unless ANC less than 1 o PT/OT: Recommending discharge to facility,  24/7 care cannot be provided at home. o DVT prophylaxis: SCDs, Lovenox o Adult diet Regular; Yes o Dispo: Will require hospitalization until 14 days after his COVID diagnosis and can then be discharged to facility   MD 11/4/2021 7:27 AM         MD at 11/3/2021  7:48 AM
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Muscle spasms, Odynophagia, Sleep disorder
Clinical narrative: He took the booster Saturday October 30th. He reports Sunday morning he had severe muscle spasms in his neck which resulted in a severe headache.  He has to sleep sitting up.   He also reported it hurt to swallow.  He received treatment at hospital. He was given pain medication which has not really helped the situation. He is still in pain today but wanted to report this issue to us.  He stated all of his vaccines were Moderna.  - PER THE PERSON WHO TOOK HIS REPORT
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Computerised tomogram head normal, Glycosylated haemoglobin increased, Headache, Hepatic steatosis
Clinical narrative: Day 1 - 2 hours bad headache and right facial paresthesias, body aches Day 4 persistent worsening right facial paresthesias- right forehead/temple/cheek and wrapped around to right side to right occiput.  no visual changes/no light or sound sensitivity/nausea. Day 9-severe right facial numbness / tingling right face radiating down to right arm.  this brought to ED - CT head negative findings. mild right facial swelling documented and rx with ibuprofen and set up with neurology consult 11-10-2021. Day 18-f/u in primary care office still with intermittent right facial paresthesias - 3 -4 episodes daily for 1-3 min duration. dull headache pain to base of skull and neck.. NO reports of facial paralysis/droop.  NO salivary gland swelling.  NO tongue or gum swelling. DENIED hx of migraines or bad headaches; NO hx paresthesias.  Denies hx oral HSV/cankor sores. DENIED hx chronic headaches. NO hx neuropathy or complications from her diabetes.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Liver function test increased, Metabolic function test abnormal, Pain, Paraesthesia
Clinical narrative: Day 1 - 2 hours bad headache and right facial paresthesias, body aches Day 4 persistent worsening right facial paresthesias- right forehead/temple/cheek and wrapped around to right side to right occiput.  no visual changes/no light or sound sensitivity/nausea. Day 9-severe right facial numbness / tingling right face radiating down to right arm.  this brought to ED - CT head negative findings. mild right facial swelling documented and rx with ibuprofen and set up with neurology consult 11-10-2021. Day 18-f/u in primary care office still with intermittent right facial paresthesias - 3 -4 episodes daily for 1-3 min duration. dull headache pain to base of skull and neck.. NO reports of facial paralysis/droop.  NO salivary gland swelling.  NO tongue or gum swelling. DENIED hx of migraines or bad headaches; NO hx paresthesias.  Denies hx oral HSV/cankor sores. DENIED hx chronic headaches. NO hx neuropathy or complications from her diabetes.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Day 1 - 2 hours bad headache and right facial paresthesias, body aches Day 4 persistent worsening right facial paresthesias- right forehead/temple/cheek and wrapped around to right side to right occiput.  no visual changes/no light or sound sensitivity/nausea. Day 9-severe right facial numbness / tingling right face radiating down to right arm.  this brought to ED - CT head negative findings. mild right facial swelling documented and rx with ibuprofen and set up with neurology consult 11-10-2021. Day 18-f/u in primary care office still with intermittent right facial paresthesias - 3 -4 episodes daily for 1-3 min duration. dull headache pain to base of skull and neck.. NO reports of facial paralysis/droop.  NO salivary gland swelling.  NO tongue or gum swelling. DENIED hx of migraines or bad headaches; NO hx paresthesias.  Denies hx oral HSV/cankor sores. DENIED hx chronic headaches. NO hx neuropathy or complications from her diabetes.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test normal, Extrasystoles, Heart rate irregular
Clinical narrative: Heart - Irregular strong missed heartbeat, V-Tach heartbeat, saw doctor, PA, and Cardiologist on 11Jun2021. Doctor said just monitor.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac failure, Computerised tomogram, Pulmonary thrombosis, Thrombectomy
Clinical narrative: saddle blood clot in both lungs, blood clots in legs, heart failure
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: saddle blood clot in both lungs, blood clots in legs, heart failure
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Pain in arm Now concentrated in elbow, feels like arthritis
Age: 1.25
Sex: F
Vaccine: PNC13
Symptoms: Tremor
Clinical narrative: Parents report tremors, treated at ED.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Hypoaesthesia, Impaired work ability, Injection site pain
Clinical narrative: Pt received first covid19 pfizer vaccination 11/3/2021 and woke up 11/4/2021 with R arm numbness (entire arm) and tingling. she has tenderness at injection site that is mild-moderate w/ palpation. she is experiencing moderate-severe fatigue that interferes with her ability to work today. she has entire back pain/aches as well.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia
Clinical narrative: Pt received first covid19 pfizer vaccination 11/3/2021 and woke up 11/4/2021 with R arm numbness (entire arm) and tingling. she has tenderness at injection site that is mild-moderate w/ palpation. she is experiencing moderate-severe fatigue that interferes with her ability to work today. she has entire back pain/aches as well.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue
Clinical narrative: Moderna Covid19 Vaccine EUA      Started feeling exhausted had chills no energy at all. Took on Tylenol. Felt fine the next day November 4th 2021
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received vaccine after published expiration date.  Moderna Company analyzed vacccine and advised lot 007B21A maintained activity necessary to protect against Covid 19  on date of administration. Also patient did not call in to complain of adverse event.  This is an administrative error without adverse event.
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis showed vaccine viable.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Disease recurrence, Diverticulitis, X-ray
Clinical narrative: I basically contracted COVID-19 in early august and then I recovered. Then a month later, just before labor day weekend my Colitis flared up after 21 years.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Bursitis, Injection site pain, Pain
Clinical narrative: 2 hour after injection pain subdeltoid.  over the next 3 week progressive pain in deltoid bursae are with lifting her left arm.  I saw the patient today 11/4/21 and started patient on physical therapy and warm compress and ibuprofen 400 mg + tylenol 500 mg every 8 hr as need for pain.  Patient appears to have a subdeltoid bursititis
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling of despair, Flushing, Paraesthesia, Tachycardia
Clinical narrative: severe flushing (extreme heat and tingling started in toes and moved up body); tachycardia; itching/scratchy throat not relieved by drinking water); dizziness; feeling of impending doom
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: severe flushing (extreme heat and tingling started in toes and moved up body); tachycardia; itching/scratchy throat not relieved by drinking water); dizziness; feeling of impending doom
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Patient states that he experienced vomiting and diarrhea the next morning after his covid vaccine.  Symptoms began approximately 6:00 am on 11/3/21.  Patient does mention that some of the other men at work have been out with vomiting and diarrhea (unrelated to the covid vaccine).
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Left arm completely numb 24 hours
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NONE
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Interchange of vaccine products, Pain
Clinical narrative: Fever of 103, shaking chills alternating with soaking sweats, body aches, headache
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Fever of 103, shaking chills alternating with soaking sweats, body aches, headache
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aphasia, COVID-19, Dyspnoea, Hypopnoea, Muscle twitching
Clinical narrative: Received first dose on 8/11/21. Three days after I was positive for covid 8/14/21. Recovered with no symptoms 15 days from start 8/29/21. Received second dose 3 days after no symptoms on 9/1/21. Approximately 12 hours from second vaccination dose I woke up with a fever of 100F and entire body was convulsing. Legs and Arms were shaking and head was twitching uncontrollably. Could only take short shallow breaths and very hard to breath, could not speak. This all lasted for about 30 minutes or more. After 15 minutes from waking I took ibprofen and symptoms began to go away.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Seizure, Tremor
Clinical narrative: Received first dose on 8/11/21. Three days after I was positive for covid 8/14/21. Recovered with no symptoms 15 days from start 8/29/21. Received second dose 3 days after no symptoms on 9/1/21. Approximately 12 hours from second vaccination dose I woke up with a fever of 100F and entire body was convulsing. Legs and Arms were shaking and head was twitching uncontrollably. Could only take short shallow breaths and very hard to breath, could not speak. This all lasted for about 30 minutes or more. After 15 minutes from waking I took ibprofen and symptoms began to go away.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Rash
Clinical narrative: Large rash on left arm, multiple spots bilaterally on arms
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Erythema, Headache, Hyperhidrosis, Injection site erythema
Clinical narrative: Patient called workplace clinic and request provider callback. He states on 11/1 he  received J&J COVID 19 vaccine and felt ok immediately after vaccination. Later that evening on 11/1 noted fever 102, headache and chills. Next AM on 11/2, he felt better but by days end noted fever 100-101, chills and return of headache (although headache now less intense than 11/1). On 11/3 AM, he woke up feeling better than prior 2 days but by bedtime noted fever 100-101, return of headache (headache continues to lessen from what it was the prior evening). On 11/4 woke up sweating and no headache. Took temperature during our call and it was 99.6. Took Ibuprofen 400mg this AM. Also noted redness on right arm at injection site and appeared to be "tracking down" arm.    He states he also received Pneumovax on 11/1 at same time as J&J. This patient did not received either vaccine from this workplace clinic.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient called workplace clinic and request provider callback. He states on 11/1 he  received J&J COVID 19 vaccine and felt ok immediately after vaccination. Later that evening on 11/1 noted fever 102, headache and chills. Next AM on 11/2, he felt better but by days end noted fever 100-101, chills and return of headache (although headache now less intense than 11/1). On 11/3 AM, he woke up feeling better than prior 2 days but by bedtime noted fever 100-101, return of headache (headache continues to lessen from what it was the prior evening). On 11/4 woke up sweating and no headache. Took temperature during our call and it was 99.6. Took Ibuprofen 400mg this AM. Also noted redness on right arm at injection site and appeared to be "tracking down" arm.    He states he also received Pneumovax on 11/1 at same time as J&J. This patient did not received either vaccine from this workplace clinic.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling of the forearm on the side where vaccination was administered.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Disturbance in attention, Dizziness, Dyspnoea, Swelling face
Clinical narrative: FACIAL TIGHTNESS, SHORTNESS OF BREATH, THROAT TIGHTNESS, DIZZINESS, RINGING IN EARS, LOSS OF FOCUS, SLIGHT CHEST PAIN
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness, Tinnitus
Clinical narrative: FACIAL TIGHTNESS, SHORTNESS OF BREATH, THROAT TIGHTNESS, DIZZINESS, RINGING IN EARS, LOSS OF FOCUS, SLIGHT CHEST PAIN
Age: 40.0
Sex: M
Vaccine: UNK
Symptoms: Chest discomfort, Chest pain, Echocardiogram, Electrocardiogram, Electrocardiogram ST segment elevation
Clinical narrative: Pericarditis- Chest pain and pressure, worse with lying down. Happened 24 hours after vaccine.
Age: 40.0
Sex: M
Vaccine: UNK
Symptoms: Pericarditis, Troponin
Clinical narrative: Pericarditis- Chest pain and pressure, worse with lying down. Happened 24 hours after vaccine.
Age: 62.0
Sex: M
Vaccine: FLUC4
Symptoms: Extra dose administered
Clinical narrative: Patient received a second flucelvax shot 19 days after receiving the first shot. Patient marked influenza vaccine on both consent forms, pharmacist did not verify that is what the patient wanted before injecting.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Blood glucose normal, Dizziness, Educational problem, Exercise tolerance decreased, Flushing
Clinical narrative: within a few minutes her face became flushed and she was dizzy. She was dizzy to the point she was not able to sit up. Dr gave her juice thinking it was her sugar level and that came back fine. Vitals came back all good. She was unable to sit up for over and hour. Dr then called the ambulance to come get her. She indicates she passed out in the ambulance on the way to the hospital. She was take to the hospital to be monitored. She has now had vertigo, headache and been nauseas since. She is unable to attend school as normal. Only time symptoms go away is with medication that puts her to sleep. She is unable to patriciate in sports as she is a gymnast.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Headache, Loss of consciousness, Nausea, Urine analysis, Vertigo
Clinical narrative: within a few minutes her face became flushed and she was dizzy. She was dizzy to the point she was not able to sit up. Dr gave her juice thinking it was her sugar level and that came back fine. Vitals came back all good. She was unable to sit up for over and hour. Dr then called the ambulance to come get her. She indicates she passed out in the ambulance on the way to the hospital. She was take to the hospital to be monitored. She has now had vertigo, headache and been nauseas since. She is unable to attend school as normal. Only time symptoms go away is with medication that puts her to sleep. She is unable to patriciate in sports as she is a gymnast.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received vaccine after published expiration date. Moderna Company analyzed lot 007B21A and advised vaccine maintained activity necessary to protect against covid 19  at time of administration. Also patient did not call in and complain  of any adverse event.  This is administrative error without adverse event.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: since getting 2nd covid19 pfizer vaccination, pt reports BP has been elevated/poorly controlled.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Head discomfort, Headache
Clinical narrative: The night of the vaccine, 11/02/2021 @ 2:00 AM  I a got really bad headache, nausea,  vomiting . The next day, 11/03/2021 was horrible. I had  fatigue the headache got worse and I pretty much stayed in bed all day.  11/03/2021- I called my doctor, she wanted me to go to the ER and get evaluated and get fluids for the headache. I went to the ER, they did not do any test or labs; they did not do anything. It was a waste of my time. The ER is not informed and not understanding this type of headache from the booster. They tried to treat it with a cocktail that I was allergic to.  I have  never had a headache like this before.  The headache is incapacitating. I am treating it with Tylenol, which is not helping. These headaches from the vaccine are different from migraines or other headaches. I don't get migraines. I never had a headache like this. I am wearing a hat, because it relieves the pressure a little. I feel if I take off the hat my head is going to explode.  If I lay down flat , if I turn my head in any speed, any motion I get dizzy. I get nauseous. It's just a vicious cycle.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nausea, Vomiting
Clinical narrative: The night of the vaccine, 11/02/2021 @ 2:00 AM  I a got really bad headache, nausea,  vomiting . The next day, 11/03/2021 was horrible. I had  fatigue the headache got worse and I pretty much stayed in bed all day.  11/03/2021- I called my doctor, she wanted me to go to the ER and get evaluated and get fluids for the headache. I went to the ER, they did not do any test or labs; they did not do anything. It was a waste of my time. The ER is not informed and not understanding this type of headache from the booster. They tried to treat it with a cocktail that I was allergic to.  I have  never had a headache like this before.  The headache is incapacitating. I am treating it with Tylenol, which is not helping. These headaches from the vaccine are different from migraines or other headaches. I don't get migraines. I never had a headache like this. I am wearing a hat, because it relieves the pressure a little. I feel if I take off the hat my head is going to explode.  If I lay down flat , if I turn my head in any speed, any motion I get dizzy. I get nauseous. It's just a vicious cycle.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Muscle spasms
Clinical narrative: Fatigue, headache, muscle spasm lasted about 48 hours
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt had syncopal episode post administration. Prior to administration, we had discussions with pt. Pt disclose having a history of passing out the past vaccines he had years ago. Upon administering, pt and I was talking and he said he was fine, no symptoms. A few minutes passed and he asked for some water. I went back into the pharmacy being it was a few minutes and he looked and seem fine, upon returning to vaccination booth, pt was found on the floor. Less than 15 seconds was passed. Pt became alert and oriented and was aware he had "passed out". We gave powerade, ice pack, and did some assessments, and patient stated feeling fine. We had him sit for additional 15 mint (30 min total) and he had no episode and he stated feeling fine.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: we provided the booster shot (0.25ml) 3 weeks too early for the patient. His last dose was 5/18/2021
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Pericarditis
Clinical narrative: Atrial fibrillation and pericarditis
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, X-ray normal
Clinical narrative: The day after receiving my third dose, I started to have frequent chest pains. I would take the Equitrim and it would go away. It would come back within a day or two. I told my Oncologist and he wanted me to have an EKG and X-ray's. All tests came back normal. I still have the pains every couple of days, but I take my medication and it helps.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Fatigue, SARS-CoV-2 test
Clinical narrative: About 20 minutes after shot, I felt pressure in my chest. I felt like I could not catch my breath. I went to the pharmacist, she ask if I had I felt like something was in my throat. I told her no. She said then I am not having a anaphylactic reaction. Then she if I wanted her to call emergency services. I went and sat back down. These symptoms continued on for about a week. When I walked or do any activities it would get worse. I was also very fatigue and tired that whole week as well.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Somnolence
Clinical narrative: Pt came in for J&J COVID shot. She received her shot around 5:23pm. At 5:31pm, pt started exhibiting red pumps on her proximal left arm and 1-2 red spots on her distal right forearm. The husband stated that his wife tends to be sensitive to "this stuff." Pt. stated that she spoke with her doctor and allergy doctor and they both advised her to get the vaccine. She stated that she had an allergic reaction to the flu vaccine but she googled the J&J ingredients and she was allergic to none of them. At 5:37pm, she was provided 2tabs of diphenhydramine 25mg. I asked Pt to stay for observation till 6pm. I inquired if she felt any obstruction to the airway and she denied it. AT 5:58pm, her pumps went down and the redness was significantly reduced. She stated that she is feeling better ("less hot") and she is sleepy. I explained this might be due to the Benadryl.  She was advised to continue with Benadryl q4-6hrs and to go to urgent care next door to be assessed and to obtain an rx for EpiPen as she had none. She purchased Benadryl OTC. I explained what an allergic reaction would look like, that it could be delayed and she must call emergency services for any kind of reaction, even when in doubt.