chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Fatigue, Feeling hot, Hypoaesthesia
Clinical narrative: An hour after receiving the shot, it started with a little bit of a fever and I felt tired. My arm was sore. I took a couple of Advil. I took about an hour and a half nap. The left side of my face and left arm were feeling very hot. I thought it was part of the vaccine. I went to bed at night. The first weirdest thing that happened was that I thought I heard like a lighting hit. My girlfriend did not hear it so it was all in my head. It happened twice. I started having a fever on the left side of face. That continued on. On Sunday I went to play softball and my pinky and ring finger went numb. I thought that was strange. I did not take anything and I gave it another day. On Monday I had tingling up and down my arm, joint pain, muscle aches, tingling in my face. My face has not stopped tingling since. On Thursday I went to see the doctor, and he put me on prednisone starting yesterday. He said it might be carpal tunnel syndrome because of my work. The prednisone brought back all the symptoms. I have a burning sensation now.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Paraesthesia, Pyrexia, Tinnitus
Clinical narrative: An hour after receiving the shot, it started with a little bit of a fever and I felt tired. My arm was sore. I took a couple of Advil. I took about an hour and a half nap. The left side of my face and left arm were feeling very hot. I thought it was part of the vaccine. I went to bed at night. The first weirdest thing that happened was that I thought I heard like a lighting hit. My girlfriend did not hear it so it was all in my head. It happened twice. I started having a fever on the left side of face. That continued on. On Sunday I went to play softball and my pinky and ring finger went numb. I thought that was strange. I did not take anything and I gave it another day. On Monday I had tingling up and down my arm, joint pain, muscle aches, tingling in my face. My face has not stopped tingling since. On Thursday I went to see the doctor, and he put me on prednisone starting yesterday. He said it might be carpal tunnel syndrome because of my work. The prednisone brought back all the symptoms. I have a burning sensation now.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest pain, Dizziness, Dysphagia
Clinical narrative: Unable to function for 24 hours, difficulty walking, Severe upper left back and chest pain, dizziness, arm/shoulder  pain all the way down to fingers(still have that adverse reaction), brain fog, severe nausea, difficulty swallowing, pain and cramps in both feet, horrible all over feeling.  Not able to fully function for 2 days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Gait disturbance, Mobility decreased, Motor dysfunction, Muscle spasms
Clinical narrative: Unable to function for 24 hours, difficulty walking, Severe upper left back and chest pain, dizziness, arm/shoulder  pain all the way down to fingers(still have that adverse reaction), brain fog, severe nausea, difficulty swallowing, pain and cramps in both feet, horrible all over feeling.  Not able to fully function for 2 days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity
Clinical narrative: Unable to function for 24 hours, difficulty walking, Severe upper left back and chest pain, dizziness, arm/shoulder  pain all the way down to fingers(still have that adverse reaction), brain fog, severe nausea, difficulty swallowing, pain and cramps in both feet, horrible all over feeling.  Not able to fully function for 2 days.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: 0.5mL given instead of 0.25mL.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Exposure during pregnancy, Fatigue, Feeling abnormal, Headache, Palpitations
Clinical narrative: Patient called nurse triage line on 11.2.21.  Reported racing heart (HR 95-105 all day", mild headache, increased fatigue with activity and "brain fog" after getting the Pfizer booster on 11.1.21.  She reported that it started around 8AM on 11.2.21.  Patient reports being 27 weeks pregnant.  LMP 4.26.21.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted to the hospital Oct. 17, 2021 for COVID-19 related symptoms. This is classified as a breakthrough case.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pruritus
Clinical narrative: Patient reports feeling warm on the right side of the head and itching in arms, hands, and legs. Patient did not show or refer respiratory difficulty. Benadryl was suggested orally and the paramedics indicated they could administer it intramuscularly but they would have to transport her to ER. Patient reported being transported. Dr. was notified and approved intervention and indicated to do a report.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received vaccine after published expiration date. Moderna Company analyzed lot 007B21A and indicated vaccine maintained activity necessary to protect against covid 19 at time of administration. Patient also did not call in with adverse event.  This is administration error without adverse event.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Pain, Peripheral swelling, Swelling
Clinical narrative: Swollen arm, throbbing pain with swelling in shoulder up into my neck region on the right side where the shot was given.  The pain is getting worse as the days go by - weird I know.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging normal, Migraine, Pain, Rhinorrhoea
Clinical narrative: Bodyaches numbness in legs and arm of injection site for 2 weeks runny nose snd headaches still to this date
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram abdomen, Computerised tomogram thorax
Clinical narrative: COVID-19 positive 03/11/2020 prior year at begin of COVID-19. May 4, 2021 felt like I had milder version of COVID-19 again, have running fever every month since the vaccination. Hospital for four day 10/3/2021 9PM by ambulance with fever of 104.7 with fatigue, and body aches, head pounding. COVID-19 09/9/2021 tic, disease, stars, blood oxygen to 71; was put on oxygen.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Fatigue, Headache, Magnetic resonance imaging head, Malaise
Clinical narrative: COVID-19 positive 03/11/2020 prior year at begin of COVID-19. May 4, 2021 felt like I had milder version of COVID-19 again, have running fever every month since the vaccination. Hospital for four day 10/3/2021 9PM by ambulance with fever of 104.7 with fatigue, and body aches, head pounding. COVID-19 09/9/2021 tic, disease, stars, blood oxygen to 71; was put on oxygen.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pulmonary fibrosis, Pyrexia, SARS-CoV-2 test positive, Scan with contrast
Clinical narrative: COVID-19 positive 03/11/2020 prior year at begin of COVID-19. May 4, 2021 felt like I had milder version of COVID-19 again, have running fever every month since the vaccination. Hospital for four day 10/3/2021 9PM by ambulance with fever of 104.7 with fatigue, and body aches, head pounding. COVID-19 09/9/2021 tic, disease, stars, blood oxygen to 71; was put on oxygen.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tic, Ultrasound Doppler
Clinical narrative: COVID-19 positive 03/11/2020 prior year at begin of COVID-19. May 4, 2021 felt like I had milder version of COVID-19 again, have running fever every month since the vaccination. Hospital for four day 10/3/2021 9PM by ambulance with fever of 104.7 with fatigue, and body aches, head pounding. COVID-19 09/9/2021 tic, disease, stars, blood oxygen to 71; was put on oxygen.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: I have been having muscle twitches in my left hand for a few days that make it difficult to type or hold anything very long. They occur every few minutes. I have never had this issue before.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.5mL given instead of 0.25mL.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted to the hospital Oct. 23, 2021 for COVID-19 related symptoms. This is considered a breakthrough case.
Age: 66.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Asthenia, COVID-19, Computerised tomogram thorax abnormal, Cough, Dyspnoea
Clinical narrative: CHIEF COMPLAINT Cough, shortness of breath, hypoxia  COVID positive   HISTORY OF PRESENT ILLNESS Patient is a 67 y.o. female who presents with Cough, SOB and hypoxia and COVID 19.   Background -Initially presented to OMC ED on 10/29 with cough and weakness- tested positive  For COVID -HFpEF (echo 2019 EF 53%, grade 2/4 left ventricular diastolic dysfunction) -Segmental PE August 2020 -heterozygous prothrombin gene mutation -Atrial fibrillation on Warfarin -Left total knee arthroplasty infection status post debridement June 2020 on chronic suppression with Augmentin and levofloxacin -obesity -hypertension   Hx   The patient started having symptoms on 10/20 5th and they started with dry cough shortness of br Additional information for Item 18:  CHIEF COMPLAINT Cough, shortness of breath, hypoxia  COVID positive   HISTORY OF PRESENT ILLNESS Patient is a 67 y.o. female who presents with Cough, SOB and hypoxia and COVID 19.   Background -Initially presented to OMC ED on 10/29 with cough and weakness- tested positive  For COVID -HFpEF (echo 2019 EF 53%, grade 2/4 left ventricular diastolic dysfunction) -Segmental PE August 2020 -heterozygous prothrombin gene mutation -Atrial fibrillation on Warfarin -Left total knee arthroplasty infection status post debridement June 2020 on chronic suppression with Augmentin and levofloxacin -obesity -hypertension   Hx   The patient started having symptoms on 10/20 5th and they started with dry cough shortness of breath and shortness of breath on exertion has as well as muscle aches and pains.  She did not complain of any chest pain and no fevers.  She initially presented to Olmsted Medical Center ED in 10/29 when she had a positive COVID test.  The patient did not require oxygen at the time and was discharged home.   Over the past few days assistant symptoms of cough and shortness of breath.  She also reported feeling feverish however she did not measure her temperature.  She also had significant shortness of breath on exertion had stop after walking 5.  The symptoms gradually worsened and until today where her daughter made her come into hospital.    On presentation to ED she was requiring 2 L via nasal cannula to maintain her O2 sats she was also tachycardic with heart rates in the 130 blood pressure has been stable on above 100 systolic.  She was a pyrexial.  She had CT scan of the chest which out rule pulmonary embolism Bilateral perihilar and peripheral predominant groundglass pulmonary opacities compatible with patient's known COVID-19 infection. She received a dose of IV Dexamethasone  6mg in ED and a 500ml Bolus of Lactate ringers.    On presentation to the floor the patient was maintaining his oxygen sat her oxygen saturations on room air.  Her tachycardia resolved.  She is still complaining of cough and shortness of breath.
Age: 66.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Dyspnoea exertional, Hypoxia, Lung opacity, Myalgia, Pyrexia
Clinical narrative: CHIEF COMPLAINT Cough, shortness of breath, hypoxia  COVID positive   HISTORY OF PRESENT ILLNESS Patient is a 67 y.o. female who presents with Cough, SOB and hypoxia and COVID 19.   Background -Initially presented to OMC ED on 10/29 with cough and weakness- tested positive  For COVID -HFpEF (echo 2019 EF 53%, grade 2/4 left ventricular diastolic dysfunction) -Segmental PE August 2020 -heterozygous prothrombin gene mutation -Atrial fibrillation on Warfarin -Left total knee arthroplasty infection status post debridement June 2020 on chronic suppression with Augmentin and levofloxacin -obesity -hypertension   Hx   The patient started having symptoms on 10/20 5th and they started with dry cough shortness of br Additional information for Item 18:  CHIEF COMPLAINT Cough, shortness of breath, hypoxia  COVID positive   HISTORY OF PRESENT ILLNESS Patient is a 67 y.o. female who presents with Cough, SOB and hypoxia and COVID 19.   Background -Initially presented to OMC ED on 10/29 with cough and weakness- tested positive  For COVID -HFpEF (echo 2019 EF 53%, grade 2/4 left ventricular diastolic dysfunction) -Segmental PE August 2020 -heterozygous prothrombin gene mutation -Atrial fibrillation on Warfarin -Left total knee arthroplasty infection status post debridement June 2020 on chronic suppression with Augmentin and levofloxacin -obesity -hypertension   Hx   The patient started having symptoms on 10/20 5th and they started with dry cough shortness of breath and shortness of breath on exertion has as well as muscle aches and pains.  She did not complain of any chest pain and no fevers.  She initially presented to Olmsted Medical Center ED in 10/29 when she had a positive COVID test.  The patient did not require oxygen at the time and was discharged home.   Over the past few days assistant symptoms of cough and shortness of breath.  She also reported feeling feverish however she did not measure her temperature.  She also had significant shortness of breath on exertion had stop after walking 5.  The symptoms gradually worsened and until today where her daughter made her come into hospital.    On presentation to ED she was requiring 2 L via nasal cannula to maintain her O2 sats she was also tachycardic with heart rates in the 130 blood pressure has been stable on above 100 systolic.  She was a pyrexial.  She had CT scan of the chest which out rule pulmonary embolism Bilateral perihilar and peripheral predominant groundglass pulmonary opacities compatible with patient's known COVID-19 infection. She received a dose of IV Dexamethasone  6mg in ED and a 500ml Bolus of Lactate ringers.    On presentation to the floor the patient was maintaining his oxygen sat her oxygen saturations on room air.  Her tachycardia resolved.  She is still complaining of cough and shortness of breath.
Age: 66.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: SARS-CoV-2 test positive, Tachycardia
Clinical narrative: CHIEF COMPLAINT Cough, shortness of breath, hypoxia  COVID positive   HISTORY OF PRESENT ILLNESS Patient is a 67 y.o. female who presents with Cough, SOB and hypoxia and COVID 19.   Background -Initially presented to OMC ED on 10/29 with cough and weakness- tested positive  For COVID -HFpEF (echo 2019 EF 53%, grade 2/4 left ventricular diastolic dysfunction) -Segmental PE August 2020 -heterozygous prothrombin gene mutation -Atrial fibrillation on Warfarin -Left total knee arthroplasty infection status post debridement June 2020 on chronic suppression with Augmentin and levofloxacin -obesity -hypertension   Hx   The patient started having symptoms on 10/20 5th and they started with dry cough shortness of br Additional information for Item 18:  CHIEF COMPLAINT Cough, shortness of breath, hypoxia  COVID positive   HISTORY OF PRESENT ILLNESS Patient is a 67 y.o. female who presents with Cough, SOB and hypoxia and COVID 19.   Background -Initially presented to OMC ED on 10/29 with cough and weakness- tested positive  For COVID -HFpEF (echo 2019 EF 53%, grade 2/4 left ventricular diastolic dysfunction) -Segmental PE August 2020 -heterozygous prothrombin gene mutation -Atrial fibrillation on Warfarin -Left total knee arthroplasty infection status post debridement June 2020 on chronic suppression with Augmentin and levofloxacin -obesity -hypertension   Hx   The patient started having symptoms on 10/20 5th and they started with dry cough shortness of breath and shortness of breath on exertion has as well as muscle aches and pains.  She did not complain of any chest pain and no fevers.  She initially presented to Olmsted Medical Center ED in 10/29 when she had a positive COVID test.  The patient did not require oxygen at the time and was discharged home.   Over the past few days assistant symptoms of cough and shortness of breath.  She also reported feeling feverish however she did not measure her temperature.  She also had significant shortness of breath on exertion had stop after walking 5.  The symptoms gradually worsened and until today where her daughter made her come into hospital.    On presentation to ED she was requiring 2 L via nasal cannula to maintain her O2 sats she was also tachycardic with heart rates in the 130 blood pressure has been stable on above 100 systolic.  She was a pyrexial.  She had CT scan of the chest which out rule pulmonary embolism Bilateral perihilar and peripheral predominant groundglass pulmonary opacities compatible with patient's known COVID-19 infection. She received a dose of IV Dexamethasone  6mg in ED and a 500ml Bolus of Lactate ringers.    On presentation to the floor the patient was maintaining his oxygen sat her oxygen saturations on room air.  Her tachycardia resolved.  She is still complaining of cough and shortness of breath.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal
Clinical narrative: Patient reported that after receiving first dose of the COVID-19 vaccine (Moderna), that he felt horrible for 3-4 weeks. He has not felt the same as before he received the vaccine. He has lasting fatigue that has gotten no better and is not going away.  Patient was seen in our office on 10/19/2021. No treatment was given at the time of that visit, patient was instructed to return to our office as needed.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.5mL given instead of 0.25mL.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Moderna Covid booster 0.25ml IM on 10/29/21. It was discovered on 11/1/21 that the vaccine had been stored in the refrigerator beyond the 30 days and the vaccine was expired. The box was labeled with the manufacturer expiration which is for frozen vaccine.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea, Pruritus
Clinical narrative: Pt. states that after receiving the 3rd Booster of Moderna 11/02/2021, started experiencing symptoms that evening of headache, fatigue, nausea, dizziness, and rash on the legs and both arms between wrists and elbows (red dots) itchiness. No noted Primary visit/communications.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Pt. states that after receiving the 3rd Booster of Moderna 11/02/2021, started experiencing symptoms that evening of headache, fatigue, nausea, dizziness, and rash on the legs and both arms between wrists and elbows (red dots) itchiness. No noted Primary visit/communications.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.5mL given instead of 0.25mL.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: administered 0.5ml dose as booster instead of 0.25ml
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Patient was hospitalized Oct. 25, 2021 for possible demyelinating neuropathy of lower extremities following a positive COVID-19 test on 10/13/21. This is classified as a breakthrough case.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Chest discomfort, Chills, Cough, Decreased appetite
Clinical narrative: I got really sick; all the symptoms of COVID-19 besides cough and loss of small fatigue, fever 99.9, chills, nausea, loss of appetite. Tightness in chest when I ended my work day. I started to feel a little better the next day after I woke up. My period is now 15 days late. I have not gotten my period following the 2nd dose of the vaccination.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Illness, Menstruation delayed, Nausea, Pyrexia
Clinical narrative: I got really sick; all the symptoms of COVID-19 besides cough and loss of small fatigue, fever 99.9, chills, nausea, loss of appetite. Tightness in chest when I ended my work day. I started to feel a little better the next day after I woke up. My period is now 15 days late. I have not gotten my period following the 2nd dose of the vaccination.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administration error, Product storage error
Clinical narrative: Patient inadvertently received vaccine after expiration  date. Modeerna Company analyzed lot 007B21A and indicated vaccine maintained activity necessary to protect against covid19 at time of administration. Also patient did not call in with any adverse events.  This is administrative error without adverse event .
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site pain, Injection site pruritus, Injection site reaction, Injection site warmth
Clinical narrative: Red rash on left arm at injection site, hot, sore, slightly itchy.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Red rash on left arm at injection site, hot, sore, slightly itchy.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.5mL given instead of 0.25mL.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received Moderna Covid booster 0.25ml IM on 10/29/21. It was discovered on 11/1/21 that the vaccine had been stored in the refrigerator beyond the 30 days and the vaccine was expired. The box was labeled with the manufacturer expiration which is for frozen vaccine.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Hypertension, Pain, Palpitations, Pyrexia
Clinical narrative: Patient stated she had "normal" side effects from the booster vaccine (aches, pain, fever) about 24 hours after her dose on 10/30. On 10/31 at 3am she awoke with a racing heart. This went away. On Monday, 11/1 the symptoms came back and her rate was racing and she had a blood pressure of 238/118, She went to the ER for full evaluation where she was told they could not find what was wrong and why her blood pressure as so high. The patient is still experiencing high blood pressure (184/78) but is being monitored at home by Dr. . Dr. is working with patient to adjust her dose and suggested that these blood pressure issues "may" be associated from her vaccine dose.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Bursitis, Myalgia
Clinical narrative: Suspected Subacromial?subdeltoid bursitis following COVID?19 vaccination.  Onset approximately 1 week post second dose.  Severe internal shoulder pain and surrounding scapula and clavicle muscle groups.  Natural anti-inflammatories, therapy.  Following up with orthopedic.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: Hospitalized (10.31.21-still admitted);  COVID-19 positive (10.28.21);  fully vaccinated  CHIEF COMPLAINT:  Acute hypoxemic respiratory failure due to COVID-19 HISTORY OF PRESENT ILLNESS: Patient is a 75 y.o. female who presents today with fatigue, cough, SHOB for the last several days. She tested (+) for Covid a few days ago, finally came in because she felt so badly. PMH of COPD/OSA not on CPAP, diastolic heart failure, controlled diabetes mellitus 2, CKD III.  In the ED, she was hypoxic to 85% on room air with increased work of breathing. CXR read as only mild perihilar infiltrates, however limited by technique. No major lab abnormalities, though inflammatory markers not initially drawn. However she appears ill and is at high risk of decompensating given concomitant respiratory disease and obesity. She requires admission for treatment of hypoxic respiratory failure due to Covid.  At time of my exam, she is asleep, has slid down in bed and is too weak to push herself up more than a few times. She speaks in half sentences, has prolonged expiratory phase. States she was recently put on nightly O2 for hypoxia, hasn't tried CPAP yet. At baseline, she gets around her house fairly easily, but today, had to take frequent breaks on the way to the car. She's having diarrhea. She's very concerned about how her daughter perceives her, as doesn't want to frighten her with the look of the BiPap. She's troubled that her 11 year old granddaughter is now afraid of her because she has Covid.  * Acute hypoxemic respiratory failure due to COVID-19 Assessment & Plan -S/s for about a week before presenting -needing 2-3L NC to maintain sats >93% -Inflammatory labs pending -Remdesivir, decadron BID, Lovenox BID, Vit C/D/Zinc -PRN duonebs, IS/mucinex/tessalon perles -CXR essentially negative, however limited by technique -If dimer elevated/trends up, will check CTA chest -Provide CAP coverage pending procalcitonin -She has moderate work of breathing, likely multifactorial; BiPap now Progress NOTE from 11.5.21:  11/05/2021 started this morning she was doing pretty good but apparently she had little bit of increasing shortness of breath he is on high-flow now.  Her chest x-ray done this morning showed some developing fibrosis.  Will give her an additional 20 mg of Lasix IV today continue on remdesivir Decadron.  SUBJECTIVE: Patient is doing okay this morning she says she is comfortable she has a cough no fever chest x-ray shows some developing fibrosis her oxygen demand increased later on in the afternoon today.  Will continue to closely monitor continue on remdesivir and Decadron given additional dose of Lasix
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Fatigue, Feeling abnormal, Fibrosis
Clinical narrative: Hospitalized (10.31.21-still admitted);  COVID-19 positive (10.28.21);  fully vaccinated  CHIEF COMPLAINT:  Acute hypoxemic respiratory failure due to COVID-19 HISTORY OF PRESENT ILLNESS: Patient is a 75 y.o. female who presents today with fatigue, cough, SHOB for the last several days. She tested (+) for Covid a few days ago, finally came in because she felt so badly. PMH of COPD/OSA not on CPAP, diastolic heart failure, controlled diabetes mellitus 2, CKD III.  In the ED, she was hypoxic to 85% on room air with increased work of breathing. CXR read as only mild perihilar infiltrates, however limited by technique. No major lab abnormalities, though inflammatory markers not initially drawn. However she appears ill and is at high risk of decompensating given concomitant respiratory disease and obesity. She requires admission for treatment of hypoxic respiratory failure due to Covid.  At time of my exam, she is asleep, has slid down in bed and is too weak to push herself up more than a few times. She speaks in half sentences, has prolonged expiratory phase. States she was recently put on nightly O2 for hypoxia, hasn't tried CPAP yet. At baseline, she gets around her house fairly easily, but today, had to take frequent breaks on the way to the car. She's having diarrhea. She's very concerned about how her daughter perceives her, as doesn't want to frighten her with the look of the BiPap. She's troubled that her 11 year old granddaughter is now afraid of her because she has Covid.  * Acute hypoxemic respiratory failure due to COVID-19 Assessment & Plan -S/s for about a week before presenting -needing 2-3L NC to maintain sats >93% -Inflammatory labs pending -Remdesivir, decadron BID, Lovenox BID, Vit C/D/Zinc -PRN duonebs, IS/mucinex/tessalon perles -CXR essentially negative, however limited by technique -If dimer elevated/trends up, will check CTA chest -Provide CAP coverage pending procalcitonin -She has moderate work of breathing, likely multifactorial; BiPap now Progress NOTE from 11.5.21:  11/05/2021 started this morning she was doing pretty good but apparently she had little bit of increasing shortness of breath he is on high-flow now.  Her chest x-ray done this morning showed some developing fibrosis.  Will give her an additional 20 mg of Lasix IV today continue on remdesivir Decadron.  SUBJECTIVE: Patient is doing okay this morning she says she is comfortable she has a cough no fever chest x-ray shows some developing fibrosis her oxygen demand increased later on in the afternoon today.  Will continue to closely monitor continue on remdesivir and Decadron given additional dose of Lasix
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fracture displacement, General physical condition abnormal, Hypoxia, Joint swelling, Laboratory test normal
Clinical narrative: Hospitalized (10.31.21-still admitted);  COVID-19 positive (10.28.21);  fully vaccinated  CHIEF COMPLAINT:  Acute hypoxemic respiratory failure due to COVID-19 HISTORY OF PRESENT ILLNESS: Patient is a 75 y.o. female who presents today with fatigue, cough, SHOB for the last several days. She tested (+) for Covid a few days ago, finally came in because she felt so badly. PMH of COPD/OSA not on CPAP, diastolic heart failure, controlled diabetes mellitus 2, CKD III.  In the ED, she was hypoxic to 85% on room air with increased work of breathing. CXR read as only mild perihilar infiltrates, however limited by technique. No major lab abnormalities, though inflammatory markers not initially drawn. However she appears ill and is at high risk of decompensating given concomitant respiratory disease and obesity. She requires admission for treatment of hypoxic respiratory failure due to Covid.  At time of my exam, she is asleep, has slid down in bed and is too weak to push herself up more than a few times. She speaks in half sentences, has prolonged expiratory phase. States she was recently put on nightly O2 for hypoxia, hasn't tried CPAP yet. At baseline, she gets around her house fairly easily, but today, had to take frequent breaks on the way to the car. She's having diarrhea. She's very concerned about how her daughter perceives her, as doesn't want to frighten her with the look of the BiPap. She's troubled that her 11 year old granddaughter is now afraid of her because she has Covid.  * Acute hypoxemic respiratory failure due to COVID-19 Assessment & Plan -S/s for about a week before presenting -needing 2-3L NC to maintain sats >93% -Inflammatory labs pending -Remdesivir, decadron BID, Lovenox BID, Vit C/D/Zinc -PRN duonebs, IS/mucinex/tessalon perles -CXR essentially negative, however limited by technique -If dimer elevated/trends up, will check CTA chest -Provide CAP coverage pending procalcitonin -She has moderate work of breathing, likely multifactorial; BiPap now Progress NOTE from 11.5.21:  11/05/2021 started this morning she was doing pretty good but apparently she had little bit of increasing shortness of breath he is on high-flow now.  Her chest x-ray done this morning showed some developing fibrosis.  Will give her an additional 20 mg of Lasix IV today continue on remdesivir Decadron.  SUBJECTIVE: Patient is doing okay this morning she says she is comfortable she has a cough no fever chest x-ray shows some developing fibrosis her oxygen demand increased later on in the afternoon today.  Will continue to closely monitor continue on remdesivir and Decadron given additional dose of Lasix
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Positive airway pressure therapy, Prolonged expiration, Radius fracture, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (10.31.21-still admitted);  COVID-19 positive (10.28.21);  fully vaccinated  CHIEF COMPLAINT:  Acute hypoxemic respiratory failure due to COVID-19 HISTORY OF PRESENT ILLNESS: Patient is a 75 y.o. female who presents today with fatigue, cough, SHOB for the last several days. She tested (+) for Covid a few days ago, finally came in because she felt so badly. PMH of COPD/OSA not on CPAP, diastolic heart failure, controlled diabetes mellitus 2, CKD III.  In the ED, she was hypoxic to 85% on room air with increased work of breathing. CXR read as only mild perihilar infiltrates, however limited by technique. No major lab abnormalities, though inflammatory markers not initially drawn. However she appears ill and is at high risk of decompensating given concomitant respiratory disease and obesity. She requires admission for treatment of hypoxic respiratory failure due to Covid.  At time of my exam, she is asleep, has slid down in bed and is too weak to push herself up more than a few times. She speaks in half sentences, has prolonged expiratory phase. States she was recently put on nightly O2 for hypoxia, hasn't tried CPAP yet. At baseline, she gets around her house fairly easily, but today, had to take frequent breaks on the way to the car. She's having diarrhea. She's very concerned about how her daughter perceives her, as doesn't want to frighten her with the look of the BiPap. She's troubled that her 11 year old granddaughter is now afraid of her because she has Covid.  * Acute hypoxemic respiratory failure due to COVID-19 Assessment & Plan -S/s for about a week before presenting -needing 2-3L NC to maintain sats >93% -Inflammatory labs pending -Remdesivir, decadron BID, Lovenox BID, Vit C/D/Zinc -PRN duonebs, IS/mucinex/tessalon perles -CXR essentially negative, however limited by technique -If dimer elevated/trends up, will check CTA chest -Provide CAP coverage pending procalcitonin -She has moderate work of breathing, likely multifactorial; BiPap now Progress NOTE from 11.5.21:  11/05/2021 started this morning she was doing pretty good but apparently she had little bit of increasing shortness of breath he is on high-flow now.  Her chest x-ray done this morning showed some developing fibrosis.  Will give her an additional 20 mg of Lasix IV today continue on remdesivir Decadron.  SUBJECTIVE: Patient is doing okay this morning she says she is comfortable she has a cough no fever chest x-ray shows some developing fibrosis her oxygen demand increased later on in the afternoon today.  Will continue to closely monitor continue on remdesivir and Decadron given additional dose of Lasix
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Speech disorder
Clinical narrative: Hospitalized (10.31.21-still admitted);  COVID-19 positive (10.28.21);  fully vaccinated  CHIEF COMPLAINT:  Acute hypoxemic respiratory failure due to COVID-19 HISTORY OF PRESENT ILLNESS: Patient is a 75 y.o. female who presents today with fatigue, cough, SHOB for the last several days. She tested (+) for Covid a few days ago, finally came in because she felt so badly. PMH of COPD/OSA not on CPAP, diastolic heart failure, controlled diabetes mellitus 2, CKD III.  In the ED, she was hypoxic to 85% on room air with increased work of breathing. CXR read as only mild perihilar infiltrates, however limited by technique. No major lab abnormalities, though inflammatory markers not initially drawn. However she appears ill and is at high risk of decompensating given concomitant respiratory disease and obesity. She requires admission for treatment of hypoxic respiratory failure due to Covid.  At time of my exam, she is asleep, has slid down in bed and is too weak to push herself up more than a few times. She speaks in half sentences, has prolonged expiratory phase. States she was recently put on nightly O2 for hypoxia, hasn't tried CPAP yet. At baseline, she gets around her house fairly easily, but today, had to take frequent breaks on the way to the car. She's having diarrhea. She's very concerned about how her daughter perceives her, as doesn't want to frighten her with the look of the BiPap. She's troubled that her 11 year old granddaughter is now afraid of her because she has Covid.  * Acute hypoxemic respiratory failure due to COVID-19 Assessment & Plan -S/s for about a week before presenting -needing 2-3L NC to maintain sats >93% -Inflammatory labs pending -Remdesivir, decadron BID, Lovenox BID, Vit C/D/Zinc -PRN duonebs, IS/mucinex/tessalon perles -CXR essentially negative, however limited by technique -If dimer elevated/trends up, will check CTA chest -Provide CAP coverage pending procalcitonin -She has moderate work of breathing, likely multifactorial; BiPap now Progress NOTE from 11.5.21:  11/05/2021 started this morning she was doing pretty good but apparently she had little bit of increasing shortness of breath he is on high-flow now.  Her chest x-ray done this morning showed some developing fibrosis.  Will give her an additional 20 mg of Lasix IV today continue on remdesivir Decadron.  SUBJECTIVE: Patient is doing okay this morning she says she is comfortable she has a cough no fever chest x-ray shows some developing fibrosis her oxygen demand increased later on in the afternoon today.  Will continue to closely monitor continue on remdesivir and Decadron given additional dose of Lasix
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia
Clinical narrative: Headache Chills Muscle Aches
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Should have been 0.25 mL as booster dose but administered 0.5 mL or equivalent to 3rd Shot dose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Burning sensation, Decreased appetite, Fatigue, Injection site pain
Clinical narrative: Intense ache at left armpit at lymph node - a "burning" sensation for the afternoon and evening. Intense soreness along arm at injection site from shoulder to elbow. Tired, achey, runny nose.  Sluggish.  No appetite.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, Sluggishness
Clinical narrative: Intense ache at left armpit at lymph node - a "burning" sensation for the afternoon and evening. Intense soreness along arm at injection site from shoulder to elbow. Tired, achey, runny nose.  Sluggish.  No appetite.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.5mL given instead of 0.25mL.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: 0.5mL given instead of 0.25mL.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received Moderna Covid booster 0.25ml IM on 10/29/21. It was discovered on 11/1/21 that the vaccine had been stored in the refrigerator beyond the 30 days and the vaccine was expired. The box was labeled with the manufacturer expiration which is for frozen vaccine.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Cough, Dizziness, Pallor
Clinical narrative: Tested positive on 11/4.  Dizzy, confused, pale , mild cough
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Tested positive on 11/4.  Dizzy, confused, pale , mild cough
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Type III immune complex mediated reaction
Clinical narrative: Arthus type reaction. Pain, redness and swelling at injection site that lasted for 5 days after time of injection.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Apathy, Confusional state, Fatigue, Influenza like illness, Memory impairment
Clinical narrative: Delayed menstrual cycle.  As of today I am 8 days late. I am usually right on time to the day consistently. I?ve only been a 1-2 days early/late a few times. I haven?t ever been this late.   Memory issues. Trouble remembering what I was saying or how to spell things. Confusion and scattered. I would be in the middle of a sentence and forget what I was saying. I feel like the issue has got a little better so I am hoping it will resolve.   Lack of motivation and fatigue. It seems to be resolving but I?m still not back to normal.   Had no clue like symptoms on 2nd dose. Did have flu like symptoms on the 2nd vaccine but very minimal.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: Delayed menstrual cycle.  As of today I am 8 days late. I am usually right on time to the day consistently. I?ve only been a 1-2 days early/late a few times. I haven?t ever been this late.   Memory issues. Trouble remembering what I was saying or how to spell things. Confusion and scattered. I would be in the middle of a sentence and forget what I was saying. I feel like the issue has got a little better so I am hoping it will resolve.   Lack of motivation and fatigue. It seems to be resolving but I?m still not back to normal.   Had no clue like symptoms on 2nd dose. Did have flu like symptoms on the 2nd vaccine but very minimal.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Rash, Rash papular, Skin warm
Clinical narrative: painful shoulder, warm rash to touch, raised patch on arm
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Extra dose administered, Vaccine positive rechallenge
Clinical narrative: Chronic cough. Had after initial dose back in March 2021. Have it for booster now.  Lasted back in March for almost a week.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.5mL given instead of 0.25mL.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Incorrect route of product administration, Pain, Periarthritis, X-ray
Clinical narrative: The vaccine was administered incorrectly  resulting in joint inflammation and severe pain when moving arm, eventually causing frozen shoulder.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Haemangioma of skin, Papule
Clinical narrative: Developed multiple cherry angiomas scattered across torso and face - blanching micro red papules.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received Moderna Covid booster 0.25ml IM on 10/29/21. It was discovered on 11/1/21 that the vaccine had been stored in the refrigerator beyond the 30 days and the vaccine was expired. The box was labeled with the manufacturer expiration which is for frozen vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Seizure, Unresponsive to stimuli
Clinical narrative: Patient received a booster dose (0.25 ml) Moderna.  She was told to stay for 15 minutes to make sure she was okay.  She is an employee and said she would be around but had to get back to work.  About 5 or so minutes after receiving the vaccine a member of management came to the pharmacy and said the patient had passed out and someone said they saw her having a seizure. 911 was called and I went to the patient.  The patient was breathing, but not responding to voice. Patient is diabetic.  Paramedics came and took over.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus, Vaccine positive rechallenge
Clinical narrative: Severe tinnitus in left ear. Initial occurrence after 2nd dose in Jan. 2021. Had diminished significantly. Recurred almost immediately after "booster" (3rd) dose given.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.5mL given instead of 0.25mL.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Should have been 0.25 mL as booster dose but administered 0.5 mL or equivalent to 3rd Shot dose.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 0.5mL given instead of 0.25mL.
Age: 11.0
Sex: F
Vaccine: COVID19, HPV9, MNQ, TDAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Administration Error: This was an 11yr old female who receive the 0.3ml of Pfizer COVID Vaccine on : 09/20/21 & 10/18/2021 - Adult series complete on a Pedi pt.  No complaints from pt. and no reactions voiced.  Parent notified
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Patient inadvertently 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 with adverse event.  This is an administrative error without adverse event.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient began to feel dizzy about 5 minutes after vaccination. Patient then passed out.  Patient regained consciousness about 2 minutes after passing out.  Emergency EMT were called and reported to the scene.  Vitals were taken and patient denied further medical care.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Exposure to SARS-CoV-2, Feeling hot
Clinical narrative: On 10/16/2021, I went to a concert with some friends and we were all vaccinated. On 10/19/2021, I started having severe allergies like a sinus thing. I thought it was a sinus infection. That night I had chills, body aches, I was shaking and shivering, I felt like I had a fever. I kept taking my temperature, and it was normal. I went to the doctor the next day because I was in such pain. I got tested for COVID-19 on 10/20/2021, and it was positive. My friends said they were all having the same symptoms. I told them I tested positive for COVID-19 so they got tested too. They all tested positive. I also developed a cough. My doctor prescribed me a cough medication which I could not take because it had red dye 40, which I am allergic to. I received the flu shot before going to the concert, around the first days of October.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive, Sinus disorder, Tremor
Clinical narrative: On 10/16/2021, I went to a concert with some friends and we were all vaccinated. On 10/19/2021, I started having severe allergies like a sinus thing. I thought it was a sinus infection. That night I had chills, body aches, I was shaking and shivering, I felt like I had a fever. I kept taking my temperature, and it was normal. I went to the doctor the next day because I was in such pain. I got tested for COVID-19 on 10/20/2021, and it was positive. My friends said they were all having the same symptoms. I told them I tested positive for COVID-19 so they got tested too. They all tested positive. I also developed a cough. My doctor prescribed me a cough medication which I could not take because it had red dye 40, which I am allergic to. I received the flu shot before going to the concert, around the first days of October.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Tachycardia
Clinical narrative: She was apprehensive to begin with as she had fainted/lost consciousness in the past with the first dose of Gardasil in the past and since then has not had vaccinations. She developed tachycardia with a heart rate between 130 and 160 beats per minute. She was in sinus rhythm. She denied chest pain, but was feeling the palpitations. She was unable to focus on the breath as the heart rate was not going down, she requested to be transported to the Hospital. We called the on-site paramedics from our fire department and an ambulance arrived and transported her to Hospital.