chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive for Covid on 1/11. Sore throat, congestions, SOB, fatigue, loss of taste and smell.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: THE PATIENT WAS GIVEN PEDIATRIC PFIZER DOSE FOR 5-11 YEAR OLD RATHER THAN THE FULL ADULT DOSE.
Age: 31.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient received influenza vaccine without consent form signed. Patient signed  for and consented to receive Pfizer Booster dose. Patient was notified by RN that he received Influenza Vaccine instead of receiving the Pfizer Booster Vaccine he requested and consented to receive. Patient verbalized understanding of this. Patient verbalized and signed on Pfizer consent form that he had no allergies. Patient did not develop adverse symptoms from administered Influenza Vaccine.  Supervising personnel were notified of this event immediately after adverse event took place. Guidance was received from both RN and MD. Per guidance, patient was able to still receive the Pfizer Booster dose as he originally requested and consented for. After receiving education and guidance on the Pfizer Booster dose and signed consent to receive Pfizer booster dose,  patient was administered the proper Pfizer Booster dose as he requested and consented for.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: SHINGLES
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Paraesthesia
Clinical narrative: tingling/burning/hot sensation to posterior scalp within a few minutes of vaccine administration.  then sensation spread to body, arms, and legs. then noticed red hands, arms, and legs.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cerebrovascular accident, Endotracheal intubation, Hypertensive emergency, Mental status changes
Clinical narrative: Stroke, hypertensive emergency, acute metabolic encephalopathy,acute respiratory failure with hypoxia, AMS airway compromise
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Obstructive airways disorder
Clinical narrative: Stroke, hypertensive emergency, acute metabolic encephalopathy,acute respiratory failure with hypoxia, AMS airway compromise
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Needle issue
Clinical narrative: defective needles led to dose dripping down patient's arm rather than injecting into arm. none of the dose got in so i redosed her
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Paranasal sinus discomfort, Pyrexia, SARS-CoV-2 test negative, Sinus pain
Clinical narrative: 12/23 started with sinus pain/pressure, ear aches, low grade fever.  COVid home test negative on 12/25.  PCR test negative on 12/29.  Went to PCP office for sick visit on 1/4.  Started on antibiotics twice a day for 7 days.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Haemoptysis, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 3/11/21 and 4/14/21. On 1/28/22, patient admitted to our inpatient facility with COVID-19 pneumonia and hemoptysis (possible Mallory-Weiss tear). As of today (2/1/22), patient is still admitted in our med/surg unit.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 14 year-old girl, who came for a covid-19 booster shot at health center was given a Pediatric Pfizer vaccine, at 4pm on 1/31/2022. The  Covid testing staff who checked in the patient after COVID testing directed the patient to the pediatric side and MA  just administered the pediatric vaccine assuming that's what she was here for.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dysphagia, Eye pain, Eye swelling, Headache
Clinical narrative: Per mother of patient on 1/6/22 24hr after immunization patient began having painful swollen eyes. 1/7/22 eyes continued to be swollen and patient continued to have additional symptoms through 1/9/22 including headache, stomachache, lip swelling and sore throat and difficultly swallowing. On 1/10/22 patient had video appointment with urgent care and they advised them to take Benadryl. Symptoms improved and were resolved by 1/12/22.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Oropharyngeal pain
Clinical narrative: Per mother of patient on 1/6/22 24hr after immunization patient began having painful swollen eyes. 1/7/22 eyes continued to be swollen and patient continued to have additional symptoms through 1/9/22 including headache, stomachache, lip swelling and sore throat and difficultly swallowing. On 1/10/22 patient had video appointment with urgent care and they advised them to take Benadryl. Symptoms improved and were resolved by 1/12/22.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Throat irritation, Throat tightness
Clinical narrative: Received first COVID-19 vaccine dose. About 25 minutes after administration, patient started to complain of throat itching, upper chest/throat tightness. Was able to swallow, speak, and breathe. Sats remained stable. Epinephrine and diphenhydramine administered in clinic. Emergency was called and patient was transferred to emergency department.. No additional concerns found in the ED. Discharged home with EpiPen.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient presented to the vaccination site on 2/1/2022. The client reported that she received a 1st dose of Janssen, COVID vaccine on  04/07/2021. Client reported itching, redness, and swelling at vaccine site that lasted around a week. Client stated that her PCP was made aware and prescribed a medication for the itching. PHN submitted a medical consult via teams to Clinical Project Coordinators requesting to switch to a different COVID vaccine. Per Dr, approval to proceed with Pfizer was obtained from medical consult team via Teams, Clinical Project Coordinator. Client received COVID vaccine Pfizer Lot FK9896 on 2/1/2022 at 2:40PM. The client did not report any symptoms during the 30-minute observation period. PHN educated client on possible adverse reactions and to seek medical care immediately if shortness of breath or angioedema occurs. The client left the vaccination site at 1515 with stable gait.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine
Clinical narrative: I had the traditional headache that you get with the vaccine but it has turned into daily migraines that won't go away with any medication. Its extremely disruptive to my daily activities and I never suffered from even a headache on a regular basis like this before I got vaccinated. The headache started within the hour of my second shot on January 9th 2022. Today is February 1st, so almost a month later and im still suffering from daily migraines.
Age: 28.0
Sex: F
Vaccine: UNK
Symptoms: Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: Hives, itching, all over body. Dermatographia all over body two months later still
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Patient called to complain of lingering arm soreness that has lasted since November. Advised him to see his physician however at this point he has not. He reported the event to us at the end of January.  Patient informed us that the vaccine did not seem that it was too high (most likely rules out SIRVA).
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Nausea, Pyrexia
Clinical narrative: Headache, injection site pain, fatigue, high fever, nausea and vomiting.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache, injection site pain, fatigue, high fever, nausea and vomiting.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Inappropriate schedule of product administration, Nausea, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 4/27/21 (lot # ER8736), 5/24/21 (lot # EW0177), 9/5/21 (lot # 301308A), and 1/18/22 (lot # 33036BD). On 1/24/22 and 1/29/22, patient tested positive for COVID. On 1/29/22, patient admitted to our inpatient facility for COVID19 pneumonia with nausea/vomiting.  Patient stayed in the med/surg unit and discharged today (2/1/22).
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient received Pfizer COVID vaccine on 4/27/21 (lot # ER8736), 5/24/21 (lot # EW0177), 9/5/21 (lot # 301308A), and 1/18/22 (lot # 33036BD). On 1/24/22 and 1/29/22, patient tested positive for COVID. On 1/29/22, patient admitted to our inpatient facility for COVID19 pneumonia with nausea/vomiting.  Patient stayed in the med/surg unit and discharged today (2/1/22).
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Electrocardiogram normal, Headache, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: immediately after vaccine i received a headache and face from eye socket to chin felt as if my face was swelling with a numb feeling. Strong sensation continued with headache. Left calf started swelling early in daytime and was happening for several days. Went to the hospital where I work in Feb/March. Went to new doc and no diagnosis. Receive Ajovy because of headache
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Peripheral swelling, Swelling face
Clinical narrative: immediately after vaccine i received a headache and face from eye socket to chin felt as if my face was swelling with a numb feeling. Strong sensation continued with headache. Left calf started swelling early in daytime and was happening for several days. Went to the hospital where I work in Feb/March. Went to new doc and no diagnosis. Receive Ajovy because of headache
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Dyskinesia, Electroencephalogram, Tic
Clinical narrative: Patient got his first shot 1/23. 1/30 he developed involuntary bilateral arm, neck, and head movements. He went to the ED and was admitted to the PED unit. He was diagnosed with a sudden onset severe tic disorder.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Biopsy bone marrow, Blood bilirubin, Coombs direct test, Dyspnoea
Clinical narrative: low hemoglobin normocytic anemia ,Symptomatic Anemia +SOB and Tachycardia Hgb 6.6 fatigue with racing heart for the past  2 weeks and has been getting worse.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer, Flow cytometry, Haemoglobin decreased, Normocytic anaemia
Clinical narrative: low hemoglobin normocytic anemia ,Symptomatic Anemia +SOB and Tachycardia Hgb 6.6 fatigue with racing heart for the past  2 weeks and has been getting worse.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Platelet count increased, Smear test, Tachycardia
Clinical narrative: low hemoglobin normocytic anemia ,Symptomatic Anemia +SOB and Tachycardia Hgb 6.6 fatigue with racing heart for the past  2 weeks and has been getting worse.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Received full dose of Moderna booster instead of half dose.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis, Computerised tomogram abnormal
Clinical narrative: Pt. experienced severe stomach pain on January 12 , 2022 which led to a trip to the Emergency Room. A cat scan was performed and acute appendicitis was diagnosed.  His appendix was then removed by Doctor.  It was his second trip to the emergency room as pt. had a cat scan in August 2021 for stomach pain. His first two Covid 19 pfizer BioNtech vaccinations occurred on April 3, 2021 and April 24, 2021, respectively.  It must be noted his older brother who had the same Pfizer vaccinations on the same dates and schedule, had severe stomach issues (also August 2021) and after a cat scan was performed, had emergency surgery to remove his appendix for acute appendicitis.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: PATIENT REQUESTED 'BOOSTER' AND PRESENTED A VACCINE CARD WITH TWO VACCINE DOSES (3/18/21 AND 4/15/21)  I ADMINISTERED WHAT I BELIEVED TO BE HER 3RD  SHOT OR BOOSTER AS IT WOULD BE 5 MONTHS FROM THE SECOND AND APPROPRIATE. SHE ASKED WHAT TO EXPECT FROM THE BOOSTER AND WE DISCUSSED.  AFTER WHILE REPORTING TO THE STATE RECORD-KEEPING SITE, IT WAS DISCOVERED SHE HAD ALREADY GOTTEN A BOOSTER AT ANOTHER PHARMACY AT 8/29/21 WHICH SHE HAD CONCEALED FROM US.  THE ONE THAT I GAVE WAS ACTUALLY A 4TH WHICH SHE DID NOT QUALIFY FOR.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Haemorrhagic cyst, Placental cyst, Ultrasound antenatal screen abnormal
Clinical narrative: Hemorrhagic placental cyst found on routine prenatal ultrasound 1/25/2022.  EDD: 3/23/2022
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest discomfort, Headache, Malaise, Pain in extremity, Paraesthesia
Clinical narrative: Patient called today 2/1/22 and reported extreme headache, chest heaviness, arm soreness, and pin and needles feeling after receiving  vaccination on 1/31/22. Patient stated the symptoms started around 2 pm yesterday and continued today. Patient did contact her primary care doctor who instructed her if she was not feeling better by weds 2/2/22 to go to ER or Urgent care.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Flushing, Head discomfort, Nausea
Clinical narrative: Head pressure, nausea, metallic taste, dizziness, flushed faced, Epi 0.3 mg given with relief
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lymphadenopathy, Migraine, Myalgia, Nausea
Clinical narrative: Rash on back; swollen arm and armpit; vomiting; nausea; chills muscular pain and migraines.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash, Vomiting
Clinical narrative: Rash on back; swollen arm and armpit; vomiting; nausea; chills muscular pain and migraines.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Peripheral swelling
Clinical narrative: Swelling to Left 4th finger at first knuckle and redness to right 2nd finger at first knuckle.  Pain to knees and right ankle
Age: 22.0
Sex: F
Vaccine: COVID19, TDAP
Symptoms: Blood test, Erythema, Pruritus, Rash, SARS-CoV-2 test negative
Clinical narrative: Wednesday, January 26, 2022, I noticed a small rash form on my right forearm. It later progressed to my whole forearm Friday, January 28th, morning. Large red welts and hives soon started to cover my whole body, including my face, legs, stomach, and back. The next day, Saturday, January 29th, the hives were covering my whole body, so I was taking oral Benadryl to help relieve the itching, I went to the ER for treatment as the welts were becoming unbearably itchy and uncomfortable where I was given IV Benadryl, Pepcid, and solumedrol to counteract the hives, this was at 12:30 am Sunday the 30th. The IV medication only helped for a few hours and I was back to being covered in hives and welts. Wednesday February 1st, I went ot the clinic to be seen for the rash and was given a rapid COVID test which was negative. Blood was taken for tests and I am waiting for results. I am currently on prednisone and hydroxyzine.
Age: 22.0
Sex: F
Vaccine: COVID19, TDAP
Symptoms: Urticaria
Clinical narrative: Wednesday, January 26, 2022, I noticed a small rash form on my right forearm. It later progressed to my whole forearm Friday, January 28th, morning. Large red welts and hives soon started to cover my whole body, including my face, legs, stomach, and back. The next day, Saturday, January 29th, the hives were covering my whole body, so I was taking oral Benadryl to help relieve the itching, I went to the ER for treatment as the welts were becoming unbearably itchy and uncomfortable where I was given IV Benadryl, Pepcid, and solumedrol to counteract the hives, this was at 12:30 am Sunday the 30th. The IV medication only helped for a few hours and I was back to being covered in hives and welts. Wednesday February 1st, I went ot the clinic to be seen for the rash and was given a rapid COVID test which was negative. Blood was taken for tests and I am waiting for results. I am currently on prednisone and hydroxyzine.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Moderna for dose 1.  Patient wanted Pfizer to begin with, so consented to Pfizer being given for second dose.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis, Chills, Computerised tomogram abnormal
Clinical narrative: Severe stomach pain began August 7. Including fever and chills that came and went for 3 weeks. On August 21, took him to local hospital Emergency room when the stomach pain became unbearable. CT Scan demonstrated acute appendicitis and his appendix was subsequently removed.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe stomach pain began August 7. Including fever and chills that came and went for 3 weeks. On August 21, took him to local hospital Emergency room when the stomach pain became unbearable. CT Scan demonstrated acute appendicitis and his appendix was subsequently removed.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Bursitis, Pain in extremity, Peripheral swelling, Vaccination complication
Clinical narrative: Patient received Moderna booster dose of 0.25mL in left arm on 12/22/21 at Pharmacy. Patient reported on 2/1/22 that a sore arm occurred day of vaccination on 12/23/21 with swelling. Soreness became worse days later, so patient saw her doctor. Doctor believes that patient has bursitis resulting as adverse event from vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: 3/30/2022 I had an odd itch starting from extremities(hands, feet) and by the time I got home from work noticed I had hives as I was changing. Took some Benadryl chewables and it continued to itch that evening. When I got up the next day on 3/31/2021 I was swollen from head to toe with hives and went directly to my primary care and was seen by an NP.  Was prescribed prednisone and later, after my PCP reviewed my file and called me, and he put me on prednisone for a week instead of 5 days. Also, advised to take Zyrtec and Benadryl for one month. With what was prescribed I have recovered.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Computerised tomogram, Full blood count, Metabolic function test, Swelling face
Clinical narrative: Patient received her booster dose on 1/28; on 1/29 she realized she was having left sided  facial swelling.  She waiting until 2/1 to present to  PCP. The PCP called to have her directly admitted into the hospital. She is currently being treated with steroids, NSAIDs, and antibiotics.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bradykinesia, Neurological examination, Parkinson's disease, Parkinsonian rest tremor
Clinical narrative: Resting tremor and bradykinesia consistent with Parkinson's Disease
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abnormal behaviour, Alanine aminotransferase normal, Albumin globulin ratio decreased, Allen's test, Ammonia
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anion gap, Aspartate aminotransferase increased, Bacterial test negative, Base excess, Basophil count decreased
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Basophil percentage decreased, Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase normal, Blood bicarbonate normal
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine increased, Blood gases abnormal
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Blood magnesium, Blood pH normal, Blood potassium normal, Blood sodium normal
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood urea nitrogen/creatinine ratio, Blood urea normal, Breath sounds abnormal, COVID-19, Carbon dioxide normal
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chromaturia, Computerised tomogram head normal, Computerised tomogram spine, Confusional state
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Differential white blood cell count, Disorientation, Dyspnoea, Eosinophil count decreased
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Eosinophil percentage decreased, Fraction of inspired oxygen, Full blood count, Globulins increased, Glomerular filtration rate decreased
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Glucose urine present, Haematocrit normal, Haemoglobin normal, Immature granulocyte count, Lung opacity
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mean platelet volume increased, Mental status changes, Metabolic function test, Monocyte count increased, Monocyte percentage increased
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neutrophil count, Neutrophil percentage increased, Nitrite urine absent, Opiates negative, Oxygen saturation
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: PCO2 normal, PO2 normal, Productive cough, Protein total normal, Protein urine present
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary contusion, Pulmonary oedema, Rales, Red blood cell count increased, Red blood cell nucleated morphology
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Red blood cells urine, Red cell distribution width increased, Rhonchi, SARS-CoV-2 test positive, Specific gravity urine normal
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Speech disorder, Tachypnoea, Toxicologic test, Troponin increased, Urinary casts
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urinary occult blood negative, Urinary sediment present, Urine amphetamine negative, Urine analysis, Urine barbiturates
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, White blood cell count normal, White blood cells urine negative
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: pH urine normal
Clinical narrative: 1/27/22  67 yr/o male who presents to the Emergency Department with a change in mentation.  EMS reports family called EMS today because patient came to their house which was unusual for him.  They felt as though he was more confused and having difficulty speaking.  They also noted that he had damage to the side of his car and patient could not recall any accident.  EMS reports that family states that he has had some mild change in his mental status for at least 2 weeks but it is more severe today.  There is no last known normal.  Patient mentioned something about Covid but cannot tell me if he has been tested or been told he has been exposed or positive.  1/31/22 Discharged to home with home health and hosparus HH
Age: 24.0
Sex: U
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Patient requested Moderna booster. Patient stated that 2 previous doses were recieved in another location. Patient's ID was verified, consent form filled out  and signed by patient attesting to being elgible to receive vaccine. No record was found in system. Patient was administered vaccine, monitored for 15 minutes and then left clinic. When patients information was updated in system, it was discovered that patient had recieved a Pfizer vaccine, same day, at a local pharmacy. Attempts were made to contact to patient via phone (no address given). Patient did not answer; voice message left asking patient to return phone call. After numerous unsucessful attempts,  patient was reached and a follow-up was conducted via phone. Patient admitted to getting a second dose at pharmacy after leaving our clinic. Patient stated that they had no reaction to either vaccine and did not experience any complications from either vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Miscalculated the patient's age as 11.  When trying to bill administration fee later in the evening, realized we gave the 5 - 11yo dose instead of the 12+ dose.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 9/20/21 and 10/18/21. On 1/28/22, patient admitted to our inpatient facility (med/surg unit) for COVID19 pneumonia. Patient discharged home today (2/1/22) in stable condition.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Idiopathic urticaria, Lymphadenopathy, Pain in extremity, Pruritus
Clinical narrative: Developed normal side effect symptoms from the booster within 24 hours such as fever, chills, arm soreness, axillary lymph node were swollen.  (Did not have any symptoms with the first two moderna vaccines).   On 01/02/2022 developed severe itchiness to back of neck and shoulders, with rash/hives present.  Both itching and rash/hives are still present today. If I ignore the rash, it disappears within 30 minutes from that area and appears elsewhere.  Saw. Dr.  (allergist/immunologist) he diagnosed me with spontaneous idiopathic urticaria and told me to take Allegra BID, Xyzal BID, 6-day taper of solu-medrol. No difference with rash after 2 weeks check up. He told me to continue with the Allegra and Xyzal, and also prescribed me Doxepin to take QN.  Been taking those not sure if rash is getting better or same..   Of note, my father got his moderna booster back in November 2021  and developed similar rash as mine a week after his vaccination as well. He saw his PMD and was given solu-medrol 6 day taper for that rash,  and to this day he still has the rash.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Developed normal side effect symptoms from the booster within 24 hours such as fever, chills, arm soreness, axillary lymph node were swollen.  (Did not have any symptoms with the first two moderna vaccines).   On 01/02/2022 developed severe itchiness to back of neck and shoulders, with rash/hives present.  Both itching and rash/hives are still present today. If I ignore the rash, it disappears within 30 minutes from that area and appears elsewhere.  Saw. Dr.  (allergist/immunologist) he diagnosed me with spontaneous idiopathic urticaria and told me to take Allegra BID, Xyzal BID, 6-day taper of solu-medrol. No difference with rash after 2 weeks check up. He told me to continue with the Allegra and Xyzal, and also prescribed me Doxepin to take QN.  Been taking those not sure if rash is getting better or same..   Of note, my father got his moderna booster back in November 2021  and developed similar rash as mine a week after his vaccination as well. He saw his PMD and was given solu-medrol 6 day taper for that rash,  and to this day he still has the rash.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Costochondritis, Dysphagia, Insomnia, Musculoskeletal stiffness
Clinical narrative: chest pain after 1 week. Throat pain after 2 weeks and still remaining after three months. Neck stiffness. Difficulty swallowing. Episodes of nocturnal panic attacks and difficulty sleeping. Chostocondrtitis.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Panic attack
Clinical narrative: chest pain after 1 week. Throat pain after 2 weeks and still remaining after three months. Neck stiffness. Difficulty swallowing. Episodes of nocturnal panic attacks and difficulty sleeping. Chostocondrtitis.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Electrocardiogram, Hypoaesthesia, Magnetic resonance imaging, Musculoskeletal stiffness
Clinical narrative: chest pain after 1 week. Throat pain after 2 weeks and still remaining after three months. Neck stiffness. Difficulty swallowing. Episodes of nocturnal panic attacks and difficulty sleeping. Chostocondrtitis.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Pain, Palpitations, Panic attack, Pericarditis
Clinical narrative: chest pain after 1 week. Throat pain after 2 weeks and still remaining after three months. Neck stiffness. Difficulty swallowing. Episodes of nocturnal panic attacks and difficulty sleeping. Chostocondrtitis.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test, Thyroid cyst, Ultrasound scan
Clinical narrative: chest pain after 1 week. Throat pain after 2 weeks and still remaining after three months. Neck stiffness. Difficulty swallowing. Episodes of nocturnal panic attacks and difficulty sleeping. Chostocondrtitis.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood aldosterone, Blood iron, Blood potassium, Blood thyroid stimulating hormone
Clinical narrative: Within a few days of receiving my 2nd dose of the Pfizer Covid19 shot, I experienced shortness of breath and chest pain. All the tests I took indicated I did not have myocarditis so my doctor told me I likely had anxiety. I refused the dye test because members of my family have had adverse reactions to injected dyes. My symptoms finally went away in the first part of August. I took my normal flu shot in Sep or Oct and my symptoms returned, although they were less severe--I had never had a reaction to a flu shot before. I finally agreed to take anti-anxiety meds hoping it would clear my symptoms. My shortness of breath gradually went away. Then on 12/21/2021, I got the Moderna Covid Booster shot and by 12/23/2021 my shortness of breath and chest pain returned. They have not gone away as of 2/1/2022. I have continued taking my anti-anxiety meds daily--they seem to have no impact on my symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac imaging procedure, Chest X-ray, Chest pain, Dyspnoea, Echocardiogram
Clinical narrative: Within a few days of receiving my 2nd dose of the Pfizer Covid19 shot, I experienced shortness of breath and chest pain. All the tests I took indicated I did not have myocarditis so my doctor told me I likely had anxiety. I refused the dye test because members of my family have had adverse reactions to injected dyes. My symptoms finally went away in the first part of August. I took my normal flu shot in Sep or Oct and my symptoms returned, although they were less severe--I had never had a reaction to a flu shot before. I finally agreed to take anti-anxiety meds hoping it would clear my symptoms. My shortness of breath gradually went away. Then on 12/21/2021, I got the Moderna Covid Booster shot and by 12/23/2021 my shortness of breath and chest pain returned. They have not gone away as of 2/1/2022. I have continued taking my anti-anxiety meds daily--they seem to have no impact on my symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fibrin D dimer, Full blood count, Hepatitis C antibody, Interchange of vaccine products
Clinical narrative: Within a few days of receiving my 2nd dose of the Pfizer Covid19 shot, I experienced shortness of breath and chest pain. All the tests I took indicated I did not have myocarditis so my doctor told me I likely had anxiety. I refused the dye test because members of my family have had adverse reactions to injected dyes. My symptoms finally went away in the first part of August. I took my normal flu shot in Sep or Oct and my symptoms returned, although they were less severe--I had never had a reaction to a flu shot before. I finally agreed to take anti-anxiety meds hoping it would clear my symptoms. My shortness of breath gradually went away. Then on 12/21/2021, I got the Moderna Covid Booster shot and by 12/23/2021 my shortness of breath and chest pain returned. They have not gone away as of 2/1/2022. I have continued taking my anti-anxiety meds daily--they seem to have no impact on my symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lipids abnormal, Metabolic function test, Renin
Clinical narrative: Within a few days of receiving my 2nd dose of the Pfizer Covid19 shot, I experienced shortness of breath and chest pain. All the tests I took indicated I did not have myocarditis so my doctor told me I likely had anxiety. I refused the dye test because members of my family have had adverse reactions to injected dyes. My symptoms finally went away in the first part of August. I took my normal flu shot in Sep or Oct and my symptoms returned, although they were less severe--I had never had a reaction to a flu shot before. I finally agreed to take anti-anxiety meds hoping it would clear my symptoms. My shortness of breath gradually went away. Then on 12/21/2021, I got the Moderna Covid Booster shot and by 12/23/2021 my shortness of breath and chest pain returned. They have not gone away as of 2/1/2022. I have continued taking my anti-anxiety meds daily--they seem to have no impact on my symptoms.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Fatigue
Clinical narrative: began with burning in chest which progressed to chest pain and left arm pain.  Presented to ED (11:44 pm 1/29/22).  EKG was abnormal, labs were drawn and troponin levels were elevated.  Diagnosed with myopericarditis.  Remained in ED >12 hrs.  Discharged home after troponin levels decreased with prescription medication and advised to follow up with cardiologist for an echocardiogram within the next few days.  Patient very fatigued even at rest.    Advised to remain out of work and no activities until he sees a cardiologist for clearance.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Myocarditis, Pain in extremity, Troponin increased
Clinical narrative: began with burning in chest which progressed to chest pain and left arm pain.  Presented to ED (11:44 pm 1/29/22).  EKG was abnormal, labs were drawn and troponin levels were elevated.  Diagnosed with myopericarditis.  Remained in ED >12 hrs.  Discharged home after troponin levels decreased with prescription medication and advised to follow up with cardiologist for an echocardiogram within the next few days.  Patient very fatigued even at rest.    Advised to remain out of work and no activities until he sees a cardiologist for clearance.