chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Lung opacity, Malaise, SARS-CoV-2 test positive, Superinfection
Clinical narrative: Presented to ED on 12/2/21 with a 2 day history of increasing weakness, shortness of breath, and cough.  Patient tested +ive for COVID 19 in the ED.  CXR failed to show evidence of pneumonia.  She is currently on 4L NC with stable O2 saturations but had dropped to 88% on RA.  She is noted to have an AKI with a serum creatinine at 1.6mg/dL up from a baseline of 0.7mg/dL.  She does report poor oral intake due to not feeling well for the past couple of days and has continued to take lisinopril and lasix daily.  She remains hemodynamically stable.  She will be admitted for further evaluation and management at this time on 12/2/21. Started on dexamethasone, remdesivir, ceftriaxone and azithromycin. The patient was accepted to a swing bed. She will continue on supplemental oxygen as needed - currently on 2L/min. Discharged on 12/9/21
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Cold sweat, Injection site pain, Myalgia, Nausea
Clinical narrative: Starting the night, for a few days, injection site soreness, 104 fever, chills sweats, nausea, muscle soreness. Tinnitus- ear ringing happened a day or two later. It was really loud. Went to see the doctor 17March2021. Saw an audiologist. It could have been inflammation. No treatment plans.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus
Clinical narrative: Starting the night, for a few days, injection site soreness, 104 fever, chills sweats, nausea, muscle soreness. Tinnitus- ear ringing happened a day or two later. It was really loud. Went to see the doctor 17March2021. Saw an audiologist. It could have been inflammation. No treatment plans.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID-19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Client is a 7 year old male who came in to receive his Pfizer pediatrician and became "itchy" within 10 minutes of vaccination. Client received 12.5 mg liquid Benadryl orally @ 10:01 AM.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Agnosia, Loss of personal independence in daily activities, Memory impairment, Mental impairment
Clinical narrative: Dementia type symptoms affecting memory, thinking and social abilities severely enough to interfere with my wife's daily life activities to include Agnosia, loss of ability to recognize objects,
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Palpitations
Clinical narrative: Following her booster vaccine of Pfizer at 1440, patient stated feeling like her heart was racing and she appeared flushed. She complained of dizziness and patient and mother stated that she 'always feels like she's going to pass out' following any shot or when she gets blood drawn.  1440 BP: 153/85, HR: 113 appeared flushed, patient seated with feet extended above heart and given water to drink; EMS called 1445 BP: 146/86, HR: 112, patient finished water and said she was 'starting to feel better' 1455 BP: 151/83 HR: 88 color improving, less flush and EMS arrived to take over 1515 Patient stated feeling better at this point and was released by EMS with no visit to ED; mother drove patient home and was informed to monitor patient and if she continues to feel unwell or gets worse to take her to the ED.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given 0.25 ml for her second dose of the vaccine series instead of 0.5 ml
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Condition aggravated, Diarrhoea, Fatigue, Headache
Clinical narrative: Injection on 11/29 @ 0900  09:00 - minimal injection site pain 18:00 - onset of generalized myalgia, headache  20:00 - mild fever (below 100 F) 11/30 @ 01:00 - acute onset of abdominal cramping - 7/10 pain, diarrhea  01:00-12:00 - abdominal cramping, diarrhea 11/29-11/30 all day - generalized myalgia, fatigue, headache  11/30 fell asleep at 19:00, woke up 12/1 @ 07:00 feeling 90% better. Mild fatigue/myalgia continued, diarrhea resolved.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Pain
Clinical narrative: Injection on 11/29 @ 0900  09:00 - minimal injection site pain 18:00 - onset of generalized myalgia, headache  20:00 - mild fever (below 100 F) 11/30 @ 01:00 - acute onset of abdominal cramping - 7/10 pain, diarrhea  01:00-12:00 - abdominal cramping, diarrhea 11/29-11/30 all day - generalized myalgia, fatigue, headache  11/30 fell asleep at 19:00, woke up 12/1 @ 07:00 feeling 90% better. Mild fatigue/myalgia continued, diarrhea resolved.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID-19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 positive after vaccination.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Troponin normal
Clinical narrative: chest pain in 48 hours. given elsewhere, do not have lot number
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID-19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Troponin increased
Clinical narrative: myocarditis
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid pos after vaccination
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Cough, Dyspnoea, Pneumonia
Clinical narrative: inpatient hospitalization. Cough and shortness of air. Pneumonia.
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia macrocytic, Angiogram pulmonary abnormal, Anticoagulant therapy, Arthralgia, Atrial fibrillation
Clinical narrative: Patient is deceased (12.10.21); hospitalized (11.29.21); COVID-19 positive;  fully vaccinated  Admission Date: 11/29/2021 Discharge Date: 12/09/2021 DISCHARGE DIAGNOSES 1. Atrial fibrillation with RVR 2. Bilateral pulmonary emboli 3. Altered Mental Status 4. COVID-19 5. E coli UTI 6. Left distal femur fracture s/p ORIF  7. Acute on chronic macrocytic anemia 8. Dysphagia 9. Hypertension 10. Type 2 diabetes 11. BPH 12. GERD 13. Hx gout 14. Sensorineural hearing loss DETAILS OF HOSPITAL STAY: HOSPITAL COURSE:   Atrial fibrillation with rapid ventricular response Patient was admitted to the hospital from his nursing home in AFib with RVR.  This required a Cardizem drip in the intensive care unit.  Echo showed EF of 50%.  This was transitioned to Cardizem 360 mg long-acting and 50 mg metoprolol long-acting.  If transition to hospice was not made, he would have required additional rate control medications. Bilateral pulmonary emboli On CT angiogram in the emergency department, bilateral pulmonary emboli were seen.  He was started on therapeutic Lovenox, which was transition to Eliquis.  This was likely a provoked PE secondary to being nonweightbearing after recent ORIF of left distal femur fracture on 11/13. COVID-19 Patient became hypoxic during his stay requiring briefly 1 L of oxygen.  COVID testing was completed which was positive.  Patient was placed in isolation and started on Decadron. Urinary tract infection Upon chart review, patient had a positive urinalysis with a culture growing E coli couple days prior to admission.  This does not appear to have been treated and patient was treated with a course of Keflex.  Over the course of his stay, his condition deteriorated. He did try to get out of bed on his own and fell 12/7, CT head negative for intracranial process; no other injuries sustained. Xray of surgical site left hip negative for new fracture.  He was A&O x0 yesterday morning.  Hospice meeting was held yesterday at noon with patient's son/DPOA and patient was transitioned to hospice upon discharge.
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Benign prostatic hyperplasia, COVID-19, Computerised tomogram head normal, Condition aggravated, Culture urine positive
Clinical narrative: Patient is deceased (12.10.21); hospitalized (11.29.21); COVID-19 positive;  fully vaccinated  Admission Date: 11/29/2021 Discharge Date: 12/09/2021 DISCHARGE DIAGNOSES 1. Atrial fibrillation with RVR 2. Bilateral pulmonary emboli 3. Altered Mental Status 4. COVID-19 5. E coli UTI 6. Left distal femur fracture s/p ORIF  7. Acute on chronic macrocytic anemia 8. Dysphagia 9. Hypertension 10. Type 2 diabetes 11. BPH 12. GERD 13. Hx gout 14. Sensorineural hearing loss DETAILS OF HOSPITAL STAY: HOSPITAL COURSE:   Atrial fibrillation with rapid ventricular response Patient was admitted to the hospital from his nursing home in AFib with RVR.  This required a Cardizem drip in the intensive care unit.  Echo showed EF of 50%.  This was transitioned to Cardizem 360 mg long-acting and 50 mg metoprolol long-acting.  If transition to hospice was not made, he would have required additional rate control medications. Bilateral pulmonary emboli On CT angiogram in the emergency department, bilateral pulmonary emboli were seen.  He was started on therapeutic Lovenox, which was transition to Eliquis.  This was likely a provoked PE secondary to being nonweightbearing after recent ORIF of left distal femur fracture on 11/13. COVID-19 Patient became hypoxic during his stay requiring briefly 1 L of oxygen.  COVID testing was completed which was positive.  Patient was placed in isolation and started on Decadron. Urinary tract infection Upon chart review, patient had a positive urinalysis with a culture growing E coli couple days prior to admission.  This does not appear to have been treated and patient was treated with a course of Keflex.  Over the course of his stay, his condition deteriorated. He did try to get out of bed on his own and fell 12/7, CT head negative for intracranial process; no other injuries sustained. Xray of surgical site left hip negative for new fracture.  He was A&O x0 yesterday morning.  Hospice meeting was held yesterday at noon with patient's son/DPOA and patient was transitioned to hospice upon discharge.
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deafness neurosensory, Death, Dysphagia, Echocardiogram normal, Ejection fraction normal
Clinical narrative: Patient is deceased (12.10.21); hospitalized (11.29.21); COVID-19 positive;  fully vaccinated  Admission Date: 11/29/2021 Discharge Date: 12/09/2021 DISCHARGE DIAGNOSES 1. Atrial fibrillation with RVR 2. Bilateral pulmonary emboli 3. Altered Mental Status 4. COVID-19 5. E coli UTI 6. Left distal femur fracture s/p ORIF  7. Acute on chronic macrocytic anemia 8. Dysphagia 9. Hypertension 10. Type 2 diabetes 11. BPH 12. GERD 13. Hx gout 14. Sensorineural hearing loss DETAILS OF HOSPITAL STAY: HOSPITAL COURSE:   Atrial fibrillation with rapid ventricular response Patient was admitted to the hospital from his nursing home in AFib with RVR.  This required a Cardizem drip in the intensive care unit.  Echo showed EF of 50%.  This was transitioned to Cardizem 360 mg long-acting and 50 mg metoprolol long-acting.  If transition to hospice was not made, he would have required additional rate control medications. Bilateral pulmonary emboli On CT angiogram in the emergency department, bilateral pulmonary emboli were seen.  He was started on therapeutic Lovenox, which was transition to Eliquis.  This was likely a provoked PE secondary to being nonweightbearing after recent ORIF of left distal femur fracture on 11/13. COVID-19 Patient became hypoxic during his stay requiring briefly 1 L of oxygen.  COVID testing was completed which was positive.  Patient was placed in isolation and started on Decadron. Urinary tract infection Upon chart review, patient had a positive urinalysis with a culture growing E coli couple days prior to admission.  This does not appear to have been treated and patient was treated with a course of Keflex.  Over the course of his stay, his condition deteriorated. He did try to get out of bed on his own and fell 12/7, CT head negative for intracranial process; no other injuries sustained. Xray of surgical site left hip negative for new fracture.  He was A&O x0 yesterday morning.  Hospice meeting was held yesterday at noon with patient's son/DPOA and patient was transitioned to hospice upon discharge.
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Escherichia infection, Fall, Femur fracture, Gastrooesophageal reflux disease
Clinical narrative: Patient is deceased (12.10.21); hospitalized (11.29.21); COVID-19 positive;  fully vaccinated  Admission Date: 11/29/2021 Discharge Date: 12/09/2021 DISCHARGE DIAGNOSES 1. Atrial fibrillation with RVR 2. Bilateral pulmonary emboli 3. Altered Mental Status 4. COVID-19 5. E coli UTI 6. Left distal femur fracture s/p ORIF  7. Acute on chronic macrocytic anemia 8. Dysphagia 9. Hypertension 10. Type 2 diabetes 11. BPH 12. GERD 13. Hx gout 14. Sensorineural hearing loss DETAILS OF HOSPITAL STAY: HOSPITAL COURSE:   Atrial fibrillation with rapid ventricular response Patient was admitted to the hospital from his nursing home in AFib with RVR.  This required a Cardizem drip in the intensive care unit.  Echo showed EF of 50%.  This was transitioned to Cardizem 360 mg long-acting and 50 mg metoprolol long-acting.  If transition to hospice was not made, he would have required additional rate control medications. Bilateral pulmonary emboli On CT angiogram in the emergency department, bilateral pulmonary emboli were seen.  He was started on therapeutic Lovenox, which was transition to Eliquis.  This was likely a provoked PE secondary to being nonweightbearing after recent ORIF of left distal femur fracture on 11/13. COVID-19 Patient became hypoxic during his stay requiring briefly 1 L of oxygen.  COVID testing was completed which was positive.  Patient was placed in isolation and started on Decadron. Urinary tract infection Upon chart review, patient had a positive urinalysis with a culture growing E coli couple days prior to admission.  This does not appear to have been treated and patient was treated with a course of Keflex.  Over the course of his stay, his condition deteriorated. He did try to get out of bed on his own and fell 12/7, CT head negative for intracranial process; no other injuries sustained. Xray of surgical site left hip negative for new fracture.  He was A&O x0 yesterday morning.  Hospice meeting was held yesterday at noon with patient's son/DPOA and patient was transitioned to hospice upon discharge.
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Hypertension, Hypoxia, Intensive care, Mental status changes
Clinical narrative: Patient is deceased (12.10.21); hospitalized (11.29.21); COVID-19 positive;  fully vaccinated  Admission Date: 11/29/2021 Discharge Date: 12/09/2021 DISCHARGE DIAGNOSES 1. Atrial fibrillation with RVR 2. Bilateral pulmonary emboli 3. Altered Mental Status 4. COVID-19 5. E coli UTI 6. Left distal femur fracture s/p ORIF  7. Acute on chronic macrocytic anemia 8. Dysphagia 9. Hypertension 10. Type 2 diabetes 11. BPH 12. GERD 13. Hx gout 14. Sensorineural hearing loss DETAILS OF HOSPITAL STAY: HOSPITAL COURSE:   Atrial fibrillation with rapid ventricular response Patient was admitted to the hospital from his nursing home in AFib with RVR.  This required a Cardizem drip in the intensive care unit.  Echo showed EF of 50%.  This was transitioned to Cardizem 360 mg long-acting and 50 mg metoprolol long-acting.  If transition to hospice was not made, he would have required additional rate control medications. Bilateral pulmonary emboli On CT angiogram in the emergency department, bilateral pulmonary emboli were seen.  He was started on therapeutic Lovenox, which was transition to Eliquis.  This was likely a provoked PE secondary to being nonweightbearing after recent ORIF of left distal femur fracture on 11/13. COVID-19 Patient became hypoxic during his stay requiring briefly 1 L of oxygen.  COVID testing was completed which was positive.  Patient was placed in isolation and started on Decadron. Urinary tract infection Upon chart review, patient had a positive urinalysis with a culture growing E coli couple days prior to admission.  This does not appear to have been treated and patient was treated with a course of Keflex.  Over the course of his stay, his condition deteriorated. He did try to get out of bed on his own and fell 12/7, CT head negative for intracranial process; no other injuries sustained. Xray of surgical site left hip negative for new fracture.  He was A&O x0 yesterday morning.  Hospice meeting was held yesterday at noon with patient's son/DPOA and patient was transitioned to hospice upon discharge.
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Open reduction of fracture, Orthopaedic procedure, Pain in extremity, Periprosthetic fracture, Pulmonary embolism
Clinical narrative: Patient is deceased (12.10.21); hospitalized (11.29.21); COVID-19 positive;  fully vaccinated  Admission Date: 11/29/2021 Discharge Date: 12/09/2021 DISCHARGE DIAGNOSES 1. Atrial fibrillation with RVR 2. Bilateral pulmonary emboli 3. Altered Mental Status 4. COVID-19 5. E coli UTI 6. Left distal femur fracture s/p ORIF  7. Acute on chronic macrocytic anemia 8. Dysphagia 9. Hypertension 10. Type 2 diabetes 11. BPH 12. GERD 13. Hx gout 14. Sensorineural hearing loss DETAILS OF HOSPITAL STAY: HOSPITAL COURSE:   Atrial fibrillation with rapid ventricular response Patient was admitted to the hospital from his nursing home in AFib with RVR.  This required a Cardizem drip in the intensive care unit.  Echo showed EF of 50%.  This was transitioned to Cardizem 360 mg long-acting and 50 mg metoprolol long-acting.  If transition to hospice was not made, he would have required additional rate control medications. Bilateral pulmonary emboli On CT angiogram in the emergency department, bilateral pulmonary emboli were seen.  He was started on therapeutic Lovenox, which was transition to Eliquis.  This was likely a provoked PE secondary to being nonweightbearing after recent ORIF of left distal femur fracture on 11/13. COVID-19 Patient became hypoxic during his stay requiring briefly 1 L of oxygen.  COVID testing was completed which was positive.  Patient was placed in isolation and started on Decadron. Urinary tract infection Upon chart review, patient had a positive urinalysis with a culture growing E coli couple days prior to admission.  This does not appear to have been treated and patient was treated with a course of Keflex.  Over the course of his stay, his condition deteriorated. He did try to get out of bed on his own and fell 12/7, CT head negative for intracranial process; no other injuries sustained. Xray of surgical site left hip negative for new fracture.  He was A&O x0 yesterday morning.  Hospice meeting was held yesterday at noon with patient's son/DPOA and patient was transitioned to hospice upon discharge.
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Skin abrasion, Type 2 diabetes mellitus, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Patient is deceased (12.10.21); hospitalized (11.29.21); COVID-19 positive;  fully vaccinated  Admission Date: 11/29/2021 Discharge Date: 12/09/2021 DISCHARGE DIAGNOSES 1. Atrial fibrillation with RVR 2. Bilateral pulmonary emboli 3. Altered Mental Status 4. COVID-19 5. E coli UTI 6. Left distal femur fracture s/p ORIF  7. Acute on chronic macrocytic anemia 8. Dysphagia 9. Hypertension 10. Type 2 diabetes 11. BPH 12. GERD 13. Hx gout 14. Sensorineural hearing loss DETAILS OF HOSPITAL STAY: HOSPITAL COURSE:   Atrial fibrillation with rapid ventricular response Patient was admitted to the hospital from his nursing home in AFib with RVR.  This required a Cardizem drip in the intensive care unit.  Echo showed EF of 50%.  This was transitioned to Cardizem 360 mg long-acting and 50 mg metoprolol long-acting.  If transition to hospice was not made, he would have required additional rate control medications. Bilateral pulmonary emboli On CT angiogram in the emergency department, bilateral pulmonary emboli were seen.  He was started on therapeutic Lovenox, which was transition to Eliquis.  This was likely a provoked PE secondary to being nonweightbearing after recent ORIF of left distal femur fracture on 11/13. COVID-19 Patient became hypoxic during his stay requiring briefly 1 L of oxygen.  COVID testing was completed which was positive.  Patient was placed in isolation and started on Decadron. Urinary tract infection Upon chart review, patient had a positive urinalysis with a culture growing E coli couple days prior to admission.  This does not appear to have been treated and patient was treated with a course of Keflex.  Over the course of his stay, his condition deteriorated. He did try to get out of bed on his own and fell 12/7, CT head negative for intracranial process; no other injuries sustained. Xray of surgical site left hip negative for new fracture.  He was A&O x0 yesterday morning.  Hospice meeting was held yesterday at noon with patient's son/DPOA and patient was transitioned to hospice upon discharge.
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ventricular extrasystoles, Weight bearing difficulty, X-ray of pelvis and hip normal
Clinical narrative: Patient is deceased (12.10.21); hospitalized (11.29.21); COVID-19 positive;  fully vaccinated  Admission Date: 11/29/2021 Discharge Date: 12/09/2021 DISCHARGE DIAGNOSES 1. Atrial fibrillation with RVR 2. Bilateral pulmonary emboli 3. Altered Mental Status 4. COVID-19 5. E coli UTI 6. Left distal femur fracture s/p ORIF  7. Acute on chronic macrocytic anemia 8. Dysphagia 9. Hypertension 10. Type 2 diabetes 11. BPH 12. GERD 13. Hx gout 14. Sensorineural hearing loss DETAILS OF HOSPITAL STAY: HOSPITAL COURSE:   Atrial fibrillation with rapid ventricular response Patient was admitted to the hospital from his nursing home in AFib with RVR.  This required a Cardizem drip in the intensive care unit.  Echo showed EF of 50%.  This was transitioned to Cardizem 360 mg long-acting and 50 mg metoprolol long-acting.  If transition to hospice was not made, he would have required additional rate control medications. Bilateral pulmonary emboli On CT angiogram in the emergency department, bilateral pulmonary emboli were seen.  He was started on therapeutic Lovenox, which was transition to Eliquis.  This was likely a provoked PE secondary to being nonweightbearing after recent ORIF of left distal femur fracture on 11/13. COVID-19 Patient became hypoxic during his stay requiring briefly 1 L of oxygen.  COVID testing was completed which was positive.  Patient was placed in isolation and started on Decadron. Urinary tract infection Upon chart review, patient had a positive urinalysis with a culture growing E coli couple days prior to admission.  This does not appear to have been treated and patient was treated with a course of Keflex.  Over the course of his stay, his condition deteriorated. He did try to get out of bed on his own and fell 12/7, CT head negative for intracranial process; no other injuries sustained. Xray of surgical site left hip negative for new fracture.  He was A&O x0 yesterday morning.  Hospice meeting was held yesterday at noon with patient's son/DPOA and patient was transitioned to hospice upon discharge.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Reports "very dizzy to the point I feel like I could pass-out." Recommended she contact her HCP provider or go to local ER for evaluation.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Oedema peripheral, Peripheral swelling, Ultrasound Doppler
Clinical narrative: Left leg edema, left leg swelling knee down. there is very slow progress of improvement after continuously taking ibuprofen and acetaminophen.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Eye movement disorder, Feeling hot, Loss of consciousness
Clinical narrative: Done
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Myocarditis, Troponin increased
Clinical narrative: Myocarditis
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Groin pain, Lymphadenopathy
Clinical narrative: Received booster at 18:30, on 12/18/2021, with no adverse effects. Woke the next morning a little sore but thought nothing of it. As the day progressed, the pain in my groin intensified to the point by 17:30 I was no longer able to walk or even stand without experiencing excruciating pain. The next morning (12/20/2021), the pain had subsided enough for me to make it to the emergency room. It was determined the vaccine was most likely the cause of lymph node swelling.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient's booster dose was given two months earlier then recommended. Pt's second dose was 08/23/21 and booster was due 02/23/22 but was given 12/21/21.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster dose was administered 2 months early. Received 2nd dose Aug 23rd.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Anion gap normal, Aspartate aminotransferase normal, Basophil count decreased, Blood albumin
Clinical narrative: 1. Diarrhea [R19.7] Afebrile, no abdominal rigidity, no melena or hematochezia. Diarrhea has been ongoing for about 1 year and had improved but starting in the past 24 hours has flared. He had negative stool studies in the past with positive FOBT. ? IBS. Discussed supportive care measures. Will order labs as does not look like this has been done in the past as well as repeat fecal occult and COVID 19 test (low suspicion for this but have ordered in order to facilitate f/u as GI symptoms are technically a symptom of COVID), however advised pt to call PCP office tomorrow to arrange follow up to discuss possible repeat stool studies, EGD/colonoscopy, and/or GI referral (depending on lab studies may benefit from imaging as well). Reviewed s/s that warrant urgent re-valuation. Pt verbalizes understanding and is agreeable with plan.  PCP Requests: Calprotectin Fecal by Immunoassay, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea | Occult blood in stools, 12/07/21 9:00:00 EST, 109941123 Ova and Parasites, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123 Stool Culture, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: 1. Diarrhea [R19.7] Afebrile, no abdominal rigidity, no melena or hematochezia. Diarrhea has been ongoing for about 1 year and had improved but starting in the past 24 hours has flared. He had negative stool studies in the past with positive FOBT. ? IBS. Discussed supportive care measures. Will order labs as does not look like this has been done in the past as well as repeat fecal occult and COVID 19 test (low suspicion for this but have ordered in order to facilitate f/u as GI symptoms are technically a symptom of COVID), however advised pt to call PCP office tomorrow to arrange follow up to discuss possible repeat stool studies, EGD/colonoscopy, and/or GI referral (depending on lab studies may benefit from imaging as well). Reviewed s/s that warrant urgent re-valuation. Pt verbalizes understanding and is agreeable with plan.  PCP Requests: Calprotectin Fecal by Immunoassay, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea | Occult blood in stools, 12/07/21 9:00:00 EST, 109941123 Ova and Parasites, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123 Stool Culture, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal, Campylobacter test
Clinical narrative: 1. Diarrhea [R19.7] Afebrile, no abdominal rigidity, no melena or hematochezia. Diarrhea has been ongoing for about 1 year and had improved but starting in the past 24 hours has flared. He had negative stool studies in the past with positive FOBT. ? IBS. Discussed supportive care measures. Will order labs as does not look like this has been done in the past as well as repeat fecal occult and COVID 19 test (low suspicion for this but have ordered in order to facilitate f/u as GI symptoms are technically a symptom of COVID), however advised pt to call PCP office tomorrow to arrange follow up to discuss possible repeat stool studies, EGD/colonoscopy, and/or GI referral (depending on lab studies may benefit from imaging as well). Reviewed s/s that warrant urgent re-valuation. Pt verbalizes understanding and is agreeable with plan.  PCP Requests: Calprotectin Fecal by Immunoassay, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea | Occult blood in stools, 12/07/21 9:00:00 EST, 109941123 Ova and Parasites, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123 Stool Culture, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Condition aggravated, Diarrhoea, Differential white blood cell count, Eosinophil count normal
Clinical narrative: 1. Diarrhea [R19.7] Afebrile, no abdominal rigidity, no melena or hematochezia. Diarrhea has been ongoing for about 1 year and had improved but starting in the past 24 hours has flared. He had negative stool studies in the past with positive FOBT. ? IBS. Discussed supportive care measures. Will order labs as does not look like this has been done in the past as well as repeat fecal occult and COVID 19 test (low suspicion for this but have ordered in order to facilitate f/u as GI symptoms are technically a symptom of COVID), however advised pt to call PCP office tomorrow to arrange follow up to discuss possible repeat stool studies, EGD/colonoscopy, and/or GI referral (depending on lab studies may benefit from imaging as well). Reviewed s/s that warrant urgent re-valuation. Pt verbalizes understanding and is agreeable with plan.  PCP Requests: Calprotectin Fecal by Immunoassay, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea | Occult blood in stools, 12/07/21 9:00:00 EST, 109941123 Ova and Parasites, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123 Stool Culture, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Immature granulocyte count
Clinical narrative: 1. Diarrhea [R19.7] Afebrile, no abdominal rigidity, no melena or hematochezia. Diarrhea has been ongoing for about 1 year and had improved but starting in the past 24 hours has flared. He had negative stool studies in the past with positive FOBT. ? IBS. Discussed supportive care measures. Will order labs as does not look like this has been done in the past as well as repeat fecal occult and COVID 19 test (low suspicion for this but have ordered in order to facilitate f/u as GI symptoms are technically a symptom of COVID), however advised pt to call PCP office tomorrow to arrange follow up to discuss possible repeat stool studies, EGD/colonoscopy, and/or GI referral (depending on lab studies may benefit from imaging as well). Reviewed s/s that warrant urgent re-valuation. Pt verbalizes understanding and is agreeable with plan.  PCP Requests: Calprotectin Fecal by Immunoassay, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea | Occult blood in stools, 12/07/21 9:00:00 EST, 109941123 Ova and Parasites, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123 Stool Culture, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Lipase increased, Lymphocyte count, Lymphocyte count normal, Mean cell volume decreased, Mean cell volume normal
Clinical narrative: 1. Diarrhea [R19.7] Afebrile, no abdominal rigidity, no melena or hematochezia. Diarrhea has been ongoing for about 1 year and had improved but starting in the past 24 hours has flared. He had negative stool studies in the past with positive FOBT. ? IBS. Discussed supportive care measures. Will order labs as does not look like this has been done in the past as well as repeat fecal occult and COVID 19 test (low suspicion for this but have ordered in order to facilitate f/u as GI symptoms are technically a symptom of COVID), however advised pt to call PCP office tomorrow to arrange follow up to discuss possible repeat stool studies, EGD/colonoscopy, and/or GI referral (depending on lab studies may benefit from imaging as well). Reviewed s/s that warrant urgent re-valuation. Pt verbalizes understanding and is agreeable with plan.  PCP Requests: Calprotectin Fecal by Immunoassay, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea | Occult blood in stools, 12/07/21 9:00:00 EST, 109941123 Ova and Parasites, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123 Stool Culture, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Metabolic function test, Monocyte count, Monocyte count increased, Neutrophil count
Clinical narrative: 1. Diarrhea [R19.7] Afebrile, no abdominal rigidity, no melena or hematochezia. Diarrhea has been ongoing for about 1 year and had improved but starting in the past 24 hours has flared. He had negative stool studies in the past with positive FOBT. ? IBS. Discussed supportive care measures. Will order labs as does not look like this has been done in the past as well as repeat fecal occult and COVID 19 test (low suspicion for this but have ordered in order to facilitate f/u as GI symptoms are technically a symptom of COVID), however advised pt to call PCP office tomorrow to arrange follow up to discuss possible repeat stool studies, EGD/colonoscopy, and/or GI referral (depending on lab studies may benefit from imaging as well). Reviewed s/s that warrant urgent re-valuation. Pt verbalizes understanding and is agreeable with plan.  PCP Requests: Calprotectin Fecal by Immunoassay, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea | Occult blood in stools, 12/07/21 9:00:00 EST, 109941123 Ova and Parasites, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123 Stool Culture, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count decreased, Nucleated red cells, Occult blood positive, Platelet count normal, Protein total normal
Clinical narrative: 1. Diarrhea [R19.7] Afebrile, no abdominal rigidity, no melena or hematochezia. Diarrhea has been ongoing for about 1 year and had improved but starting in the past 24 hours has flared. He had negative stool studies in the past with positive FOBT. ? IBS. Discussed supportive care measures. Will order labs as does not look like this has been done in the past as well as repeat fecal occult and COVID 19 test (low suspicion for this but have ordered in order to facilitate f/u as GI symptoms are technically a symptom of COVID), however advised pt to call PCP office tomorrow to arrange follow up to discuss possible repeat stool studies, EGD/colonoscopy, and/or GI referral (depending on lab studies may benefit from imaging as well). Reviewed s/s that warrant urgent re-valuation. Pt verbalizes understanding and is agreeable with plan.  PCP Requests: Calprotectin Fecal by Immunoassay, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea | Occult blood in stools, 12/07/21 9:00:00 EST, 109941123 Ova and Parasites, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123 Stool Culture, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count normal, Red cell distribution width normal, SARS-CoV-2 test negative, Salmonella test negative, White blood cell count decreased
Clinical narrative: 1. Diarrhea [R19.7] Afebrile, no abdominal rigidity, no melena or hematochezia. Diarrhea has been ongoing for about 1 year and had improved but starting in the past 24 hours has flared. He had negative stool studies in the past with positive FOBT. ? IBS. Discussed supportive care measures. Will order labs as does not look like this has been done in the past as well as repeat fecal occult and COVID 19 test (low suspicion for this but have ordered in order to facilitate f/u as GI symptoms are technically a symptom of COVID), however advised pt to call PCP office tomorrow to arrange follow up to discuss possible repeat stool studies, EGD/colonoscopy, and/or GI referral (depending on lab studies may benefit from imaging as well). Reviewed s/s that warrant urgent re-valuation. Pt verbalizes understanding and is agreeable with plan.  PCP Requests: Calprotectin Fecal by Immunoassay, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea | Occult blood in stools, 12/07/21 9:00:00 EST, 109941123 Ova and Parasites, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123 Stool Culture, STOOL, Routine, Order for Future Visit, Start: 12/07/21, ONCE, Diarrhea, 12/07/21 9:00:00 EST, 109941123
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Mild Shingles outbreak on right thigh.  Odd sensations in thigh began approximately Dec. 8th; developed rash approximately, Dec. 14th; diagnosis confirmed by physician on Dec. 21st. Patient is recovering.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dizziness, Dyspnoea, Headache
Clinical narrative: Initially tight chest, left lymph node enlarged and headache early on.  A little after 9 went to bed.  Walking from Living room, bath to bedroom I was unable to breath - very short, little inhale/exhale struggle.  Anxiety hit, rapid heart and felt as though I would be sick or pass out.   I concentrated on my breathing to calm down.  After about 4-5 minutes I was able to slowly lay down and stay in control of my breathing although it was a struggle.  (I realized my phone was in kitchen and did not dare to move again) Slept off and on through out the night.   Still continue to struggle breathing especially after walking or talking.  Better then it was but I'm still very concerned I might have made a mistake taking the booster
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Lymphadenopathy
Clinical narrative: Initially tight chest, left lymph node enlarged and headache early on.  A little after 9 went to bed.  Walking from Living room, bath to bedroom I was unable to breath - very short, little inhale/exhale struggle.  Anxiety hit, rapid heart and felt as though I would be sick or pass out.   I concentrated on my breathing to calm down.  After about 4-5 minutes I was able to slowly lay down and stay in control of my breathing although it was a struggle.  (I realized my phone was in kitchen and did not dare to move again) Slept off and on through out the night.   Still continue to struggle breathing especially after walking or talking.  Better then it was but I'm still very concerned I might have made a mistake taking the booster
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient got 0.5mL of Moderna (batch/lot# 012H21B) as a second dose of the vaccine. Patient should have gotten a 0.25mL booster.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The minor recipient's parents intentionally misrepresented the pt.'s age resulting in a 12 year old receiving a pediatric dose of the Pfizer vaccine.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Illness, Influenza like illness, Respiratory tract congestion
Clinical narrative: Fatigue and flu-like symptoms, congestion and sickness often.                                               fatigue and flu-like symptoms, conjestion and sickness often
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 16 yo patient came with dad to get booster. nurse was helping administer covid vaccines and thought 16yo could mix and match boosters as well. dad asked to switch if ok to do so and nurse said ok. Moderna not yet approved for those under 18 yo. dad notified of error.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Fall, Lip injury
Clinical narrative: Dizziness, chills, fainting, fell on floor teeth went through lip,shortness of breath
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Dizziness, chills, fainting, fell on floor teeth went through lip,shortness of breath
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Daughter was translating in another language to her mother, who has dementia. Nurse spoke to patient prior to giving vaccine. Patient moved her arm as soon as the needle pierced the skin and the vaccine went rolling down patient's arm.  Nurse immediately called her contact at the facility and she stated she would find out what should happen next. Facility nurse called nurse at site and quoting guidelines stated immediately following this another dose may be drawn up and given. Patient was successfully vaccinated.  Nurse and screener stayed in home 25 minutes longer to be certain of no apparent side effects.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood cholesterol abnormal, Cardiac monitoring normal, Cardiac stress test normal, Chills, Condition aggravated
Clinical narrative: On April 1, my arm was sore which was normal, and I didn't think much of it because it was like that for my first dose. That night I started getting chills and it was so bad I was shivering and extremely tired. That lasted until mid-day on April 2. The following week, I started getting heart palpitations. I went to my PCP who did a stress test and echocardiogram and then sent me to cardiologist for checkups and they put me on a heart monitor for a month. Everything has been fine, and tests didn't show anything so they don't know if it was stress related and couldn't definitively tell me what caused it. He also put me on statin drug because my cholesterol is crazy. I still have palpitations but nothing like I had back in April.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Fatigue, Pain in extremity, Palpitations
Clinical narrative: On April 1, my arm was sore which was normal, and I didn't think much of it because it was like that for my first dose. That night I started getting chills and it was so bad I was shivering and extremely tired. That lasted until mid-day on April 2. The following week, I started getting heart palpitations. I went to my PCP who did a stress test and echocardiogram and then sent me to cardiologist for checkups and they put me on a heart monitor for a month. Everything has been fine, and tests didn't show anything so they don't know if it was stress related and couldn't definitively tell me what caused it. He also put me on statin drug because my cholesterol is crazy. I still have palpitations but nothing like I had back in April.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Pericardial effusion, Pleural effusion, Pneumonia
Clinical narrative: Patient presented to ER with worsening chest pain. diagnosed with pericardial effusion, pleural effusion, pneumonia. Patient discharged home in stable condition will follow up with cardiology clinic.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Joint swelling, Pain, Somnolence
Clinical narrative: The next day I had very swollen elbows and knees. I was unable to move without extreme pain. I had extreme fatigue and was not able to do much with feeling very drowsy and short of breath. I still continue to have these symptoms intermittently.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eczema, Laboratory test, Pain, Pruritus
Clinical narrative: COVID-19 vaccine given May 20 and June 20. She had fever and chills 1 day following the second vaccine. 2 weeks following the second vaccine, developed itchy and painful eczema vs psoriasis rash.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: COVID-19 vaccine given May 20 and June 20. She had fever and chills 1 day following the second vaccine. 2 weeks following the second vaccine, developed itchy and painful eczema vs psoriasis rash.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Discomfort, Grip strength decreased, Mobility decreased, Pain
Clinical narrative: major pain in my arm that is getting worse, each day it gets harder to lift or grip anything,  Ive tried heat cold packs and wrapping it and ib profron and nothing is working. Its causing pain to go down my arm into my hand.  I have alot of discomfort.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, X-ray normal
Clinical narrative: major pain in my arm that is getting worse, each day it gets harder to lift or grip anything,  Ive tried heat cold packs and wrapping it and ib profron and nothing is working. Its causing pain to go down my arm into my hand.  I have alot of discomfort.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccine Recipient received Pfizer Pediatric Dose 0.2mL instead of Pfizer 12+ 0.3mL dose for their 2nd dose.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Pt developed urticaria 4 days after the immunization. Seen at UC on 12/10/21 and then at ER on 12/11/21. Treated with PO benadryl and urticaria resolved a few days after ER visit.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given to a 17-year, 11-month-old when EUA is for 18 years and older.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Incorrect dose administered
Clinical narrative: Client presented to the vaccination site to receive the 2nd COVID vaccine Pfizer. RN  went to administer the COVID vaccine Pfizer on the client's left arm. RN stated she inserted the needle into the left arm, the client jumped up, and she removed the needle from the client's arm. RN stated no medication was administered at that time. The client then received the 2nd COVID vaccine Pfizer Lot #FK5618 exp. 01/28/2022 at 12:54PM on the right arm.  RN educated the client and his family member of signs and symptoms of anaphylaxis, signs and symptoms of infection, and when to seek EMS. The client's family member voiced understanding of this education. The client denied any current symptoms. The client ambulated unassisted with a steady gait out of the vaccination site. The time the client left was not noted.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperkeratosis, Induration, Inflammation, Skin exfoliation
Clinical narrative: Fingertips on both hands became inflamed then formed hard calluses, then peeled off in chunky layers of dead skin over the course of several days.  This happened around February 19th, 2021 and again around April 1st, than again in May.  Nothing more after that 3rd episode.