chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Doses determined invalid, client contacted and recommended repeat dose.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired 18 hours previously
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Chest X-ray normal, Chest discomfort, Electrocardiogram normal
Clinical narrative: I received both of my COVID-19 vaccines.  Both of these vaccines were the Pfizer vaccinations. My first shot was given on 3/9/21 and my 2nd shot was given on 3/30/21. About 2 1/2 weeks after I received my 2nd shot I began to feel a  lot of pressure in my chest.  It felt like an elephant was sitting on my chest.  After feeling this extreme discomfort for a few days I began to get worried and decided to go to the Emergency Room to get it checked out.  I went to a hospital. They administered an EKG, took a chest x-ray and drew my blood.   The physician on duty looked at the chest x-ray and told me that my heart wasn't enlarged. He also said it looks like I hadn't had a heart attack.   I suppose my EKG came out normal since they didn't seem alarmed at those results.  My blood panel showed I was a bit low in sodium but otherwise everything was normal.  The next day I felt normal again and haven't felt the chest pressure since. I blame the Pfizer COVID-19 vaccines for having that feeling of extreme pressure on my chest for several days.  I'm a bit concerned about receiving any future COVID vaccinations from this result not knowing if the next vaccination might cause a heart attack.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram normal, Chest pain, Myocarditis, Troponin increased
Clinical narrative: I am a nurse practitioner who admitted a male in his late 30s to the hospital about 4 to 6 months ago. Two weeks after receiving the second Modern vaccine he developed chest pain with significantly elevated cardiac markers/troponin. Angiogram at the time was unremarkable. Symptoms were attributed to myocarditis at the time. I don?t have the patients name but could find it if needed. At the time this was not a common adverse reaction seen after Covid vaccine. Now that there?s been an increase in cases of myocarditis following the Covid vaccine I feel I should report it.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Doses determined invalid, client contacted and recommended repeat dose.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: The patient received an inadequate dose of the Pfizer vaccine. This error was due to a vaccinator preparing the vaccine by reconstituting with an unspecified amount (possibly 1.5ml) of diluent and drawing up 0.15ml of vaccine to be administered.  After realizing the vaccine error, a corrected repeat dose was administered per the CDC Interim Recommendations for COVID-19 Vaccine Administration Errors and Deviations.  Patient was observed for the 15-minute period without any adverse reactions.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Patient presented to the ED on 3/18/2021 with superficial venous thrombosis of left arm.  Patient had second vaccination on 4/9/2021. on 4/27/2021 patient presented to the ED with myalgia. He was admitted on 4/28/2021 with fever and chills.  These visits are within 6 weeks of receiving COVID vaccination.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Crohn's disease
Clinical narrative: I began having a Crohn's disease flare.  The symptoms are lessening now , but I was required to increase my mesalamine dosage to curb the symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Doses determined invalid, client contacted and recommended repeat dose.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Vomiting
Clinical narrative: pt felt dizzy and vomited immediately after vaccine administered, no hives/itching or trouble breathing, no loss of consciousness, pt said this reaction happens after every vaccination they have ever had
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired 18 hours previously
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Cold sweat, Headache, Vomiting
Clinical narrative: Within 24 hrs I got the chills and headache. By 2 am 6/14/2021, I was woken up with cold sweats and abdominal pain with some vomiting. 6/15/2021 I have mild headache.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Dyspnoea, Heart rate increased, Night sweats
Clinical narrative: I have had an increase heart rate, chest pressure (especially when laying down), night sweats, and shortness of breath, swollen throat) since receiving that second vaccine.  I have gone to urgent care and also a PCP, who have not diagnosed anything, yet.   Everyone thinks it is my anxiety.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: I have had an increase heart rate, chest pressure (especially when laying down), night sweats, and shortness of breath, swollen throat) since receiving that second vaccine.  I have gone to urgent care and also a PCP, who have not diagnosed anything, yet.   Everyone thinks it is my anxiety.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired 18 hours previously
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pyrexia
Clinical narrative: Day after slight fever and sore throat. 3rd day, full on cold- stuffed up nose and sore throat
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Doses determined invalid, client contacted and recommended repeat dose.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired 18 hours previously
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Doses determined invalid, client contacted and recommended repeat dose.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired 18 hours previously
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None noted.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired 18 hours previously
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Feeling abnormal, Heart rate increased
Clinical narrative: PT complained of chest pressure, not feeling right. PT was found to have rapid heart rate in the observation room post vaccine.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient received incorrect second dose COVID-19 immunization. First dose COVID-19 was Moderna
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Pneumonia, X-ray
Clinical narrative: I have had reoccurring Pneumonia.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Blood test, Chest pain, Pulmonary embolism
Clinical narrative: blood clots in my Lungs.. pulmonary embolism. had a catscan. and blood thinner at hospital treatment from june 9-till june11. was discharged. had to go too the emergency room with pain in my left side of chest. then they found blood clots..
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Troponin I increased
Clinical narrative: 4 days after 2nd Pfizer mRNA immunization, patient developed 6/10 retrosternal chest pain. He was given ibuprofen which resolved the pain
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Lip discolouration, Musculoskeletal stiffness, Pallor, Skin discolouration
Clinical narrative: About 5 minutes after vaccination the patients body became stiff for about a minute, also went pale and lips turned white.  Had patient lie down and rest for about 10-15 minutes.  He also ate a protein bar.  Color in face/lips returned to normal.  Had patient remain in pharmacy for another 15 minutes for further observation, no other adverse effects.  Although the patient stated never having an adverse effect to any other vaccines on the pre-vaccination questionaire; after recovering he asked "did I go stiff?", when told yes he said "that happened once before when I had a vaccine".
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Full blood count normal, Metabolic function test normal, Pelvic venous thrombosis
Clinical narrative: Biliateral Pulmonary Emboli, Rt leg DVT up to iliac vein.            Treated with Eliquis po. -- sent to hospital for further treatment Remains in hospital at this time Symptoms were swelling of Rt foot, normally SOB, no increase in baseline
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pulmonary embolism, Ultrasound Doppler abnormal
Clinical narrative: Biliateral Pulmonary Emboli, Rt leg DVT up to iliac vein.            Treated with Eliquis po. -- sent to hospital for further treatment Remains in hospital at this time Symptoms were swelling of Rt foot, normally SOB, no increase in baseline
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acne, Heavy menstrual bleeding, Muscle spasms, Nodule
Clinical narrative: I generally (for many years) have 5 day menstrual cycles.  Since my vaccine, my periods have lasted 8-9 days with heavier cramping and side effects.   The periods have also been heavier.  I also am experiencing acne since my vaccination.  The acne is appearing in unusual places on my face and with greater severity (large knots). I generally have clear skin.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia
Clinical narrative: Loss of smell, occurred approximately 1 week after receiving the vaccine. Has not returned
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, C-reactive protein increased, Chest X-ray normal, Chest pain, Discomfort
Clinical narrative: Patient received vaccine series at a separate facility. I do not have access to this information. He reported receiving Moderna dose #2 on Tuesday, June 8. Within hours, he began to have chest pain, shortness of breath, general body aches and fatigue. Chest pain was worse with deep breath and worse with supine position.  On Friday, June 11, he presented to The Clinic at  with these complaints. He was noted to be in evident severe discomfort, though not in respiratory distress. Vitals as follows: pulse 82 and regular, BP 139/68, respiratory rate 20, temperature 99.2 oral, SaO2 98% on room air. Exam was notable for absence of a pericardial friction rub. Lungs were clear to auscultation. he had no rashes and no remarkable tenderness of the body to palpation. Extremities were without edema. There was no sign of clinical heart failure or cardiovascular insufficiency.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram ST segment elevation, Fatigue, Full blood count normal, Pain
Clinical narrative: Patient received vaccine series at a separate facility. I do not have access to this information. He reported receiving Moderna dose #2 on Tuesday, June 8. Within hours, he began to have chest pain, shortness of breath, general body aches and fatigue. Chest pain was worse with deep breath and worse with supine position.  On Friday, June 11, he presented to The Clinic at  with these complaints. He was noted to be in evident severe discomfort, though not in respiratory distress. Vitals as follows: pulse 82 and regular, BP 139/68, respiratory rate 20, temperature 99.2 oral, SaO2 98% on room air. Exam was notable for absence of a pericardial friction rub. Lungs were clear to auscultation. he had no rashes and no remarkable tenderness of the body to palpation. Extremities were without edema. There was no sign of clinical heart failure or cardiovascular insufficiency.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Painful respiration, Pericarditis, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, Troponin increased
Clinical narrative: Patient received vaccine series at a separate facility. I do not have access to this information. He reported receiving Moderna dose #2 on Tuesday, June 8. Within hours, he began to have chest pain, shortness of breath, general body aches and fatigue. Chest pain was worse with deep breath and worse with supine position.  On Friday, June 11, he presented to The Clinic at  with these complaints. He was noted to be in evident severe discomfort, though not in respiratory distress. Vitals as follows: pulse 82 and regular, BP 139/68, respiratory rate 20, temperature 99.2 oral, SaO2 98% on room air. Exam was notable for absence of a pericardial friction rub. Lungs were clear to auscultation. he had no rashes and no remarkable tenderness of the body to palpation. Extremities were without edema. There was no sign of clinical heart failure or cardiovascular insufficiency.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Dyspnoea, Electrocardiogram, Heart rate increased, Palpitations
Clinical narrative: Rapid heartrate (120s), shortness of breath, and palpitations started within 24 hours of second vaccination. Went to Urgent Care on Friday, ECG completed. Urgent care sent patient to ER to be evaluated further. ER physician states rapid heartrate and symptoms likely due to the vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: 10:10 Vaccine given for booster on 6/14 was drawn up in syringe in refrigerator since 6/11.  Unknown to nurse giving vaccine.  Primary vaccination nurse alerted this nurse to situation.  Notified Agency Director who advises to offer new vaccine.  Situation explained to patient and husband(other patient). Consent to new vaccine injection (same lot). Asked patient to call if any problems or concerns. Contacted AGENCY.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient experienced anaphylaxis(Epipen used) from Pfizer 1st dose possibly due to the allergy from syringe. Patient received 2nd dose of Pfizer based on her provider's recommendation. She showed signs of troubled breathing within 30 minutes of administration. 2 Epipen were given while waiting for medics. Patient was taken to ER for observation then released the same day.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: 2 days later, rash began on back of neck. Day 5 rash is worse. No meds yet, but rash is spreading so starting benedryl.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Impaired work ability, Nausea, Neck pain, Pain
Clinical narrative: A few days after my first dose my left arm went completely numb and there is a shooting pain all the way down to my fingertips and up my neck. The pain is so bad it makes me nauseous. This has been going on for a few weeks now and I havent been told anything that will help me get better
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: A few days after my first dose my left arm went completely numb and there is a shooting pain all the way down to my fingertips and up my neck. The pain is so bad it makes me nauseous. This has been going on for a few weeks now and I havent been told anything that will help me get better
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: PT TESTED POSITIVE FOR COVI-19 AFTER BIENG FULLY VACCINATED.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriogram coronary normal, Blood test, Catheterisation cardiac normal, Chest pain, Computerised tomogram thorax normal
Clinical narrative: On 6/11/2021, patient presented to the Emergency Department complaining of chest pain that started initially in the evening of 6/10, which had initially self-resolved, but has since recurred, now also with shortness of breath.  Troponin was significantly elevated on presentation at 16.3, and 12-lead EKG showed an abnormal rhythm concerning for STEMI vs perimyocarditis.  After negative cardiac/embolic work-up in cath lab & CT imaging, myocarditis was felt to be the most likely cause of this patient's symptoms.  On the following day, patient was noted to have brief bursts of Vtach, for which metoprolol was initiated.  The patient was subsequently discharged home in stable condition on 6/13/2021.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Myocarditis, Troponin increased, Ventricular tachycardia
Clinical narrative: On 6/11/2021, patient presented to the Emergency Department complaining of chest pain that started initially in the evening of 6/10, which had initially self-resolved, but has since recurred, now also with shortness of breath.  Troponin was significantly elevated on presentation at 16.3, and 12-lead EKG showed an abnormal rhythm concerning for STEMI vs perimyocarditis.  After negative cardiac/embolic work-up in cath lab & CT imaging, myocarditis was felt to be the most likely cause of this patient's symptoms.  On the following day, patient was noted to have brief bursts of Vtach, for which metoprolol was initiated.  The patient was subsequently discharged home in stable condition on 6/13/2021.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Lethargy, Memory impairment, Pain in extremity
Clinical narrative: Tired, Dizzy, Lathargic, Forgetful, Sore injected arm,
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Acne cystic, Hormone level abnormal, Immediate post-injection reaction, Weight increased
Clinical narrative: Since receiving my second dose of the modern COVID vaccine, but I believe it started after my first, I have had a pretty severe hormonal disruption. I have gained 6 lbs and have had severe hormonal cystic acne breakouts on my chin that I have NEVER had to this degree or this long (going on two months). This happened almost instantly after my second dose. There have been no other factors in my life that have changed. My uterus had previously been surgically removed, but I have my ovaries. I can't comment on a disruption to a menstrual cycle because that does not affect me. The hormonal imbalance has most definitely affected my daily life and I am now on a strong topical prescription to try and get the acne under control. This is not life threatening but very concerning.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Chest pain, Dizziness
Clinical narrative: A continuous pain feeling in the center of chest. Chest area also had a somewhat constricted and general tightness feeling. On the 3rd-5th days after the shot, had a few brief periods of dizziness and high anxiety, lasting less than a minute or so each. Symptoms improved pretty quickly from there, and by about day 7 or so the chest pain was gone and felt completely back to normal. No significant fatigue, fever, or problems breathing at any point. Have not had any symptoms at all since.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Vital signs measurement
Clinical narrative: Patient complained of numbness, tingling on her left jaw and left hand. Vital signs as follows: B.P: 109/67,  H.R 77, O2 Sat 97%. Patient went home after symptoms were resolved.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Heart rate increased, Nausea, Palpitations
Clinical narrative: Heart racing, HR over 180 BP spike over 150/100 Nausea
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Feeling hot, Paraesthesia, Pharyngeal swelling
Clinical narrative: About 5 minutes after vaccination, Patient's mouth and ears started getting tingly.  It became itchy.  About 10 minutes later she felt warm and her throat felt swollen, although it was never difficult to breath.    I asked patient if she would consider taking benedryl.  She said she would take it.  Patient was given 50 mg of benadryl liquid.  Patient stayed one hour past injection time.  Patient was stable after leaving the pharmacy.  Upon follow up the next day, patient said the sensations returned and her husband gave her an undisclosed amount of prednisone (from personal supply at home).  She was markedly improved after that.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Bacteraemia, Blood culture positive, COVID-19, Chest X-ray normal, Computerised tomogram abdomen
Clinical narrative: ED to Hosp-Admission Discharged  5/21/2021 - 5/28/2021 (7 days)  DO Last attending ? Treatment team E coli bacteremia Principal problem Discharge Summary , DO (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine        Patient:  Date: 5/28/2021 DOB:  Admission Date: 5/21/2021 PCP: , PA-C Length of Stay: 7 Days Discharging provider: , DO Discharge Date: 5/28/2021     Admission Diagnosis     Medical Problems     Hospital Problems        POA   * (Principal) E coli bacteremia Yes        Atrial fibrillation with RVR (CMS/HCC) Yes       Mitral and aortic valve disease Yes   Overview Signed 11/4/2020  5:08 PM by , LPN      Note: Moderate AR, MR & TR 1'15 Note: Moderate AR, MR & TR 1'15          Type 2 diabetes mellitus (CMS/HCC) Yes       Dementia due to Parkinson's disease without behavioral disturbance (CMS/HCC) Yes       Acute metabolic encephalopathy Yes       Chronic systolic CHF (congestive heart failure) (CMS/HCC) Yes       Sepsis (CMS/HCC) Yes       Anemia Yes       COVID-19 Clinically Undetermined   Overview Signed 5/28/2021 12:11 PM by, DO      Asymptomatic, had been positive back in January, tested negative on admission then tested positive when planning for discharge.  May just be persistent viral shedding from previous Covid infection  Hospital Course      HPI:I refer you to the history and physical for completeness.  Briefly, patient presented to the emergency department with his family stating that he is a little bit more confused, not as alert, and little bit more short of breath and shaky.  Noted to have an elevated white blood cell count lactic acidosis.   Hospital Course:   Patient was cared for in hospital.  Placed on broad-spectrum antibiotics.  Blood cultures revealed gram-negative bacteremia most likely due to to possible mild diverticulitis.  Throughout the course of his hospitalization he steadily improved.  Was transition to oral antibiotics.  His cardiac issues were continue to be managed during his hospitalization.  He did have some mild encephalopathy associated with the bacteremia and as his infection cleared that improved.  Adjustments were made in his home medications.  He is started on therapies.  Due to his severe deconditioning associated with acute medical illness will need some higher level care and increased rehabilitation.  Arrangements were made for him to receive ongoing care at .  When he presented to the hospital he tested negative for COVID-19.  In preparation to going to the  he tested positive.  He was completely asymptomatic as far as COVID-19 symptoms are concerned.  He was previously positive in January 2021 for Covid.  This could just be a prolonged positive testing from his infection in January.  Nondetected COVID-19 test on 5/21/2021 could potentially be a false negative.  At this point would recommend isolation for 10 days from 5/26/2021.  Otherwise his vital signs are stable.  Improved the point where he no longer requires hospital level care and can be discharged to
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Diverticulum intestinal, Dyspnoea, Interstitial lung disease, Lactic acidosis, Meningoencephalitis bacterial
Clinical narrative: ED to Hosp-Admission Discharged  5/21/2021 - 5/28/2021 (7 days)  DO Last attending ? Treatment team E coli bacteremia Principal problem Discharge Summary , DO (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine        Patient:  Date: 5/28/2021 DOB:  Admission Date: 5/21/2021 PCP: , PA-C Length of Stay: 7 Days Discharging provider: , DO Discharge Date: 5/28/2021     Admission Diagnosis     Medical Problems     Hospital Problems        POA   * (Principal) E coli bacteremia Yes        Atrial fibrillation with RVR (CMS/HCC) Yes       Mitral and aortic valve disease Yes   Overview Signed 11/4/2020  5:08 PM by , LPN      Note: Moderate AR, MR & TR 1'15 Note: Moderate AR, MR & TR 1'15          Type 2 diabetes mellitus (CMS/HCC) Yes       Dementia due to Parkinson's disease without behavioral disturbance (CMS/HCC) Yes       Acute metabolic encephalopathy Yes       Chronic systolic CHF (congestive heart failure) (CMS/HCC) Yes       Sepsis (CMS/HCC) Yes       Anemia Yes       COVID-19 Clinically Undetermined   Overview Signed 5/28/2021 12:11 PM by, DO      Asymptomatic, had been positive back in January, tested negative on admission then tested positive when planning for discharge.  May just be persistent viral shedding from previous Covid infection  Hospital Course      HPI:I refer you to the history and physical for completeness.  Briefly, patient presented to the emergency department with his family stating that he is a little bit more confused, not as alert, and little bit more short of breath and shaky.  Noted to have an elevated white blood cell count lactic acidosis.   Hospital Course:   Patient was cared for in hospital.  Placed on broad-spectrum antibiotics.  Blood cultures revealed gram-negative bacteremia most likely due to to possible mild diverticulitis.  Throughout the course of his hospitalization he steadily improved.  Was transition to oral antibiotics.  His cardiac issues were continue to be managed during his hospitalization.  He did have some mild encephalopathy associated with the bacteremia and as his infection cleared that improved.  Adjustments were made in his home medications.  He is started on therapies.  Due to his severe deconditioning associated with acute medical illness will need some higher level care and increased rehabilitation.  Arrangements were made for him to receive ongoing care at .  When he presented to the hospital he tested negative for COVID-19.  In preparation to going to the  he tested positive.  He was completely asymptomatic as far as COVID-19 symptoms are concerned.  He was previously positive in January 2021 for Covid.  This could just be a prolonged positive testing from his infection in January.  Nondetected COVID-19 test on 5/21/2021 could potentially be a false negative.  At this point would recommend isolation for 10 days from 5/26/2021.  Otherwise his vital signs are stable.  Improved the point where he no longer requires hospital level care and can be discharged to
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Renal cyst, SARS-CoV-2 test positive, Scan with contrast abnormal, Scan with contrast normal
Clinical narrative: ED to Hosp-Admission Discharged  5/21/2021 - 5/28/2021 (7 days)  DO Last attending ? Treatment team E coli bacteremia Principal problem Discharge Summary , DO (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine        Patient:  Date: 5/28/2021 DOB:  Admission Date: 5/21/2021 PCP: , PA-C Length of Stay: 7 Days Discharging provider: , DO Discharge Date: 5/28/2021     Admission Diagnosis     Medical Problems     Hospital Problems        POA   * (Principal) E coli bacteremia Yes        Atrial fibrillation with RVR (CMS/HCC) Yes       Mitral and aortic valve disease Yes   Overview Signed 11/4/2020  5:08 PM by , LPN      Note: Moderate AR, MR & TR 1'15 Note: Moderate AR, MR & TR 1'15          Type 2 diabetes mellitus (CMS/HCC) Yes       Dementia due to Parkinson's disease without behavioral disturbance (CMS/HCC) Yes       Acute metabolic encephalopathy Yes       Chronic systolic CHF (congestive heart failure) (CMS/HCC) Yes       Sepsis (CMS/HCC) Yes       Anemia Yes       COVID-19 Clinically Undetermined   Overview Signed 5/28/2021 12:11 PM by, DO      Asymptomatic, had been positive back in January, tested negative on admission then tested positive when planning for discharge.  May just be persistent viral shedding from previous Covid infection  Hospital Course      HPI:I refer you to the history and physical for completeness.  Briefly, patient presented to the emergency department with his family stating that he is a little bit more confused, not as alert, and little bit more short of breath and shaky.  Noted to have an elevated white blood cell count lactic acidosis.   Hospital Course:   Patient was cared for in hospital.  Placed on broad-spectrum antibiotics.  Blood cultures revealed gram-negative bacteremia most likely due to to possible mild diverticulitis.  Throughout the course of his hospitalization he steadily improved.  Was transition to oral antibiotics.  His cardiac issues were continue to be managed during his hospitalization.  He did have some mild encephalopathy associated with the bacteremia and as his infection cleared that improved.  Adjustments were made in his home medications.  He is started on therapies.  Due to his severe deconditioning associated with acute medical illness will need some higher level care and increased rehabilitation.  Arrangements were made for him to receive ongoing care at .  When he presented to the hospital he tested negative for COVID-19.  In preparation to going to the  he tested positive.  He was completely asymptomatic as far as COVID-19 symptoms are concerned.  He was previously positive in January 2021 for Covid.  This could just be a prolonged positive testing from his infection in January.  Nondetected COVID-19 test on 5/21/2021 could potentially be a false negative.  At this point would recommend isolation for 10 days from 5/26/2021.  Otherwise his vital signs are stable.  Improved the point where he no longer requires hospital level care and can be discharged to
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, White blood cell count increased
Clinical narrative: ED to Hosp-Admission Discharged  5/21/2021 - 5/28/2021 (7 days)  DO Last attending ? Treatment team E coli bacteremia Principal problem Discharge Summary , DO (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine        Patient:  Date: 5/28/2021 DOB:  Admission Date: 5/21/2021 PCP: , PA-C Length of Stay: 7 Days Discharging provider: , DO Discharge Date: 5/28/2021     Admission Diagnosis     Medical Problems     Hospital Problems        POA   * (Principal) E coli bacteremia Yes        Atrial fibrillation with RVR (CMS/HCC) Yes       Mitral and aortic valve disease Yes   Overview Signed 11/4/2020  5:08 PM by , LPN      Note: Moderate AR, MR & TR 1'15 Note: Moderate AR, MR & TR 1'15          Type 2 diabetes mellitus (CMS/HCC) Yes       Dementia due to Parkinson's disease without behavioral disturbance (CMS/HCC) Yes       Acute metabolic encephalopathy Yes       Chronic systolic CHF (congestive heart failure) (CMS/HCC) Yes       Sepsis (CMS/HCC) Yes       Anemia Yes       COVID-19 Clinically Undetermined   Overview Signed 5/28/2021 12:11 PM by, DO      Asymptomatic, had been positive back in January, tested negative on admission then tested positive when planning for discharge.  May just be persistent viral shedding from previous Covid infection  Hospital Course      HPI:I refer you to the history and physical for completeness.  Briefly, patient presented to the emergency department with his family stating that he is a little bit more confused, not as alert, and little bit more short of breath and shaky.  Noted to have an elevated white blood cell count lactic acidosis.   Hospital Course:   Patient was cared for in hospital.  Placed on broad-spectrum antibiotics.  Blood cultures revealed gram-negative bacteremia most likely due to to possible mild diverticulitis.  Throughout the course of his hospitalization he steadily improved.  Was transition to oral antibiotics.  His cardiac issues were continue to be managed during his hospitalization.  He did have some mild encephalopathy associated with the bacteremia and as his infection cleared that improved.  Adjustments were made in his home medications.  He is started on therapies.  Due to his severe deconditioning associated with acute medical illness will need some higher level care and increased rehabilitation.  Arrangements were made for him to receive ongoing care at .  When he presented to the hospital he tested negative for COVID-19.  In preparation to going to the  he tested positive.  He was completely asymptomatic as far as COVID-19 symptoms are concerned.  He was previously positive in January 2021 for Covid.  This could just be a prolonged positive testing from his infection in January.  Nondetected COVID-19 test on 5/21/2021 could potentially be a false negative.  At this point would recommend isolation for 10 days from 5/26/2021.  Otherwise his vital signs are stable.  Improved the point where he no longer requires hospital level care and can be discharged to
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Minor patient received vaccine at the age of 11 years; mother will be notified and will ask her to bring patient once patient has turned 12 years of age (per CDC guidelines).
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Injection site erythema, Injection site pruritus, Nausea, Pruritus
Clinical narrative: less than 15 minutes had itching and redness at site of vaccine and then progressed to other symptoms transient decreased visual acuity, nausea-vomited later-, within 30 minutes had overall flushing and body itching  she maintained normal blood pressure and pulse oximiter and pulse and respirations she denied any throat swelling or breathing
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Visual acuity reduced transiently, Vomiting
Clinical narrative: less than 15 minutes had itching and redness at site of vaccine and then progressed to other symptoms transient decreased visual acuity, nausea-vomited later-, within 30 minutes had overall flushing and body itching  she maintained normal blood pressure and pulse oximiter and pulse and respirations she denied any throat swelling or breathing
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient feeling faint and dizzy. Relieved within 10 minutes via cold compress and hydration.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Joint stiffness
Clinical narrative: Joint stiffness in fingers in both hands, particularly in the morning. Periodically applying Voltaren, which helps alleviate stiffness during the day.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Pallor
Clinical narrative: Pt was feeling tired, sweating, and was pale after 15 minutes post vaccination. EpiPen was not used but an ambulance was called. While waiting he was given Gatorade and an ice pack. He laid on the ground and sat back up. Ambulance took his vitals and stated everything was normal. They concluded that he might have been nervous for the vaccine and recommended to follow up with his PCP.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Computerised tomogram, Magnetic resonance imaging, Pancreatitis
Clinical narrative: Severe abdominal pain, inflammation at the pancreas with possible mass at the head.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash on arm at injection site developed one week after injection of first dose.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient hospitalized with COVID-19 after being fully vaccinated. Tested positive on 6/10/2021 and hospitalized same date.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I developed shingles
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Asthenia, Chest pain, Dizziness
Clinical narrative: Dizziness, light headed,  heart pain, chest pain low energy
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Chills, Dizziness, Fatigue, Loss of consciousness
Clinical narrative: Dizziness, light headed,  heart pain, chest pain low energy
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Herpes zoster, Pain
Clinical narrative: Shingles Virus.  Third Day of rash. Dr. (dermatologist) put me on Antiviral and my GP (internist Dr.) gave me gabapentin and Tylenol with Codeine,  upped the amiltryptilene to 50mg.  So far pain is very bearable. I suspect and hope that this is a mild case.
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure congestive, Cardiomegaly, Cytology abnormal, Metastatic neoplasm, Pleural effusion
Clinical narrative: 2 weeks after last dose, has a 5 liter pleural effusion unexplained by cytology reports. Began treatment for metastatic disease, they now suspect CHF due to enlargement of the heart and recurring pleural effusion
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Blood thyroid stimulating hormone, Blood triglycerides, C-reactive protein, Chest X-ray
Clinical narrative: 4/9 ED visit--hypokalemia, hypomagnesemia, hypertension 416--2nd Moderna injection 4/16 clinic visit for acute abdominal pain 5/6 cardiology 5/13 another clinic visit 6/15 ED visit
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Differential white blood cell count, Echocardiogram, Electrocardiogram, Full blood count
Clinical narrative: 4/9 ED visit--hypokalemia, hypomagnesemia, hypertension 416--2nd Moderna injection 4/16 clinic visit for acute abdominal pain 5/6 cardiology 5/13 another clinic visit 6/15 ED visit
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Hypokalaemia, Hypomagnesaemia, Influenza virus test, Lipase
Clinical narrative: 4/9 ED visit--hypokalemia, hypomagnesemia, hypertension 416--2nd Moderna injection 4/16 clinic visit for acute abdominal pain 5/6 cardiology 5/13 another clinic visit 6/15 ED visit
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, SARS-CoV-2 test, Ultrasound abdomen
Clinical narrative: 4/9 ED visit--hypokalemia, hypomagnesemia, hypertension 416--2nd Moderna injection 4/16 clinic visit for acute abdominal pain 5/6 cardiology 5/13 another clinic visit 6/15 ED visit
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Injection site swelling, Insomnia, Pain
Clinical narrative: Immediately post injection, I did not have any reactions.  Around 10 days after the shot, i woke up with a severally swollen site around the injection area. My arm was very sore and felt like a burning sensation. The redness/pain remained for 3-4 days after. The area was very sore, and made it difficult to sleep on that side.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Immediately post injection, I did not have any reactions.  Around 10 days after the shot, i woke up with a severally swollen site around the injection area. My arm was very sore and felt like a burning sensation. The redness/pain remained for 3-4 days after. The area was very sore, and made it difficult to sleep on that side.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: tested positive for COVID-19 and developed pneumonia
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: EXTREME metallic taste in mouth that started 20/25 minutes after vaccination.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cognitive disorder, Dermatologic examination, Eczema, Headache
Clinical narrative: Headache and minor cognitive impairment (10 weeks); eczema on legs (severe; treated with cortisone; lasted 4 weeks)
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 20.0
Sex: M
Vaccine: HPV9, TYP
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient presented to immunizations clinic on 21 MAY 21 requesting Typhoid and Hepatitis B#3. Patient received Hepatitis B #3 and HPV#2 - both at the proper intervals. Patient then returned to clinic on 26 MAY 21 for Typhoid vaccine which was missed on appointment 21 MAY 21. At this second appointment, patient received Typhoid and HPV dose#3. Dose was given only 4 days after dose #2 when minimum interval is 12 weeks between doses. This was an administration error. No adverse events reported.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine administered after being stored at regular freezer temps longer than recommended. Dose determined invalid, client contacted and recommended repeat dose.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Decreased appetite, Dyspnoea, Dysstasia
Clinical narrative: Upon recieving shot:  I developed white horizontal lines in nail with many vertical lines extending to the top of nail (I also developed this with my first dose)  A little under 12 hours after recieving the shot:  Chills, fever, shortness of breath upon standing and when laying down, inability to walk for longer than a few seconds, blacking out, and body pains. All symptons lasted for over 24 hours straight. I also experienced chest pains and pinching pains in my chest, side, stomach and head.  Basically the worst flu and difficulty sleeping.  At 40 hours after shot, the fever broke and I was able to walk again, but was exhausted. For over a week after getting the shot, I experienced headaches and pressure in my head daily lasting most of the day, nausea which made it difficult to eat, and extreme exhaustion.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Head discomfort, Headache, Influenza like illness
Clinical narrative: Upon recieving shot:  I developed white horizontal lines in nail with many vertical lines extending to the top of nail (I also developed this with my first dose)  A little under 12 hours after recieving the shot:  Chills, fever, shortness of breath upon standing and when laying down, inability to walk for longer than a few seconds, blacking out, and body pains. All symptons lasted for over 24 hours straight. I also experienced chest pains and pinching pains in my chest, side, stomach and head.  Basically the worst flu and difficulty sleeping.  At 40 hours after shot, the fever broke and I was able to walk again, but was exhausted. For over a week after getting the shot, I experienced headaches and pressure in my head daily lasting most of the day, nausea which made it difficult to eat, and extreme exhaustion.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Loss of consciousness, Nail discolouration, Nausea, Pain
Clinical narrative: Upon recieving shot:  I developed white horizontal lines in nail with many vertical lines extending to the top of nail (I also developed this with my first dose)  A little under 12 hours after recieving the shot:  Chills, fever, shortness of breath upon standing and when laying down, inability to walk for longer than a few seconds, blacking out, and body pains. All symptons lasted for over 24 hours straight. I also experienced chest pains and pinching pains in my chest, side, stomach and head.  Basically the worst flu and difficulty sleeping.  At 40 hours after shot, the fever broke and I was able to walk again, but was exhausted. For over a week after getting the shot, I experienced headaches and pressure in my head daily lasting most of the day, nausea which made it difficult to eat, and extreme exhaustion.