chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Nausea, Neck pain, Oropharyngeal pain
Clinical narrative: CHIEF COMPLAINT:   Nausea & vomiting since 1/31  No abd pain  Was seen at walk in 2/1 Was given zofran Last dose 11pm last night.PCP gave her abo -in case of infection Vomited @4am Did not take anything since. Throat & tongue sore. body aches low grade temp Covid 3wks ago   HISTORY OF PRESENT ILLNESS:     Patient is a 48-year-old female with past medical history of radiated thyroid, currently on methimazole, who presents complaints of nausea and vomiting for the past 5 days associated with sore throat, mild headache, mild neck pain.  She reports myalgias, low-grade fevers.  Denies any chills.  Reports some mild abdominal discomfort but denies any diarrhea, constipation or urinary complaints.  No chest pain, shortness of breath, cough.  States that she feels unwell and reports significant malaise and weakness.  No focal paresthesias or weakness or vision changes.  No history of recent trauma.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: CHIEF COMPLAINT:   Nausea & vomiting since 1/31  No abd pain  Was seen at walk in 2/1 Was given zofran Last dose 11pm last night.PCP gave her abo -in case of infection Vomited @4am Did not take anything since. Throat & tongue sore. body aches low grade temp Covid 3wks ago   HISTORY OF PRESENT ILLNESS:     Patient is a 48-year-old female with past medical history of radiated thyroid, currently on methimazole, who presents complaints of nausea and vomiting for the past 5 days associated with sore throat, mild headache, mild neck pain.  She reports myalgias, low-grade fevers.  Denies any chills.  Reports some mild abdominal discomfort but denies any diarrhea, constipation or urinary complaints.  No chest pain, shortness of breath, cough.  States that she feels unwell and reports significant malaise and weakness.  No focal paresthesias or weakness or vision changes.  No history of recent trauma.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Influenza A virus test, Influenza B virus test, Oedema, SARS-CoV-2 test
Clinical narrative: worsening shortness of breath and bilateral pitting edema
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood creatinine increased, Blood immunoglobulin G, Blood immunoglobulin M, Blood urea
Clinical narrative: This is a 90 year old male with PMH of BPH, Hypothyroidism, DM, Afib, MI and Osteoporosis present to the ED via ambulance from assisted living facility for evaluation after Fall. Patients reports he needed to get up and rang a call bell. After waiting, the aid did not come to assist him so he decided to get up on his own. The patient states he lost his balance, fell, and hit his head. Pt denies any LOC and unwitnessed. The patient states he hurts on the head where he hit his head. Pt also sustained laceration on the Left forhead and cut on the rt palm and right arm. In the ED, pt was given 1L NS and Aspirin. Dermabond and steches/ dressing were applied to the lacerations. Pt was also found to have urinary retention of 527ml. BUN/ Cr elevated. Rapid covid test was positive
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fall, Head injury, Headache, SARS-CoV-2 test positive
Clinical narrative: This is a 90 year old male with PMH of BPH, Hypothyroidism, DM, Afib, MI and Osteoporosis present to the ED via ambulance from assisted living facility for evaluation after Fall. Patients reports he needed to get up and rang a call bell. After waiting, the aid did not come to assist him so he decided to get up on his own. The patient states he lost his balance, fell, and hit his head. Pt denies any LOC and unwitnessed. The patient states he hurts on the head where he hit his head. Pt also sustained laceration on the Left forhead and cut on the rt palm and right arm. In the ED, pt was given 1L NS and Aspirin. Dermabond and steches/ dressing were applied to the lacerations. Pt was also found to have urinary retention of 527ml. BUN/ Cr elevated. Rapid covid test was positive
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Skin laceration, Suture insertion, Urinary retention
Clinical narrative: This is a 90 year old male with PMH of BPH, Hypothyroidism, DM, Afib, MI and Osteoporosis present to the ED via ambulance from assisted living facility for evaluation after Fall. Patients reports he needed to get up and rang a call bell. After waiting, the aid did not come to assist him so he decided to get up on his own. The patient states he lost his balance, fell, and hit his head. Pt denies any LOC and unwitnessed. The patient states he hurts on the head where he hit his head. Pt also sustained laceration on the Left forhead and cut on the rt palm and right arm. In the ED, pt was given 1L NS and Aspirin. Dermabond and steches/ dressing were applied to the lacerations. Pt was also found to have urinary retention of 527ml. BUN/ Cr elevated. Rapid covid test was positive
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: Received a dose of MMR that had expired on 1/12/22.  No adverse evert/treatment given
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Inappropriate schedule of product administration
Clinical narrative: Chest Pain that comes and goes, non radiating pain. No sign or symptoms of allergic reaction.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bladder catheter removal, Bladder catheterisation, COVID-19, Chest X-ray normal, Choking
Clinical narrative: Patient is a 77 y.o. female presenting with cough and decreased mental status. Patient is mostly non-verbal, so all history obtained from chart and via phone from patient's daughter, who cares for her full-time. Per daughter, the patient has been coughing and seems to be choking while coughing for the past 1-2 days. She has been giving her cold medicine but it did not seem to be getting better, so she brought her to the ED. In the ED, she was found to be COVID (+). Her CXR was negative for acute processes, and O2 saturation has been in high 90s on room air.   Patient was found to be positive for Covid. She was also dehydrated so was given fluids. Her mental status improved to baseline of mostly non verbal and AAo*1. Patient was also able to tolerate TFs and free water without any vomiting. Her diarrhea resolved. She didn't have any other symptoms from Covid and din't require any Covid specific therapy. She had foley catheter inserted in ED< which was removed and she was able to void successfully. She was discharged home in stable condition under care of her daughter once ambulance was arranged with instructions for 10 day isolation given her mild symptoms and follow up with PCP once out of isolation.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dehydration, Diarrhoea, Encephalopathy, Infection
Clinical narrative: Patient is a 77 y.o. female presenting with cough and decreased mental status. Patient is mostly non-verbal, so all history obtained from chart and via phone from patient's daughter, who cares for her full-time. Per daughter, the patient has been coughing and seems to be choking while coughing for the past 1-2 days. She has been giving her cold medicine but it did not seem to be getting better, so she brought her to the ED. In the ED, she was found to be COVID (+). Her CXR was negative for acute processes, and O2 saturation has been in high 90s on room air.   Patient was found to be positive for Covid. She was also dehydrated so was given fluids. Her mental status improved to baseline of mostly non verbal and AAo*1. Patient was also able to tolerate TFs and free water without any vomiting. Her diarrhea resolved. She didn't have any other symptoms from Covid and din't require any Covid specific therapy. She had foley catheter inserted in ED< which was removed and she was able to void successfully. She was discharged home in stable condition under care of her daughter once ambulance was arranged with instructions for 10 day isolation given her mild symptoms and follow up with PCP once out of isolation.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Mental status changes, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient is a 77 y.o. female presenting with cough and decreased mental status. Patient is mostly non-verbal, so all history obtained from chart and via phone from patient's daughter, who cares for her full-time. Per daughter, the patient has been coughing and seems to be choking while coughing for the past 1-2 days. She has been giving her cold medicine but it did not seem to be getting better, so she brought her to the ED. In the ED, she was found to be COVID (+). Her CXR was negative for acute processes, and O2 saturation has been in high 90s on room air.   Patient was found to be positive for Covid. She was also dehydrated so was given fluids. Her mental status improved to baseline of mostly non verbal and AAo*1. Patient was also able to tolerate TFs and free water without any vomiting. Her diarrhea resolved. She didn't have any other symptoms from Covid and din't require any Covid specific therapy. She had foley catheter inserted in ED< which was removed and she was able to void successfully. She was discharged home in stable condition under care of her daughter once ambulance was arranged with instructions for 10 day isolation given her mild symptoms and follow up with PCP once out of isolation.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Dyspepsia, Erythema, Gastrointestinal disorder, Lip swelling
Clinical narrative: 16 hrs after injection - woke with bumps all over my thighs and backside. Took Benedryl and they faded through the day. 8 days later they came back all over my body. Huge red itchy welts everywhere across my backside, thighs, legs, arms.  Day 3 on my face. Day 8 lips so swollen could barely speak. Horrible upper GI/heartburn. Benedryl. Zyrtec. Xazal, hydroxizine. Pepcid. Sprays. Lotions. ice packs and finally a Steroid shot. Had a day of almost clear of hives - and today - back again. My skin looks like it's been hit with a pellet gun - red angry welts or bruises all over.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Swelling, Urticaria
Clinical narrative: 16 hrs after injection - woke with bumps all over my thighs and backside. Took Benedryl and they faded through the day. 8 days later they came back all over my body. Huge red itchy welts everywhere across my backside, thighs, legs, arms.  Day 3 on my face. Day 8 lips so swollen could barely speak. Horrible upper GI/heartburn. Benedryl. Zyrtec. Xazal, hydroxizine. Pepcid. Sprays. Lotions. ice packs and finally a Steroid shot. Had a day of almost clear of hives - and today - back again. My skin looks like it's been hit with a pellet gun - red angry welts or bruises all over.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: I gave a booster vaccine that was hours after expiration date of opening. Pfizer notified by my manager and stated per their data no further action or vaccination needed.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle rupture
Clinical narrative: Torn left pronator teres muscle.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: the day after vaccine, noticed a little heart racing when doing stairs, then started noticing heart racing with walking within my house or a long cooridor at work. on day 6 while sweeping the kitchen floor checked heartrate and it was 130, then while walking around the block checked it because I can feel heart pounding and it was 149.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Hypertension, Oropharyngeal pain, Pain
Clinical narrative: CHIEF COMPLAINT:   pt. c/o sinus infection x 2 weeks, just started PO antibiotics yesterday, c/o congestion, sore throat, body aches etc.   HISTORY OF PRESENT ILLNESS:     Patient is a 47-year-old male with history of hypertension and medication noncompliance, hyperlipidemia that presents for headache.  Associated with high blood pressure.  Patient thought he had a sinus infection for 2 weeks, was given antibiotics and steroids by the urgent care yesterday.  Patient states that he did not feel any better and continued to feel worse which prompted his visit.  He is supposed to be on antihypertensives but does not take them, states he feels worse when he takes his medications.  Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, numbness, weakness, vision changes
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Sinusitis
Clinical narrative: CHIEF COMPLAINT:   pt. c/o sinus infection x 2 weeks, just started PO antibiotics yesterday, c/o congestion, sore throat, body aches etc.   HISTORY OF PRESENT ILLNESS:     Patient is a 47-year-old male with history of hypertension and medication noncompliance, hyperlipidemia that presents for headache.  Associated with high blood pressure.  Patient thought he had a sinus infection for 2 weeks, was given antibiotics and steroids by the urgent care yesterday.  Patient states that he did not feel any better and continued to feel worse which prompted his visit.  He is supposed to be on antihypertensives but does not take them, states he feels worse when he takes his medications.  Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, fever, chills, numbness, weakness, vision changes
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given refrigerated Moderna that was expired beyond it's 'Beyond Use Label' date of 01/27/2022.  Vial was placed into fridge on 12/28/2021.  Vial was not removed from fridge in time for 'Beyond Use' expiry date and inadvertently administered.  Manufacturer's expiry date is March 25, 2022.  Provider informed.  Moderna informed and stated that 'the vaccine administered on January 28 to February 7, 2022 from lot number 033H21A maintained the activity necessary to protect against the SARS-CoV-2 (covid 19) virus at time of administration'.   Patient called, and no adverse effects or concerns noted or voiced.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle contracture, SARS-CoV-2 test
Clinical narrative: Contractions
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Urinary tract infection, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID 19 who presented to the emergency room via EMS with generalized weakness for the past 1.5 weeks.  Patient was recently discharged from the hospital because of UTI and COVID-19.  Patient has failed treatment of oral antibiotic and stated that he needed some inpatient care by his primary care physician. FIRST DOSE JAN 21, 2021
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hypophagia, Illness, Nausea, Pancreatic cyst
Clinical narrative: Patient is an 81 year old female with PMH of DM, non-hodgkin lymphoma, HTN, dementia and recently diagnosed with a pancreatic tail lesion 1/31/22 and discharged home with VNA and palliative care. Patient was at home on hospice for approximately a week and developed nausea and vomiting and requested to come to the ED. Patient is A&O x3-4, unable to provide details of illness, history obtianed from ED record. As per ED record, daughterin law states that patient vomited 30 times and had poor Po intake. Patient denies chest pain and shortness of breath.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient is an 81 year old female with PMH of DM, non-hodgkin lymphoma, HTN, dementia and recently diagnosed with a pancreatic tail lesion 1/31/22 and discharged home with VNA and palliative care. Patient was at home on hospice for approximately a week and developed nausea and vomiting and requested to come to the ED. Patient is A&O x3-4, unable to provide details of illness, history obtianed from ED record. As per ED record, daughterin law states that patient vomited 30 times and had poor Po intake. Patient denies chest pain and shortness of breath.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Rash
Clinical narrative: Rashes appeared on elbows, inside of wrist, injection site and thigh area. Took Benadryl.
Age: 24.0
Sex: U
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19
Clinical narrative: Asymptomatic
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given refrigerated Moderna that was expired beyond it's 'Beyond Use Label' date of 01/27/2022.  Vial was placed into fridge on 12/28/2021.  Vial was not removed from fridge in time for 'Beyond Use' expiry date and inadvertently administered.  Manufacturer's expiry date is March 25, 2022.  Provider informed.  Moderna informed and stated that 'the vaccine administered on January 28 to February 7, 2022 from lot number 033H21A maintained the activity necessary to protect against the SARS-CoV-2 (covid 19) virus at time of administration'.   No ill effects noted or voiced.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: Received a dose of MMR that had expired on 1/12/22. No adverse event noted/ treatment given.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID 19 Breakthrough Case
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Palpitations, Paraesthesia, Urticaria
Clinical narrative: some hives, racing hr, anxious, tingling  self treated with benadryl and hydration, symptoms improved
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Heart rate increased, Tachycardia
Clinical narrative: patient experienced tachycardia within a week of shot where she felt her heart was beating extremely fast
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives began on 2/1/22. Appeared on extremities and head progressed to entire body over the next few days.  Has continued since that date. Is controlled with antihistamines and topical ointments. If combinations of antihistamines are not taken hives reoccur quickly.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Pneumonia, Productive cough
Clinical narrative: CHIEF COMPLAINT:   Has been coughing for 3 weeks. CXR showed pneumonia. had a kidney transplant 6 yrs ago . was dirested to come here   HISTORY OF PRESENT ILLNESS:     50-year-old male with history of kidney transplant 6 years ago at Medical Center in town, currently on tacrolimus and   mycophenolic acid, comes to the ER for evaluation of productive cough for 1 to 2 weeks.  Patient was diagnosed with COVID-19 approximate 1 month ago.  He was vaccinated for COVID-19.  He says that he had an uneventful initial disease course when she was home for approximately 4 to 5 days.  He tells me that he made a complete recovery from COVID-19 at that time.  After about 1 week he started to have an increase in his cough and the cough is now become productive of yellowish sputum.  No fevers chills nausea vomiting chest pains or shortness of breath at this time.  No generalized malaise.  The patient says he otherwise feels completely fine.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum discoloured
Clinical narrative: CHIEF COMPLAINT:   Has been coughing for 3 weeks. CXR showed pneumonia. had a kidney transplant 6 yrs ago . was dirested to come here   HISTORY OF PRESENT ILLNESS:     50-year-old male with history of kidney transplant 6 years ago at Medical Center in town, currently on tacrolimus and   mycophenolic acid, comes to the ER for evaluation of productive cough for 1 to 2 weeks.  Patient was diagnosed with COVID-19 approximate 1 month ago.  He was vaccinated for COVID-19.  He says that he had an uneventful initial disease course when she was home for approximately 4 to 5 days.  He tells me that he made a complete recovery from COVID-19 at that time.  After about 1 week he started to have an increase in his cough and the cough is now become productive of yellowish sputum.  No fevers chills nausea vomiting chest pains or shortness of breath at this time.  No generalized malaise.  The patient says he otherwise feels completely fine.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Eye inflammation, Fibrin D dimer increased, Ocular hyperaemia
Clinical narrative: My D-dimer became elevated; requiring me to have a chest ct scan to rule out clot.  My left eye became inflamed and has been red for the past 3 months.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Back pain, Blood culture, Blood lactate dehydrogenase normal
Clinical narrative: Patient is a 63-year-old female who presents the ED today for further evaluation of fever, and recent initiation of chemotherapy.  Patient states that she was instructed to come in by her chemo physicians, states that she has been having mild cough, chest pain, back pain, abdominal pain.  Patient states that she has had some nausea and vomiting as well, is fed primarily through her G-tube, states that she has been able to take care of herself at home.  Acute hypoxic respiratory failure 2/2 COVID-19 infection with underlying emphysema  -COVID+ test (12/31/21). Has lymphopenia on admission. CRP -47>>51, LDH-wnl. Ferritin 574, DDimer -1.1>>1.3 -CXR showing right lower lobe airspace disease. personally reviewed . Noted on prior CXR in 10/21. -RSV, flu-negative. -blood cultures from peripheral and port-NTD  -01/03: started Remdesivir x 5 days and dexamethasone 6 mg PO daily x 10 days. Discharged with dexamethasone to finish total 10 days course. -procalcitonin - low, less likely bacterial infection. However, given immuno-compromised status, given IV ceftriazone and azithromycin until cultures result and discontinued on discharged. -on the day of discharge, she feels better. She required 2 L NC on exertion. Recommended to check home oxygen twice a day. Discharged with albuterol prn and tessalon prn for cough.  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein increased, COVID-19, Chemotherapy, Chest X-ray abnormal, Chest pain
Clinical narrative: Patient is a 63-year-old female who presents the ED today for further evaluation of fever, and recent initiation of chemotherapy.  Patient states that she was instructed to come in by her chemo physicians, states that she has been having mild cough, chest pain, back pain, abdominal pain.  Patient states that she has had some nausea and vomiting as well, is fed primarily through her G-tube, states that she has been able to take care of herself at home.  Acute hypoxic respiratory failure 2/2 COVID-19 infection with underlying emphysema  -COVID+ test (12/31/21). Has lymphopenia on admission. CRP -47>>51, LDH-wnl. Ferritin 574, DDimer -1.1>>1.3 -CXR showing right lower lobe airspace disease. personally reviewed . Noted on prior CXR in 10/21. -RSV, flu-negative. -blood cultures from peripheral and port-NTD  -01/03: started Remdesivir x 5 days and dexamethasone 6 mg PO daily x 10 days. Discharged with dexamethasone to finish total 10 days course. -procalcitonin - low, less likely bacterial infection. However, given immuno-compromised status, given IV ceftriazone and azithromycin until cultures result and discontinued on discharged. -on the day of discharge, she feels better. She required 2 L NC on exertion. Recommended to check home oxygen twice a day. Discharged with albuterol prn and tessalon prn for cough.  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Emphysema, Fibrin D dimer increased, Gastrostomy, Influenza virus test negative
Clinical narrative: Patient is a 63-year-old female who presents the ED today for further evaluation of fever, and recent initiation of chemotherapy.  Patient states that she was instructed to come in by her chemo physicians, states that she has been having mild cough, chest pain, back pain, abdominal pain.  Patient states that she has had some nausea and vomiting as well, is fed primarily through her G-tube, states that she has been able to take care of herself at home.  Acute hypoxic respiratory failure 2/2 COVID-19 infection with underlying emphysema  -COVID+ test (12/31/21). Has lymphopenia on admission. CRP -47>>51, LDH-wnl. Ferritin 574, DDimer -1.1>>1.3 -CXR showing right lower lobe airspace disease. personally reviewed . Noted on prior CXR in 10/21. -RSV, flu-negative. -blood cultures from peripheral and port-NTD  -01/03: started Remdesivir x 5 days and dexamethasone 6 mg PO daily x 10 days. Discharged with dexamethasone to finish total 10 days course. -procalcitonin - low, less likely bacterial infection. However, given immuno-compromised status, given IV ceftriazone and azithromycin until cultures result and discontinued on discharged. -on the day of discharge, she feels better. She required 2 L NC on exertion. Recommended to check home oxygen twice a day. Discharged with albuterol prn and tessalon prn for cough.  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Loss of personal independence in daily activities, Lung disorder, Lymphopenia, Nausea, Procalcitonin decreased
Clinical narrative: Patient is a 63-year-old female who presents the ED today for further evaluation of fever, and recent initiation of chemotherapy.  Patient states that she was instructed to come in by her chemo physicians, states that she has been having mild cough, chest pain, back pain, abdominal pain.  Patient states that she has had some nausea and vomiting as well, is fed primarily through her G-tube, states that she has been able to take care of herself at home.  Acute hypoxic respiratory failure 2/2 COVID-19 infection with underlying emphysema  -COVID+ test (12/31/21). Has lymphopenia on admission. CRP -47>>51, LDH-wnl. Ferritin 574, DDimer -1.1>>1.3 -CXR showing right lower lobe airspace disease. personally reviewed . Noted on prior CXR in 10/21. -RSV, flu-negative. -blood cultures from peripheral and port-NTD  -01/03: started Remdesivir x 5 days and dexamethasone 6 mg PO daily x 10 days. Discharged with dexamethasone to finish total 10 days course. -procalcitonin - low, less likely bacterial infection. However, given immuno-compromised status, given IV ceftriazone and azithromycin until cultures result and discontinued on discharged. -on the day of discharge, she feels better. She required 2 L NC on exertion. Recommended to check home oxygen twice a day. Discharged with albuterol prn and tessalon prn for cough.  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Serum ferritin increased, Vomiting
Clinical narrative: Patient is a 63-year-old female who presents the ED today for further evaluation of fever, and recent initiation of chemotherapy.  Patient states that she was instructed to come in by her chemo physicians, states that she has been having mild cough, chest pain, back pain, abdominal pain.  Patient states that she has had some nausea and vomiting as well, is fed primarily through her G-tube, states that she has been able to take care of herself at home.  Acute hypoxic respiratory failure 2/2 COVID-19 infection with underlying emphysema  -COVID+ test (12/31/21). Has lymphopenia on admission. CRP -47>>51, LDH-wnl. Ferritin 574, DDimer -1.1>>1.3 -CXR showing right lower lobe airspace disease. personally reviewed . Noted on prior CXR in 10/21. -RSV, flu-negative. -blood cultures from peripheral and port-NTD  -01/03: started Remdesivir x 5 days and dexamethasone 6 mg PO daily x 10 days. Discharged with dexamethasone to finish total 10 days course. -procalcitonin - low, less likely bacterial infection. However, given immuno-compromised status, given IV ceftriazone and azithromycin until cultures result and discontinued on discharged. -on the day of discharge, she feels better. She required 2 L NC on exertion. Recommended to check home oxygen twice a day. Discharged with albuterol prn and tessalon prn for cough.  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given refrigerated Moderna that was expired beyond it's 'Beyond Use Label' date of 01/27/2022.  Vial was placed into fridge on 12/28/2021.  Vial was not removed from fridge in time for 'Beyond Use' expiry date and inadvertently administered.  Manufacturer's expiry date is March 25, 2022.  Provider informed.  Moderna informed and stated that 'the vaccine administered on January 28 to February 7, 2022 from lot number 033H21A maintained the activity necessary to protect against the SARS-CoV-2 (covid 19) virus at time of administration'.   No adverse effects noted or voiced by patient.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Caesarean section, Pregnancy, SARS-CoV-2 test
Clinical narrative: scheduled repeat cesarean section
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.   This person received his dose on 11/08/2021 it was previously reported as 11/05/2021 case #800738. That date of service was incorrect just want to be clear it was only 1 dose on 11/08/2021 not both 11/5 and 11/8 please disregard the previous submission . Thank you
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: Received a dose of MMR that had expired on 1/12/22.  No adverse event noted/ treatment given.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Muscle spasms, Pain
Clinical narrative: About a week later, I have a severe fatigue, SOB, headaches, body aches, muscle cramping, and congestion. These lasted for about 8 days. I went to the doctor about this. They did a strep, pneumonia, sinus, and a UTI test.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Streptococcus test, Urine analysis, Viral test
Clinical narrative: About a week later, I have a severe fatigue, SOB, headaches, body aches, muscle cramping, and congestion. These lasted for about 8 days. I went to the doctor about this. They did a strep, pneumonia, sinus, and a UTI test.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given refrigerated Moderna that was expired beyond it's 'Beyond Use Label' date of 01/27/2022.  Vial was placed into fridge on 12/28/2021.  Vial was not removed from fridge in time for 'Beyond Use' expiry date and inadvertently administered.  Manufacturer's expiry date is March 25, 2022.  Provider informed.  Moderna informed and stated that 'the vaccine administered on January 28 to February 7, 2022 from lot number 033H21A maintained the activity necessary to protect against the SARS-CoV-2 (covid 19) virus at time of administration'.   Patient called but unable to speak with patient to assess adverse effects, if any.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance, Vertigo, X-ray normal
Clinical narrative: After my second dose of the vaccine, I began to experience vertigo about 2 weeks later on March 5th, 2021. I woke up early that morning with severe vertigo and dizziness, and was unable to even walk in a straight line. Later that day I went to the urgent care, and was given a medication for vertigo that I do not remember the name of. The medication did not help my vertigo it just made me very nauseaus and vomiting frequently. The next Monday, I had called my Primary care doc, I had already stopped taking the medicine by then. The primary care care doc decided to prescribe me physical therapy. The physical therapy was able to help me make substantial improvements in my balance and vertigo. After about 6 weeks, the vertigo was gone, I still continue the exercises from PT, just in case. I had a booster and that did not cause any additional vertigo. Dr. does not believe there is a relationship between the vertigo and the vaccine, but I am filing this report just as a precaution.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: CHIEF COMPLAINT:   Pt scheduled for thoracentesis Monday, usually gets tapped Qmonth. Under treatment for lung cancer. Patient states he is having a hard time breathing and needed to come in for thoracentesis.   HISTORY OF PRESENT ILLNESS:     61-year-old gentleman with a history of lung cancer presenting for evaluation of shortness of breath.  Patient reports progressive shortness of breath for the past 2 to 3 days.  He states that he has undergone thoracentesis twice in the past and the symptoms are similar to prior pleural effusions.  He denies chest pain.  He denies fever or cough.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dysarthria, Dyspnoea, Feeling abnormal, Heart rate increased
Clinical narrative: Right after taking the vaccine she stated she got a weird sensation over her body. She stated that that her throat started to feel like someone was choking her. The symptoms continued when she got home and she called her healthcare provider who instructed her to take Benadryl. She started vomiting and heart started was racing. The next day she had diarrhea and her blood pressure was elevated. Shortness of breath. She started to have impaired speech where she couldn't speak, her words had started to slur. Went to the ER she had a low grade fever, elevated pulse rate and blood pressure was high. Was given a treatment of steroids.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Oropharyngeal discomfort, Palpitations, Pyrexia, Speech disorder
Clinical narrative: Right after taking the vaccine she stated she got a weird sensation over her body. She stated that that her throat started to feel like someone was choking her. The symptoms continued when she got home and she called her healthcare provider who instructed her to take Benadryl. She started vomiting and heart started was racing. The next day she had diarrhea and her blood pressure was elevated. Shortness of breath. She started to have impaired speech where she couldn't speak, her words had started to slur. Went to the ER she had a low grade fever, elevated pulse rate and blood pressure was high. Was given a treatment of steroids.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Right after taking the vaccine she stated she got a weird sensation over her body. She stated that that her throat started to feel like someone was choking her. The symptoms continued when she got home and she called her healthcare provider who instructed her to take Benadryl. She started vomiting and heart started was racing. The next day she had diarrhea and her blood pressure was elevated. Shortness of breath. She started to have impaired speech where she couldn't speak, her words had started to slur. Went to the ER she had a low grade fever, elevated pulse rate and blood pressure was high. Was given a treatment of steroids.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, SARS-CoV-2 test
Clinical narrative: progressively slurred speech
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient given vaccine before age eligible, no problems with vaccine
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Basal cell carcinoma, COVID-19, Chemotherapy, Chest X-ray abnormal, Dizziness
Clinical narrative: Patient developed nasal congestion with clear drainage then he was tested positive COVID on 01/03.  Today he had of dizziness and lightheadedness.   He received bamlanivimab and etesevimab on 1/3. Given concerning findings of on CXR and also his immunocompromised state, he was started on ceftriaxone/azithromycin from ER and had symptomatic improvement. He was then transitioned to PO on discharge to complete 5-day course and recheck CXR in 6-8 weeks for resolution. - Continue supportive therapy + Airborne/Contact Isolations + N95/Eye shield use. - Not a candidate for Dexamethasone/Remdesivir. - Encourage incentive spirometry. - Supplemental O2 NC or HF and titrate as needed to keep O2 sat >93%.  - MDI Spacer w/ Neb PRN per RT  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Patient developed nasal congestion with clear drainage then he was tested positive COVID on 01/03.  Today he had of dizziness and lightheadedness.   He received bamlanivimab and etesevimab on 1/3. Given concerning findings of on CXR and also his immunocompromised state, he was started on ceftriaxone/azithromycin from ER and had symptomatic improvement. He was then transitioned to PO on discharge to complete 5-day course and recheck CXR in 6-8 weeks for resolution. - Continue supportive therapy + Airborne/Contact Isolations + N95/Eye shield use. - Not a candidate for Dexamethasone/Remdesivir. - Encourage incentive spirometry. - Supplemental O2 NC or HF and titrate as needed to keep O2 sat >93%.  - MDI Spacer w/ Neb PRN per RT  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Headache, Speech disorder
Clinical narrative: CHIEF COMPLAINT:   Pt states he hit his head on the dryer, had a painful headache, wife brought him to ED   HISTORY OF PRESENT ILLNESS:     hit head on open clothing dryer door. Wife reports that he went down on his knees due to pain did not lose consciousness but has been unable to speak clearly since that time. Denies any vomiting. Denies take any blood thinners. Has a history of intracranial hypertension as per wife with a CSF pressure of 24 at  Medical Center. History of present illness, ROS, and physical exam are all limited by patient's condition. No chest pain, sob, fever, chills, diaphoresis, or swelling/pain of lower extremity.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine administration to underaged patient
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Lymphadenopathy, Nasopharyngitis, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: Covid symptoms started mid-January with coughing, fatigue, body aches, and congestion. Symptoms lasted for about a week. I did go to urgent care and that's where I tested positive and they gave me Zyrtec and cough medicine.  After my 3rd dose I also had swollen lymph nodes under my right arm and my arm hurt and that lasted almost 2 weeks.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Cardiac operation, Chest discomfort, Dyspnoea
Clinical narrative: Symptoms started in March 2021. Had my second vaccine, started feeling ill after the symptoms. I started to feel sensation running up my legs and back started getting tight at the base of her buttocks. I actually pushed all of the symptoms due to my grief.  One day I was driving, my leg tighten up, left leg to the point I had to pull over to side of the road. It hurt so bad. I took Tylenol that night. They rushed me to the hospital because I could not have the pain, I had a blood clot. They put a stent on me around June 11 2021. I was on the covid floor at the hospital. They also took me to Hospital by ambulance and that is where I had the surgery.  My surgery was during the week of 06/11/2021.  Participant states she had heart surgery back in July due to a blood clot and states before the vaccine she had no symptoms. She also states she had covid symptoms three weeks ago which she had difficulty breathing. Lost my son prior to that going thru alot of grieving. Had to leave my job. I now take Pravastatin 20mg (took for one month after the surgery), low dose aspirin 80mg,  Clopidogrel bisulfate 75mg generic for Plavix medication.  I tested 01/30/2022 and had Covid, had fever of 103F for one week, and could not hold food down, very nauseated and my chest felt very heavy. I still feel lethargic and sleep way too much. I also had really bad headaches that come and go and this symptoms are since January 31, 2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, Impaired driving ability, Impaired work ability, Lethargy
Clinical narrative: Symptoms started in March 2021. Had my second vaccine, started feeling ill after the symptoms. I started to feel sensation running up my legs and back started getting tight at the base of her buttocks. I actually pushed all of the symptoms due to my grief.  One day I was driving, my leg tighten up, left leg to the point I had to pull over to side of the road. It hurt so bad. I took Tylenol that night. They rushed me to the hospital because I could not have the pain, I had a blood clot. They put a stent on me around June 11 2021. I was on the covid floor at the hospital. They also took me to Hospital by ambulance and that is where I had the surgery.  My surgery was during the week of 06/11/2021.  Participant states she had heart surgery back in July due to a blood clot and states before the vaccine she had no symptoms. She also states she had covid symptoms three weeks ago which she had difficulty breathing. Lost my son prior to that going thru alot of grieving. Had to leave my job. I now take Pravastatin 20mg (took for one month after the surgery), low dose aspirin 80mg,  Clopidogrel bisulfate 75mg generic for Plavix medication.  I tested 01/30/2022 and had Covid, had fever of 103F for one week, and could not hold food down, very nauseated and my chest felt very heavy. I still feel lethargic and sleep way too much. I also had really bad headaches that come and go and this symptoms are since January 31, 2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Muscle tightness, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Symptoms started in March 2021. Had my second vaccine, started feeling ill after the symptoms. I started to feel sensation running up my legs and back started getting tight at the base of her buttocks. I actually pushed all of the symptoms due to my grief.  One day I was driving, my leg tighten up, left leg to the point I had to pull over to side of the road. It hurt so bad. I took Tylenol that night. They rushed me to the hospital because I could not have the pain, I had a blood clot. They put a stent on me around June 11 2021. I was on the covid floor at the hospital. They also took me to Hospital by ambulance and that is where I had the surgery.  My surgery was during the week of 06/11/2021.  Participant states she had heart surgery back in July due to a blood clot and states before the vaccine she had no symptoms. She also states she had covid symptoms three weeks ago which she had difficulty breathing. Lost my son prior to that going thru alot of grieving. Had to leave my job. I now take Pravastatin 20mg (took for one month after the surgery), low dose aspirin 80mg,  Clopidogrel bisulfate 75mg generic for Plavix medication.  I tested 01/30/2022 and had Covid, had fever of 103F for one week, and could not hold food down, very nauseated and my chest felt very heavy. I still feel lethargic and sleep way too much. I also had really bad headaches that come and go and this symptoms are since January 31, 2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sensory disturbance, Stent placement, Thrombosis, Vomiting
Clinical narrative: Symptoms started in March 2021. Had my second vaccine, started feeling ill after the symptoms. I started to feel sensation running up my legs and back started getting tight at the base of her buttocks. I actually pushed all of the symptoms due to my grief.  One day I was driving, my leg tighten up, left leg to the point I had to pull over to side of the road. It hurt so bad. I took Tylenol that night. They rushed me to the hospital because I could not have the pain, I had a blood clot. They put a stent on me around June 11 2021. I was on the covid floor at the hospital. They also took me to Hospital by ambulance and that is where I had the surgery.  My surgery was during the week of 06/11/2021.  Participant states she had heart surgery back in July due to a blood clot and states before the vaccine she had no symptoms. She also states she had covid symptoms three weeks ago which she had difficulty breathing. Lost my son prior to that going thru alot of grieving. Had to leave my job. I now take Pravastatin 20mg (took for one month after the surgery), low dose aspirin 80mg,  Clopidogrel bisulfate 75mg generic for Plavix medication.  I tested 01/30/2022 and had Covid, had fever of 103F for one week, and could not hold food down, very nauseated and my chest felt very heavy. I still feel lethargic and sleep way too much. I also had really bad headaches that come and go and this symptoms are since January 31, 2022.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Brain cancer metastatic, COVID-19, Chemotherapy, Febrile neutropenia
Clinical narrative: COVID BREAKTHROUGH - 58 year old female. She is Admitted to Medical Med/Tele for COVID19, Neutropenic Fever, Abdominal Pain, UTI, Metastatic Lung Cancer to Spine and Brain on Chemotherapy,and Elevated LFT's. First covid dose 4/19/21. She has recieved the booster shot on 12/7/21.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Liver function test increased, Lung cancer metastatic, Neoplasm malignant, Urinary tract infection, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH - 58 year old female. She is Admitted to Medical Med/Tele for COVID19, Neutropenic Fever, Abdominal Pain, UTI, Metastatic Lung Cancer to Spine and Brain on Chemotherapy,and Elevated LFT's. First covid dose 4/19/21. She has recieved the booster shot on 12/7/21.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dizziness, Fatigue, Malaise, Paraesthesia
Clinical narrative: WIthin a few minutes of receiving the vaccine, she said her head was tingly and she didn't feel well. When she stood up, she felt dizzy and had to sit back down. The doctor had her come back into the back and checked her vitals, provided her snacks/water and monitored her for about an hour. After that, they helped bring her to the car for me (to ensure she didn't fall). When we got home, she went to her room and rested the rest of the day due to continuing to feel dizzy. When she woke up the next day, she felt better and was just tired. I made sure before she received the second dose that she drank a full bottle of water and she did not have the same reaction with it. She ended up contracting covid after the second dose.