chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging normal, Pain, Paraesthesia
Clinical narrative: Patient started to feel weakness and felt "funny" approximately 1 hour after injection.  Patient reported in addition to feelings of soreness, tiredness, and achiness, general weakness. A little over 48 hours later, patient presented to the ED with tingling and numbness. 72 hours later, patient admitted to the hospital with more tingling and numbness including arms, legs, hands, fingers, and face. Non-stop chin trembling occurred. Patient had MRI and spinal tap done with normal results. Neurology treating as Guillain Barre Syndrome due to symptoms. Patient's heart rate was elevated. Immunoglobulin therapy started approximately 96 hours after injection received. Heart rate returned to normal with first therapy treatment. Neurology saw progression of symptoms stopped with the therapy.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Patient started to feel weakness and felt "funny" approximately 1 hour after injection.  Patient reported in addition to feelings of soreness, tiredness, and achiness, general weakness. A little over 48 hours later, patient presented to the ED with tingling and numbness. 72 hours later, patient admitted to the hospital with more tingling and numbness including arms, legs, hands, fingers, and face. Non-stop chin trembling occurred. Patient had MRI and spinal tap done with normal results. Neurology treating as Guillain Barre Syndrome due to symptoms. Patient's heart rate was elevated. Immunoglobulin therapy started approximately 96 hours after injection received. Heart rate returned to normal with first therapy treatment. Neurology saw progression of symptoms stopped with the therapy.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial paralysis, Headache, Paraesthesia oral, Rheumatoid arthritis
Clinical narrative: 1015 Received vaccination 1045 Developed left sided headache, right sided facial droop and perioral paresthesias 1046 Evaluated by medical control; vital signs include BP 160/90, pulse 55, respirs 14/minute, O2 sat 98% RA.  With smile right side of mouth lower and asymmetric compared with left, confirmed by husband.  Nonfocal neuro exam otherwise with normal neurosensory and eyebrow/forehead motor 1055 Reevaluated with similar findings 1100 Ambulance called 1115 Ambulance arrived for transport
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Blood test normal, Chest X-ray normal, Computerised tomogram normal, Dysphagia
Clinical narrative: 1015 Received vaccination 1045 Developed left sided headache, right sided facial droop and perioral paresthesias 1046 Evaluated by medical control; vital signs include BP 160/90, pulse 55, respirs 14/minute, O2 sat 98% RA.  With smile right side of mouth lower and asymmetric compared with left, confirmed by husband.  Nonfocal neuro exam otherwise with normal neurosensory and eyebrow/forehead motor 1055 Reevaluated with similar findings 1100 Ambulance called 1115 Ambulance arrived for transport
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial asymmetry, Facial paralysis, Hypersensitivity, Magnetic resonance imaging normal, Paraesthesia oral
Clinical narrative: 1015 Received vaccination 1045 Developed left sided headache, right sided facial droop and perioral paresthesias 1046 Evaluated by medical control; vital signs include BP 160/90, pulse 55, respirs 14/minute, O2 sat 98% RA.  With smile right side of mouth lower and asymmetric compared with left, confirmed by husband.  Nonfocal neuro exam otherwise with normal neurosensory and eyebrow/forehead motor 1055 Reevaluated with similar findings 1100 Ambulance called 1115 Ambulance arrived for transport
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine analysis normal
Clinical narrative: 1015 Received vaccination 1045 Developed left sided headache, right sided facial droop and perioral paresthesias 1046 Evaluated by medical control; vital signs include BP 160/90, pulse 55, respirs 14/minute, O2 sat 98% RA.  With smile right side of mouth lower and asymmetric compared with left, confirmed by husband.  Nonfocal neuro exam otherwise with normal neurosensory and eyebrow/forehead motor 1055 Reevaluated with similar findings 1100 Ambulance called 1115 Ambulance arrived for transport
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Migraine
Clinical narrative: I started feeling extremely tired about 5 hours after the 1st does of Pfizer vaccine (have not had any soreness at injection site at all).  Other symptoms presented themselves much later: Headache/Migraine onset at approximately 4:30am (15 hrs post vaccination) that lasted for about 6 hours, treated with Advil and strong coffee.  Chills set in at approximately 9:30am (20 hrs post vaccination) and lasted for about 3 hours then dissipated.  As of 1:30pm on 24 March (24 hrs post vaccination) all symptoms are no longer present.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Vertigo
Clinical narrative: I woke up with vertigo in A.m. And it is still progressing. I had it about 10 years ago and did some excercises that helped me then, but it has not worked. I plan on continuing  with remedies, but may need to see a physician.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Fatigue, headache, chills, fever to 99.9 for 24 hours
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Injection site pain, Pain
Clinical narrative: Got the vaccine, went home and didn't have any problems.  He woke up this morning to use the bathroom and his legs were aching.  His wife came in and said that he was warm with a fever, and also has a headache, no energy.  He has not taken anything for the symptoms.  He has not notified his doctor.  The arm where the vaccine was given is a little sore, but not too bad, just the achiness and fatigue.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Got the vaccine, went home and didn't have any problems.  He woke up this morning to use the bathroom and his legs were aching.  His wife came in and said that he was warm with a fever, and also has a headache, no energy.  He has not taken anything for the symptoms.  He has not notified his doctor.  The arm where the vaccine was given is a little sore, but not too bad, just the achiness and fatigue.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: When receiving the vaccine I felt a pain run down my arm, within minutes my left hand went numb.    Weeks later my hand still feels like I have carpal tunnel and my outer hand, ring finger and little finger get tingly, burning painful sensation.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Muscle spasms
Clinical narrative: received the Pfizer COVID vaccine dose 1 (lot ER8732, expiration 7/2021) at 0915. Patient reported to at 0920 that she was experiencing a bitter and metallic taste in her mouth and cramping in her wrist. Vital signs: O2 98%, pulse 73, blood pressure 140/82, respirations 16. Patient reported the taste had disappeared but the cramping radiated up her arm to the axilla. Medical conditions include: diabetes mellitus type II, pacemaker, status post stroke in 2017, hysterectomy in 2012, breast cancer in 1998 in remission, hypertension. Patient reported her normal blood pressure is 140s/80s. Medications: synthroid, levothyroxin, novolin, Humulin R, niacin and fish oil. Allergies include corticosteroids, codeine, sulfa, citric acid. Patient denied edema, tingling, pain, or dizziness. Patient reported she had not eaten breakfast and only drank a few sips of water with her morning medications. EMT advised patient to move arm and wrist continuously to promote circulation. At 930, offered Benadryl that patient declined, also advised patient to notify provider and signs when to contact 911. Patient drank approximately 8 oz of water, ate a small snack of pistachios, and reported improvement in cramping and taste resolved. At 940, vital signs: O2 97%, pulse 65, respirations 16, blood pressure 142/86. Patient reported symptoms had resolved. At 0952 vital signs: O2 99%, pulse 64, respirations 16, blood pressure 140/82. Patient left walking with steady gait.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Immediate post-injection reaction, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Immediate arm pain. Next say, muscle soreness all over, fever and chills.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: died in sleep
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Ear swelling, Feeling hot, Swelling face
Clinical narrative: After about 30minutes of shot l had feeling of fullness on my face and slightly warm ears for maybe 30seconds and immediately after that I had feeling of sinking as if l am going to die for 30 seconds and I was alright after.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial discomfort, Feeling abnormal, Skin warm
Clinical narrative: After about 30minutes of shot l had feeling of fullness on my face and slightly warm ears for maybe 30seconds and immediately after that I had feeling of sinking as if l am going to die for 30 seconds and I was alright after.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Throat tightness, Vital signs measurement
Clinical narrative: 10:25:10 minutes post receiving first dose of Pfizer vaccine pt reported having throat tightness and voice hoarseness "similar to when she has as asthma attack." HR 72, BP 180/60. Pt repeatedly apologizing stating "I'll be ok." 10:27:Ambulance service requested. 1030:Pt medicated w/ Benadryl 25 mg PO per standing order. 10:32 Ambulance arrived, report given to Paramedic. 1040: pt transferred to ambulance. 1045: Ambulance departs site.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Tachycardia
Clinical narrative: Hypertension Tachycardia
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever body aches chills headache
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: LEFT UPPER ARM REDNESS, SWELLING, WARMTH, BURNING SENSATION
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Dry skin, Erythema, Eye swelling, Feeling abnormal
Clinical narrative: No adverse event till three days later my face became extremely swollen bright red and fire hot unforgivable itchy dry and urticaria which worsened and my eyes were swollen shut and the skin on my face in the dry areas peeled lasted five Days then slowly subsided also I developed urticaria on my entire chest neck and arm  right arm. I have bruising and blotchy redness but no throat tingling or tightness thank God. MISERABLE. I changed detergent and did everything praying it wasn?t the vaccine but ice constantly did not help at all. My eyes were weeping water fluid like dyshydrotic eczema
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Lacrimation increased, Pruritus, Rash macular, Skin exfoliation
Clinical narrative: No adverse event till three days later my face became extremely swollen bright red and fire hot unforgivable itchy dry and urticaria which worsened and my eyes were swollen shut and the skin on my face in the dry areas peeled lasted five Days then slowly subsided also I developed urticaria on my entire chest neck and arm  right arm. I have bruising and blotchy redness but no throat tingling or tightness thank God. MISERABLE. I changed detergent and did everything praying it wasn?t the vaccine but ice constantly did not help at all. My eyes were weeping water fluid like dyshydrotic eczema
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Urticaria
Clinical narrative: No adverse event till three days later my face became extremely swollen bright red and fire hot unforgivable itchy dry and urticaria which worsened and my eyes were swollen shut and the skin on my face in the dry areas peeled lasted five Days then slowly subsided also I developed urticaria on my entire chest neck and arm  right arm. I have bruising and blotchy redness but no throat tingling or tightness thank God. MISERABLE. I changed detergent and did everything praying it wasn?t the vaccine but ice constantly did not help at all. My eyes were weeping water fluid like dyshydrotic eczema
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dysarthria, Dysphonia, Swollen tongue
Clinical narrative: Pt received 2nd covid-19 pfizer shot at 3/6/21, pt had anaphylactic reaction within 30min - tongue swollen, slurred speech, dysphonia. Was given benadryl, epipen and decadron transferred to ER where she was given additional benadryl and solumedrol and observed. Pt discharged from ER after period of observation.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination error
Clinical narrative: After RN administered vaccine, when she removed the "needle retractable safety syringe with needle" the syringe detached from needle leaving needle with hub in arm. RN removed the needle from arm. Patient stated she felt a drop go into her eye.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is 16 and was given Moderna COVID19 vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Listless, Pyrexia
Clinical narrative: chills , low-grade fever, listlisness
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Aspiration, Cardiac arrest, Death, Malaise, Pneumonia aspiration
Clinical narrative: 2/25/2021 She was taken to the hospital for aspiration. 03/09/2021 was discharged, but relatives were informed that she was unwell. 3/13/2021 When they went to take the rounds she was without signs, she was sleeping. He refers that the patient died of Aspiration Pneumonia and was tested at the Hospital with negative results. They certify death due to cardiovascular arrest
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Headache, Insomnia
Clinical narrative: Headache, arm-ache starting at 6pm Slight dizziness starting around 8pm Dizziness got worse overnight and prevented sleep Got out of bed at 4:15.  Lots of fatigue. Slight dizziness Nauseous around 4:45 and vomited at 5:15 Nausea and dizziness subsided. Slept from 6 to 10:30 Fatigue, headache (which is not fully quelled by IBU), arm-ache and fogginess continue at 3pm following day
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Vomiting
Clinical narrative: Headache, arm-ache starting at 6pm Slight dizziness starting around 8pm Dizziness got worse overnight and prevented sleep Got out of bed at 4:15.  Lots of fatigue. Slight dizziness Nauseous around 4:45 and vomited at 5:15 Nausea and dizziness subsided. Slept from 6 to 10:30 Fatigue, headache (which is not fully quelled by IBU), arm-ache and fogginess continue at 3pm following day
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Back pain, Dizziness, Fatigue
Clinical narrative: Woke up the next morning with intense body aching from head, neck, shoulders, arm, spine; lightheaded, fatigued, and weak all day, no fever, took ibuprofen that evening (day after vaccine), and symptoms resolved by the next morning.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Pain, Pain in extremity
Clinical narrative: Woke up the next morning with intense body aching from head, neck, shoulders, arm, spine; lightheaded, fatigued, and weak all day, no fever, took ibuprofen that evening (day after vaccine), and symptoms resolved by the next morning.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Facial pain, Hypoaesthesia, Pain
Clinical narrative: Had sore arm for first two days. On the third day started getting palpitations and racing heart. This came and went and woke me up in the middle of the night and early morning several times. Today is day 10 and I was prescribed a 24 hour holter monitor. In the last 3 days I've had several episodes of facial nerve pain in my jaw and teeth, numbness in my face and also pins and needles in various parts of my body. Sore and painful spot to the touch under left ribs. Extreme palpitations and heart racing that make me feel like Im going to pass out, sudden pressure on the left side of my neck and ear heartbeat in my left ear during these episodes, trouble breathing , pain and tingling in upper left chest and coughing that goes away in about 30 minutes. Each episode ends with uncontrollable urge to sleep.  Almost feels like an intense food allergy reaction but it happens on a completely empty stomach. They seem to be getting progressively worse
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations
Clinical narrative: Had sore arm for first two days. On the third day started getting palpitations and racing heart. This came and went and woke me up in the middle of the night and early morning several times. Today is day 10 and I was prescribed a 24 hour holter monitor. In the last 3 days I've had several episodes of facial nerve pain in my jaw and teeth, numbness in my face and also pins and needles in various parts of my body. Sore and painful spot to the touch under left ribs. Extreme palpitations and heart racing that make me feel like Im going to pass out, sudden pressure on the left side of my neck and ear heartbeat in my left ear during these episodes, trouble breathing , pain and tingling in upper left chest and coughing that goes away in about 30 minutes. Each episode ends with uncontrollable urge to sleep.  Almost feels like an intense food allergy reaction but it happens on a completely empty stomach. They seem to be getting progressively worse
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Malaise, Pain in extremity, Skin warm
Clinical narrative: Sore arm, but then redness and hot to touch. Felt ill.  Stayed hot 8 days later. Reported this to my dr on March 24, 2021
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Feeling hot, Hyperhidrosis
Clinical narrative: Profusely sweating a couple hours after shot.  Whole body aches/weakness and migraine started 24 hours after shot and lasted about another 24 hours. up and back to work today, but very weak, tired, hot, and sometimes dizzy.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain
Clinical narrative: Profusely sweating a couple hours after shot.  Whole body aches/weakness and migraine started 24 hours after shot and lasted about another 24 hours. up and back to work today, but very weak, tired, hot, and sometimes dizzy.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Patient felt slight dizziness about 2 minutes after vaccine. About 8 minutes after his vaccine, he came to the pharmacy counter and almost passed out - he was dizzy and sweating.  He felt better after about 40 minutes of resting (and water and protein bar).
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue
Clinical narrative: Excessive fatigue, severe arthritic body pain to entire body
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Neck pain, Tremor, Vertigo
Clinical narrative: Having prolonged pain in neck- Left- with vertigo whenever I get up falling to the left.  Very unstable.    Chills every day beginning around noon, lasting until around 5pm.  whole body shakes.      Wondering if this is going to be lasting for a short time?
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient came to vaccine POD for 2nd covid vaccine.  Patient received the Moderna vaccine on 2/9/2021 and did not bring his vaccine card with him and told front door screener he received the Pifzer vaccine and then was brought to our Pfizer vaccinator.  She gave him his Pfizer vaccine and after review to get patient a new vaccine card it was found that patient had actually received Moderna vaccine the first time.  Therefore, patient was given the wrong vaccine to complete vaccine series.  Dr.  was notified and spoke with patient.  Notified  RN and PhD of this problem.  Patient will be called again tomorrow to make sure no reaction and will notify patient PCP of this event.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Alanine aminotransferase increased, Aspartate aminotransferase decreased, Blood alkaline phosphatase increased, Cholecystectomy
Clinical narrative: 3/24/21 surgical removal of gallbladder, admitted for >48h iv abx d/t hydrops HPI: Lives in a group home and listed diagnoses include mental retardation, GERD, anxiety, hallucinations and hyperlipidemia. Also listed are siezure disorder, Parkinsons, thyroid enlargement (not confirmed on today's exam) and thrombocytopathy.   She is accompanied by a staff member who provided some history. The patient seems to have limited comprehension.   The patient says she had GI upset once after eating meat but can't provide any more detail. The staff says she generally eats well but "is not a complainer" so that even if she had post-prandial pain she doubts she would mention it unless it was significant and obvious to staff (which it has not been to date). No history indicative of jaundice. Vague on stools but it sounds like she may have loose stools episodically.   She has a physical every 6 months including blood work. She was most recently seen on 2-2-21. She is also seen periodically  by Dr. (hematology).    Blood work demonstrated increased WBC and mild LFT elevations. Apparently moderate increased WBC has been noted in the past w/o a clear etiology.   Note from Health Ctr on 3-2-21 mentions elevated WBC and LFTs. Elevated WBC to 14,600 Hg12.5  Plt 420K on 2-26.   LFTs on 2-26 show Alk Phos elevated mildly at 123 and AST/ALT mildly at 98/73 anomaly was a mild elevation in AST. Hepatitis screen negative.   US on 3-12 demonstrated multiple stones in a contacted GB. CBD 5.3 mm.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cholelithiasis, Haemoglobin normal, Hepatitis viral test negative, Hydrocholecystis, Platelet count increased
Clinical narrative: 3/24/21 surgical removal of gallbladder, admitted for >48h iv abx d/t hydrops HPI: Lives in a group home and listed diagnoses include mental retardation, GERD, anxiety, hallucinations and hyperlipidemia. Also listed are siezure disorder, Parkinsons, thyroid enlargement (not confirmed on today's exam) and thrombocytopathy.   She is accompanied by a staff member who provided some history. The patient seems to have limited comprehension.   The patient says she had GI upset once after eating meat but can't provide any more detail. The staff says she generally eats well but "is not a complainer" so that even if she had post-prandial pain she doubts she would mention it unless it was significant and obvious to staff (which it has not been to date). No history indicative of jaundice. Vague on stools but it sounds like she may have loose stools episodically.   She has a physical every 6 months including blood work. She was most recently seen on 2-2-21. She is also seen periodically  by Dr. (hematology).    Blood work demonstrated increased WBC and mild LFT elevations. Apparently moderate increased WBC has been noted in the past w/o a clear etiology.   Note from Health Ctr on 3-2-21 mentions elevated WBC and LFTs. Elevated WBC to 14,600 Hg12.5  Plt 420K on 2-26.   LFTs on 2-26 show Alk Phos elevated mildly at 123 and AST/ALT mildly at 98/73 anomaly was a mild elevation in AST. Hepatitis screen negative.   US on 3-12 demonstrated multiple stones in a contacted GB. CBD 5.3 mm.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal, White blood cell count increased
Clinical narrative: 3/24/21 surgical removal of gallbladder, admitted for >48h iv abx d/t hydrops HPI: Lives in a group home and listed diagnoses include mental retardation, GERD, anxiety, hallucinations and hyperlipidemia. Also listed are siezure disorder, Parkinsons, thyroid enlargement (not confirmed on today's exam) and thrombocytopathy.   She is accompanied by a staff member who provided some history. The patient seems to have limited comprehension.   The patient says she had GI upset once after eating meat but can't provide any more detail. The staff says she generally eats well but "is not a complainer" so that even if she had post-prandial pain she doubts she would mention it unless it was significant and obvious to staff (which it has not been to date). No history indicative of jaundice. Vague on stools but it sounds like she may have loose stools episodically.   She has a physical every 6 months including blood work. She was most recently seen on 2-2-21. She is also seen periodically  by Dr. (hematology).    Blood work demonstrated increased WBC and mild LFT elevations. Apparently moderate increased WBC has been noted in the past w/o a clear etiology.   Note from Health Ctr on 3-2-21 mentions elevated WBC and LFTs. Elevated WBC to 14,600 Hg12.5  Plt 420K on 2-26.   LFTs on 2-26 show Alk Phos elevated mildly at 123 and AST/ALT mildly at 98/73 anomaly was a mild elevation in AST. Hepatitis screen negative.   US on 3-12 demonstrated multiple stones in a contacted GB. CBD 5.3 mm.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Aspartate aminotransferase increased, Autoimmune hepatitis, Blood albumin decreased
Clinical narrative: Patient is a 74 year old y.o. female with history of atrial fibrillation, hypothyroidism who presents with acute onset early this a.m. nausea vomiting and change in mental status.  History was obtained from the husband as patient is minimally responsive to verbal stimuli at this time.  He states she was in her usual state of health until when she awoke this morning.  Yesterday in usual state of health that she did have her 2nd COVID vaccine with the Pfizer variant.  He states that day she was in her usual state of health with some mild arm pain on the left where she received the vaccine.  This morning she awoke with a headache, fever, chills however was ambulating and conversing appropriately.  She had no appreciable focal deficits at that time per the husband.  She ate breakfast however she subsequently began vomiting.  She progressed to a change in mental status with minimal responsiveness.  She would say 1 or 2 words and that was it.  They then presented emergency department. Diagnosed with severe sepsis, acute encephalopathy, acute meningitis, liver shock, autoimmune hepatitis, ascending cholangitis, acute pancreatitis.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin, Blood calcium, Blood chloride normal, Blood creatine normal, Blood glucose normal
Clinical narrative: Patient is a 74 year old y.o. female with history of atrial fibrillation, hypothyroidism who presents with acute onset early this a.m. nausea vomiting and change in mental status.  History was obtained from the husband as patient is minimally responsive to verbal stimuli at this time.  He states she was in her usual state of health until when she awoke this morning.  Yesterday in usual state of health that she did have her 2nd COVID vaccine with the Pfizer variant.  He states that day she was in her usual state of health with some mild arm pain on the left where she received the vaccine.  This morning she awoke with a headache, fever, chills however was ambulating and conversing appropriately.  She had no appreciable focal deficits at that time per the husband.  She ate breakfast however she subsequently began vomiting.  She progressed to a change in mental status with minimal responsiveness.  She would say 1 or 2 words and that was it.  They then presented emergency department. Diagnosed with severe sepsis, acute encephalopathy, acute meningitis, liver shock, autoimmune hepatitis, ascending cholangitis, acute pancreatitis.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood sodium normal, Blood urea normal, Carbon dioxide decreased, Cerebral atrophy
Clinical narrative: Patient is a 74 year old y.o. female with history of atrial fibrillation, hypothyroidism who presents with acute onset early this a.m. nausea vomiting and change in mental status.  History was obtained from the husband as patient is minimally responsive to verbal stimuli at this time.  He states she was in her usual state of health until when she awoke this morning.  Yesterday in usual state of health that she did have her 2nd COVID vaccine with the Pfizer variant.  He states that day she was in her usual state of health with some mild arm pain on the left where she received the vaccine.  This morning she awoke with a headache, fever, chills however was ambulating and conversing appropriately.  She had no appreciable focal deficits at that time per the husband.  She ate breakfast however she subsequently began vomiting.  She progressed to a change in mental status with minimal responsiveness.  She would say 1 or 2 words and that was it.  They then presented emergency department. Diagnosed with severe sepsis, acute encephalopathy, acute meningitis, liver shock, autoimmune hepatitis, ascending cholangitis, acute pancreatitis.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chills, Cholangitis, Cholelithiasis, Computerised tomogram abdomen
Clinical narrative: Patient is a 74 year old y.o. female with history of atrial fibrillation, hypothyroidism who presents with acute onset early this a.m. nausea vomiting and change in mental status.  History was obtained from the husband as patient is minimally responsive to verbal stimuli at this time.  He states she was in her usual state of health until when she awoke this morning.  Yesterday in usual state of health that she did have her 2nd COVID vaccine with the Pfizer variant.  He states that day she was in her usual state of health with some mild arm pain on the left where she received the vaccine.  This morning she awoke with a headache, fever, chills however was ambulating and conversing appropriately.  She had no appreciable focal deficits at that time per the husband.  She ate breakfast however she subsequently began vomiting.  She progressed to a change in mental status with minimal responsiveness.  She would say 1 or 2 words and that was it.  They then presented emergency department. Diagnosed with severe sepsis, acute encephalopathy, acute meningitis, liver shock, autoimmune hepatitis, ascending cholangitis, acute pancreatitis.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Diverticulum intestinal, Encephalopathy, Gallbladder enlargement, Haematocrit normal
Clinical narrative: Patient is a 74 year old y.o. female with history of atrial fibrillation, hypothyroidism who presents with acute onset early this a.m. nausea vomiting and change in mental status.  History was obtained from the husband as patient is minimally responsive to verbal stimuli at this time.  He states she was in her usual state of health until when she awoke this morning.  Yesterday in usual state of health that she did have her 2nd COVID vaccine with the Pfizer variant.  He states that day she was in her usual state of health with some mild arm pain on the left where she received the vaccine.  This morning she awoke with a headache, fever, chills however was ambulating and conversing appropriately.  She had no appreciable focal deficits at that time per the husband.  She ate breakfast however she subsequently began vomiting.  She progressed to a change in mental status with minimal responsiveness.  She would say 1 or 2 words and that was it.  They then presented emergency department. Diagnosed with severe sepsis, acute encephalopathy, acute meningitis, liver shock, autoimmune hepatitis, ascending cholangitis, acute pancreatitis.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Headache, Hyporesponsive to stimuli, Injection site pain, Ischaemic hepatitis
Clinical narrative: Patient is a 74 year old y.o. female with history of atrial fibrillation, hypothyroidism who presents with acute onset early this a.m. nausea vomiting and change in mental status.  History was obtained from the husband as patient is minimally responsive to verbal stimuli at this time.  He states she was in her usual state of health until when she awoke this morning.  Yesterday in usual state of health that she did have her 2nd COVID vaccine with the Pfizer variant.  He states that day she was in her usual state of health with some mild arm pain on the left where she received the vaccine.  This morning she awoke with a headache, fever, chills however was ambulating and conversing appropriately.  She had no appreciable focal deficits at that time per the husband.  She ate breakfast however she subsequently began vomiting.  She progressed to a change in mental status with minimal responsiveness.  She would say 1 or 2 words and that was it.  They then presented emergency department. Diagnosed with severe sepsis, acute encephalopathy, acute meningitis, liver shock, autoimmune hepatitis, ascending cholangitis, acute pancreatitis.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Meningitis, Mental status changes, Nausea, Pancreatitis acute, Platelet count normal
Clinical narrative: Patient is a 74 year old y.o. female with history of atrial fibrillation, hypothyroidism who presents with acute onset early this a.m. nausea vomiting and change in mental status.  History was obtained from the husband as patient is minimally responsive to verbal stimuli at this time.  He states she was in her usual state of health until when she awoke this morning.  Yesterday in usual state of health that she did have her 2nd COVID vaccine with the Pfizer variant.  He states that day she was in her usual state of health with some mild arm pain on the left where she received the vaccine.  This morning she awoke with a headache, fever, chills however was ambulating and conversing appropriately.  She had no appreciable focal deficits at that time per the husband.  She ate breakfast however she subsequently began vomiting.  She progressed to a change in mental status with minimal responsiveness.  She would say 1 or 2 words and that was it.  They then presented emergency department. Diagnosed with severe sepsis, acute encephalopathy, acute meningitis, liver shock, autoimmune hepatitis, ascending cholangitis, acute pancreatitis.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Scan with contrast abnormal, Sepsis, Ultrasound biliary tract, Ultrasound pancreas abnormal
Clinical narrative: Patient is a 74 year old y.o. female with history of atrial fibrillation, hypothyroidism who presents with acute onset early this a.m. nausea vomiting and change in mental status.  History was obtained from the husband as patient is minimally responsive to verbal stimuli at this time.  He states she was in her usual state of health until when she awoke this morning.  Yesterday in usual state of health that she did have her 2nd COVID vaccine with the Pfizer variant.  He states that day she was in her usual state of health with some mild arm pain on the left where she received the vaccine.  This morning she awoke with a headache, fever, chills however was ambulating and conversing appropriately.  She had no appreciable focal deficits at that time per the husband.  She ate breakfast however she subsequently began vomiting.  She progressed to a change in mental status with minimal responsiveness.  She would say 1 or 2 words and that was it.  They then presented emergency department. Diagnosed with severe sepsis, acute encephalopathy, acute meningitis, liver shock, autoimmune hepatitis, ascending cholangitis, acute pancreatitis.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Patient is a 74 year old y.o. female with history of atrial fibrillation, hypothyroidism who presents with acute onset early this a.m. nausea vomiting and change in mental status.  History was obtained from the husband as patient is minimally responsive to verbal stimuli at this time.  He states she was in her usual state of health until when she awoke this morning.  Yesterday in usual state of health that she did have her 2nd COVID vaccine with the Pfizer variant.  He states that day she was in her usual state of health with some mild arm pain on the left where she received the vaccine.  This morning she awoke with a headache, fever, chills however was ambulating and conversing appropriately.  She had no appreciable focal deficits at that time per the husband.  She ate breakfast however she subsequently began vomiting.  She progressed to a change in mental status with minimal responsiveness.  She would say 1 or 2 words and that was it.  They then presented emergency department. Diagnosed with severe sepsis, acute encephalopathy, acute meningitis, liver shock, autoimmune hepatitis, ascending cholangitis, acute pancreatitis.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: The day after receiving the vaccination, my arm was sore and there was a raised red bump under the injection site.  After a few days the soreness went away and the red bump went down, but it still remained slightly red.  Yesterday, 03/23/2021, I noticed that my arm was itchy at the same site where the bump was before, and realized the bump was back and bigger than it was before.  Today, 03/24/2021, it's red with a raised bump, and still itches.  It also feels warm to the touch.   I'm not certain it's related, but my left elbow is very sore.  I do not have fever, and never have since the injection.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Rash papular
Clinical narrative: The day after receiving the vaccination, my arm was sore and there was a raised red bump under the injection site.  After a few days the soreness went away and the red bump went down, but it still remained slightly red.  Yesterday, 03/23/2021, I noticed that my arm was itchy at the same site where the bump was before, and realized the bump was back and bigger than it was before.  Today, 03/24/2021, it's red with a raised bump, and still itches.  It also feels warm to the touch.   I'm not certain it's related, but my left elbow is very sore.  I do not have fever, and never have since the injection.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Within two hours (Thurs. 18th) of injection began the following symptoms; pain at injection site, swelling at injection site, redness at injection site, fatigue, headache, muscle ache, joint ache, chills, nausea/vomiting, and low grade fever.  Reports all the above symptoms resolved by Saturday the 20th.  Reports diziness began on Sunday the 21st and lasted until yesterday 23rd.  Denies any symptoms today.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Myalgia, Nausea
Clinical narrative: Within two hours (Thurs. 18th) of injection began the following symptoms; pain at injection site, swelling at injection site, redness at injection site, fatigue, headache, muscle ache, joint ache, chills, nausea/vomiting, and low grade fever.  Reports all the above symptoms resolved by Saturday the 20th.  Reports diziness began on Sunday the 21st and lasted until yesterday 23rd.  Denies any symptoms today.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Within two hours (Thurs. 18th) of injection began the following symptoms; pain at injection site, swelling at injection site, redness at injection site, fatigue, headache, muscle ache, joint ache, chills, nausea/vomiting, and low grade fever.  Reports all the above symptoms resolved by Saturday the 20th.  Reports diziness began on Sunday the 21st and lasted until yesterday 23rd.  Denies any symptoms today.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dysmenorrhoea
Clinical narrative: Chest pain, period cramps but no/late period
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Background: pharmacy received 49 vials of Pfizer COVID vaccine (Lot number EN6199) on 5 March 2021 and stored them in the pharmacy refrigerator.   The doses were labeled with an expiration date of 10 March 2021 at 0701.   Since starting the COVID-19 vaccine program, the MOB has always used the doses before they approached the expiration date.  This time, there were 16 vials of the Pfizer vaccine that had not been used and set to expire. The labeled expiration date and time were clearly present on the outside of the bag containing the doses.  On the morning of 10 March 2021, a pharmacist retrieved 1 vial at 0754 and 7 vials at 1138 from that allocation and provided them to nursing for the day?s administrations.  The pharmacy placed those doses in a new amber bag and did not label the bag with an expiration date and time.   The nursing team received the vials, diluted and drew up 20 doses that were administered to patients before 1230.    The charge nurse did not question the expiration date until after 20 patients had been vaccinated.  At that time she messaged the pharmacist to verify the expiration date.  The pharmacist indicated that the label did not state am or pm and misinterpreted the expiration time for the doses as 7:01 PM rather than 7:01 AM.  There was not a defined double check at the time of distribution from the pharmacy to nursing  The remaining 11 vials were quarantined.  The pharmacy manager contacted the manufacturer.  According to Pfizer it?s recommended to use the thawed vaccine within 120 hours, but can be used up to 144 hours.  The doses in question were administered before 125 hours after they were thawed.  The remaining expired vials will be wasted and appropriate notifications sent.  Assessment: Twenty patients received Pfizer COVID vaccine 5 hours passed the labeled expiration date and time.  While exceeding the manufacturer?s recommended beyond use dating, the doses were within the acceptable 144 hours post thaw period and still safe for patient administration.  There was misinterpretation of the labeled expiration time by the dispensing pharmacist, the container of COVID vaccine vials provided to nursing was not labeled with an expiration date or time, there was not a double check on hand off, the nursing team did not double check the expiration date/time before dilution or administration.  Recommendation:  When repackaging COVID Vaccine vials for distribution to vaccination centers, a label including the expiration date and time should be placed on the new container.    When COVID vaccine is transferred from one location or department to the next, a double check of the product, quantity, integrity and expiration date and time may prevent a recurrence of this situation.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Gaze palsy, Muscle tightness, Seizure
Clinical narrative: Client felt lightheaded when asked how she was feeling. She was immediately advised to put her vehicle in park. Client started seizing and  nurse was called over. Her eyes were rolling and her muscles were tightening up. ALS called over. Client regained consciousness but was confused. Fire Dpt. and ambulance was called as well. PT moved to stretcher. While being moved, car seat was noted to be wet. ALS took PT to ambulance, patient transported  to local hospital.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Pharyngeal paraesthesia, Throat tightness
Clinical narrative: About 30 minutes after my injection, I started to feel a tingly feeling in my throat, then felt like my throat was slightly tightening. I was driving and pulled over to monitor. It stayed the same for about 10 minutes, then started resolving. I never had any trouble breathing and I could sip water. When I returned home, my husband commented that I looked  ?flushed.?  I called my PCP who recommended to monitor myself, but that I was probably fine and no need for any treatment. I have not had any issues since and now am 24 hours post injection. There is no phone number to the site in which I received my vaccine. I have been trying to connect with someone who can advise on whether it is safe for me to receive my second dose. I would be so grateful for any advice on how to proceed as I really want to get the second shot, but also am concerned if there is a risk that I could have a severe allergic reaction upon receiving it. I have searched the agency website and see where a second dose is not recommended for anyone that has had a severe or non-severe allergic reaction to the first dose. What I had was not severe, but I am unclear if it was enough to preclude me from receiving a second dose. I would so appreciate any insight, guidance, or connection to someone who can advise on how to proceed. Thank you.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Fainted for approximately 5 seconds
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Dyspnoea, Hypoxia, Pneumonia, Pulmonary embolism
Clinical narrative: Patient developed shortness of breath the day after receiving his first Moderna vaccine. Symptoms increased over the next five days. Patient presented to the ED on 3/12/21 after being found hypoxic at their Primary Care doctor's office with O2 sats in the 60s. Patient was admitted to Hospital for pneumonia. Patient continued to require increasing amounts of high flow nasal canula O2 to maintain O2 sats and was diagnosed with multiple segmental pulmonary emboli on 3/16/21. On 3/17/21, patient was also diagnosed with a DVT on the right lower extremity.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia
Clinical narrative: Extreme redness in right eye, believe broken blood vessels.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram normal
Clinical narrative: Chest Tightness x 5 min Hx of irregular heart beat  x 3yrs. Normal limits: V/S BP= 132/96; HR= 77; RR= 20 No SOB
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Chills, Fatigue, Injection site erythema
Clinical narrative: Moderate pain at injection site lasting through the present, which is almost 47 hours after injection. Slight redness at injection site  starting only after 24 hours. Severe systemic joint pain/inflammation - ankles, knees, hips - to the point of making me hobble when walking. It started about 18 hours after injection and lasted until about 32 hours after injection. Was painful even when lying down, resting. Everything hurt. No fever throughout. But lots of body aches, chills and deep fatigue. I came home early from work midday yesterday, Tuesday (injection was Monday at 3:30pm) and slept all afternoon and evening. Did not take anything over the counter or prescription. Woke up this morning feeling better, no joint pain or inflammation anymore. Felt better and went back to work today. Feel fine now.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Moderate pain at injection site lasting through the present, which is almost 47 hours after injection. Slight redness at injection site  starting only after 24 hours. Severe systemic joint pain/inflammation - ankles, knees, hips - to the point of making me hobble when walking. It started about 18 hours after injection and lasted until about 32 hours after injection. Was painful even when lying down, resting. Everything hurt. No fever throughout. But lots of body aches, chills and deep fatigue. I came home early from work midday yesterday, Tuesday (injection was Monday at 3:30pm) and slept all afternoon and evening. Did not take anything over the counter or prescription. Woke up this morning feeling better, no joint pain or inflammation anymore. Felt better and went back to work today. Feel fine now.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Confusional state, Fatigue, Malaise, Memory impairment
Clinical narrative: Shaking/trembling hands, extreme tiredness, inability to process what?s going on, speech difficulty, general malaise and confusion, forgetfulness
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Mental impairment, Tremor
Clinical narrative: Shaking/trembling hands, extreme tiredness, inability to process what?s going on, speech difficulty, general malaise and confusion, forgetfulness
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: Chills, body aches