chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin decreased, Hypoxia, Inflammatory marker decreased, Procalcitonin increased, Productive cough
Clinical narrative: Hospitalized;  COVID-19 positive (9.1.21; 9.8.21);  fully vaccinated  Admission Date: 9/8/2021 Discharge Date:9/17/2021  Discharge Disposition:  home or self care  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 HOSPITAL COURSE: Patient is a 60M with past medical history of HTN, CLL ( not on treatment), OSA and fully vaccinated against COVID-19 who is presenting  with hypoxia and SOB. He tested positive for COVID 7 days ago (9/1) when he developed cough. He was scheduled to have monoclonial antibody infusion today however, was sent to the ED from the clinic due to hypoxia sats were at 87% prior to the infusion.He reports cough, chest heaviness, diarrhea and fevers. He has since been having worsening dyspnea, productive cough and persistent fever and chills. . He was febrile tachycardic and hypoxic on admission. He was placed on 2L oxygen with improvement in his oxygenation. Labs were notable for CRP 340.2, WBC 33.45, hgb 10.9.  He was admitted for acute hypoxic respiratory failure related to COVID-19 infection and possible superimposed bacterial pneumonia.  CT angiogram thorax showing no evidence of pulmonary embolism.  He received 5 days of remdesivir, and 10 days of Decadron.  He was noted to have elevated procalcitonin.  Blood and sputum cultures were negative.  He was placed on Rocephin and doxycycline for 7 days. He has had worsening respiratory status requiring placement of a HFNC. He was seen by pulmonary medicine. Inflammatory markers trended down. For his CLL he was diagnosed April 2021 with baseline WBC of 20. He is currently on not on active treatment. WBC level increased in the setting of infection and decadron use 9/17/2021 Pt S+E. Now on room air and stable at discharge. Patient in agreement with verbal instructions to return to ED if he experiences increased SOB. He will follow with his outpatient physicians
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sputum culture, Tachycardia, White blood cell count increased
Clinical narrative: Hospitalized;  COVID-19 positive (9.1.21; 9.8.21);  fully vaccinated  Admission Date: 9/8/2021 Discharge Date:9/17/2021  Discharge Disposition:  home or self care  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 HOSPITAL COURSE: Patient is a 60M with past medical history of HTN, CLL ( not on treatment), OSA and fully vaccinated against COVID-19 who is presenting  with hypoxia and SOB. He tested positive for COVID 7 days ago (9/1) when he developed cough. He was scheduled to have monoclonial antibody infusion today however, was sent to the ED from the clinic due to hypoxia sats were at 87% prior to the infusion.He reports cough, chest heaviness, diarrhea and fevers. He has since been having worsening dyspnea, productive cough and persistent fever and chills. . He was febrile tachycardic and hypoxic on admission. He was placed on 2L oxygen with improvement in his oxygenation. Labs were notable for CRP 340.2, WBC 33.45, hgb 10.9.  He was admitted for acute hypoxic respiratory failure related to COVID-19 infection and possible superimposed bacterial pneumonia.  CT angiogram thorax showing no evidence of pulmonary embolism.  He received 5 days of remdesivir, and 10 days of Decadron.  He was noted to have elevated procalcitonin.  Blood and sputum cultures were negative.  He was placed on Rocephin and doxycycline for 7 days. He has had worsening respiratory status requiring placement of a HFNC. He was seen by pulmonary medicine. Inflammatory markers trended down. For his CLL he was diagnosed April 2021 with baseline WBC of 20. He is currently on not on active treatment. WBC level increased in the setting of infection and decadron use 9/17/2021 Pt S+E. Now on room air and stable at discharge. Patient in agreement with verbal instructions to return to ED if he experiences increased SOB. He will follow with his outpatient physicians
Age: 17.0
Sex: F
Vaccine: FLU4, MENB
Symptoms: Headache
Clinical narrative: severe headache, referred to emergency department
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Dyspnoea, Electrocardiogram
Clinical narrative: A few hours after receiving the vaccine I got a sore arm from the injection site. The next day late in the evening I developed episodes of tachycardia with shortness of breath, dizziness, chest pain, and chest discomfort to the point where I had to get put onto a Holter monitor.  The monitor saw episodes of the tachycardia. My lowest heart rate was 46, which is normal for me when I sleep, and up to 156. I had to give up caffeine because of the episodes from the tachycardia that  was getting. The Holter monitor also noticed a Wenckebach once.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Injection site pain, Tachycardia
Clinical narrative: A few hours after receiving the vaccine I got a sore arm from the injection site. The next day late in the evening I developed episodes of tachycardia with shortness of breath, dizziness, chest pain, and chest discomfort to the point where I had to get put onto a Holter monitor.  The monitor saw episodes of the tachycardia. My lowest heart rate was 46, which is normal for me when I sleep, and up to 156. I had to give up caffeine because of the episodes from the tachycardia that  was getting. The Holter monitor also noticed a Wenckebach once.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Diarrhoea, Fatigue, Interchange of vaccine products
Clinical narrative: Patient had previously received the Janssen (J&J) vaccine at Pharmacy on 3/9/2021.  This violates the EUA for both vaccine parameters.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Arthralgia, Breast pain, Eye pain, Fatigue
Clinical narrative: My first injection I had tightness of the throat that lasted less than a minute and then I had a common side effects of pain at the injection site and tiredness . My second Covid injection my throat felt like I could not swallow and then I had severe tiredness where I was in bed all day  only up for 4.5  hours, pain in the abdomen,  pain above my hip bone, pain across my breast, pain above my eyes, headache and severe tiredness. Also pain at the injection site. Still with a headache. In total I was down for a day and a half. I notified my physician of these side effects.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hypersomnia, Injection site pain, Throat irritation
Clinical narrative: My first injection I had tightness of the throat that lasted less than a minute and then I had a common side effects of pain at the injection site and tiredness . My second Covid injection my throat felt like I could not swallow and then I had severe tiredness where I was in bed all day  only up for 4.5  hours, pain in the abdomen,  pain above my hip bone, pain across my breast, pain above my eyes, headache and severe tiredness. Also pain at the injection site. Still with a headache. In total I was down for a day and a half. I notified my physician of these side effects.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Musculoskeletal stiffness, Pain, Paraesthesia, Physical examination
Clinical narrative: Pressure, stiffness in all fingers, and dull pain. Intermittent pain increasing in frequency and duration. Paresthesia affecting the way the patient uses her hands.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Gait disturbance, Headache, Hypoaesthesia
Clinical narrative: I was fine the day of the vaccine, just a sore arm. The next morning, Saturday, I had a severe headache but was able to take ibuprofen and keep it under control. Sunday, I was fine. On Monday and Tuesday, I had a lot of diarrhea. On Wednesday morning (starting at 4:00 a.m.), I was so dizzy, I was not able to walk safely. The dizziness lasted most of the day. By Thursday morning, the skin on both of my hands were peeling, the entire palms and fingers were peeling. The tips of my fingers and my feet had numbness and tingling (though my feet were not peeling). The peeling only lasted a day but the tingling lasted a couple weeks. All the side effects seem to be gone now.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Skin exfoliation
Clinical narrative: I was fine the day of the vaccine, just a sore arm. The next morning, Saturday, I had a severe headache but was able to take ibuprofen and keep it under control. Sunday, I was fine. On Monday and Tuesday, I had a lot of diarrhea. On Wednesday morning (starting at 4:00 a.m.), I was so dizzy, I was not able to walk safely. The dizziness lasted most of the day. By Thursday morning, the skin on both of my hands were peeling, the entire palms and fingers were peeling. The tips of my fingers and my feet had numbness and tingling (though my feet were not peeling). The peeling only lasted a day but the tingling lasted a couple weeks. All the side effects seem to be gone now.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Heart rate decreased, Loss of consciousness, Unresponsive to stimuli, Visual impairment
Clinical narrative: Patient received her vaccine and walked out to the waiting room. Approximately 2 minutes after receiving vaccine, patient became unresponsive and appeared as though she had "passed out." Patient was lowered to the floor by this nurse. Patient became responsive within seconds of the beginning of the episode and started crying and yelling, stating it was difficult for her to see.  Breathing remained even and unlabored (outside of screaming). Blood pressure taken and was within normal limits. Patient then became unresponsive again and bilateral arms drew up to her chest. 911 was called at this time and paramedics were in the building within minutes. Patient was responsive, sitting up, drinking water, and eating a cracker when paramedics arrived. EMS placed a pulse oximeter on patient, pulse and O2 sat within normal limits. While paramedics were there, patient had another episode of becoming unresponsive and arms drawing up to her chest. Patient's heart rate dropped to the mid-low 40's during this episode. EMS then assisted patient onto the stretcher and took her to the ambulance for additional testing.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 27.0
Sex: M
Vaccine: UNK
Symptoms: Hallucination, Pneumonia, Pyrexia
Clinical narrative: Fever with hallucinations (temperature unknown), pneumonia-like symptoms; was seen by urgent care on 10/4.  No pneumonia.  Intermittent shortness of breath; difficulty in taking a full breath intermittently.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Impaired work ability, Insomnia, Joint range of motion decreased, Neck pain
Clinical narrative: Pain in the left neck started on Aug 27th 2021 after the 1st shot. Pain increased in a few days, so started taking Ibuprofen, Tylenol but no change in pain. Slowly pain became severe covering the entire area from upper left neck to mid left shoulder. Unable to rotate head and bend neck and shoulder.   So started applying Bengey and Salonpas Pain relief patches and pain became worse. Since the pain didnt reduce and unable to sleep in the nights, finally went to urgent care and the doc gave Cyclobenzoprine 10 mg tablet (every 8 hours as needed) and Naproxen 500 mg (twice a day as needed). Pain slightly reduced but still exists and cannot move my head and shoulder freely impacting my daily works!
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna was received from deep freezer on 8/6/21. Was placed in refrigerator on 8/6/21. 30 day expiration date was 9/5/21. Moderna was left in refrigerator and used until 9/13/21. On 9/14/21 we realized we were beyond the 30 days and immediately notified the Pharmacy for direction. The Pharmacists are in communication with Moderna to see if the doses are considered valid or invalid. Risk Management is involved to decide on the best course of action and if we notify the patient before we hear back from Moderna.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Oligomenorrhoea
Clinical narrative: prolonged menstrual bleeding
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: There were NO REPORTED ADVERSE EVENT. Vaccine was administered at 1 day past the UPDATED EXPIRY of 08/23/21 though still within vaccine PACKAGE EXPIRY date of 08/31/21. The Only filing as a VACCINE ADMINISTRATION ERROR report.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient had received 1 dose of Moderna vaccine on 4/11/21, Pfizer on 7/29/21, and another Pfizer today on 9/17/21.  Essentially, he received an extra dose of a COVID vaccine.  He was observed in the waiting room for 15 minutes with no adverse effects noted.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Pain in extremity, Pyrexia, Rash
Clinical narrative: My daughter was contact with another kid that was sick, Next day She had a fever and arm was hurting.  She also had a stuffy nose. A month later she has a rash appear on her neck all the way down to her ankles.
Age: 50.0
Sex: U
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea
Clinical narrative: RESPIRATORY COMPLAINTS, SHORTNESS OF BREATH, COUGH BODY ACHES, LOSS OF TASTE AND SMELL
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: RESPIRATORY COMPLAINTS, SHORTNESS OF BREATH, COUGH BODY ACHES, LOSS OF TASTE AND SMELL
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Around the beginning of August I began having itchy skin mostly on my arms and legs. If I scratched it it got red and sometimes it had welts (hives?).   This was mostly on my back or butt.  It goes away pretty quickly with Benadryl.    I emailed my dr and she prescribed a steroid cream and Seroquel.  The cream works, but the Seroquel  didn?t do much.  I started Zyrtec an d it helps.    The condition is better though I have some itchy days.   I didn?t see my dr in person, only contacted her by email.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was supposed to get moderna second dose and she got pfizer second  dose because of miscomunication
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chest discomfort, Ear pain
Clinical narrative: I was six full weeks prior to this COVID - I had a breathing exam and multiple tests. I had been sick before that, too. I have been sick for basically a year straight. I had a sore throat, a headache, an earache and congestion. I had sneezing and fatigue, loss of taste and smell. I called my doctor and she sent me to COVID test  - Monday, August 2nd and I went to drive through through Asanti - positive result. No treatment. I quarantined for a week - 7 full days. I didn't results of COVID test until Wednesday (quarantined through following Wed). So that following Wednesday, I was still very tired, and still had a tight chest/congestion - but it's very smokey here so it might have been from the smoke. My sense of taste and smell were slowly coming back that following Wednesday. I do have them back fully now.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I was six full weeks prior to this COVID - I had a breathing exam and multiple tests. I had been sick before that, too. I have been sick for basically a year straight. I had a sore throat, a headache, an earache and congestion. I had sneezing and fatigue, loss of taste and smell. I called my doctor and she sent me to COVID test  - Monday, August 2nd and I went to drive through through Asanti - positive result. No treatment. I quarantined for a week - 7 full days. I didn't results of COVID test until Wednesday (quarantined through following Wed). So that following Wednesday, I was still very tired, and still had a tight chest/congestion - but it's very smokey here so it might have been from the smoke. My sense of taste and smell were slowly coming back that following Wednesday. I do have them back fully now.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I was six full weeks prior to this COVID - I had a breathing exam and multiple tests. I had been sick before that, too. I have been sick for basically a year straight. I had a sore throat, a headache, an earache and congestion. I had sneezing and fatigue, loss of taste and smell. I called my doctor and she sent me to COVID test  - Monday, August 2nd and I went to drive through through Asanti - positive result. No treatment. I quarantined for a week - 7 full days. I didn't results of COVID test until Wednesday (quarantined through following Wed). So that following Wednesday, I was still very tired, and still had a tight chest/congestion - but it's very smokey here so it might have been from the smoke. My sense of taste and smell were slowly coming back that following Wednesday. I do have them back fully now.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Muscle tightness, Tension headache
Clinical narrative: Injection site pain (for 2 days following vaccine) muscle tension in neck and knot in uppers back/shoulders, tension headache (for 3 days following vaccination) - husband massaging knots, got a chiropractic adjustment. Neck is still tight on/off a week after vaccination
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient had previously received the Janssen (J&J) vaccine at Practice on 3/31/2021.  This violates the EUA for both vaccine parameters.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Antibody test, Chest X-ray, Chest discomfort, Dyspnoea, Throat tightness
Clinical narrative: Throat tightness, chest tightness, mild to moderate difficulty breathing.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Individual received a 1st dose of Moderna COVID vaccine in a long term care facility on 1/26/2021. We were not aware of the previous COVID vaccine. We administered a 1st dose of Pfizer COVID vaccine on 8/26/21 and a 2nd dose of Pfizer COVID vaccine on 9/17/21.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Hyperhidrosis, Paraesthesia, Paraesthesia oral
Clinical narrative: Patient advised nurse that she was feeling her arms and legs tingle. When I arrived she was "sweaty". She stated that she was dizzy and her lips tingled. SOB. No further treatment given.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hyperhidrosis, Paraesthesia, Paraesthesia oral
Clinical narrative: Patient advised nurse that she was feeling her arms and legs tingle. When I arrived she was "sweaty". She stated that she was dizzy and her lips tingled. SOB. No further treatment given.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Hyperhidrosis, Paraesthesia, Paraesthesia oral
Clinical narrative: Pt advised nurse that she was feeling her arms and legs tingle. When I arrived she was sweating. She stated that she was dizzy and her lips tingled.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hyperhidrosis, Paraesthesia, Paraesthesia oral
Clinical narrative: Pt advised nurse that she was feeling her arms and legs tingle. When I arrived she was sweating. She stated that she was dizzy and her lips tingled.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Period has been earlier since June and lasts longer - not heavier - just longer - and only 24 days between cycles vs the 28-30 that I've had for the last 8 years.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram, Dyspnoea
Clinical narrative: About 8 days later, after covid agot started having a hard time breathing doing normal things such as talking or even going on a walk. Also had light chest pain. I normally run 3 to 4 times per week so this was not normal.  The following day after the shot I felt like I had  bad covid again (dec 2020) but I recovers after 48 hours.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 19
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Vasovagal syncope. Patient felt lightheaded. Pt drank water and ate snack and returned to baseline after about 30 minutes.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypoaesthesia, Pharyngeal swelling, Swollen tongue
Clinical narrative: Swollen tongue/throat, numbness in arm/leg/jaw, rapid heart beat.  Treated with  Benadryl upon onset.  Followed with Claritin day 3 to present.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna was received from deep freezer on 8/6/21. Was placed in Student Health refrigerator on 8/6/21. 30 day expiration date was 9/5/21. Moderna was left in Student Health refrigerator and used until 9/13/21. On 9/14/21 we realized we were beyond the 30 days and immediately notified the Pharmacy for direction. The Pharmacists are in communication with Moderna to see if the doses are considered valid or invalid. Risk Management is involved to decide on the best course of action and if we notify the patient before we hear back from Moderna.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine that was stored in the freezer for 19 days prior to moving to the refrigerator.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Pneumonia
Clinical narrative: pneumonia
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Myalgia, Pyrexia
Clinical narrative: tiredness, muscle aches, shivering, slight fever
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Feeling hot, Pallor, Paraesthesia
Clinical narrative: patient's arm felt tingly, his head felt "wierd, sluggish. or foggy" he felt as though he might "pass out or faint" , his face grew very pale, he reported that his chest felt warm. He did not actually suffer a LOC.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Student received injection of Pfizer on 08/16/2021 and on 09/17/2021 he received a dose of Moderna.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram, Dehydration, Feeding disorder, Fluid intake reduced
Clinical narrative: Severe headache for three weeks which required three trips to the ER and on the third visit, he was admitted. Headache would be so severe that when he got up, he would be throwing up. He couldn't eat or drink anything which caused severe dehydration. He missed two weeks of school. Although the headache has improved, it still has not completely gone away. He has an appointment with a neurologist in November which is the earliest we could get. It has now been over a month since he has received the vaccine.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Laboratory test, Loss of personal independence in daily activities, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: Severe headache for three weeks which required three trips to the ER and on the third visit, he was admitted. Headache would be so severe that when he got up, he would be throwing up. He couldn't eat or drink anything which caused severe dehydration. He missed two weeks of school. Although the headache has improved, it still has not completely gone away. He has an appointment with a neurologist in November which is the earliest we could get. It has now been over a month since he has received the vaccine.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Vomiting
Clinical narrative: Severe headache for three weeks which required three trips to the ER and on the third visit, he was admitted. Headache would be so severe that when he got up, he would be throwing up. He couldn't eat or drink anything which caused severe dehydration. He missed two weeks of school. Although the headache has improved, it still has not completely gone away. He has an appointment with a neurologist in November which is the earliest we could get. It has now been over a month since he has received the vaccine.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Emotional distress, Suppressed lactation
Clinical narrative: I was breastfeeding and my milk supply dropped to almost nothing a week after getting the vaccine. I am so upset about it. I also got my menstrual cycle back. I can no longer breastfeed my baby.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: There were NO REPORTED ADVERSE EVENT. Vaccine was administered at 1 day past the UPDATED EXPIRY of 08/23/21 though still within vaccine PACKAGE EXPIRY date of 08/31/21. The Only filing as a VACCINE ADMINISTRATION ERROR report.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: RASH, URTICARIA TO LEFT ARM STARTED THE DAY OF VACCINE.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Pyrexia
Clinical narrative: Patient experienced chills, fever, fatigue, and lightheadedness the same day that he received his Johnson and Johnson vaccine.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death
Clinical narrative: Patient recently discharged from Hospital for COVID pneumonia.  Patient symptoms did not improve and came to our faciliy on 9/3.  Patient's respiratory status deteriorated.  Family consented to DNR.  Patient expired 9/15/21.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna was received from deep freezer on 8/6/21. Was placed in refrigerator on 8/6/21. 30 day expiration date was 9/5/21. Moderna was left in refrigerator and used until 9/13/21. On 9/14/21 we realized we were beyond the 30 days and immediately notified the Pharmacy for direction. The Pharmacists are in communication with Moderna to see if the doses are considered valid or invalid. Risk Management is involved to decide on the best course of action and if we notify the patient before we hear back from Moderna.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Cough, Ear discomfort, Exposure to SARS-CoV-2
Clinical narrative: I got exposed to someone who had Covid-19 on 9/10/21. I started feeling bad on 9/13/21. The symptoms I have had have been a bad headache, no energy and not feeling very well. I have been having congestion and coughing. The 2nd day my lungs hurt but they don't anymore. I have had a real mild fever. My ears have been stopped up as well. I had a virtual appointment and will be receiving the antibody treatment in about 20 minutes.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Malaise, Pulmonary pain, Pyrexia
Clinical narrative: I got exposed to someone who had Covid-19 on 9/10/21. I started feeling bad on 9/13/21. The symptoms I have had have been a bad headache, no energy and not feeling very well. I have been having congestion and coughing. The 2nd day my lungs hurt but they don't anymore. I have had a real mild fever. My ears have been stopped up as well. I had a virtual appointment and will be receiving the antibody treatment in about 20 minutes.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: I got exposed to someone who had Covid-19 on 9/10/21. I started feeling bad on 9/13/21. The symptoms I have had have been a bad headache, no energy and not feeling very well. I have been having congestion and coughing. The 2nd day my lungs hurt but they don't anymore. I have had a real mild fever. My ears have been stopped up as well. I had a virtual appointment and will be receiving the antibody treatment in about 20 minutes.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient had previously received the Pfizer Dose 1 on 1/8/2021 and Pfizer Dose 2 on 1/29/2021.  This violates the guidelines for both vaccine parameters.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Patient experienced normal adverse reactions in the first two days after receiving their first dose of the vaccine including arm pain, headache, fatigue, low grade fever, and nausea. On the third day, patient experienced major body pain, chills, body sweats, and reported fainting. Patient reports feeling so nauseous that she can't even make it to the bathroom anymore. Symptoms continue to persist 3 weeks after the first dose. It is unclear if patient received any treatment for symptoms.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Patient experienced normal adverse reactions in the first two days after receiving their first dose of the vaccine including arm pain, headache, fatigue, low grade fever, and nausea. On the third day, patient experienced major body pain, chills, body sweats, and reported fainting. Patient reports feeling so nauseous that she can't even make it to the bathroom anymore. Symptoms continue to persist 3 weeks after the first dose. It is unclear if patient received any treatment for symptoms.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient experienced normal adverse reactions in the first two days after receiving their first dose of the vaccine including arm pain, headache, fatigue, low grade fever, and nausea. On the third day, patient experienced major body pain, chills, body sweats, and reported fainting. Patient reports feeling so nauseous that she can't even make it to the bathroom anymore. Symptoms continue to persist 3 weeks after the first dose. It is unclear if patient received any treatment for symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Pallor, Seizure
Clinical narrative: Pt began having seizure at 1831. Assisted to floor in side lying position. Airway maintained. Decerebrate posturing noted. Unable to obtain VS due to tightness of limbs. Pt having cont seizures at 1841 decision to activate EMS with permission. Slight dusky. Patient continues to have seizures. 1854 EMS arrived on scene. Airway maintained but slightly dusky fingers an circumoral cyanosis noted. Transported to hospital.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Condition aggravated, Histiocytic necrotising lymphadenitis, Lymphadenopathy, Pyrexia
Clinical narrative: I had swollen cervical lymph nodes + repeated fever for over 2 weeks. I had another course of symptoms after a month later. The second time different cervical nodes were swollen. Only took ibuprofen and Tylenol for fever. Because I had Kikuchi disease history, physicians agreed my symptoms look like a reoccurrence of Kikuchi disease.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Amyotrophy, Arthralgia, Condition aggravated, Demyelination, Electromyogram abnormal
Clinical narrative: Sudden onset severe 8-9/10 pain left shoulder/brachial plexus area radiating down to left elbow associated with sudden loss of motor function in left shoulder and muscle fasciculations.  Seen within 3 hours at Orthopedics.   Acute severe pain and motor loss has now become persistent.  Within a week diagnosed as Parsonage Turner Syndrome (Acute left brachial neuritis/neuralgia/amyotrophy.)   Rare (approx 3/100,000) condition thought to be an auto-immune disease.  Surgery, VACCINATIONS, and viral infections may be causal.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal abnormal, Motor dysfunction, Muscle contractions involuntary, Nerve conduction studies abnormal, Nerve injury
Clinical narrative: Sudden onset severe 8-9/10 pain left shoulder/brachial plexus area radiating down to left elbow associated with sudden loss of motor function in left shoulder and muscle fasciculations.  Seen within 3 hours at Orthopedics.   Acute severe pain and motor loss has now become persistent.  Within a week diagnosed as Parsonage Turner Syndrome (Acute left brachial neuritis/neuralgia/amyotrophy.)   Rare (approx 3/100,000) condition thought to be an auto-immune disease.  Surgery, VACCINATIONS, and viral infections may be causal.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Nervous system disorder, Neuralgia, Neuralgic amyotrophy, Pain, Pain in extremity
Clinical narrative: Sudden onset severe 8-9/10 pain left shoulder/brachial plexus area radiating down to left elbow associated with sudden loss of motor function in left shoulder and muscle fasciculations.  Seen within 3 hours at Orthopedics.   Acute severe pain and motor loss has now become persistent.  Within a week diagnosed as Parsonage Turner Syndrome (Acute left brachial neuritis/neuralgia/amyotrophy.)   Rare (approx 3/100,000) condition thought to be an auto-immune disease.  Surgery, VACCINATIONS, and viral infections may be causal.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Radiculitis brachial, Spinal osteoarthritis, X-ray limb
Clinical narrative: Sudden onset severe 8-9/10 pain left shoulder/brachial plexus area radiating down to left elbow associated with sudden loss of motor function in left shoulder and muscle fasciculations.  Seen within 3 hours at Orthopedics.   Acute severe pain and motor loss has now become persistent.  Within a week diagnosed as Parsonage Turner Syndrome (Acute left brachial neuritis/neuralgia/amyotrophy.)   Rare (approx 3/100,000) condition thought to be an auto-immune disease.  Surgery, VACCINATIONS, and viral infections may be causal.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arteriosclerosis, Asthenia, C-reactive protein increased, COVID-19, Cerebellar infarction
Clinical narrative: Hospitalization (9.10.21);  COVID-19 positive (9.9.21);  fully vaccinated  Chief Complaint/Reason for Admission: Acute ischemic stroke, s/p tPA ASSESSMENT & PLAN: NEURO: Acute ischemic stroke s/p TPA, suspect embolic/atherosclerosis vs hypercoagulable state in the setting of Covid + ;  TIA HPI:  Patient is a 68 year old with a PMH significant for Schizoaffective disorder, HTN, COPD, Chronic pain, and Covid + that presents today from Big Rapids with concern for acute ischemic stroke. To review, he was recently admitted with aspiration PNA 8/26/2021 and was discharged back to his AFC home and unfortunately requires more assistance then they can provide (requiring 2-3 person assist). He present to Big Rapids ER 9/9 and was admitted for evaluation by PT/OT for recommendations for rehab/placement. He had complaints of cough, nasal drainage, and sore throat. Covid testing was negative 9/8 and repeated on admission which was positive, however, he remains stable on room air with plans for monoclonal antibody treatment. Last evening he was LKW at 2230, upon reevaluation he had acute onset right facial droop, RUE/RLE plegia, and dysarthria at 0044. A stroke code was initiated, 24, BP 142/67. A head CT was negative for acute hemorrhage yet revealed a new acute/subacute lacunar infarct at the left thalamus and small left cerebellar infarct, since 11/7/2020), CTA was significantly degraded by motion vessels visualized were negative for LVO, CTP with no hypoperfusion or core. Accordingly, TPA was administered at 0217 and the patient was transferred to SHBW NICU for further evaluation. Upon arrival to the NICU he was drowsy and dysarthric, followed simple commands. His strength appears generalized, minimally worse on right. Will complete a stroke workup and follow his Covid for potential respiratory compromise. ROS was difficult secondary to dysarthria, he denied chest pain, abdominal pain. Unable to obtain complaints due to dysarthria.  Note from 9.16.21:  ASSESSMENT / PLAN * Acute ischemic stroke (HCC) Assessment & Plan Stable  CT head in Big Rapids showed acute/subacute lacunar infarct at the left thalamus and a small left cerebellar infarction. tPA given with no complications with some improvement of symptoms. Unable to perform MRI brain due to implanted low back stmuilator. Repeat CTHs have been stable with no evidence of bleed or new infarcts. ECHO normal.            -continue statin           -PT/OT/SLP consulted; recommend SAR and dysphagia diet           -normal BP goal           -discharge planned to subacute rehab   COVID-19 Assessment & Plan Improving.  Current oxygen requirement: SpO2: 92 % O2 Flow Rate (l/min): 2 l/min, Lymphocyte count: 0.75, CRP: 28.5, D-dimer: No results found for requested labs within last 720 hours., Ferritin: No results found for requested labs within last 720 hours., Procalcitonin: 0.07  -Dexamethasone 6 mg day 6 -VTE prophylaxis with enoxaparin -Escalating oxygen support up to and including intubation
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head abnormal, Condition aggravated, Cough, Dysarthria, Echocardiogram normal
Clinical narrative: Hospitalization (9.10.21);  COVID-19 positive (9.9.21);  fully vaccinated  Chief Complaint/Reason for Admission: Acute ischemic stroke, s/p tPA ASSESSMENT & PLAN: NEURO: Acute ischemic stroke s/p TPA, suspect embolic/atherosclerosis vs hypercoagulable state in the setting of Covid + ;  TIA HPI:  Patient is a 68 year old with a PMH significant for Schizoaffective disorder, HTN, COPD, Chronic pain, and Covid + that presents today from Big Rapids with concern for acute ischemic stroke. To review, he was recently admitted with aspiration PNA 8/26/2021 and was discharged back to his AFC home and unfortunately requires more assistance then they can provide (requiring 2-3 person assist). He present to Big Rapids ER 9/9 and was admitted for evaluation by PT/OT for recommendations for rehab/placement. He had complaints of cough, nasal drainage, and sore throat. Covid testing was negative 9/8 and repeated on admission which was positive, however, he remains stable on room air with plans for monoclonal antibody treatment. Last evening he was LKW at 2230, upon reevaluation he had acute onset right facial droop, RUE/RLE plegia, and dysarthria at 0044. A stroke code was initiated, 24, BP 142/67. A head CT was negative for acute hemorrhage yet revealed a new acute/subacute lacunar infarct at the left thalamus and small left cerebellar infarct, since 11/7/2020), CTA was significantly degraded by motion vessels visualized were negative for LVO, CTP with no hypoperfusion or core. Accordingly, TPA was administered at 0217 and the patient was transferred to SHBW NICU for further evaluation. Upon arrival to the NICU he was drowsy and dysarthric, followed simple commands. His strength appears generalized, minimally worse on right. Will complete a stroke workup and follow his Covid for potential respiratory compromise. ROS was difficult secondary to dysarthria, he denied chest pain, abdominal pain. Unable to obtain complaints due to dysarthria.  Note from 9.16.21:  ASSESSMENT / PLAN * Acute ischemic stroke (HCC) Assessment & Plan Stable  CT head in Big Rapids showed acute/subacute lacunar infarct at the left thalamus and a small left cerebellar infarction. tPA given with no complications with some improvement of symptoms. Unable to perform MRI brain due to implanted low back stmuilator. Repeat CTHs have been stable with no evidence of bleed or new infarcts. ECHO normal.            -continue statin           -PT/OT/SLP consulted; recommend SAR and dysphagia diet           -normal BP goal           -discharge planned to subacute rehab   COVID-19 Assessment & Plan Improving.  Current oxygen requirement: SpO2: 92 % O2 Flow Rate (l/min): 2 l/min, Lymphocyte count: 0.75, CRP: 28.5, D-dimer: No results found for requested labs within last 720 hours., Ferritin: No results found for requested labs within last 720 hours., Procalcitonin: 0.07  -Dexamethasone 6 mg day 6 -VTE prophylaxis with enoxaparin -Escalating oxygen support up to and including intubation
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Embolic stroke, Endotracheal intubation, Facial paralysis, Fibrin D dimer, Hemiplegia
Clinical narrative: Hospitalization (9.10.21);  COVID-19 positive (9.9.21);  fully vaccinated  Chief Complaint/Reason for Admission: Acute ischemic stroke, s/p tPA ASSESSMENT & PLAN: NEURO: Acute ischemic stroke s/p TPA, suspect embolic/atherosclerosis vs hypercoagulable state in the setting of Covid + ;  TIA HPI:  Patient is a 68 year old with a PMH significant for Schizoaffective disorder, HTN, COPD, Chronic pain, and Covid + that presents today from Big Rapids with concern for acute ischemic stroke. To review, he was recently admitted with aspiration PNA 8/26/2021 and was discharged back to his AFC home and unfortunately requires more assistance then they can provide (requiring 2-3 person assist). He present to Big Rapids ER 9/9 and was admitted for evaluation by PT/OT for recommendations for rehab/placement. He had complaints of cough, nasal drainage, and sore throat. Covid testing was negative 9/8 and repeated on admission which was positive, however, he remains stable on room air with plans for monoclonal antibody treatment. Last evening he was LKW at 2230, upon reevaluation he had acute onset right facial droop, RUE/RLE plegia, and dysarthria at 0044. A stroke code was initiated, 24, BP 142/67. A head CT was negative for acute hemorrhage yet revealed a new acute/subacute lacunar infarct at the left thalamus and small left cerebellar infarct, since 11/7/2020), CTA was significantly degraded by motion vessels visualized were negative for LVO, CTP with no hypoperfusion or core. Accordingly, TPA was administered at 0217 and the patient was transferred to SHBW NICU for further evaluation. Upon arrival to the NICU he was drowsy and dysarthric, followed simple commands. His strength appears generalized, minimally worse on right. Will complete a stroke workup and follow his Covid for potential respiratory compromise. ROS was difficult secondary to dysarthria, he denied chest pain, abdominal pain. Unable to obtain complaints due to dysarthria.  Note from 9.16.21:  ASSESSMENT / PLAN * Acute ischemic stroke (HCC) Assessment & Plan Stable  CT head in Big Rapids showed acute/subacute lacunar infarct at the left thalamus and a small left cerebellar infarction. tPA given with no complications with some improvement of symptoms. Unable to perform MRI brain due to implanted low back stmuilator. Repeat CTHs have been stable with no evidence of bleed or new infarcts. ECHO normal.            -continue statin           -PT/OT/SLP consulted; recommend SAR and dysphagia diet           -normal BP goal           -discharge planned to subacute rehab   COVID-19 Assessment & Plan Improving.  Current oxygen requirement: SpO2: 92 % O2 Flow Rate (l/min): 2 l/min, Lymphocyte count: 0.75, CRP: 28.5, D-dimer: No results found for requested labs within last 720 hours., Ferritin: No results found for requested labs within last 720 hours., Procalcitonin: 0.07  -Dexamethasone 6 mg day 6 -VTE prophylaxis with enoxaparin -Escalating oxygen support up to and including intubation
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypercoagulation, Intensive care, Ischaemic stroke, Lacunar infarction, Lymphocyte count decreased
Clinical narrative: Hospitalization (9.10.21);  COVID-19 positive (9.9.21);  fully vaccinated  Chief Complaint/Reason for Admission: Acute ischemic stroke, s/p tPA ASSESSMENT & PLAN: NEURO: Acute ischemic stroke s/p TPA, suspect embolic/atherosclerosis vs hypercoagulable state in the setting of Covid + ;  TIA HPI:  Patient is a 68 year old with a PMH significant for Schizoaffective disorder, HTN, COPD, Chronic pain, and Covid + that presents today from Big Rapids with concern for acute ischemic stroke. To review, he was recently admitted with aspiration PNA 8/26/2021 and was discharged back to his AFC home and unfortunately requires more assistance then they can provide (requiring 2-3 person assist). He present to Big Rapids ER 9/9 and was admitted for evaluation by PT/OT for recommendations for rehab/placement. He had complaints of cough, nasal drainage, and sore throat. Covid testing was negative 9/8 and repeated on admission which was positive, however, he remains stable on room air with plans for monoclonal antibody treatment. Last evening he was LKW at 2230, upon reevaluation he had acute onset right facial droop, RUE/RLE plegia, and dysarthria at 0044. A stroke code was initiated, 24, BP 142/67. A head CT was negative for acute hemorrhage yet revealed a new acute/subacute lacunar infarct at the left thalamus and small left cerebellar infarct, since 11/7/2020), CTA was significantly degraded by motion vessels visualized were negative for LVO, CTP with no hypoperfusion or core. Accordingly, TPA was administered at 0217 and the patient was transferred to SHBW NICU for further evaluation. Upon arrival to the NICU he was drowsy and dysarthric, followed simple commands. His strength appears generalized, minimally worse on right. Will complete a stroke workup and follow his Covid for potential respiratory compromise. ROS was difficult secondary to dysarthria, he denied chest pain, abdominal pain. Unable to obtain complaints due to dysarthria.  Note from 9.16.21:  ASSESSMENT / PLAN * Acute ischemic stroke (HCC) Assessment & Plan Stable  CT head in Big Rapids showed acute/subacute lacunar infarct at the left thalamus and a small left cerebellar infarction. tPA given with no complications with some improvement of symptoms. Unable to perform MRI brain due to implanted low back stmuilator. Repeat CTHs have been stable with no evidence of bleed or new infarcts. ECHO normal.            -continue statin           -PT/OT/SLP consulted; recommend SAR and dysphagia diet           -normal BP goal           -discharge planned to subacute rehab   COVID-19 Assessment & Plan Improving.  Current oxygen requirement: SpO2: 92 % O2 Flow Rate (l/min): 2 l/min, Lymphocyte count: 0.75, CRP: 28.5, D-dimer: No results found for requested labs within last 720 hours., Ferritin: No results found for requested labs within last 720 hours., Procalcitonin: 0.07  -Dexamethasone 6 mg day 6 -VTE prophylaxis with enoxaparin -Escalating oxygen support up to and including intubation