chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.08
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Currently no adverse effects. 1 year old patient was given adult dose of Hep  A Havrix adult dose  instead of pediatric dose. Questions we have are what are possible side effects?   After reading  CDC guidelines it appears to not have contraindications. Will the patient need a second dose?
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administration error
Clinical narrative: Lower than authorized dose volume (0.25 ml) administered, once identified patient notified and returned for additional 0.25 ml to equate to 0.5 ml (recommended third dose of Moderna COVID-19 vaccine for immunocompromised patients), per  recommendation via CDC COVID-19 Vaccine Administration Errors and Deviations.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Chills, Pyrexia
Clinical narrative: Patient states that  they had chills the next day and then a fever 2 days after shot.  The patient says that the developed a blister on arm 3-4 days after the shot.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt is 64 years old and I accidentally administered an HD flu shot for pts 65 years and older. Pt has not experienced any adverse reaction thus far.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Disorientation, Dizziness, Nausea, Syncope
Clinical narrative: Pt received 2nd dose J&J vaccine 11/19/21 in right arm, stood to walk towards entrance, got dizzy, and fainted. No witness was able to see if pt hit her head. Pt was disoriented for less than 30 seconds, EMS called. BP was 142/98 laying down at 1615. Pt was A&Ox4, reported nausea, pupils equal and reactive bilaterally. Blood sugar 93 at 1618. EMS arrived at 1623 and assumed care, advised pt and mother I recommend she be evaluated at ER d/t unknown if pt hit her head. Pt refused ER evaluation. Mother and pt educated on warning signs of concussions as well as declining neurological symptoms that warrant immediate medical attention.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Immediately post vaccination pt reported dizziness.  Vitals: 84/51, 75, 17 Pt stable and released from the vaccination site.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Limb discomfort, Lip swelling, Paraesthesia
Clinical narrative: While I was working, a lady came to the counseling window to ask a question. She told me she had gotten a Johnson and Johnson COVID shot ten minutes before and stated her arms felt numb, tingly, and heavy. She asked whether this normal.  I told her it?s not a normal, common side effect. I asked her if she had a history of reactions to vaccinations. She told me she hadn?t. I asked her for her name and phone number so I can report it to VAERs.  She then complained of sudden numbness in her upper lip. I realized it might be an allergic reaction. I grabbed a chair and had her sit down. I then got an epipen and went into the office to tell a manager to call 911.  I went back to check on the customer and asked how she was doing. She stated her throat was starting to tingle. I noticed upper lip was starting to swell. I asked her if she could wait for the paramedics to arrive, but she asked me to give her the epipen shot. She mentioned she got an epipen shot when she young. She didn?t know what she?s allegoric to, but this wasn?t the first time she was given an epipen shot.  I gave her the shot. She started feeling better, and I gave her some water and some candy because she appeared to be in a state of low-sugar. The paramedics arrived shortly after this. I explained the situation to the paramedics and what I had done for the customer.  Leaving the customer in the care of the paramedics, I went back to the pharmacy. She left with the paramedics shortly after this.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia
Clinical narrative: While I was working, a lady came to the counseling window to ask a question. She told me she had gotten a Johnson and Johnson COVID shot ten minutes before and stated her arms felt numb, tingly, and heavy. She asked whether this normal.  I told her it?s not a normal, common side effect. I asked her if she had a history of reactions to vaccinations. She told me she hadn?t. I asked her for her name and phone number so I can report it to VAERs.  She then complained of sudden numbness in her upper lip. I realized it might be an allergic reaction. I grabbed a chair and had her sit down. I then got an epipen and went into the office to tell a manager to call 911.  I went back to check on the customer and asked how she was doing. She stated her throat was starting to tingle. I noticed upper lip was starting to swell. I asked her if she could wait for the paramedics to arrive, but she asked me to give her the epipen shot. She mentioned she got an epipen shot when she young. She didn?t know what she?s allegoric to, but this wasn?t the first time she was given an epipen shot.  I gave her the shot. She started feeling better, and I gave her some water and some candy because she appeared to be in a state of low-sugar. The paramedics arrived shortly after this. I explained the situation to the paramedics and what I had done for the customer.  Leaving the customer in the care of the paramedics, I went back to the pharmacy. She left with the paramedics shortly after this.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Muscle spasms, Pyrexia
Clinical narrative: Lightheadedness - in a fog while walking around, muscle cramps throughout the body, and two rounds of having a fever. Temperature unknown
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dyspnoea, Hyperhidrosis, Pyrexia
Clinical narrative: fevers, sweats, chills, dyspnea with exertion, chest tightness; chest tightness and dyspnea on exertion persisting for 2 weeks. all symptoms began within 12 hours of vaccination. chest tightness primarily with deep breaths.
Age: 65.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Excessive cerumen production, Vertigo positional
Clinical narrative: Vertigo when laying down or changing head position. Doctor examined ear and stated there was excess wax in right ear. Ear was flushed with 1.5% hydrogen peroxide at office and by myself for the 5 days following exam. Blockage was cleared and vertigo ceased to be a problem.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Paraesthesia
Clinical narrative: SEVERE headache, not treatable with Tylenol or Advil. Shooting pains and tingling down my left side arm and back, and up the left side of  my  neck, which was the injection side.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Cough, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: 11/18/21-56-year-old male is coming in with nasal congestion cough and chills that started yesterday.  He reports he is vaccinated against COVID-19 since May. Review of Symptoms:   Review of Systems  Constitutional: Positive for chills. Negative for activity change, appetite change, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Respiratory: Positive for cough. Negative for shortness of breath, wheezing and stridor.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Skin: Negative for rash.  Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative. 11/19/21  Received Regeneron infusion
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 11/18/21-56-year-old male is coming in with nasal congestion cough and chills that started yesterday.  He reports he is vaccinated against COVID-19 since May. Review of Symptoms:   Review of Systems  Constitutional: Positive for chills. Negative for activity change, appetite change, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Respiratory: Positive for cough. Negative for shortness of breath, wheezing and stridor.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Skin: Negative for rash.  Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative. 11/19/21  Received Regeneron infusion
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Feeling abnormal, Interchange of vaccine products, Throat irritation, Tongue pruritus
Clinical narrative: Patient originally received Janssen vaccine and was here for Moderna booster. The vaccine was administered and she developed ?itchy tongue and throat.? She didn?t have trouble breathing just very dry mouth and ?weird? feeling.  I gave her diphenhydramine 25mg and symptoms did not progress. She sat here for 45 minutes and she started feeling better. No other side effects were found.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: This was a booster shot. Left foot pain, numbness and tingling at base of left leg, top of foot and wrapping around front of toes. Began around 36 hours after booster was given.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative, Urticaria, Vomiting
Clinical narrative: Hives covering most of the trunks, arms, legs, neck, face. Returning 2 hours after Benadryl. Hives have been returning off and on for 48 hours now Vomiting (one instance) just shy of 6 days from first dose.
Age: 37.0
Sex: M
Vaccine: HEPAB
Symptoms: Hypoaesthesia, Injection site pain, Limb discomfort, Mobility decreased, Pain in extremity
Clinical narrative: Patient complained of pain in left arm, states arm left "light" and like there was no blood flow. Initially he could not lift his arm.  He could not feel arm or make fist. Patient confirmed his arm felt numb when I asked. After about 10 minutes he stated it was better but still couldn't lift his arm and it still didn't feel like there was blood flow per the patient. After about 10 more minutes and some water the pt had full use of his arm and hand and only stated soreness at the injection site. I called patient around 5:00 PM and he stated that there was only some soreness but he was using his hand and arm like normal at that time.
Age: 37.0
Sex: M
Vaccine: HEPAB
Symptoms: Sensation of blood flow
Clinical narrative: Patient complained of pain in left arm, states arm left "light" and like there was no blood flow. Initially he could not lift his arm.  He could not feel arm or make fist. Patient confirmed his arm felt numb when I asked. After about 10 minutes he stated it was better but still couldn't lift his arm and it still didn't feel like there was blood flow per the patient. After about 10 more minutes and some water the pt had full use of his arm and hand and only stated soreness at the injection site. I called patient around 5:00 PM and he stated that there was only some soreness but he was using his hand and arm like normal at that time.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Diarrhoea, Gait inability, Hypoxia
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 2/19/21 (EN6200) Pfizer Dose 2 3/12/21 (EN6205) COVID Positive 8/23/21 Presented to and discharged from ED 8/23/21  8/25/21: History is obtained from patient as well as by personal review of records.  The patient is 79-year-old lady with known history of hypertension, atrial fibrillation, chronic anticoagulation therapy and other medical problems.  She complained of nausea, vomiting , diarrhea and  generalized weakness for 3 days.  She tested positive for  SARS-CoV-2  on  8/23/2021. She was started on azithromycin and Zofran.  She continued to have worsening generalized weakness.  She was unable to ambulate and had to crawl to reach phone at her home.  She also complained of subjective fevers.  She had temperature of 101° F on arrival in emergency department.  She was hypoxic with pulse ox of 85% on room air.  Feels better after oxygen supplementation. She had been previously vaccinated with both doses of Pfizer SARS-CoV-2 vaccines.  First dose in February and 2nd in March.  8/29/21: Improved and stable. Patient is being discharged home. you will receive a kit in the mail with: Blood Pressure cuff, thermometer and Pulse Ox; please set up and use this equipment to monitor your Covid recovery. self isolate for 10 days.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection, Vomiting
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 2/19/21 (EN6200) Pfizer Dose 2 3/12/21 (EN6205) COVID Positive 8/23/21 Presented to and discharged from ED 8/23/21  8/25/21: History is obtained from patient as well as by personal review of records.  The patient is 79-year-old lady with known history of hypertension, atrial fibrillation, chronic anticoagulation therapy and other medical problems.  She complained of nausea, vomiting , diarrhea and  generalized weakness for 3 days.  She tested positive for  SARS-CoV-2  on  8/23/2021. She was started on azithromycin and Zofran.  She continued to have worsening generalized weakness.  She was unable to ambulate and had to crawl to reach phone at her home.  She also complained of subjective fevers.  She had temperature of 101° F on arrival in emergency department.  She was hypoxic with pulse ox of 85% on room air.  Feels better after oxygen supplementation. She had been previously vaccinated with both doses of Pfizer SARS-CoV-2 vaccines.  First dose in February and 2nd in March.  8/29/21: Improved and stable. Patient is being discharged home. you will receive a kit in the mail with: Blood Pressure cuff, thermometer and Pulse Ox; please set up and use this equipment to monitor your Covid recovery. self isolate for 10 days.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: On 11/17 staff reported that they had been exposed to COVID-19 over the weekend.  We performed rapid & PCR COVID-19 tests in the parking lot.  rapid test came back positive, we are still awaiting PCR results.  No symptoms to date.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was given the wrong vaccine r/t age
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash/blisters on neck, chest, back
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue, Underdose
Clinical narrative: Possible defective syrigne Vantage Point 1" ml. Complete vaccine sprayed from tip of syringe and not administered. Patient given complete dose in opposite arm.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fall, Fatigue, Headache
Clinical narrative: I got the vaccine at 5:00 PM 11/12/21. I woke on 11/13/21 with  body aches and fatigue. at around 2:30 PM on 11/13/21 I developed a low-grade frontal headache and low-grade fever of 99.7 F. This persisted through the evening. At 8:00 I still had it. I went into the kitchen to get some soup, and while standing at the counter suddenly felt lightheaded and nauseated. I yelled NO NO NO and started to go down. The next thing I knew my poor husband was standing over me and I thought I was in bed! He told me that I had fallen and twisted my leg really badly. I told him I needed to go to the bathroom. I made it there then proceeded to have diarrhea and vomiting. I was also sweating profusely. After that I rested and those symptoms resolved, BUT I sustained a pretty substantial sprain strain to my left medial collateral ligament, my entire right knee, and my right foot and lateral ankle. It hasn't prevented me from working (I'm a physician) but it has prevented me from riding my bike, my chosen and favorite form of exercise! So, I had an episode of vasovagal syncope.  I think it's noteworthy that a little before the event I took about 35 mg of CBD. CBD can cause a sudden drop in blood pressure which can lead to syncope, nausea and vomiting
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Ligament sprain, Limb injury, Muscle strain, Nausea
Clinical narrative: I got the vaccine at 5:00 PM 11/12/21. I woke on 11/13/21 with  body aches and fatigue. at around 2:30 PM on 11/13/21 I developed a low-grade frontal headache and low-grade fever of 99.7 F. This persisted through the evening. At 8:00 I still had it. I went into the kitchen to get some soup, and while standing at the counter suddenly felt lightheaded and nauseated. I yelled NO NO NO and started to go down. The next thing I knew my poor husband was standing over me and I thought I was in bed! He told me that I had fallen and twisted my leg really badly. I told him I needed to go to the bathroom. I made it there then proceeded to have diarrhea and vomiting. I was also sweating profusely. After that I rested and those symptoms resolved, BUT I sustained a pretty substantial sprain strain to my left medial collateral ligament, my entire right knee, and my right foot and lateral ankle. It hasn't prevented me from working (I'm a physician) but it has prevented me from riding my bike, my chosen and favorite form of exercise! So, I had an episode of vasovagal syncope.  I think it's noteworthy that a little before the event I took about 35 mg of CBD. CBD can cause a sudden drop in blood pressure which can lead to syncope, nausea and vomiting
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Syncope, Vomiting
Clinical narrative: I got the vaccine at 5:00 PM 11/12/21. I woke on 11/13/21 with  body aches and fatigue. at around 2:30 PM on 11/13/21 I developed a low-grade frontal headache and low-grade fever of 99.7 F. This persisted through the evening. At 8:00 I still had it. I went into the kitchen to get some soup, and while standing at the counter suddenly felt lightheaded and nauseated. I yelled NO NO NO and started to go down. The next thing I knew my poor husband was standing over me and I thought I was in bed! He told me that I had fallen and twisted my leg really badly. I told him I needed to go to the bathroom. I made it there then proceeded to have diarrhea and vomiting. I was also sweating profusely. After that I rested and those symptoms resolved, BUT I sustained a pretty substantial sprain strain to my left medial collateral ligament, my entire right knee, and my right foot and lateral ankle. It hasn't prevented me from working (I'm a physician) but it has prevented me from riding my bike, my chosen and favorite form of exercise! So, I had an episode of vasovagal syncope.  I think it's noteworthy that a little before the event I took about 35 mg of CBD. CBD can cause a sudden drop in blood pressure which can lead to syncope, nausea and vomiting
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chills, Cough, Fatigue, Headache
Clinical narrative: fatigue, headache, cough, sore, tired, chills, heart fluttering strong heartbeat
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: fatigue, headache, cough, sore, tired, chills, heart fluttering strong heartbeat
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cardiac stress test, Chest pain, Dyspnoea, Headache
Clinical narrative: Fever, headache, body aches, vomit, weakness. Severe flu like symptoms for 36 hours after the shot.  Incident of  Shortness of breath and chest pain 6 months after. Followed up with my doctor.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Pain, Pyrexia, Vomiting
Clinical narrative: Fever, headache, body aches, vomit, weakness. Severe flu like symptoms for 36 hours after the shot.  Incident of  Shortness of breath and chest pain 6 months after. Followed up with my doctor.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immunisation, Underdose
Clinical narrative: Pt inadvertently given a pediatric dose of Pfizer lot # FK5127. After realizing pediatric dose was given,  pt was given .1ml of adult pfizer lot #FH8028
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Depression, Suicidal ideation
Clinical narrative: 1-2 days after the first vaccine (10/24/21) my daughter states she started feeling depressed and had increased anxiety. On 11/15/21, one day after the 2nd vaccination (11/14/21 -second vaccine)she was taken to the ER at the local Hospital for a psych evaluation , having thoughts of wanting to kill /harm herself.   It wasn?t until afterwards that we placed the common denominator of events as to being the Covid vaccine.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Vaccine positive rechallenge
Clinical narrative: I would say within a week or two after I got the third vaccine, I started experiencing body aches and joint pain. I couldn't lay or sit in one position for very long and that's still occurring. I have treated it with Tylenol and occasionally once or twice I used ibuprofen. Recently, I went to a health fit store and got a different multivitamin and some tablets that have protein (complete protein). Also, the pain that I have, I've been taking Arnica tablets 150mg, which is temporary relief for joint pain, back pain, etc. Homeopathic started a week ago. I'm intending to see an orthopedist and if that doesn't help, I'll see my regular physician.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis, Inflammation, Magnetic resonance imaging abnormal
Clinical narrative: BELLS PALSY- 6 days after the first dose I woke up with right side facial drooping and paralyzed nerves in my face. I was seen in the Emergency Room and was with medication, steroids for 4 days and anti viral medication for 7 days.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Ageusia, Anosmia, Aspartate aminotransferase increased, Blood chloride decreased
Clinical narrative: COVID Breakthrough Case  Moderna Dose 1 2/1/21 (031M20A) Moderna Dose 2 3/11/21 (040A21A) COVID Positive 7/31/21  8/7/21: The patient is a 73-year-old female who presents to the emergency department today with worsening shortness of breath and hypoxia at home and tested positive for COVID-19 on 08/01.  The patient has a past medical history significant for relapsing polychondritis and ulcerative colitis on immunosuppression, hypertension, diverticulosis, history of colon polyps, depression, Barrett's esophagus, and osteoporosis.  Of note, patient received her COVID-19 vaccinations in February and March.   On arrival to the ED, the patient's temperature is 99.9° F, heart rate 96, respiratory rate 25, saturating 76% on room air requiring supplemental oxygen at 6 liters/minute to maintain saturations greater than 90% with blood pressure 133/71.  The patient's laboratory studies were significant for Na 133, K 3.2, Cl 94, CO2 30, calculated osmolality 268, AST 44, phosphorus 2.2, CRP 18.7, ESR 75, WBC 10.68 with a neutrophil count of 9.54 and lymphocyte count 0.32.  Blood cultures were obtained x2.  CT chest negative for PE shows ground-glass airspace disease involving all 5 lobes with lungs consistent with viral pneumonitis.  EKG showed normal sinus rhythm, heart rate 77, QTC 473 with left axis deviation and prolonged QTC. The patient was administered 1 L IV NS in the emergency department.   The patient was seen in the emergency department laying in bed on 3 L supplemental O2 via nasal cannula.  She reports that she was tested on 08/01 because she had been exposed since she had been around family members who had tested positive including her great grandson and granddaughter, as well as her husband.  She reports she started feeling short of breath 2 days ago and today at home she was hypoxic with her saturations reading 79% on room air.  She complains of a severe cough, fatigue, sweats and chills, loss of taste and smell and some fevers.  8/26/21: Patient is a 73-year-old female with history of ulcerative colitis on azathioprine, sulfasalazine, and prednisone 5 mg, presented to the emergency depart with the shortness or breath admitted for acute hypoxic respiratory failure secondary to COVID 19 pneumonia, was also treated with Zithromax and Rocephin cover for bacterial component. Patient received remdesivir, Decadron and was switched to Solu-Medrol, she required intubation and was successfully extubated in August 25th, had NG tube for feeding and failed swallow evaluation.  Was evaluated by select and found appropriate for admission.  Will be transferred to select in fair condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture, Blood osmolarity decreased, Blood phosphorus decreased, Blood potassium decreased, Blood sodium decreased
Clinical narrative: COVID Breakthrough Case  Moderna Dose 1 2/1/21 (031M20A) Moderna Dose 2 3/11/21 (040A21A) COVID Positive 7/31/21  8/7/21: The patient is a 73-year-old female who presents to the emergency department today with worsening shortness of breath and hypoxia at home and tested positive for COVID-19 on 08/01.  The patient has a past medical history significant for relapsing polychondritis and ulcerative colitis on immunosuppression, hypertension, diverticulosis, history of colon polyps, depression, Barrett's esophagus, and osteoporosis.  Of note, patient received her COVID-19 vaccinations in February and March.   On arrival to the ED, the patient's temperature is 99.9° F, heart rate 96, respiratory rate 25, saturating 76% on room air requiring supplemental oxygen at 6 liters/minute to maintain saturations greater than 90% with blood pressure 133/71.  The patient's laboratory studies were significant for Na 133, K 3.2, Cl 94, CO2 30, calculated osmolality 268, AST 44, phosphorus 2.2, CRP 18.7, ESR 75, WBC 10.68 with a neutrophil count of 9.54 and lymphocyte count 0.32.  Blood cultures were obtained x2.  CT chest negative for PE shows ground-glass airspace disease involving all 5 lobes with lungs consistent with viral pneumonitis.  EKG showed normal sinus rhythm, heart rate 77, QTC 473 with left axis deviation and prolonged QTC. The patient was administered 1 L IV NS in the emergency department.   The patient was seen in the emergency department laying in bed on 3 L supplemental O2 via nasal cannula.  She reports that she was tested on 08/01 because she had been exposed since she had been around family members who had tested positive including her great grandson and granddaughter, as well as her husband.  She reports she started feeling short of breath 2 days ago and today at home she was hypoxic with her saturations reading 79% on room air.  She complains of a severe cough, fatigue, sweats and chills, loss of taste and smell and some fevers.  8/26/21: Patient is a 73-year-old female with history of ulcerative colitis on azathioprine, sulfasalazine, and prednisone 5 mg, presented to the emergency depart with the shortness or breath admitted for acute hypoxic respiratory failure secondary to COVID 19 pneumonia, was also treated with Zithromax and Rocephin cover for bacterial component. Patient received remdesivir, Decadron and was switched to Solu-Medrol, she required intubation and was successfully extubated in August 25th, had NG tube for feeding and failed swallow evaluation.  Was evaluated by select and found appropriate for admission.  Will be transferred to select in fair condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Carbon dioxide normal, Chills
Clinical narrative: COVID Breakthrough Case  Moderna Dose 1 2/1/21 (031M20A) Moderna Dose 2 3/11/21 (040A21A) COVID Positive 7/31/21  8/7/21: The patient is a 73-year-old female who presents to the emergency department today with worsening shortness of breath and hypoxia at home and tested positive for COVID-19 on 08/01.  The patient has a past medical history significant for relapsing polychondritis and ulcerative colitis on immunosuppression, hypertension, diverticulosis, history of colon polyps, depression, Barrett's esophagus, and osteoporosis.  Of note, patient received her COVID-19 vaccinations in February and March.   On arrival to the ED, the patient's temperature is 99.9° F, heart rate 96, respiratory rate 25, saturating 76% on room air requiring supplemental oxygen at 6 liters/minute to maintain saturations greater than 90% with blood pressure 133/71.  The patient's laboratory studies were significant for Na 133, K 3.2, Cl 94, CO2 30, calculated osmolality 268, AST 44, phosphorus 2.2, CRP 18.7, ESR 75, WBC 10.68 with a neutrophil count of 9.54 and lymphocyte count 0.32.  Blood cultures were obtained x2.  CT chest negative for PE shows ground-glass airspace disease involving all 5 lobes with lungs consistent with viral pneumonitis.  EKG showed normal sinus rhythm, heart rate 77, QTC 473 with left axis deviation and prolonged QTC. The patient was administered 1 L IV NS in the emergency department.   The patient was seen in the emergency department laying in bed on 3 L supplemental O2 via nasal cannula.  She reports that she was tested on 08/01 because she had been exposed since she had been around family members who had tested positive including her great grandson and granddaughter, as well as her husband.  She reports she started feeling short of breath 2 days ago and today at home she was hypoxic with her saturations reading 79% on room air.  She complains of a severe cough, fatigue, sweats and chills, loss of taste and smell and some fevers.  8/26/21: Patient is a 73-year-old female with history of ulcerative colitis on azathioprine, sulfasalazine, and prednisone 5 mg, presented to the emergency depart with the shortness or breath admitted for acute hypoxic respiratory failure secondary to COVID 19 pneumonia, was also treated with Zithromax and Rocephin cover for bacterial component. Patient received remdesivir, Decadron and was switched to Solu-Medrol, she required intubation and was successfully extubated in August 25th, had NG tube for feeding and failed swallow evaluation.  Was evaluated by select and found appropriate for admission.  Will be transferred to select in fair condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Cough, Dyspnoea, Electrocardiogram QT interval, Electrocardiogram QT prolonged
Clinical narrative: COVID Breakthrough Case  Moderna Dose 1 2/1/21 (031M20A) Moderna Dose 2 3/11/21 (040A21A) COVID Positive 7/31/21  8/7/21: The patient is a 73-year-old female who presents to the emergency department today with worsening shortness of breath and hypoxia at home and tested positive for COVID-19 on 08/01.  The patient has a past medical history significant for relapsing polychondritis and ulcerative colitis on immunosuppression, hypertension, diverticulosis, history of colon polyps, depression, Barrett's esophagus, and osteoporosis.  Of note, patient received her COVID-19 vaccinations in February and March.   On arrival to the ED, the patient's temperature is 99.9° F, heart rate 96, respiratory rate 25, saturating 76% on room air requiring supplemental oxygen at 6 liters/minute to maintain saturations greater than 90% with blood pressure 133/71.  The patient's laboratory studies were significant for Na 133, K 3.2, Cl 94, CO2 30, calculated osmolality 268, AST 44, phosphorus 2.2, CRP 18.7, ESR 75, WBC 10.68 with a neutrophil count of 9.54 and lymphocyte count 0.32.  Blood cultures were obtained x2.  CT chest negative for PE shows ground-glass airspace disease involving all 5 lobes with lungs consistent with viral pneumonitis.  EKG showed normal sinus rhythm, heart rate 77, QTC 473 with left axis deviation and prolonged QTC. The patient was administered 1 L IV NS in the emergency department.   The patient was seen in the emergency department laying in bed on 3 L supplemental O2 via nasal cannula.  She reports that she was tested on 08/01 because she had been exposed since she had been around family members who had tested positive including her great grandson and granddaughter, as well as her husband.  She reports she started feeling short of breath 2 days ago and today at home she was hypoxic with her saturations reading 79% on room air.  She complains of a severe cough, fatigue, sweats and chills, loss of taste and smell and some fevers.  8/26/21: Patient is a 73-year-old female with history of ulcerative colitis on azathioprine, sulfasalazine, and prednisone 5 mg, presented to the emergency depart with the shortness or breath admitted for acute hypoxic respiratory failure secondary to COVID 19 pneumonia, was also treated with Zithromax and Rocephin cover for bacterial component. Patient received remdesivir, Decadron and was switched to Solu-Medrol, she required intubation and was successfully extubated in August 25th, had NG tube for feeding and failed swallow evaluation.  Was evaluated by select and found appropriate for admission.  Will be transferred to select in fair condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Enteral nutrition, Exposure to SARS-CoV-2, Fatigue, Hyperhidrosis
Clinical narrative: COVID Breakthrough Case  Moderna Dose 1 2/1/21 (031M20A) Moderna Dose 2 3/11/21 (040A21A) COVID Positive 7/31/21  8/7/21: The patient is a 73-year-old female who presents to the emergency department today with worsening shortness of breath and hypoxia at home and tested positive for COVID-19 on 08/01.  The patient has a past medical history significant for relapsing polychondritis and ulcerative colitis on immunosuppression, hypertension, diverticulosis, history of colon polyps, depression, Barrett's esophagus, and osteoporosis.  Of note, patient received her COVID-19 vaccinations in February and March.   On arrival to the ED, the patient's temperature is 99.9° F, heart rate 96, respiratory rate 25, saturating 76% on room air requiring supplemental oxygen at 6 liters/minute to maintain saturations greater than 90% with blood pressure 133/71.  The patient's laboratory studies were significant for Na 133, K 3.2, Cl 94, CO2 30, calculated osmolality 268, AST 44, phosphorus 2.2, CRP 18.7, ESR 75, WBC 10.68 with a neutrophil count of 9.54 and lymphocyte count 0.32.  Blood cultures were obtained x2.  CT chest negative for PE shows ground-glass airspace disease involving all 5 lobes with lungs consistent with viral pneumonitis.  EKG showed normal sinus rhythm, heart rate 77, QTC 473 with left axis deviation and prolonged QTC. The patient was administered 1 L IV NS in the emergency department.   The patient was seen in the emergency department laying in bed on 3 L supplemental O2 via nasal cannula.  She reports that she was tested on 08/01 because she had been exposed since she had been around family members who had tested positive including her great grandson and granddaughter, as well as her husband.  She reports she started feeling short of breath 2 days ago and today at home she was hypoxic with her saturations reading 79% on room air.  She complains of a severe cough, fatigue, sweats and chills, loss of taste and smell and some fevers.  8/26/21: Patient is a 73-year-old female with history of ulcerative colitis on azathioprine, sulfasalazine, and prednisone 5 mg, presented to the emergency depart with the shortness or breath admitted for acute hypoxic respiratory failure secondary to COVID 19 pneumonia, was also treated with Zithromax and Rocephin cover for bacterial component. Patient received remdesivir, Decadron and was switched to Solu-Medrol, she required intubation and was successfully extubated in August 25th, had NG tube for feeding and failed swallow evaluation.  Was evaluated by select and found appropriate for admission.  Will be transferred to select in fair condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Inappropriate schedule of product administration, Lung opacity, Lymphocyte count decreased, Neutrophil count increased
Clinical narrative: COVID Breakthrough Case  Moderna Dose 1 2/1/21 (031M20A) Moderna Dose 2 3/11/21 (040A21A) COVID Positive 7/31/21  8/7/21: The patient is a 73-year-old female who presents to the emergency department today with worsening shortness of breath and hypoxia at home and tested positive for COVID-19 on 08/01.  The patient has a past medical history significant for relapsing polychondritis and ulcerative colitis on immunosuppression, hypertension, diverticulosis, history of colon polyps, depression, Barrett's esophagus, and osteoporosis.  Of note, patient received her COVID-19 vaccinations in February and March.   On arrival to the ED, the patient's temperature is 99.9° F, heart rate 96, respiratory rate 25, saturating 76% on room air requiring supplemental oxygen at 6 liters/minute to maintain saturations greater than 90% with blood pressure 133/71.  The patient's laboratory studies were significant for Na 133, K 3.2, Cl 94, CO2 30, calculated osmolality 268, AST 44, phosphorus 2.2, CRP 18.7, ESR 75, WBC 10.68 with a neutrophil count of 9.54 and lymphocyte count 0.32.  Blood cultures were obtained x2.  CT chest negative for PE shows ground-glass airspace disease involving all 5 lobes with lungs consistent with viral pneumonitis.  EKG showed normal sinus rhythm, heart rate 77, QTC 473 with left axis deviation and prolonged QTC. The patient was administered 1 L IV NS in the emergency department.   The patient was seen in the emergency department laying in bed on 3 L supplemental O2 via nasal cannula.  She reports that she was tested on 08/01 because she had been exposed since she had been around family members who had tested positive including her great grandson and granddaughter, as well as her husband.  She reports she started feeling short of breath 2 days ago and today at home she was hypoxic with her saturations reading 79% on room air.  She complains of a severe cough, fatigue, sweats and chills, loss of taste and smell and some fevers.  8/26/21: Patient is a 73-year-old female with history of ulcerative colitis on azathioprine, sulfasalazine, and prednisone 5 mg, presented to the emergency depart with the shortness or breath admitted for acute hypoxic respiratory failure secondary to COVID 19 pneumonia, was also treated with Zithromax and Rocephin cover for bacterial component. Patient received remdesivir, Decadron and was switched to Solu-Medrol, she required intubation and was successfully extubated in August 25th, had NG tube for feeding and failed swallow evaluation.  Was evaluated by select and found appropriate for admission.  Will be transferred to select in fair condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia viral, Pyrexia, QRS axis abnormal, Red blood cell sedimentation rate increased, SARS-CoV-2 test positive
Clinical narrative: COVID Breakthrough Case  Moderna Dose 1 2/1/21 (031M20A) Moderna Dose 2 3/11/21 (040A21A) COVID Positive 7/31/21  8/7/21: The patient is a 73-year-old female who presents to the emergency department today with worsening shortness of breath and hypoxia at home and tested positive for COVID-19 on 08/01.  The patient has a past medical history significant for relapsing polychondritis and ulcerative colitis on immunosuppression, hypertension, diverticulosis, history of colon polyps, depression, Barrett's esophagus, and osteoporosis.  Of note, patient received her COVID-19 vaccinations in February and March.   On arrival to the ED, the patient's temperature is 99.9° F, heart rate 96, respiratory rate 25, saturating 76% on room air requiring supplemental oxygen at 6 liters/minute to maintain saturations greater than 90% with blood pressure 133/71.  The patient's laboratory studies were significant for Na 133, K 3.2, Cl 94, CO2 30, calculated osmolality 268, AST 44, phosphorus 2.2, CRP 18.7, ESR 75, WBC 10.68 with a neutrophil count of 9.54 and lymphocyte count 0.32.  Blood cultures were obtained x2.  CT chest negative for PE shows ground-glass airspace disease involving all 5 lobes with lungs consistent with viral pneumonitis.  EKG showed normal sinus rhythm, heart rate 77, QTC 473 with left axis deviation and prolonged QTC. The patient was administered 1 L IV NS in the emergency department.   The patient was seen in the emergency department laying in bed on 3 L supplemental O2 via nasal cannula.  She reports that she was tested on 08/01 because she had been exposed since she had been around family members who had tested positive including her great grandson and granddaughter, as well as her husband.  She reports she started feeling short of breath 2 days ago and today at home she was hypoxic with her saturations reading 79% on room air.  She complains of a severe cough, fatigue, sweats and chills, loss of taste and smell and some fevers.  8/26/21: Patient is a 73-year-old female with history of ulcerative colitis on azathioprine, sulfasalazine, and prednisone 5 mg, presented to the emergency depart with the shortness or breath admitted for acute hypoxic respiratory failure secondary to COVID 19 pneumonia, was also treated with Zithromax and Rocephin cover for bacterial component. Patient received remdesivir, Decadron and was switched to Solu-Medrol, she required intubation and was successfully extubated in August 25th, had NG tube for feeding and failed swallow evaluation.  Was evaluated by select and found appropriate for admission.  Will be transferred to select in fair condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus rhythm, Swallow study abnormal, Vaccine breakthrough infection, White blood cell count increased
Clinical narrative: COVID Breakthrough Case  Moderna Dose 1 2/1/21 (031M20A) Moderna Dose 2 3/11/21 (040A21A) COVID Positive 7/31/21  8/7/21: The patient is a 73-year-old female who presents to the emergency department today with worsening shortness of breath and hypoxia at home and tested positive for COVID-19 on 08/01.  The patient has a past medical history significant for relapsing polychondritis and ulcerative colitis on immunosuppression, hypertension, diverticulosis, history of colon polyps, depression, Barrett's esophagus, and osteoporosis.  Of note, patient received her COVID-19 vaccinations in February and March.   On arrival to the ED, the patient's temperature is 99.9° F, heart rate 96, respiratory rate 25, saturating 76% on room air requiring supplemental oxygen at 6 liters/minute to maintain saturations greater than 90% with blood pressure 133/71.  The patient's laboratory studies were significant for Na 133, K 3.2, Cl 94, CO2 30, calculated osmolality 268, AST 44, phosphorus 2.2, CRP 18.7, ESR 75, WBC 10.68 with a neutrophil count of 9.54 and lymphocyte count 0.32.  Blood cultures were obtained x2.  CT chest negative for PE shows ground-glass airspace disease involving all 5 lobes with lungs consistent with viral pneumonitis.  EKG showed normal sinus rhythm, heart rate 77, QTC 473 with left axis deviation and prolonged QTC. The patient was administered 1 L IV NS in the emergency department.   The patient was seen in the emergency department laying in bed on 3 L supplemental O2 via nasal cannula.  She reports that she was tested on 08/01 because she had been exposed since she had been around family members who had tested positive including her great grandson and granddaughter, as well as her husband.  She reports she started feeling short of breath 2 days ago and today at home she was hypoxic with her saturations reading 79% on room air.  She complains of a severe cough, fatigue, sweats and chills, loss of taste and smell and some fevers.  8/26/21: Patient is a 73-year-old female with history of ulcerative colitis on azathioprine, sulfasalazine, and prednisone 5 mg, presented to the emergency depart with the shortness or breath admitted for acute hypoxic respiratory failure secondary to COVID 19 pneumonia, was also treated with Zithromax and Rocephin cover for bacterial component. Patient received remdesivir, Decadron and was switched to Solu-Medrol, she required intubation and was successfully extubated in August 25th, had NG tube for feeding and failed swallow evaluation.  Was evaluated by select and found appropriate for admission.  Will be transferred to select in fair condition.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: patient received a flu vaccine with a 5/8 inch needle instead of a 1 inch needle
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: On 11/17 staff reported that they have been exposed to COID-19 over the weekend. We performed rapid and PCR COVID-19 tests in the parking lot of our facility. The rapid test came back positive and we are still waiting on the PCR results. No symptoms to date
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Balance disorder, Body temperature increased, Chest pain, Diarrhoea
Clinical narrative: Severe nausea.   101.2 temp. Severe stomach pains. Chest pain. Severe diarrhea. Numbness in finger tips. Unsteady on your feet, loss of balance. Blurred vision first 2 days.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Nausea, Vision blurred
Clinical narrative: Severe nausea.   101.2 temp. Severe stomach pains. Chest pain. Severe diarrhea. Numbness in finger tips. Unsteady on your feet, loss of balance. Blurred vision first 2 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness, Tinnitus
Clinical narrative: 03/14/2021, A few hours after the vaccine-there was ringing in my ear, tinnitus. In the past, I had it years ago.  It happened and it was not as pronounced.  This one is different because it did not seem to go away as frequently. It does quiet down. There are times when it does not matter if I am distracted, I can still hear it. When it's loud it's loud. It has not affected my sleep. 05/24/2021, I mentioned the tinnitus to my doctor when I had a follow up appointment for my blood pressure. Doctor told me I am not a candidate for hearing aids right now. He mentioned there was something that could cancel noise and suggested to try to be distracted and avoid anything that triggers it. I have not recovered from the AEs. I continue to have the ringing in my ear daily.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Hypoaesthesia
Clinical narrative: Bell's Palsy right side and numbness of 1-2 toes on right foot
Age: 16.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Loss of consciousness, Unresponsive to stimuli
Clinical narrative: Patient passed out briefly while walking down an aisle roughly three minutes after vaccine was administered. He was unresponsive for less than one minute.  Administering pharmacist, manager on duty, and parent were with patient. Patient moved himself into a chair and waited for paramedics to arrive. Paramedics checked patient out and recommended he go to a hospital  for further observation.  To our knowledge, the parent drove patient to hospital.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The vial of Pfizer vaccine produced only three 0.3mL and one 0.2mL syringe. The doses were not all drawn up at once. 2 were drawn up and 2.5 hours later our RN went to draw up another dose for a patient an questioned the amount in the vial, knowing only 2 had already been drawn up. She drew up the remainder in the vial and got one 0.3mL and 0.2ml. The decision was made to discard those two and reconstitute a new vial.  The MA that reconstituted the vial was adamant that she did the process correctly using a 3mL syringe and 21g needle to insert the diluent and 1mL syringe with needle already attached to draw out the vaccines.  The recommendation was made to all staff to draw up all vaccines immediately after reconstituting moving forward.  Patient was not notified as we don't know that they received an incorrect dosage.