chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered 15 days after manufacturer expiration date.  Vaccine stored appropriately.  Moderna advised to report to VAERS, no adverse events reported by patient.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Malaise
Clinical narrative: I thought this booster would be a breeze, as the only reaction to my second Moderna vaccine was, besides a sore arm for a few days, a slight headache and tiredness, that was alleviated with Tylenol and only lasted about 24 hrs. I was fine with the Moderna booster until approximately 6 hrs later, I felt ill, had extreme chills, muscle and joint aches. The spasms from chills tightened my back and chest muscles for minutes at a time. The spasms, joint and muscle aches were intermittent and lasted for more than 24 hrs.  I felt ill all the next day but didn't vomit and took Tylenol, drank lots of liquids and rested. That night I awoke and was drenched in sweat, to the point of getting up, changing my nightgown, putting a towel down on the wet sheets and sleeping again. I was still felt tired on waking, but felt a little better. Drank fluids, took Tylenol at intervals,some soups, and rested. I just felt tired with a headache the next day and today I feel well this morning. I had a similar reaction to the second shingles shot I received, with spasms, dizziness, and chills, but it only lasted about 6hrs and was fine after that. Hope this report helps others.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Myalgia, Night sweats
Clinical narrative: I thought this booster would be a breeze, as the only reaction to my second Moderna vaccine was, besides a sore arm for a few days, a slight headache and tiredness, that was alleviated with Tylenol and only lasted about 24 hrs. I was fine with the Moderna booster until approximately 6 hrs later, I felt ill, had extreme chills, muscle and joint aches. The spasms from chills tightened my back and chest muscles for minutes at a time. The spasms, joint and muscle aches were intermittent and lasted for more than 24 hrs.  I felt ill all the next day but didn't vomit and took Tylenol, drank lots of liquids and rested. That night I awoke and was drenched in sweat, to the point of getting up, changing my nightgown, putting a towel down on the wet sheets and sleeping again. I was still felt tired on waking, but felt a little better. Drank fluids, took Tylenol at intervals,some soups, and rested. I just felt tired with a headache the next day and today I feel well this morning. I had a similar reaction to the second shingles shot I received, with spasms, dizziness, and chills, but it only lasted about 6hrs and was fine after that. Hope this report helps others.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nasal congestion, Pyrexia, Rhinorrhoea
Clinical narrative: Light fever, stuffiness, runny nose, fatigue. Went away after 36-48 hours
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Erythema, Lethargy, Lymph node pain, Lymphadenopathy
Clinical narrative: Lymph node excessive swelling and pain and redness and sores in both underarms. Did not heal for 3 weeks.  Weakness, lethargy, weight gain
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Weight increased
Clinical narrative: Lymph node excessive swelling and pain and redness and sores in both underarms. Did not heal for 3 weeks.  Weakness, lethargy, weight gain
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain, Hyperhidrosis, Presyncope, Tunnel vision
Clinical narrative: sharp abdominal pain, diaphoresis, tunnel vision, near syncope
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administered 15 days after manufacturer expiration date.  Vaccine stored appropriately.  Moderna advised to report to VAERS, no adverse events reported by patient.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Epistaxis, Exposure during pregnancy, Headache, Influenza A virus test negative
Clinical narrative: Estimated delivery March 11, 2022. I had muscle pain, fever, runny nose, sore throat, headaches, and bloody nose. I felt like this for about 4 to 5 days. I still don't feel well. I also had soreness in my arm and itching at injection site.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Influenza virus test negative, Injection site pruritus, Malaise, Myalgia
Clinical narrative: Estimated delivery March 11, 2022. I had muscle pain, fever, runny nose, sore throat, headaches, and bloody nose. I felt like this for about 4 to 5 days. I still don't feel well. I also had soreness in my arm and itching at injection site.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Estimated delivery March 11, 2022. I had muscle pain, fever, runny nose, sore throat, headaches, and bloody nose. I felt like this for about 4 to 5 days. I still don't feel well. I also had soreness in my arm and itching at injection site.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative
Clinical narrative: Estimated delivery March 11, 2022. I had muscle pain, fever, runny nose, sore throat, headaches, and bloody nose. I felt like this for about 4 to 5 days. I still don't feel well. I also had soreness in my arm and itching at injection site.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Cough, Respiratory tract congestion
Clinical narrative: xs; congestions, chills, cough starting on 11/18/21
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient's mother brought patient in to receive a COVID-19 Pfizer vaccine on 08/31/2021.  The patient?s mother filled out a consent form on behalf of the patient and listed the date of birth and signed and consented on the official Health Department Pfizer-BioNTech consent form.  The nurse verified the name and date of birth with the patient and the patient?s mother.  Public Health guidelines were followed, and the parent received the up-to-date Pfizer-BioNTech EUA and the vaccine was administered.  In the patient?s 15-minute wait there were no adverse reactions. Three weeks later, on 09/21/2021 the mother once again filled out a consent form and stated her child's birthday. Upon entering the vaccine into the Immunization Information System it was discovered that the patient's true DOB was different and therefore this was an unauthorized vaccination.  The date of birth was then confirmed and verified in the System.  The Public Health Department Medical Director was notified.  In addition, the patient's parent/guardian was informed.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. No adverse reactions reported.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated with Pfizer vaccine. Last dose on 2/26/2021. Tested positive for COVID 19 on 9/27/2021. Admitted to  Medical Center on 11/13/2021 related to COVID and expired on 11/13/2021 while still hospitalized.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Acute myocardial infarction, Alanine aminotransferase increased, Aspartate aminotransferase increased
Clinical narrative: Autoimmune hepatitis two days after vaccination  Symptoms include: Elevated LFTs, abdominal pain  had diarrhea and decreased oral intake. Found to also be in acute renal failure with and NSTEMI.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune hepatitis, Blood bilirubin, Blood lactic acid normal, Diarrhoea, Hypophagia
Clinical narrative: Autoimmune hepatitis two days after vaccination  Symptoms include: Elevated LFTs, abdominal pain  had diarrhea and decreased oral intake. Found to also be in acute renal failure with and NSTEMI.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test increased, Troponin increased
Clinical narrative: Autoimmune hepatitis two days after vaccination  Symptoms include: Elevated LFTs, abdominal pain  had diarrhea and decreased oral intake. Found to also be in acute renal failure with and NSTEMI.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered 15 days after manufacturer expiration date.  Vaccine stored appropriately.  Moderna advised to report to VAERS, no adverse events reported by patient.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Hypertension, Migraine, Rhinorrhoea
Clinical narrative: Patient experienced high blood pressure over 160/90 several hours after vaccine. Patient still has high blood pressure 3 weeks after vaccine. They never had high blood pressure prior to vaccine. Patient also began having recurring migraines the next day after vaccine. Also had heartburn start shortly after, along with sinus drainage.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Confusional state, Hyporesponsive to stimuli, SARS-CoV-2 test positive
Clinical narrative: Patient admitted to hospital on 11/19/2021 Presented with confusion and  Decreased responsiveness. Patient was treated with TYLENOL, Benzonatate.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: Patient discharged after (4) day inpatient stay. 11/12-11/16/2021.  Patient is a 72 yo with PMH of ulcerative colitis( on sulfasalazine,ursodiol), Dm2, MVP, HTN who was admitted with acute hypoxemic respiratory failure secondary to b/l covid 19 pna( patient has received both dose of covid 19 vaccine). Required 2l via nasal canula in the ED.Given symptoms for more than 10 days patient was not a candidate for remdesivir. Post admission patient continued to be stable on 2l. Follow up inflammatory markers remained stable. Initially patient was to be discharged on 11/14/21 with home covid patient. However patient had acute drops in oxygenation with minimal ambulation and was nervous about discharge home. She was evaluated by Pulm Rehab who confirmed she requires 2L at all times.  Discharging home in improved condition.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Inflammatory marker test, Lung opacity, Nervousness, Pulmonary vascular disorder
Clinical narrative: Patient discharged after (4) day inpatient stay. 11/12-11/16/2021.  Patient is a 72 yo with PMH of ulcerative colitis( on sulfasalazine,ursodiol), Dm2, MVP, HTN who was admitted with acute hypoxemic respiratory failure secondary to b/l covid 19 pna( patient has received both dose of covid 19 vaccine). Required 2l via nasal canula in the ED.Given symptoms for more than 10 days patient was not a candidate for remdesivir. Post admission patient continued to be stable on 2l. Follow up inflammatory markers remained stable. Initially patient was to be discharged on 11/14/21 with home covid patient. However patient had acute drops in oxygenation with minimal ambulation and was nervous about discharge home. She was evaluated by Pulm Rehab who confirmed she requires 2L at all times.  Discharging home in improved condition.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient discharged after (4) day inpatient stay. 11/12-11/16/2021.  Patient is a 72 yo with PMH of ulcerative colitis( on sulfasalazine,ursodiol), Dm2, MVP, HTN who was admitted with acute hypoxemic respiratory failure secondary to b/l covid 19 pna( patient has received both dose of covid 19 vaccine). Required 2l via nasal canula in the ED.Given symptoms for more than 10 days patient was not a candidate for remdesivir. Post admission patient continued to be stable on 2l. Follow up inflammatory markers remained stable. Initially patient was to be discharged on 11/14/21 with home covid patient. However patient had acute drops in oxygenation with minimal ambulation and was nervous about discharge home. She was evaluated by Pulm Rehab who confirmed she requires 2L at all times.  Discharging home in improved condition.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes simplex test negative, Herpes simplex test positive, Herpes zoster
Clinical narrative: I was recently diagnosed with shingles which began on Wednesday  November 17th, and I was seen by the OB Triage and dermatology departments on Friday the 19th.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Concussion, Dizziness, Face injury, Fall, Headache
Clinical narrative: syncopal event less than 5 minutes after dose administration. sustained facial trauma and concussion as a result of the fall. facial trauma includes upper and lower teeth cutting into buccal mucosa, associated lip swelling/cuts and bruising above top lip. ice applied immediately as well as pressure to stop the bleeding. unable to sit up after 30 minutes due to continued dizziness. decision made to call 911 as mental status not at baseline in addition to significant injuries. treated on scene by EMS. vital signs stable. was discharged from scene at 2:30pm. continues to have slight headache and pain at injury sites.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Lip haemorrhage, Lip injury, Pain, Syncope
Clinical narrative: syncopal event less than 5 minutes after dose administration. sustained facial trauma and concussion as a result of the fall. facial trauma includes upper and lower teeth cutting into buccal mucosa, associated lip swelling/cuts and bruising above top lip. ice applied immediately as well as pressure to stop the bleeding. unable to sit up after 30 minutes due to continued dizziness. decision made to call 911 as mental status not at baseline in addition to significant injuries. treated on scene by EMS. vital signs stable. was discharged from scene at 2:30pm. continues to have slight headache and pain at injury sites.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Contracted COVID-19
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Hives appeared on cheeks, triceps, elbows, buttocks, hamstrings, knees lasting more than 10 hours. Treatment: Benadryl + topical hydrocortisone gel
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Urticaria
Clinical narrative: I just noticed that evening that I felt really nauseous after work. So, I drank some coca cola. It would happen all throughout the day and sometimes it would go away. I took Dramamine and that would help a little bit because it made me sleepy, but I only took that once and I haven't taken anything for the nausea since. I was taking antibiotics for my ear as well (Amoxicillin) for my ear infection, so I thought it was that and stopped taking the medication, but the nausea still came back. Around the time I did have nausea, I broke out in hives for a week. Recovered from hives since then. Went to urgent care for nausea but was not prescribed anything for it.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Vaccinated 2/26/2021, 1/29/2021. Hospitalized for COVID 11/21/21
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dysgeusia, Headache
Clinical narrative: Metallic taste in mouth 15 minutes after receiving vaccine also headaches & chills diarrhea
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. NO ADVERSE REACTIONS REPORTED DURING PATIENT INTERVIEW.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper storage (temperature).
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pruritus, Injection site rash, Injection site swelling, Pain
Clinical narrative: per pt after waiting for 20 minutes at the pharmacy she went home and upon changing her clothes she notices  site of inject is swollen and had a rash  and she started to fill itchy . no difficult breathing  reported,  since 11/14 she has been expereincing headaches , body aches , itchiness along with the injection site , pt has been taking benadryl around the clock and as off 11/19 was adviced by her allergist to  go to an urgent care if symptoms persist
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Hospitalization. Oxygen level less than 90. Short of breath.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Gait inability, Magnetic resonance imaging
Clinical narrative: I became so dizzy that I could not walk without support. That happened about 24 hours after the injection. I went to the emergency room, and they did an MRI and blood work. I do not know the results. They had no explanation of why that happened, so they did not prescribe any medications. I recovered that day while I was still at the emergency room.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Paraesthesia oral, Refusal of vaccination
Clinical narrative: PT WAS ADMINISTERED A JANSSEN VACCINE OUTSIDE THE 6 HOUR WINDOW HELD AT 36-46 DEGREES FAHRENHEIT. THE 6 HOUR TIME FRAME WAS MISCALCULATED AND ADMINISTERED AT EXACTLY 7 HOURS. PT WAS MONITORED FOR 30 MINUTES AND PT NEVER EXHIBITED SYMPTOMS OF ANAPHYLAXIS OR DISTRESS. THE ERROR WAS CAUGHT BY MYSELF 30 MINUTES AFTER THE PT HAD LEFT. I CONTACTED JANSSEN AND THEY HAD NO GUIDANCE AND STATED TO MAKE MY BEST CLINICAL JUDGEMENT. THE CDC GUIDANCE ON COVID-19 VACCINE ADMIN ERRORS AND DEVIATIONS STATES THAT IF THE MANUFACTURER DOES NOT HAVE DATE TO SUPPORT THE STABILITY OF THE VACCINE TO REPEAT  THE DOSE. I CONTACTED THE PT AND SHE STATED " I WILL NOT GET REVACCINATED, DUE TO ME ONLY GETTING IT BECAUSE MY WORK WANTS ME TO." THE PT THEN TOLD ME THAT SHE STARTED EXPERIENCING TINGLING OF THE TONGUE, LIPS, AND GUMS. PT DENIED SOB, DIFFICULTY BREATHING, AND SWELLING OF THE MOUTH/THROAT/FACE. ADVISED PT TO TAKE BENADRYL AND TO GO TO THE ER IMMEDIATELY BECAUSE IT SOUNDED LIKE SHE COULD POSSIBLY BE HAVING A REACTION. PT REFUSED. REEDUCATED THE IMPORTANCE OF GOING TO THE ER TO PT AND SHE REFUSED A SECOND TIME. PT STATES " MY DAUGHTER IS AND RN AND WILL MONITOR ME."
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature).
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Influenza virus test negative, Monoplegia, Nasal congestion
Clinical narrative: On the same day she had a sore throat, arm hurt a little, and slightly tired. Thought she had strep throat, there was post-nasal drip, sinus drainage, congestion, and stuffed up. Saw the doctor on 15 Nov 2021, with low grade fever. She still has cough and congested although she is going to school. Diagnosed with RSV.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Respiratory syncytial virus infection, Respiratory syncytial virus test positive, SARS-CoV-2 test negative
Clinical narrative: On the same day she had a sore throat, arm hurt a little, and slightly tired. Thought she had strep throat, there was post-nasal drip, sinus drainage, congestion, and stuffed up. Saw the doctor on 15 Nov 2021, with low grade fever. She still has cough and congested although she is going to school. Diagnosed with RSV.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: On the same day she had a sore throat, arm hurt a little, and slightly tired. Thought she had strep throat, there was post-nasal drip, sinus drainage, congestion, and stuffed up. Saw the doctor on 15 Nov 2021, with low grade fever. She still has cough and congested although she is going to school. Diagnosed with RSV.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Hot flush, Mobility decreased, Vomiting
Clinical narrative: ABOUT 8PM,  i started with having hot flashes, i took two tylenol and went to bed.  I woke up around 1am,  had to go to the bathroom, then i became really dizzy and vomited.  Thought i was done, and vomited again.  about an hour later i was back up vomiting again.  Around 9 am i got up to take some more tylenol, but had to run to the bathroom to vomit again.  I stayed in bed until 5am 11/22/2021.  I was still shaky but was able to make it through the day without vomiting.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Cardiac failure congestive
Clinical narrative: Patient discharged after (3) day inpatient stay. 11/12-11/15/21.  Patient received booster Moderna vaccine 10/24/21. Previous doses were 2/10/21- lot # 029L20A  1/13/21- 026L20A  Patient is an 80-year-old male who was admitted on 11/12/2021 with acute hypoxia secondary to COVID-19 pneumonia.  Patient required 3 L and has been weaned down to 2 L. He was started on remdesivir and given 4 days worth but does not want to stay to finish 5 day course and choosing to go home.  Decadron was initiated and patient will continue this outpatient for full 10 days.     Patient also appeared to have acute exacerbation of his CHF he was started on a fluid restriction diet and given IV Lasix will transition back to his orally torsemide and Coreg regiment.  Patient declining PT/OT states he has this outpatient already established.  Patient will go home on oxygen with 2 L. Vitals are stable otherwise no further concerns patient is medically clear for discharge.   Last CRP done today 71.5 and D-dimer 1020 Normal liver function and kidney function is better today than baseline with a creatinine of 1.41 and GFR 48
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Dyspnoea, Fibrin D dimer, Fluid intake restriction
Clinical narrative: Patient discharged after (3) day inpatient stay. 11/12-11/15/21.  Patient received booster Moderna vaccine 10/24/21. Previous doses were 2/10/21- lot # 029L20A  1/13/21- 026L20A  Patient is an 80-year-old male who was admitted on 11/12/2021 with acute hypoxia secondary to COVID-19 pneumonia.  Patient required 3 L and has been weaned down to 2 L. He was started on remdesivir and given 4 days worth but does not want to stay to finish 5 day course and choosing to go home.  Decadron was initiated and patient will continue this outpatient for full 10 days.     Patient also appeared to have acute exacerbation of his CHF he was started on a fluid restriction diet and given IV Lasix will transition back to his orally torsemide and Coreg regiment.  Patient declining PT/OT states he has this outpatient already established.  Patient will go home on oxygen with 2 L. Vitals are stable otherwise no further concerns patient is medically clear for discharge.   Last CRP done today 71.5 and D-dimer 1020 Normal liver function and kidney function is better today than baseline with a creatinine of 1.41 and GFR 48
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Hypervolaemia, Hypoxia, Liver function test normal, Lung opacity
Clinical narrative: Patient discharged after (3) day inpatient stay. 11/12-11/15/21.  Patient received booster Moderna vaccine 10/24/21. Previous doses were 2/10/21- lot # 029L20A  1/13/21- 026L20A  Patient is an 80-year-old male who was admitted on 11/12/2021 with acute hypoxia secondary to COVID-19 pneumonia.  Patient required 3 L and has been weaned down to 2 L. He was started on remdesivir and given 4 days worth but does not want to stay to finish 5 day course and choosing to go home.  Decadron was initiated and patient will continue this outpatient for full 10 days.     Patient also appeared to have acute exacerbation of his CHF he was started on a fluid restriction diet and given IV Lasix will transition back to his orally torsemide and Coreg regiment.  Patient declining PT/OT states he has this outpatient already established.  Patient will go home on oxygen with 2 L. Vitals are stable otherwise no further concerns patient is medically clear for discharge.   Last CRP done today 71.5 and D-dimer 1020 Normal liver function and kidney function is better today than baseline with a creatinine of 1.41 and GFR 48
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Renal impairment, SARS-CoV-2 test positive
Clinical narrative: Patient discharged after (3) day inpatient stay. 11/12-11/15/21.  Patient received booster Moderna vaccine 10/24/21. Previous doses were 2/10/21- lot # 029L20A  1/13/21- 026L20A  Patient is an 80-year-old male who was admitted on 11/12/2021 with acute hypoxia secondary to COVID-19 pneumonia.  Patient required 3 L and has been weaned down to 2 L. He was started on remdesivir and given 4 days worth but does not want to stay to finish 5 day course and choosing to go home.  Decadron was initiated and patient will continue this outpatient for full 10 days.     Patient also appeared to have acute exacerbation of his CHF he was started on a fluid restriction diet and given IV Lasix will transition back to his orally torsemide and Coreg regiment.  Patient declining PT/OT states he has this outpatient already established.  Patient will go home on oxygen with 2 L. Vitals are stable otherwise no further concerns patient is medically clear for discharge.   Last CRP done today 71.5 and D-dimer 1020 Normal liver function and kidney function is better today than baseline with a creatinine of 1.41 and GFR 48
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt received adult dose instead of pediatric dose. Pt father entered 12 years as age so nurse gave adult dose. No side effects after 2 days. Pt is fine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Pyrexia
Clinical narrative: On the 30th, I noticed my lymph nodes under my arms and breast was swollen and were painful. My arm hurt at the site. I have a fever of 103 for 24 hours. I went to the doctor. She just did a breast exam.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID-19
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: COVID-19 Moderna EUA: Pain at injection site; fever; headache; body ache; joint ache.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Influenza virus test, Malaise, Nausea
Clinical narrative: symptoms of covid , inc weakness, fever, n/v
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Nucleic acid test, Pyrexia, Respiratory syncytial virus test, SARS-CoV-2 test positive, Vomiting
Clinical narrative: symptoms of covid , inc weakness, fever, n/v
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough, Headache, Nasal congestion, Respiratory tract congestion
Clinical narrative: headache-minor, nonproductive cough, sinus congestion, nasal congestion, post nasal drainage, chest congestion, chest feels sore.starting 11/19/21
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus congestion, Upper-airway cough syndrome
Clinical narrative: headache-minor, nonproductive cough, sinus congestion, nasal congestion, post nasal drainage, chest congestion, chest feels sore.starting 11/19/21
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Feeling abnormal, Pain
Clinical narrative: patient complained of chest pain, body aches, and felt like he was going to die.  Patient was advised to see his doctor or go to the Emergency Department, but declined to follow the advice given.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood creatine phosphokinase increased, Blood test, Gait disturbance, Loss of personal independence in daily activities
Clinical narrative: I received my first dose of Pfizer on 2/26/2021 at 10:30AM. When I woke up on 2/27/2021 at 7:00AM, I noticed that my left foot and ankle area was still and painful. It was so painful that it impacted my ability to walk and do normal activities. The pain lasted for about 6 days. On 3/3/2021, I saw the Doctor employed by my company's insurer, and she drew a blood sample. On 3/4/2021, she informed me that my creatine kinase levels were elevated and suggested I see Doctor who I have been seeing ever since. On 3/5/2021, I saw the Doctor by this time, I was still in pain, though the pain was now less intense than it was before. Doctor suggested that the elevated creatine kinase levels and pain could be an autoimmune response to the Pfizer vaccine, and he asked me to come back on 4/2/2021 for more blood tests. When I returned on 4/2/2021, my creatine kinase levels were within normal range. Between March and July 2021, I had two other instances in which the same pain returned to the same area. I don't recall the dates, but each time, the pain lasted for about 3 days. The pain was due to any physical activity.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I received my first dose of Pfizer on 2/26/2021 at 10:30AM. When I woke up on 2/27/2021 at 7:00AM, I noticed that my left foot and ankle area was still and painful. It was so painful that it impacted my ability to walk and do normal activities. The pain lasted for about 6 days. On 3/3/2021, I saw the Doctor employed by my company's insurer, and she drew a blood sample. On 3/4/2021, she informed me that my creatine kinase levels were elevated and suggested I see Doctor who I have been seeing ever since. On 3/5/2021, I saw the Doctor by this time, I was still in pain, though the pain was now less intense than it was before. Doctor suggested that the elevated creatine kinase levels and pain could be an autoimmune response to the Pfizer vaccine, and he asked me to come back on 4/2/2021 for more blood tests. When I returned on 4/2/2021, my creatine kinase levels were within normal range. Between March and July 2021, I had two other instances in which the same pain returned to the same area. I don't recall the dates, but each time, the pain lasted for about 3 days. The pain was due to any physical activity.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Fever (102) Chills Body ache Fatigue  This all lasted from 4 or 4:30 pm on November 21 until 2 am on November 22
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Presyncope
Clinical narrative: PATIENT PASSED OUT ; VAGUL RESPONSE SYNDROME
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chest pain, Dyspnoea
Clinical narrative: Patient discharged after (4) day inpatient stay 11/12-11/16/21 Patient is an otherwise health 38 YO woman who was admitted with acute hypoxia related to COVID-19 pneumonia on 11/12/21. She had been fully vaccinated prior to infection. Upon admission she was treated with oral Decadron and IV remdesivir daily. With treatment, her supplemental O2 needs improved and she was weaned off of all supplemental O2 at rest. With ongoing improvement in her symptoms, she was evaluated by Pulmonary Rehab who determined that she needed 1 Lpm supplemental O2 with activity, anticipating that this need will decrease over time. She was deemed stable for discharge on 11/16/21.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Lung disorder, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Patient discharged after (4) day inpatient stay 11/12-11/16/21 Patient is an otherwise health 38 YO woman who was admitted with acute hypoxia related to COVID-19 pneumonia on 11/12/21. She had been fully vaccinated prior to infection. Upon admission she was treated with oral Decadron and IV remdesivir daily. With treatment, her supplemental O2 needs improved and she was weaned off of all supplemental O2 at rest. With ongoing improvement in her symptoms, she was evaluated by Pulmonary Rehab who determined that she needed 1 Lpm supplemental O2 with activity, anticipating that this need will decrease over time. She was deemed stable for discharge on 11/16/21.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Product storage error, Pyrexia, Vomiting
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. PATIENT STATED SHE WAS SICK FOR WEEK AND A HALF WITH A FEVER 100 - 102 DEGREES FARENHIGHT. PATIENT STATED SHE ALSO EXPERIENCED NON-STOP NAUSEA/VOMITING.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth, Rash, Skin discolouration
Clinical narrative: This was my booster shot, my second dose I did get covid arm but it was not as severe, this time I got extremely sick and got everything that is listed as a symptom. Even my covid arm, however, my rash appeared on 11/19, grew larger on 11/20, it however is now wrapping around my arm into the inside part of the arm. This is all surrounding the injection site. As of today it comes and goes. It is hot to the touch and itchy, which I assume is normal for a covid arm rash. But, it grew in size and has a purple tint occasionally.
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Fall, Gait disturbance, Hypoaesthesia, Muscular weakness
Clinical narrative: 20 minutes after dose pain in left hip area when walking, 2 hours extreme pain in left hip when walking or sitting, 4 hours pain in left hip and knee walking, sitting, or lying down. 24 hours Tizanidine 4mg as needed (not effective). 57 hours pain suddenly disappears- numbness in left leg from knee to ankle, left leg weak from hip to ankle, walking difficult with left leg failing randomly causing falls. 7 Days numbness confined to kneecap, left leg weak but improving, leg failure improving but must walk with a cane.
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Musculoskeletal disorder, Pain, Sitting disability, Walking aid user
Clinical narrative: 20 minutes after dose pain in left hip area when walking, 2 hours extreme pain in left hip when walking or sitting, 4 hours pain in left hip and knee walking, sitting, or lying down. 24 hours Tizanidine 4mg as needed (not effective). 57 hours pain suddenly disappears- numbness in left leg from knee to ankle, left leg weak from hip to ankle, walking difficult with left leg failing randomly causing falls. 7 Days numbness confined to kneecap, left leg weak but improving, leg failure improving but must walk with a cane.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient's caregiver brought patient in to receive a COVID-19 Pfizer vaccine on 09/13/2021.  The patient?s parent filled out a consent form on behalf of the patient and listed the date of birth as 02/01/2009 and signed and consented on the official  Pfizer-BioNTech consent form.  The nurse verified the name and date of birth with the patient and the patient?s mother.  Metro Public Health guidelines were followed, and the parent received the up-to-date Pfizer-BioNTech EUA and the vaccine was administered.  In the patient?s 15-minute wait there were no adverse reactions. Upon entering the vaccine into the Tennessee Immunization Information System (TennIIS) it was discovered that the patient's true DOB was 02/01/2010  and therefore this was an unauthorized vaccination.  The date of birth was then confirmed and verified in the regulatory authority  The regulatory authority was notified.  In addition, the patient's mother and father were notified per protocol.  Weeks later the patient's mother attempted to bring all three of her 11 year old triplets to an event to get the second dose although she had been informed we would not be giving a dose until it was approved for an 11 year old.  The mother stated that the children were 12 and that the Patient's mother brought patient in to receive a COVID-19 Pfizer vaccine on 08/28/2021.  The patient?s mother filled out a consent form on behalf of the patient and listed the date of birth as 07/22/2009 and signed and consented on the official regulatory authority Pfizer-BioNTech consent form.  The nurse verified the name and date of birth with the patient and the patient?s mother.  Regulatory authority guidelines were followed, and the parent received the up-to-date Pfizer-BioNTech EUA and the vaccine was administered.  In the patient?s 15-minute wait there were no adverse reactions. Upon entering the vaccine into the regulatory authority it was discovered that the patient's true DOB was 07/22/2010  and therefore this was an unauthorized vaccination.  The date of birth was then confirmed and verified in the regulatory authority.  The regulatory authority was notified.  In addition, the patient returned with his mother and 2 sisters to try to get a second dose although the parents had been informed that we would not be giving a vaccine to any child under 12 years of age until approved to do so. The patient did not receive a second dose from our team that day.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Became COVID-19 positive post vaccination
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BEYOND USE EXPIRATION DATE WAS 11/19/21 AND DOES WAS ADMINISTERED ON 11/22/21. WE CALLED PFIZER AND THEY DO NOT HAVE STABILITY INFORMATION FOR VACCINE THAT WAS STORE IN REFRIGERATOR AND GIVEN ON 34TH DAY OF STORAGE. ALSO, REPORTED IT TO PFIZER'S MEDICAL TEAM.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Swelling face, Swelling of eyelid
Clinical narrative: On 11/21/21 facial swelling and redness started to appear. Was more noticeable on right side of face. No trouble breathing was noted. Benadryl was given and swelling decreased, but did not completely go away. On 11/22/21 my daughter woke up to have her whole face swollen, but again was more swollen in the right side. Her right eye was  almost completely shut. No breathing issues were noted.  Again benadryl was given and pediatrician was contacted. During clinic visit it was recommended to continue benadryl  every 6 hours for 24 hours and  monitor, and if breathing issues developed we were encouraged to seek emergency care. After return from doctors visit, small rash was noted to right inner forearm area.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Muscular weakness, Pain
Clinical narrative: Immediate pain with injection.  Arm weakness and pain with certain movements ongoing x 3 weeks.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-transglutaminase antibody, Autoantibody test, Blister, Blood smear test, Blood thyroid stimulating hormone
Clinical narrative: Pt presented to clinic with c/o blisters and itchy rash on chest - today 11/22/2021 we have a dx of probably pemphigus vulgaris - treated with keflex and prednisone initially with some improvement and then keri/kenalog lotion which we discontinued today - rash spread all over body and extremities and to oral mucosa
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Metabolic function test, Oral mucosal eruption, Pemphigus, Rash
Clinical narrative: Pt presented to clinic with c/o blisters and itchy rash on chest - today 11/22/2021 we have a dx of probably pemphigus vulgaris - treated with keflex and prednisone initially with some improvement and then keri/kenalog lotion which we discontinued today - rash spread all over body and extremities and to oral mucosa
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Pt presented to clinic with c/o blisters and itchy rash on chest - today 11/22/2021 we have a dx of probably pemphigus vulgaris - treated with keflex and prednisone initially with some improvement and then keri/kenalog lotion which we discontinued today - rash spread all over body and extremities and to oral mucosa
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Amyloidosis, Brain oedema, Cerebral mass effect, Cerebrovascular accident, Computerised tomogram head abnormal
Clinical narrative: I have no evidence that CVA was related to covid booster shot, but reported due to proximity of shot and onset of event.  On 11/15/21, Pt presented to  ER with sudden onset of right sided weakness, and right facial tingling while shopping at grocery store.  Pt with history of HTN, Dyslipidemia.  On Aspirin 81 mg daily and previously active.  (can hike 2-3 miles with poles).  She did have a fall 2 weeks ago and hurt her shoulder. Per pt report and hospital note, she received Moderna covid booster 4 days ago, but in my chart review, I see she had her covid booster on 11/5, which makes it 10 days prior to ED presentation.   After her booster shot, pt experienced gross hematuria.  She was seen by her PCP on 11/8 and diagnosed with UTI.   on 11/15, she had stroke symptoms.  in the ER, she denied any nausea, vomiting, headache, or any visual changes.  She denies any shortness of breath, chest pain or palpitations. Pt was subsequently transferred to hospital.   Assessment by neurocritical care physician on 11/16: 1. Acute left thalamic hemorrhage, ICH score 0 , etiology likely hypertensive versus amyloid, less likely aneurysm or AVM, less likely traumatic 2. Right hemiparesis secondary to above 3. Dysarthric secondary to above 4. Hypertension 5. Hyperlipidemia 6. UTI  7. Recent moderna vaccine booster  8. Recent mechanical fall 9. Facial tingling, focal seizure ?
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dysarthria, Haematuria, Haemorrhage, Hemiparesis, Hyperlipidaemia
Clinical narrative: I have no evidence that CVA was related to covid booster shot, but reported due to proximity of shot and onset of event.  On 11/15/21, Pt presented to  ER with sudden onset of right sided weakness, and right facial tingling while shopping at grocery store.  Pt with history of HTN, Dyslipidemia.  On Aspirin 81 mg daily and previously active.  (can hike 2-3 miles with poles).  She did have a fall 2 weeks ago and hurt her shoulder. Per pt report and hospital note, she received Moderna covid booster 4 days ago, but in my chart review, I see she had her covid booster on 11/5, which makes it 10 days prior to ED presentation.   After her booster shot, pt experienced gross hematuria.  She was seen by her PCP on 11/8 and diagnosed with UTI.   on 11/15, she had stroke symptoms.  in the ER, she denied any nausea, vomiting, headache, or any visual changes.  She denies any shortness of breath, chest pain or palpitations. Pt was subsequently transferred to hospital.   Assessment by neurocritical care physician on 11/16: 1. Acute left thalamic hemorrhage, ICH score 0 , etiology likely hypertensive versus amyloid, less likely aneurysm or AVM, less likely traumatic 2. Right hemiparesis secondary to above 3. Dysarthric secondary to above 4. Hypertension 5. Hyperlipidemia 6. UTI  7. Recent moderna vaccine booster  8. Recent mechanical fall 9. Facial tingling, focal seizure ?
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Magnetic resonance imaging head abnormal, Neurological symptom, Paraesthesia, Scan with contrast abnormal
Clinical narrative: I have no evidence that CVA was related to covid booster shot, but reported due to proximity of shot and onset of event.  On 11/15/21, Pt presented to  ER with sudden onset of right sided weakness, and right facial tingling while shopping at grocery store.  Pt with history of HTN, Dyslipidemia.  On Aspirin 81 mg daily and previously active.  (can hike 2-3 miles with poles).  She did have a fall 2 weeks ago and hurt her shoulder. Per pt report and hospital note, she received Moderna covid booster 4 days ago, but in my chart review, I see she had her covid booster on 11/5, which makes it 10 days prior to ED presentation.   After her booster shot, pt experienced gross hematuria.  She was seen by her PCP on 11/8 and diagnosed with UTI.   on 11/15, she had stroke symptoms.  in the ER, she denied any nausea, vomiting, headache, or any visual changes.  She denies any shortness of breath, chest pain or palpitations. Pt was subsequently transferred to hospital.   Assessment by neurocritical care physician on 11/16: 1. Acute left thalamic hemorrhage, ICH score 0 , etiology likely hypertensive versus amyloid, less likely aneurysm or AVM, less likely traumatic 2. Right hemiparesis secondary to above 3. Dysarthric secondary to above 4. Hypertension 5. Hyperlipidemia 6. UTI  7. Recent moderna vaccine booster  8. Recent mechanical fall 9. Facial tingling, focal seizure ?
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Thalamus haemorrhage, Urinary tract infection
Clinical narrative: I have no evidence that CVA was related to covid booster shot, but reported due to proximity of shot and onset of event.  On 11/15/21, Pt presented to  ER with sudden onset of right sided weakness, and right facial tingling while shopping at grocery store.  Pt with history of HTN, Dyslipidemia.  On Aspirin 81 mg daily and previously active.  (can hike 2-3 miles with poles).  She did have a fall 2 weeks ago and hurt her shoulder. Per pt report and hospital note, she received Moderna covid booster 4 days ago, but in my chart review, I see she had her covid booster on 11/5, which makes it 10 days prior to ED presentation.   After her booster shot, pt experienced gross hematuria.  She was seen by her PCP on 11/8 and diagnosed with UTI.   on 11/15, she had stroke symptoms.  in the ER, she denied any nausea, vomiting, headache, or any visual changes.  She denies any shortness of breath, chest pain or palpitations. Pt was subsequently transferred to hospital.   Assessment by neurocritical care physician on 11/16: 1. Acute left thalamic hemorrhage, ICH score 0 , etiology likely hypertensive versus amyloid, less likely aneurysm or AVM, less likely traumatic 2. Right hemiparesis secondary to above 3. Dysarthric secondary to above 4. Hypertension 5. Hyperlipidemia 6. UTI  7. Recent moderna vaccine booster  8. Recent mechanical fall 9. Facial tingling, focal seizure ?
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Conjunctivitis allergic, Joint range of motion decreased, Myalgia, Pain
Clinical narrative: Shoulder pain and limited range of motion.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Hypoaesthesia, Insomnia, Joint range of motion decreased, Pain in extremity
Clinical narrative: Shoulder pain and limited range of motion.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Muscular weakness
Clinical narrative: Headache,  Muscle Weakness, Chills, Lack of Energy
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received vaccine that experienced a temperature excursion. Vaccine kept in the refrigerator for more than 30 days. No adverse reaction reported after 1st vaccination.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Computerised tomogram abnormal, Sarcoma, Sarcoma excision
Clinical narrative: I am reporting in case this could be related.  Very rare fast growing sarcoma identified after a CT scan for another issue.  It grew to 8 cm in a matter of months.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pt should have received a pediatric dose of 0.2ml, but was administered the adult 0.3ml dose.