chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Chest X-ray, Chest pain, Musculoskeletal pain
Clinical narrative: Starting around the 12 of Spetember I would say, I started to have chest pain in my right side and down my right arm. It would come on strong and last 5-10 mins or so. The only thins that would help is to drink water, put my arms up and over my head and walk around. This was happening at least once or twice a day all week. I then went to the ER on 9/17/21 after talking with a nurse at my doctor's office. Since I had chest pains, wish I did not after receiving the hospital bill. When as the ER they did not ask me if has covid, or if had been vaccinated. They checked my vitals and blood pressure, they were going to do an EKG but decided not to. I had chest x-ray of the front and side. They said that I had a muscle virus, but this was not written on the paper work for diagnosis. I thought it seemed like myocarditis possibly becasue i heard this from the doctor on TV and looked it up and it seemed like most of the sympstoms I had. I'm sure  my symptoms could fall into many things. I was subscribed flexaral and something else for any infection and to take it easy for that day and the next. I did not take all the flexaral as it was use as needed. Since then I have not had the chest pain as I did before, but for the last week or two I have had some pain in my back shoulder blade, it also runs down to my left elbow. At times I feel as i get winded easier then i used to.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Pain in extremity
Clinical narrative: Starting around the 12 of Spetember I would say, I started to have chest pain in my right side and down my right arm. It would come on strong and last 5-10 mins or so. The only thins that would help is to drink water, put my arms up and over my head and walk around. This was happening at least once or twice a day all week. I then went to the ER on 9/17/21 after talking with a nurse at my doctor's office. Since I had chest pains, wish I did not after receiving the hospital bill. When as the ER they did not ask me if has covid, or if had been vaccinated. They checked my vitals and blood pressure, they were going to do an EKG but decided not to. I had chest x-ray of the front and side. They said that I had a muscle virus, but this was not written on the paper work for diagnosis. I thought it seemed like myocarditis possibly becasue i heard this from the doctor on TV and looked it up and it seemed like most of the sympstoms I had. I'm sure  my symptoms could fall into many things. I was subscribed flexaral and something else for any infection and to take it easy for that day and the next. I did not take all the flexaral as it was use as needed. Since then I have not had the chest pain as I did before, but for the last week or two I have had some pain in my back shoulder blade, it also runs down to my left elbow. At times I feel as i get winded easier then i used to.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient presented to clinic to receive her COVID-19 Booster vaccination. The patient signed up for a Moderna booster post completing her primary series of Pfizer COVID-19 vaccine. At time of administration, the administrator communicated with the patient regarding her booster, and  an error in communication occured, the patient was administered the Pfizer booster.  .Post vaccination with the Pfizer booster, the patient expressed that she had desired the Moderna booster.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, X-ray
Clinical narrative: facial nerve paralysis left side.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no Adverse event
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cheilitis, Chills, Headache, Herpes simplex, Myalgia
Clinical narrative: Wednesday evening after Monday shot had an extreme HSV-1 outbreak.   Prone to these outbreaks but this one was so extreme involving the entire mouth, sores on inside of mouth, tongue, lips and running down the nerves to the chin.   The outbreak is so extreme decided to report it so others that suffer from HSV-1 can be prepared prior to the shot.  I also had a more severe reaction to the 3rd shot than either of the previous two, high fever, chills, headache, and severe muscle pain for 24 hours.  I did not have an HSV-1 outbreak after either of the previous vaccines - all three have been Moderna.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Stomatitis
Clinical narrative: Wednesday evening after Monday shot had an extreme HSV-1 outbreak.   Prone to these outbreaks but this one was so extreme involving the entire mouth, sores on inside of mouth, tongue, lips and running down the nerves to the chin.   The outbreak is so extreme decided to report it so others that suffer from HSV-1 can be prepared prior to the shot.  I also had a more severe reaction to the 3rd shot than either of the previous two, high fever, chills, headache, and severe muscle pain for 24 hours.  I did not have an HSV-1 outbreak after either of the previous vaccines - all three have been Moderna.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given Moderna vaccine past the best use by date
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: An empty syringe, not filled vaccine, was utilized to "vaccinate" this patient.  This error was identified within 10 minutes and the patient was vaccinated appropriately without incident.  The parent was informed of the error at the time and a full investigation was completed.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Flushing
Clinical narrative: My face started to have a burning sensation and very flush. It started on both cheeks around 4 pm on  11/11/21. From then it has spread throughout my entire face. And still present as of today 11/12/21 at 11:42am
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Blood test normal, Computerised tomogram, Computerised tomogram normal, SARS-CoV-2 test
Clinical narrative: Blood test, CT scan, covid test
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Blood test, CT scan, covid test
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives/ urticaria  , very bad itching.  Currently taking Allegra, Zyrtec, montelukast, famotidine . Took prednisone  in  3 different periods of time. This is the only time the hives disappeared .
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: High fever 102.7n chills
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the best used date.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN BEYOUND USED DATE.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE GIVEN BEYOUND USED DATE.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Moderna COVID-19 Vaccine EUA Booster 11/8/2021 - several hours after vaccine administered, left arm shoulder area was very painful, tender to the touch and painful to move. Slept poorly. 11/9/2021 - left arm/shoulder remained painful to touch and move and also felt swollen or hardened. Overall fatigue, chills, body aches, and a mild fever towards the end of the day with symptoms largely improving by the evening. 11/10/2021 - continued soreness of arm/shoulder but was far more mild and much easier to move. No other apparent symptoms. 11/11/2021 - completely symptom and pain free until evening and discovered light vaginal bleeding/spotting. This shouldn't have happened because the last date of menstrual period was over one week prior to vaccination. 11/12/2021 (date of filing report) - continued irregular light vaginal bleeding/spotting.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Pain, Pain in extremity, Poor quality sleep, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA Booster 11/8/2021 - several hours after vaccine administered, left arm shoulder area was very painful, tender to the touch and painful to move. Slept poorly. 11/9/2021 - left arm/shoulder remained painful to touch and move and also felt swollen or hardened. Overall fatigue, chills, body aches, and a mild fever towards the end of the day with symptoms largely improving by the evening. 11/10/2021 - continued soreness of arm/shoulder but was far more mild and much easier to move. No other apparent symptoms. 11/11/2021 - completely symptom and pain free until evening and discovered light vaginal bleeding/spotting. This shouldn't have happened because the last date of menstrual period was over one week prior to vaccination. 11/12/2021 (date of filing report) - continued irregular light vaginal bleeding/spotting.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Moderna COVID-19 Vaccine EUA Booster 11/8/2021 - several hours after vaccine administered, left arm shoulder area was very painful, tender to the touch and painful to move. Slept poorly. 11/9/2021 - left arm/shoulder remained painful to touch and move and also felt swollen or hardened. Overall fatigue, chills, body aches, and a mild fever towards the end of the day with symptoms largely improving by the evening. 11/10/2021 - continued soreness of arm/shoulder but was far more mild and much easier to move. No other apparent symptoms. 11/11/2021 - completely symptom and pain free until evening and discovered light vaginal bleeding/spotting. This shouldn't have happened because the last date of menstrual period was over one week prior to vaccination. 11/12/2021 (date of filing report) - continued irregular light vaginal bleeding/spotting.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Pain, Rheumatoid arthritis
Clinical narrative: I have been taking Humira for my Rheumatoid arthritis for 18 years.  For 18 years I was virtually symptom free for arthritis.  I have very severe arthritis, so this was pretty remarkable.  After taking the vaccine, Humira, and other medicines I?ve tried, are completely ineffective.  I am in terrible pain all day and all night.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after the CDC recommended window of 2 hours after being removed from the refrigerator. Per manufacturer, the vaccine is not "expired" unless 12 hours up to 73 degrees, which the vaccine was and it was within this time limit. Explained to patient.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: Fatigue, fever, headache, muscle ache, nausea Severe pain at injection site
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fatigue, fever, headache, muscle ache, nausea Severe pain at injection site
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia oral
Clinical narrative: After 5min after receiving the second dose of the Covid Vaccine, my lips started tingling. After my allotted wait time, it did not get any worse so I figured it was ok to leave without telling anyone. While driving down the road approximately 5 min after leaving the location the left side of my face went numb. At approximately 3 hours after the injection the side affects of the numbness was gone.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia
Clinical narrative: Anosmia
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Drooling, Fibrin D dimer, Full blood count, Hypoaesthesia
Clinical narrative: numbness of the right mouth and cheek and sometimes the lower mouth also feels numb.  Feels like a novacaine shot from dentist that has never worn off.   I drool a little chewing gum, having to wipe the right side of my lips and cannot drink a glass of water without spilling from the right side of my mouth,   I have to take one sip at at time when I drink.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Metabolic function test
Clinical narrative: numbness of the right mouth and cheek and sometimes the lower mouth also feels numb.  Feels like a novacaine shot from dentist that has never worn off.   I drool a little chewing gum, having to wipe the right side of my lips and cannot drink a glass of water without spilling from the right side of my mouth,   I have to take one sip at at time when I drink.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Basedow's disease, Blood test, Disease recurrence
Clinical narrative: Diagnosed with Graves disease approx 4 years ago.   Got treatment and went into remission.  Got my covid booster on Oct29, 2021 and approx 1 week later I was having symptoms.  Was diagnosed as recurring Graves Disease.  Was prescribed Methimazole and Atenolol.  I will be dealing with this for the rest of my life.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Pain in extremity, Phlebitis
Clinical narrative: Within 24 hours pain in right shin. Swelling of veins (no previous varicose veins) some went away and since then more have developed. Did compression, took ARNICA MONTANA 30c, moved a lot. Called 24 hour nurse hotline.  Pain in right leg continued, pain in right arm, pressure in chest. Continued taking ARNICA MONTANA 30c.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Brain scan normal, Discomfort, Echocardiogram normal, Insomnia, Laboratory test normal
Clinical narrative: Loud forceful pulsation in my head chest back and legs. More noticeable at night wakes me up and keeps me awake. No pain. This started after 2nd shot it started to decrease until I took booster shot which it started up forcefully again.  Took every test under the sun all negative. Blood pressure fine, heart rate fine.  It's a constant pressure pulsation feeling.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Scan normal, Sensory disturbance, Sleep disorder, Vaccine positive rechallenge
Clinical narrative: Loud forceful pulsation in my head chest back and legs. More noticeable at night wakes me up and keeps me awake. No pain. This started after 2nd shot it started to decrease until I took booster shot which it started up forcefully again.  Took every test under the sun all negative. Blood pressure fine, heart rate fine.  It's a constant pressure pulsation feeling.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphonia, Nasal congestion, Pyrexia, Wheezing
Clinical narrative: pt developed fever to 103 night of 11/11/2021 and wheezing with hoarseness and nasal congestion
Age: 36.0
Sex: M
Vaccine: UNK
Symptoms: No adverse event
Clinical narrative: no adverse event patient monitored
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature fluctuation, Bronchitis, Chest pain, Chills, Cough
Clinical narrative: 11/09/2021- Within about 15 minutes, I started coughing and then I used my Rescue Inhaler. I had chills, injection site is hot and bruised. 11/10/2021- Chest pain. 11/09/2021- Temperature is fluctuating. 11/09/2021- Very intense muscle aches.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site warmth, Myalgia
Clinical narrative: 11/09/2021- Within about 15 minutes, I started coughing and then I used my Rescue Inhaler. I had chills, injection site is hot and bruised. 11/10/2021- Chest pain. 11/09/2021- Temperature is fluctuating. 11/09/2021- Very intense muscle aches.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Lymphadenopathy, Musculoskeletal discomfort, Musculoskeletal stiffness
Clinical narrative: My left side above my collarbone started to bother me around 8pm the same day I got my vaccine on my left side. I left the gym and the seatbelt was bothering me on my left side. I got home and around 10pm I noticed I had a small bump about half an inch above my collar bone right by my neck on my left side. The bump was painful when I tried to move it or touch it. By 11pm I had chills and aches throughout my body.  I work at a clinic and when I arrived the next day, I went downstairs to the clinic and one of the nurses told me that it was a swollen lymph node and gave me an ice pack. It continued to be painful and it caused my neck to feel very stiff. I could not turn my neck very much without my neck hurting. Around noon on 11/11 my lower back also started aching. I left work around 2:30pm and went home to sleep. On 11/12 (today) I woke up and the bump felt a little better but it is still painful when I touch it and I cannot move my neck normally, I have a little more movement than yesterday though
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain
Clinical narrative: My left side above my collarbone started to bother me around 8pm the same day I got my vaccine on my left side. I left the gym and the seatbelt was bothering me on my left side. I got home and around 10pm I noticed I had a small bump about half an inch above my collar bone right by my neck on my left side. The bump was painful when I tried to move it or touch it. By 11pm I had chills and aches throughout my body.  I work at a clinic and when I arrived the next day, I went downstairs to the clinic and one of the nurses told me that it was a swollen lymph node and gave me an ice pack. It continued to be painful and it caused my neck to feel very stiff. I could not turn my neck very much without my neck hurting. Around noon on 11/11 my lower back also started aching. I left work around 2:30pm and went home to sleep. On 11/12 (today) I woke up and the bump felt a little better but it is still painful when I touch it and I cannot move my neck normally, I have a little more movement than yesterday though
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administration error
Clinical narrative: Medication administration error.  Patient was supposed to receive pediatric dose of Pfizer vaccine 0.2 mL . Instead, patient received 0.25 mL booster dose of Moderna on 11/12/2021 at 10:30 am. I immediately noted error as soon as I finished administering the vaccine and spoke with patient's parent immediately about the incident. I recommended that the patient wait 30 minutes for observation.  I then immediately called to report occurrence to a health agency. We were advised to let parents know about the error, have them wait 30 minutes,  and advise them that we would be in contact for information and guidance regarding the second dose of the vaccine once we receive instruction from the CDC's standpoint.  Patient was under our observation for 30 minutes post-vaccine administration and had no signs or symptoms of adverse reaction. Gave  health agency contact information and phone number to patient's parents to call with any additional questions or concerns and verbalized that we would be in touch to give further guidance on the plan for the second dose.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling drunk, Sleep terror
Clinical narrative: Over-tiredness;Drunk feeling; Night Terror.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given Moderna vaccine past the best use by date
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given Moderna vaccine past the best use by date
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after the advisory organization recommended window of 2 hours after being removed from the refrigerator. Per manufacturer, the vaccine is not "expired" unless 12 hours up to 73 degrees, which the vaccine was and it was within this time limit. Explained to patient.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test, Blood thyroid stimulating hormone, Decreased appetite, Depersonalisation/derealisation disorder
Clinical narrative: Beginning on Friday Nov 5th, fatigue, daily debilitating panic attacks and uncontrollable anxiety. Lightheadedness, loss of appetite, shortness of breath, depersonalization. Still ongoing till today November 12.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Hypovitaminosis, Panic attack
Clinical narrative: Beginning on Friday Nov 5th, fatigue, daily debilitating panic attacks and uncontrollable anxiety. Lightheadedness, loss of appetite, shortness of breath, depersonalization. Still ongoing till today November 12.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin
Clinical narrative: Beginning on Friday Nov 5th, fatigue, daily debilitating panic attacks and uncontrollable anxiety. Lightheadedness, loss of appetite, shortness of breath, depersonalization. Still ongoing till today November 12.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the best used date
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Colitis, Diarrhoea, Gastrointestinal disorder, Muscle spasms, Secretion discharge
Clinical narrative: Gastrointestinal symptoms beginning approximately 20-24 hours post vaccination and lasting approximately 14 days.  Colitis-like symptoms with cramping, diarrhea, mucous, urgency.   No prior GI dysfunction, no infectious contacts.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Urge incontinence
Clinical narrative: Gastrointestinal symptoms beginning approximately 20-24 hours post vaccination and lasting approximately 14 days.  Colitis-like symptoms with cramping, diarrhea, mucous, urgency.   No prior GI dysfunction, no infectious contacts.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dissociation, Eye pain, Fatigue, Headache, Neck pain
Clinical narrative: I experienced all typical symptoms being a sore arm and feeling tired, but minutes after receiving the vaccine I felt what I can only describe as dissociation. I figured it was my anxiety and would clear but but it didn't clear up, I felt completely out of it with some slight waxing and waning of that feeling here and there, but I felt that way for the next 4 months. In addition I experienced horrible neck pain, eye soreness and headaches. The pain resolved after maybe 2 and half months.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I experienced all typical symptoms being a sore arm and feeling tired, but minutes after receiving the vaccine I felt what I can only describe as dissociation. I figured it was my anxiety and would clear but but it didn't clear up, I felt completely out of it with some slight waxing and waning of that feeling here and there, but I felt that way for the next 4 months. In addition I experienced horrible neck pain, eye soreness and headaches. The pain resolved after maybe 2 and half months.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: I received the Moderna Booster shot at the Pharmacy on Monday. The Pharmacy near home. (I am a 72yr old white woman.)  I reacted with a red rash over most of my body.  The Doctor at the Urgent Care stated that I was the 2nd patient this week to come in with a weird reaction after the Moderna Booster from the Pharmacy.  I think this is crucial information to document not only to the Pharmacy, but to the CDC. I did, as with the Second Shot, also react with chills, fever, headache, fatigue, and aches.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: I received the Moderna Booster shot at the Pharmacy on Monday. The Pharmacy near home. (I am a 72yr old white woman.)  I reacted with a red rash over most of my body.  The Doctor at the Urgent Care stated that I was the 2nd patient this week to come in with a weird reaction after the Moderna Booster from the Pharmacy.  I think this is crucial information to document not only to the Pharmacy, but to the CDC. I did, as with the Second Shot, also react with chills, fever, headache, fatigue, and aches.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received 3rd dose of Pfizer Covid-19 vaccine when he was 17 years old on 10/26/2021
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Intensive care, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever, nausea, vomiting, severe hyponatremia
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Diarrhoea, Dizziness, Fatigue, Injection site pain
Clinical narrative: Fatigue High fever over 102* Mild confusion/dizzy Body aches Nausea Diarrhea Extreme pain at injection site  Symptoms for 48hrs Bed rest, ibuprofen and tylenol alternating
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Fatigue High fever over 102* Mild confusion/dizzy Body aches Nausea Diarrhea Extreme pain at injection site  Symptoms for 48hrs Bed rest, ibuprofen and tylenol alternating
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Altered state of consciousness, Anticoagulant therapy, Asthenia, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient fully vaccinated (2 doses) for COVID who admitted for COVID complications testing positive for COVID upon admission.  Provider note below:   "87 yo M PMH gout, HLD, PAF, CAD, lupus anticoagulant positive, OSA, history of embolic stroke, solitary left kidney, HFrEF 30-35%, CKD4, severe aortic stenosis, chronic narcotic use, chronic respiratory failure, presented 9/27 with weakness, cough, and worsening SOB. He was found to be COVID+ despite being fully vaccinated in March. On 10/3 he developed increasing O2 requirements with CXR demonstrating progressive multifocal lung consolidation bilaterally compared to admission. He was transferred to the CCU for intubation. He was extubated 10/5 and transferred out of the ICU on 10/9. He is currently on 2-3L O2 via nasal cannula. He is continued on Lovenox for his hypercoagulable state secondary to COVID. "  Patient was discharged to skilled nursing facility on 10/26/21.  Readmitted back on  10/29/21 due to change in level of conciousness.  Discharged home with hospice care, see providers discharge note below for second admission on 10/29/21:  "Patient is an 87 year old male with history of chronic hypoxic respiratory failure, CKD Stage IV, HFpEF, and severe aortic stenosis who presents to the Hospital from the nursing facility after being found to be unresponsive and hypoxic. Medics reports that patient's oxygen saturation was in the low 80s at time of arrival to the nursing facility. patient's mental status remains altered. He awakens, however, he only occasionally will answer yes/no questions by nodding or shaking his head. Appears to deny chest pain and reports feeling comfortable presently on BiPAP. Patient was recently hospitalized at Lakeland from 9/27 - 10/26 for COVID pneumonia which required intubation.Due to his poor overall functional status and serious co-morbidities, the idea of Hospice was introduce to pt and family. They are open to the idea of Hospice. Hospice team was consulted, pt and family understand and consent signed.  Pt is going home with Hospice. "
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Cough, Dyspnoea, Endotracheal intubation, Extubation
Clinical narrative: Patient fully vaccinated (2 doses) for COVID who admitted for COVID complications testing positive for COVID upon admission.  Provider note below:   "87 yo M PMH gout, HLD, PAF, CAD, lupus anticoagulant positive, OSA, history of embolic stroke, solitary left kidney, HFrEF 30-35%, CKD4, severe aortic stenosis, chronic narcotic use, chronic respiratory failure, presented 9/27 with weakness, cough, and worsening SOB. He was found to be COVID+ despite being fully vaccinated in March. On 10/3 he developed increasing O2 requirements with CXR demonstrating progressive multifocal lung consolidation bilaterally compared to admission. He was transferred to the CCU for intubation. He was extubated 10/5 and transferred out of the ICU on 10/9. He is currently on 2-3L O2 via nasal cannula. He is continued on Lovenox for his hypercoagulable state secondary to COVID. "  Patient was discharged to skilled nursing facility on 10/26/21.  Readmitted back on  10/29/21 due to change in level of conciousness.  Discharged home with hospice care, see providers discharge note below for second admission on 10/29/21:  "Patient is an 87 year old male with history of chronic hypoxic respiratory failure, CKD Stage IV, HFpEF, and severe aortic stenosis who presents to the Hospital from the nursing facility after being found to be unresponsive and hypoxic. Medics reports that patient's oxygen saturation was in the low 80s at time of arrival to the nursing facility. patient's mental status remains altered. He awakens, however, he only occasionally will answer yes/no questions by nodding or shaking his head. Appears to deny chest pain and reports feeling comfortable presently on BiPAP. Patient was recently hospitalized at Lakeland from 9/27 - 10/26 for COVID pneumonia which required intubation.Due to his poor overall functional status and serious co-morbidities, the idea of Hospice was introduce to pt and family. They are open to the idea of Hospice. Hospice team was consulted, pt and family understand and consent signed.  Pt is going home with Hospice. "
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Hypercoagulation, Hypoxia, Intensive care, Lung consolidation
Clinical narrative: Patient fully vaccinated (2 doses) for COVID who admitted for COVID complications testing positive for COVID upon admission.  Provider note below:   "87 yo M PMH gout, HLD, PAF, CAD, lupus anticoagulant positive, OSA, history of embolic stroke, solitary left kidney, HFrEF 30-35%, CKD4, severe aortic stenosis, chronic narcotic use, chronic respiratory failure, presented 9/27 with weakness, cough, and worsening SOB. He was found to be COVID+ despite being fully vaccinated in March. On 10/3 he developed increasing O2 requirements with CXR demonstrating progressive multifocal lung consolidation bilaterally compared to admission. He was transferred to the CCU for intubation. He was extubated 10/5 and transferred out of the ICU on 10/9. He is currently on 2-3L O2 via nasal cannula. He is continued on Lovenox for his hypercoagulable state secondary to COVID. "  Patient was discharged to skilled nursing facility on 10/26/21.  Readmitted back on  10/29/21 due to change in level of conciousness.  Discharged home with hospice care, see providers discharge note below for second admission on 10/29/21:  "Patient is an 87 year old male with history of chronic hypoxic respiratory failure, CKD Stage IV, HFpEF, and severe aortic stenosis who presents to the Hospital from the nursing facility after being found to be unresponsive and hypoxic. Medics reports that patient's oxygen saturation was in the low 80s at time of arrival to the nursing facility. patient's mental status remains altered. He awakens, however, he only occasionally will answer yes/no questions by nodding or shaking his head. Appears to deny chest pain and reports feeling comfortable presently on BiPAP. Patient was recently hospitalized at Lakeland from 9/27 - 10/26 for COVID pneumonia which required intubation.Due to his poor overall functional status and serious co-morbidities, the idea of Hospice was introduce to pt and family. They are open to the idea of Hospice. Hospice team was consulted, pt and family understand and consent signed.  Pt is going home with Hospice. "
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Positive airway pressure therapy, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Patient fully vaccinated (2 doses) for COVID who admitted for COVID complications testing positive for COVID upon admission.  Provider note below:   "87 yo M PMH gout, HLD, PAF, CAD, lupus anticoagulant positive, OSA, history of embolic stroke, solitary left kidney, HFrEF 30-35%, CKD4, severe aortic stenosis, chronic narcotic use, chronic respiratory failure, presented 9/27 with weakness, cough, and worsening SOB. He was found to be COVID+ despite being fully vaccinated in March. On 10/3 he developed increasing O2 requirements with CXR demonstrating progressive multifocal lung consolidation bilaterally compared to admission. He was transferred to the CCU for intubation. He was extubated 10/5 and transferred out of the ICU on 10/9. He is currently on 2-3L O2 via nasal cannula. He is continued on Lovenox for his hypercoagulable state secondary to COVID. "  Patient was discharged to skilled nursing facility on 10/26/21.  Readmitted back on  10/29/21 due to change in level of conciousness.  Discharged home with hospice care, see providers discharge note below for second admission on 10/29/21:  "Patient is an 87 year old male with history of chronic hypoxic respiratory failure, CKD Stage IV, HFpEF, and severe aortic stenosis who presents to the Hospital from the nursing facility after being found to be unresponsive and hypoxic. Medics reports that patient's oxygen saturation was in the low 80s at time of arrival to the nursing facility. patient's mental status remains altered. He awakens, however, he only occasionally will answer yes/no questions by nodding or shaking his head. Appears to deny chest pain and reports feeling comfortable presently on BiPAP. Patient was recently hospitalized at Lakeland from 9/27 - 10/26 for COVID pneumonia which required intubation.Due to his poor overall functional status and serious co-morbidities, the idea of Hospice was introduce to pt and family. They are open to the idea of Hospice. Hospice team was consulted, pt and family understand and consent signed.  Pt is going home with Hospice. "
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: An empty syringe, not filled vaccine, MAY HAVE BEEN utilized to "vaccinate" this patient.  This possible error was identified within 24-hours of the event and the parents were informed of the potential error.  The parents have decided to forego immediate re-vaccination and have spike protein antibody titers checked in 2-3 weeks to decide if they will consent to a repeat dose one or continue on to dose two.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain
Clinical narrative: Pain in armpit and left chest near breast
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Nausea, Vomiting
Clinical narrative: nausea, vomiting, stomach cramps
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Oesophageal spasm, Urticaria
Clinical narrative: Patient reports today (11/12/21) that she had hives in her throat and esophagus. She states that she also gets Nutcracker esophageal syndrome from the hives. Patient reports per phone conversation today that she had hives for 3-5 days post vaccine and continues to have Nutcracker esophageal syndrome. She notified her primary physician today (11/12/21)
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after the CDC recommended window of 2 hours after being removed from the refrigerator. Per manufacturer, the vaccine is not "expired" unless 12 hours up to 73 degrees, which the vaccine was and it was within this time limit. Explained to patient.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: Patient presented with a "deep cough" and need for increasing O2. Patient resulted positive for COVID.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder, Fatigue, Feeling hot, Headache
Clinical narrative: Patient accompanied by mother who provided history. COVID vaccine yesterday  normal day yesterday, felt fine, slept fine last night, ate typically this am about 30 minutes after eating  he  started told his mom he was  hot and  dizzy feeling , his head hurt, mom noticed he was very pale, then" eyes rolled back" while he was sitting down, and he flopped toward  mom, shaky rigid arms for a couple of beats, brief time -a second was not  responsive, then he came to and was  scared, asked questions, was not sure what happened, felt very hot stripped down, mom gave  water with electrolytes, seemed a bit tired though only for a brief time and has been fine since  no fever or achiness, no headache now, no loss of bowel or bladder control during episode  .
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Physical examination, Unresponsive to stimuli
Clinical narrative: Patient accompanied by mother who provided history. COVID vaccine yesterday  normal day yesterday, felt fine, slept fine last night, ate typically this am about 30 minutes after eating  he  started told his mom he was  hot and  dizzy feeling , his head hurt, mom noticed he was very pale, then" eyes rolled back" while he was sitting down, and he flopped toward  mom, shaky rigid arms for a couple of beats, brief time -a second was not  responsive, then he came to and was  scared, asked questions, was not sure what happened, felt very hot stripped down, mom gave  water with electrolytes, seemed a bit tired though only for a brief time and has been fine since  no fever or achiness, no headache now, no loss of bowel or bladder control during episode  .
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: An empty syringe not filled vaccine, MAY HAVE BEEN utilized to "vaccinate" this patient.  This possible error was identified within 24-hours of the event and the parents were informed of the potential error.  The parents have decided to forego immediate re-vaccination and have spike protein antibody titers checked in 2-3 weeks to decide if they will consent to a repeat dose one or continue on to dose two.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the best used date.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo 3 days after vaccination. It is intermittent and still occurring  2 weeks after vaccination.  I also got vertigo  3 days after my 2nd shot in February but was unsure if it was due to the vaccination.  It last for a six weeks. It is intermittent and often depends on my position.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dyspnoea, Dysstasia, Kidney infection, Pleurisy
Clinical narrative: Developed severe mid back pain and thought was a kidney infection. Went to PCP on 11/1/2021 to be evaluated for kidney infection, but was negative. Provider told her that it was either reaction to Covid booster vaccine or pleurisy. Having difficulty initially with standing straight d/t pain and difficult to breath.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Inflammation, Pain in extremity
Clinical narrative: I?ve had 2 rounds of the Moderns vaccine and now the booster. After each I developed and extreme pain in the inside of my leg I?ve never felt before. After the first vaccine I actually went to the ER fearful I may have blood clots. I?ve only had this pain happen 3 times in my life and it?s only been after the vaccine. It seems like it?s inflaming a nerve. My batches were 023m20a 3/4/21, 020b21a 4/1/21 and 939905 11/9/21
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine Given Beyond the best used date
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Given Beyond the best used date
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary normal, Asthenia, Bacterial infection, COVID-19
Clinical narrative: Fully vaccinated patient admitted through ED for cough, weakness, and fever who tested detected for COVID.  Provider d/c note below:    "63yr old female with a history of HTN, T2DM, CLL, Anxiety who presented on 10/07 with hypoxia, cough, chills and found to be covid positive. She has since been managed for Acute Respiratory failure in the CCU and transferred to PCU yesterday. She however did not require intubation. Today she is off the high flow and now stable on 2L NC oxygen   Acute Hypoxic Respiratory Failure secondary to Covid Infection with questionable superimposed bacterial infection - Was initially managed in CCU though did not require intubation. She completed 10 day course of decadron and IV remdesivir and is currently on IV solumedrol day#10. She also received antibiotics course with azithromycin, ceftriaxone, eraxis, meropenenm vancomycin and zosyn. Latest procal was 0.09 and repeat chest xray 10/28 showed slightly improved bilateral airspace disease so no indication for continued antibiotics. Persistent leukocytosis is likely secondary to steroids. She has improved remarkably on supportive treatment and steroids and is now stable on NC oxygen. CTA negative for PE but due to elevated d-dimer had been on full dose lovenox. She remains stable even with ambulation and is being discharged home on 2L of NC oxygen to follow up with PCP. "
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chills, Cough, Fibrin D dimer increased, Hypoxia
Clinical narrative: Fully vaccinated patient admitted through ED for cough, weakness, and fever who tested detected for COVID.  Provider d/c note below:    "63yr old female with a history of HTN, T2DM, CLL, Anxiety who presented on 10/07 with hypoxia, cough, chills and found to be covid positive. She has since been managed for Acute Respiratory failure in the CCU and transferred to PCU yesterday. She however did not require intubation. Today she is off the high flow and now stable on 2L NC oxygen   Acute Hypoxic Respiratory Failure secondary to Covid Infection with questionable superimposed bacterial infection - Was initially managed in CCU though did not require intubation. She completed 10 day course of decadron and IV remdesivir and is currently on IV solumedrol day#10. She also received antibiotics course with azithromycin, ceftriaxone, eraxis, meropenenm vancomycin and zosyn. Latest procal was 0.09 and repeat chest xray 10/28 showed slightly improved bilateral airspace disease so no indication for continued antibiotics. Persistent leukocytosis is likely secondary to steroids. She has improved remarkably on supportive treatment and steroids and is now stable on NC oxygen. CTA negative for PE but due to elevated d-dimer had been on full dose lovenox. She remains stable even with ambulation and is being discharged home on 2L of NC oxygen to follow up with PCP. "
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Leukocytosis, Lung disorder, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated patient admitted through ED for cough, weakness, and fever who tested detected for COVID.  Provider d/c note below:    "63yr old female with a history of HTN, T2DM, CLL, Anxiety who presented on 10/07 with hypoxia, cough, chills and found to be covid positive. She has since been managed for Acute Respiratory failure in the CCU and transferred to PCU yesterday. She however did not require intubation. Today she is off the high flow and now stable on 2L NC oxygen   Acute Hypoxic Respiratory Failure secondary to Covid Infection with questionable superimposed bacterial infection - Was initially managed in CCU though did not require intubation. She completed 10 day course of decadron and IV remdesivir and is currently on IV solumedrol day#10. She also received antibiotics course with azithromycin, ceftriaxone, eraxis, meropenenm vancomycin and zosyn. Latest procal was 0.09 and repeat chest xray 10/28 showed slightly improved bilateral airspace disease so no indication for continued antibiotics. Persistent leukocytosis is likely secondary to steroids. She has improved remarkably on supportive treatment and steroids and is now stable on NC oxygen. CTA negative for PE but due to elevated d-dimer had been on full dose lovenox. She remains stable even with ambulation and is being discharged home on 2L of NC oxygen to follow up with PCP. "
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Superinfection
Clinical narrative: Fully vaccinated patient admitted through ED for cough, weakness, and fever who tested detected for COVID.  Provider d/c note below:    "63yr old female with a history of HTN, T2DM, CLL, Anxiety who presented on 10/07 with hypoxia, cough, chills and found to be covid positive. She has since been managed for Acute Respiratory failure in the CCU and transferred to PCU yesterday. She however did not require intubation. Today she is off the high flow and now stable on 2L NC oxygen   Acute Hypoxic Respiratory Failure secondary to Covid Infection with questionable superimposed bacterial infection - Was initially managed in CCU though did not require intubation. She completed 10 day course of decadron and IV remdesivir and is currently on IV solumedrol day#10. She also received antibiotics course with azithromycin, ceftriaxone, eraxis, meropenenm vancomycin and zosyn. Latest procal was 0.09 and repeat chest xray 10/28 showed slightly improved bilateral airspace disease so no indication for continued antibiotics. Persistent leukocytosis is likely secondary to steroids. She has improved remarkably on supportive treatment and steroids and is now stable on NC oxygen. CTA negative for PE but due to elevated d-dimer had been on full dose lovenox. She remains stable even with ambulation and is being discharged home on 2L of NC oxygen to follow up with PCP. "
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Extra dose administered, Feeling hot, Hyperhidrosis
Clinical narrative: Received moderna booster and only had a sore arm at injection site the rest of the 1st day.  Had a hard time sleeping because of sore arm and got up about 3 times to use restroom which is very unusual for me.  I usually don?t have to use restroom during the night.  The next morning, upon getting out of bed, I felt very dizzy and lightheaded.  I made it to the table and soon after fainted.  My husband was sitting on the side of me and tried to hold me up from falling on the floor.  If he was not present, I would have fallen.  While holding me up, he tried to call 911, but the phone was in his pocket closest to me and could not get it out of his pocket.  He said my eyes and mouth were wide open and I was grasping for air pretty heavily.  He slapped my face a couple of times to get me to respond.  I do not remember anything that happened.  He walked me to the bed and I began to feel very sweaty and hot.  I was given a cold facecloth to help cool me.  As the day progressed, I became stronger and was able to eat.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Insomnia, Pain in extremity, Pollakiuria, Syncope
Clinical narrative: Received moderna booster and only had a sore arm at injection site the rest of the 1st day.  Had a hard time sleeping because of sore arm and got up about 3 times to use restroom which is very unusual for me.  I usually don?t have to use restroom during the night.  The next morning, upon getting out of bed, I felt very dizzy and lightheaded.  I made it to the table and soon after fainted.  My husband was sitting on the side of me and tried to hold me up from falling on the floor.  If he was not present, I would have fallen.  While holding me up, he tried to call 911, but the phone was in his pocket closest to me and could not get it out of his pocket.  He said my eyes and mouth were wide open and I was grasping for air pretty heavily.  He slapped my face a couple of times to get me to respond.  I do not remember anything that happened.  He walked me to the bed and I began to feel very sweaty and hot.  I was given a cold facecloth to help cool me.  As the day progressed, I became stronger and was able to eat.