chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dysuria, Pain, Pyrexia
Clinical narrative: Too much pain  non stop near urinary tract about 4 to 5 hours and then it is repeatative  after 5 to 6 hours but only for hour or two and come back again. Also had fever and body aching as they said was normal after vaccination.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Lichen sclerosus, Vaginal infection, Viral test, Vulvovaginal pruritus
Clinical narrative: This summer I started getting a lot of vaginal itching. It didn't go away for a long time. September 2021, I seen a doctor, and they said I have an infection. I had to get emergency care. They diagnosed me with lichen sclerosis. They prescribed a steroid cream that is supposed to be applied locally.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Pt developed Shingles
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given, expiration date 10/26/2021.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis
Clinical narrative: Severe cold for 24 hours
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration error, expired vaccine given.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Decreased appetite, Feeling abnormal, Feeling cold, Feeling of body temperature change
Clinical narrative: I initially felt the chemicals hitting my body. I went home feeling kind of weird. That night I went to bed with chills. I was shaking from the cold. I had to use a heating blanket and more blankets to stop shaking.  I finally calmed down and slept. For the next 36 hours, other then using the bathroom, I slept. Hot sweats, cold sweats....misery. I am no weak. I have not eaten in 36 hours, let alone taken any medication. My body is in shock.   It has now been 46 hours since the shot.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Hyperhidrosis, Hypersomnia, Shock, Tremor
Clinical narrative: I initially felt the chemicals hitting my body. I went home feeling kind of weird. That night I went to bed with chills. I was shaking from the cold. I had to use a heating blanket and more blankets to stop shaking.  I finally calmed down and slept. For the next 36 hours, other then using the bathroom, I slept. Hot sweats, cold sweats....misery. I am no weak. I have not eaten in 36 hours, let alone taken any medication. My body is in shock.   It has now been 46 hours since the shot.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Interchange of vaccine products
Clinical narrative: patient received 0.5 ml after a single dose of J&J
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Hypertension, Rash macular
Clinical narrative: A week after I first notice was red spots from my thigh down to my feet, they were not hives but they were red spots. In august they started to fade away but now gone completely, my high blood pressure is high, and I have never had this issue before. It has always been at a normal range and this time was really high.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Dosage administered was incorrectly given. Was given 0.5mL instead of 0.25mL.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse reaction, Arthritis, Dislocation of vertebra, Pain, Skin ulcer
Clinical narrative: I experienced a bad reaction as if I had the symptoms of COVID for 12-hours after receiving the vaccine along with sores appeared on my neck and under arm on the right hand side near my back. Approximately 2 weeks later I had a sore on my hear at the crown and then where the neck meets my skull and at the base of my back which have since become worse. I went my normal appointment with my PCP and he referred me to a Orthopedist, Dermatologist, and Rheumatologist in reference to my symptoms. I went to the Orthopedist on 10/14/2021 and he performed  an X-ray which he thinks I have arthritis and a slightly dislocated vertebrate in my back. He told me to take over-the-counter Tylenol if the pain persists. He scheduled me for Physical Therapy so that my insurance company will approve the MRI (requires 6 sessions/appointments with the Physical Therapist).
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray abnormal
Clinical narrative: I experienced a bad reaction as if I had the symptoms of COVID for 12-hours after receiving the vaccine along with sores appeared on my neck and under arm on the right hand side near my back. Approximately 2 weeks later I had a sore on my hear at the crown and then where the neck meets my skull and at the base of my back which have since become worse. I went my normal appointment with my PCP and he referred me to a Orthopedist, Dermatologist, and Rheumatologist in reference to my symptoms. I went to the Orthopedist on 10/14/2021 and he performed  an X-ray which he thinks I have arthritis and a slightly dislocated vertebrate in my back. He told me to take over-the-counter Tylenol if the pain persists. He scheduled me for Physical Therapy so that my insurance company will approve the MRI (requires 6 sessions/appointments with the Physical Therapist).
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Pruritus, Rash
Clinical narrative: Itchy scalp at beginning. Rash started on shoulders, now moved mostly on back.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: PHN administered Moderna boosters at client's retirement residence.   Client was present with wife and residency staff member.  Staff member filled out the form for the client.  White COVID card was reviewed prior to injection and only the first two doses of the primary series were documented.  PHN asked client if he consented to getting his Moderna Booster and he did consent.  After dose was administered, back at the office, dose was documented  and noted that a Moderna Booster had already been given to client the day before by his PCP office.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Blood test normal, Chest pain, Dyspnoea, Electrocardiogram normal
Clinical narrative: For over two weeks after my last shot, I was extremely fatigued and bedridden. After 2.5 months, I started developing painful canker sores inside my mouth and had to take acyclovir for months. The last time I needed to take acyclovir was 10/4/2021. In August of 2021, I developed sharp chest pains and extreme shortness of breath, and additional fatigue. My doctor advised me to take 81mg aspirin on a daily basis and these chest pains gradually improved. I only have slight chest pains occasionally, however I?m still battling fatigue and need 12 hours of sleep before I can function properly.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypersomnia, Mobility decreased
Clinical narrative: For over two weeks after my last shot, I was extremely fatigued and bedridden. After 2.5 months, I started developing painful canker sores inside my mouth and had to take acyclovir for months. The last time I needed to take acyclovir was 10/4/2021. In August of 2021, I developed sharp chest pains and extreme shortness of breath, and additional fatigue. My doctor advised me to take 81mg aspirin on a daily basis and these chest pains gradually improved. I only have slight chest pains occasionally, however I?m still battling fatigue and need 12 hours of sleep before I can function properly.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration error, given expired vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Interchange of vaccine products
Clinical narrative: Patient received booster shot of Moderna. Previously had two Pfizer shots. About 7 minutes into her observation she began experiencing chest ache at about 1 to 2/10. VS were 143/76 and 132/80, HR 72, 98%. Patient wanted to go to ED to get further workup because she is concerned about side effects of COVID vaccine related to myocarditis.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Injection site pain, Non-cardiac chest pain, Pain
Clinical narrative: Constant pain in left arm at location of shot. More pain with movement and with lifting. Has been new and constant since the second shot. Has spread to chest, shoulder, and upper left back muscles. Ibuprofen reduces pain and mostly receded to arm muscle at injection area. Flares up to include other muscle groups without Ibuprofen.
Age: 72.0
Sex: F
Vaccine: UNK
Symptoms: Peripheral swelling, Pruritus, Rash, Rash erythematous, Rash macular
Clinical narrative: Red itchy rash, swelling on both  arm from wrist to shoulders., facial rash as well with blotchyness and red pimple  like bumps. Itching was extreme and long term. Doctor prescribed steroids to help. Still happening although not as severe. However face still retains blotches and redness, as well as itching in both arms.
Age: 72.0
Sex: F
Vaccine: UNK
Symptoms: Rash pruritic
Clinical narrative: Red itchy rash, swelling on both  arm from wrist to shoulders., facial rash as well with blotchyness and red pimple  like bumps. Itching was extreme and long term. Doctor prescribed steroids to help. Still happening although not as severe. However face still retains blotches and redness, as well as itching in both arms.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Tendon rupture
Clinical narrative: She developed a distal biceps tendon tear of the right
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Bacterial test positive, Blood culture negative, COVID-19 pneumonia
Clinical narrative: Patient is a 76 y.o. male admitted to the service on 10/20/2021 with acute hypoxemic respiratory failure secondary to COVID 19 pneumonia, generalized weakness. PMHX significant for CKD III, CAD S/P PCI, essential HTN, DM II, prostate CA S/P radiation, chronic urinary incontinence, morbid obesity. Pt received modera vaccine x 2, last dose in Feb 2021. Onset of symptoms 10/14.   He was treated with remdesivir (x4 days) and decadron during stay.  He was able to wean to 1 L FIO2 at rest, 2 L with activity by day of DC.  Home FIO2 was arranged.  Home care service were arranged.    The patient is stable for DC home on 10/23/2021.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Catheter culture positive, Chest X-ray abnormal, Culture urine positive, Interstitial lung disease, Kidney fibrosis
Clinical narrative: Patient is a 76 y.o. male admitted to the service on 10/20/2021 with acute hypoxemic respiratory failure secondary to COVID 19 pneumonia, generalized weakness. PMHX significant for CKD III, CAD S/P PCI, essential HTN, DM II, prostate CA S/P radiation, chronic urinary incontinence, morbid obesity. Pt received modera vaccine x 2, last dose in Feb 2021. Onset of symptoms 10/14.   He was treated with remdesivir (x4 days) and decadron during stay.  He was able to wean to 1 L FIO2 at rest, 2 L with activity by day of DC.  Home FIO2 was arranged.  Home care service were arranged.    The patient is stable for DC home on 10/23/2021.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Klebsiella test positive, Lung opacity, Malaise, Pulmonary oedema, Pyrexia
Clinical narrative: Patient is a 76 y.o. male admitted to the service on 10/20/2021 with acute hypoxemic respiratory failure secondary to COVID 19 pneumonia, generalized weakness. PMHX significant for CKD III, CAD S/P PCI, essential HTN, DM II, prostate CA S/P radiation, chronic urinary incontinence, morbid obesity. Pt received modera vaccine x 2, last dose in Feb 2021. Onset of symptoms 10/14.   He was treated with remdesivir (x4 days) and decadron during stay.  He was able to wean to 1 L FIO2 at rest, 2 L with activity by day of DC.  Home FIO2 was arranged.  Home care service were arranged.    The patient is stable for DC home on 10/23/2021.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Renal cyst, SARS-CoV-2 test positive, Total lung capacity decreased, Ultrasound bladder normal, Ultrasound kidney abnormal
Clinical narrative: Patient is a 76 y.o. male admitted to the service on 10/20/2021 with acute hypoxemic respiratory failure secondary to COVID 19 pneumonia, generalized weakness. PMHX significant for CKD III, CAD S/P PCI, essential HTN, DM II, prostate CA S/P radiation, chronic urinary incontinence, morbid obesity. Pt received modera vaccine x 2, last dose in Feb 2021. Onset of symptoms 10/14.   He was treated with remdesivir (x4 days) and decadron during stay.  He was able to wean to 1 L FIO2 at rest, 2 L with activity by day of DC.  Home FIO2 was arranged.  Home care service were arranged.    The patient is stable for DC home on 10/23/2021.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Patient is a 76 y.o. male admitted to the service on 10/20/2021 with acute hypoxemic respiratory failure secondary to COVID 19 pneumonia, generalized weakness. PMHX significant for CKD III, CAD S/P PCI, essential HTN, DM II, prostate CA S/P radiation, chronic urinary incontinence, morbid obesity. Pt received modera vaccine x 2, last dose in Feb 2021. Onset of symptoms 10/14.   He was treated with remdesivir (x4 days) and decadron during stay.  He was able to wean to 1 L FIO2 at rest, 2 L with activity by day of DC.  Home FIO2 was arranged.  Home care service were arranged.    The patient is stable for DC home on 10/23/2021.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Rash macular, Rash pruritic
Clinical narrative: rash that is in he form of blotch , spinal lumbar, left knucle, right had, under left armpit, groin area, lip,
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Aggression, Agitation, Alcohol use, COVID-19, Drug screen positive
Clinical narrative: Covid + on 10/26/2021. Received Janssen vaccine on 09/22/2021 Per ED Note:  29-year-old male who is on Zyprexa, noncompliant presents the ED for the above complaint.  Patient states that he was at work and got an altercation with a coworker, had made threatening remarks to coworker and was ultimately fired from his job.  Patient states that he also made suicidal remarks as well as homicidal remarks to police officer.  Patient states that he is post take Zyprexa daily however does not take it daily.  Patient has a history of inpatient hospitalization for psych.  Patient states that he "wants to stay in the hospital forever "and does not want to go back. Patient does endorse alcohol use as well as marijuana use.  Patient denies any other symptoms.  Patient denies any auditory visual hallucinations.    Patient was the ED for psych eval.  Patient has been petition for suicidal homicidal ideation.  Patient admitted to these statements.  Patient reportedly does take Zyprexa however does not take it every day, is noncompliant.  My assessment patient is agitated but otherwise is not responding to any internal stimuli and responding to my questions.  Patient is requesting to "stay in the hospital forever "and does not want to return.  At this time I did order a psych panel for patient and did consult social work.  Patient psych panel was unremarkable.  RUDS positive for marijuana.  Patient will be going upstairs to Annex.  10/26/2021:   9:38 AM  D/w social work - plan transfer   10:07 AM  Patient's Covid test resulted positive.   Update social worker as to patient's positive Covid test.  Social worker reports still in contact and will follow up regarding bed availability.   11:42 AM  D/w social worker - no Covid beds available at Kingwood this time.  Ambulance/transfer canceled.  Social work request Psychiatry consult, Dr.  Consult ordered.  Final Impression:  Homicidal ideations  Suicidal ideations     Schizoaffective disorder  COVID-19
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Homicidal ideation, Loss of employment, SARS-CoV-2 test positive, Schizoaffective disorder, Substance use
Clinical narrative: Covid + on 10/26/2021. Received Janssen vaccine on 09/22/2021 Per ED Note:  29-year-old male who is on Zyprexa, noncompliant presents the ED for the above complaint.  Patient states that he was at work and got an altercation with a coworker, had made threatening remarks to coworker and was ultimately fired from his job.  Patient states that he also made suicidal remarks as well as homicidal remarks to police officer.  Patient states that he is post take Zyprexa daily however does not take it daily.  Patient has a history of inpatient hospitalization for psych.  Patient states that he "wants to stay in the hospital forever "and does not want to go back. Patient does endorse alcohol use as well as marijuana use.  Patient denies any other symptoms.  Patient denies any auditory visual hallucinations.    Patient was the ED for psych eval.  Patient has been petition for suicidal homicidal ideation.  Patient admitted to these statements.  Patient reportedly does take Zyprexa however does not take it every day, is noncompliant.  My assessment patient is agitated but otherwise is not responding to any internal stimuli and responding to my questions.  Patient is requesting to "stay in the hospital forever "and does not want to return.  At this time I did order a psych panel for patient and did consult social work.  Patient psych panel was unremarkable.  RUDS positive for marijuana.  Patient will be going upstairs to Annex.  10/26/2021:   9:38 AM  D/w social work - plan transfer   10:07 AM  Patient's Covid test resulted positive.   Update social worker as to patient's positive Covid test.  Social worker reports still in contact and will follow up regarding bed availability.   11:42 AM  D/w social worker - no Covid beds available at Kingwood this time.  Ambulance/transfer canceled.  Social work request Psychiatry consult, Dr.  Consult ordered.  Final Impression:  Homicidal ideations  Suicidal ideations     Schizoaffective disorder  COVID-19
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Suicidal ideation, Suicide threat, Treatment noncompliance, Unresponsive to stimuli
Clinical narrative: Covid + on 10/26/2021. Received Janssen vaccine on 09/22/2021 Per ED Note:  29-year-old male who is on Zyprexa, noncompliant presents the ED for the above complaint.  Patient states that he was at work and got an altercation with a coworker, had made threatening remarks to coworker and was ultimately fired from his job.  Patient states that he also made suicidal remarks as well as homicidal remarks to police officer.  Patient states that he is post take Zyprexa daily however does not take it daily.  Patient has a history of inpatient hospitalization for psych.  Patient states that he "wants to stay in the hospital forever "and does not want to go back. Patient does endorse alcohol use as well as marijuana use.  Patient denies any other symptoms.  Patient denies any auditory visual hallucinations.    Patient was the ED for psych eval.  Patient has been petition for suicidal homicidal ideation.  Patient admitted to these statements.  Patient reportedly does take Zyprexa however does not take it every day, is noncompliant.  My assessment patient is agitated but otherwise is not responding to any internal stimuli and responding to my questions.  Patient is requesting to "stay in the hospital forever "and does not want to return.  At this time I did order a psych panel for patient and did consult social work.  Patient psych panel was unremarkable.  RUDS positive for marijuana.  Patient will be going upstairs to Annex.  10/26/2021:   9:38 AM  D/w social work - plan transfer   10:07 AM  Patient's Covid test resulted positive.   Update social worker as to patient's positive Covid test.  Social worker reports still in contact and will follow up regarding bed availability.   11:42 AM  D/w social worker - no Covid beds available at Kingwood this time.  Ambulance/transfer canceled.  Social work request Psychiatry consult, Dr.  Consult ordered.  Final Impression:  Homicidal ideations  Suicidal ideations     Schizoaffective disorder  COVID-19
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test
Clinical narrative: Two months in July I start to have joint pains. I am currently going to doctor to find the issue.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Myalgia, Pain, Pain in extremity
Clinical narrative: Chronic muscle soreness (back, shoulders, arms, legs).  Advil PRN.  Condition is ongoing.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered, Interchange of vaccine products
Clinical narrative: patient received 0.5 ml after a single J&J dose
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Computerised tomogram normal, Pancreatitis
Clinical narrative: Severe upper abdominal pain. Pain increasing with any intake of food or water.
Age: 8.0
Sex: M
Vaccine: FLUC4
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Arm swelling and pain within 30 minutes of injection
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration error, given expired vaccine.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Immunodeficiency, Lymph node pain, Lymphadenopathy
Clinical narrative: One day following my Pfizer booster vaccination (dose 3 overall), I noticed that the lymph node below my left arm (the arm used for vaccination) was very swollen and tender to the touch.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Vaccine positive rechallenge, Vertigo
Clinical narrative: vertigo immediately after each dose followed by episodes of veritigo and chronic dizziness
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: 3-4? red circle around injection site.   Appear day after injection and I still have it 3 days later.  It is firm, hot, sore and slightly itchy.   I?ve been taking benedryl but hasn?t had much effect. This did not occur with my first two vaccines but did with this booster.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Vaccine administered had expired, expiration date is 06/3082021
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Insomnia, Night sweats, Pain
Clinical narrative: Fever, Chills and Body Aches onset 9 hours after injection.  Tachycardia and Insomnia continued until approximately 4am on 10/26. Symptoms persisted, including fever and night sweats, until the morning of 10/28/21.  Injection site soreness persists.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tachycardia
Clinical narrative: Fever, Chills and Body Aches onset 9 hours after injection.  Tachycardia and Insomnia continued until approximately 4am on 10/26. Symptoms persisted, including fever and night sweats, until the morning of 10/28/21.  Injection site soreness persists.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Dyspnoea, Myalgia, Pharyngeal swelling
Clinical narrative: FACIAL AND THROAT SWELLING, DIFFICULTY BREATHING, MYALGIAS, ARTHRALGIAS, PURITIC RASH, WEAKNESS
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Swelling face
Clinical narrative: FACIAL AND THROAT SWELLING, DIFFICULTY BREATHING, MYALGIAS, ARTHRALGIAS, PURITIC RASH, WEAKNESS
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Back pain, Inflammation, Loss of personal independence in daily activities
Clinical narrative: Three weeks after my 2nd  covid 19 dose, I experienced severe joint pains in arms, hands, back, and hip to the point of not being able to take care of my daily routine, ie shower, cooking ect. I was in tears as it was really debilitating . I made appointment with my pcp at that time, Nurse practicioner. He referred me to a pain clinic. They proscribed anti inflammatories that did not help. I went to Physical therapy which helped more. I do the exercizes daily now, but I'm still debilitated in moving the way I used to. It was a sudden overnight onset which was very alarming. I reported to Dr that I'd gotten the Pfizer vaccine three weeks prior to this onset.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging joint, Magnetic resonance imaging neck, Movement disorder, Pain in extremity, Tearfulness
Clinical narrative: Three weeks after my 2nd  covid 19 dose, I experienced severe joint pains in arms, hands, back, and hip to the point of not being able to take care of my daily routine, ie shower, cooking ect. I was in tears as it was really debilitating . I made appointment with my pcp at that time, Nurse practicioner. He referred me to a pain clinic. They proscribed anti inflammatories that did not help. I went to Physical therapy which helped more. I do the exercizes daily now, but I'm still debilitated in moving the way I used to. It was a sudden overnight onset which was very alarming. I reported to Dr that I'd gotten the Pfizer vaccine three weeks prior to this onset.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Appetite disorder, Arthralgia, Asthenia, Atelectasis, Atrial fibrillation
Clinical narrative: Patient is an 88M  with h/o CAD, A-Fib on chronic Eliquis, HTN, HLD, NIDDM, CKD, seizure disorder on chronic AED, chronic anemia, GERD, gout and OSA, who presents today with generalized weakness and progressive inability to attend to ADL's.  He lives at home with his spouse, who was recently diagnosed with COVID.  He has symptoms of  fatigue, intermittent subjective fever and chills, appetite change, dry cough, myalgias/arthralgias and lightheadedness.   In the ER, he was afebrile, hypertensive, tachycardic and tachypneic, saturating normally on baseline 2L via NC.  CXR shows no acute processes with mention of moderate sized HH.  EKG shows rate-controlled A-Fib with non-specific ST changes, but no e/o ACS. COVID PCR +   He received monoclonal antibody 10/22 and was started on decadron 6 mg daily for persistent fevers.  His fevers resolved.  He was weaned to home O2 requirement.  He was medically stable for discharge.   PT/OT recommends SAR
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chills, Condition aggravated, Cough
Clinical narrative: Patient is an 88M  with h/o CAD, A-Fib on chronic Eliquis, HTN, HLD, NIDDM, CKD, seizure disorder on chronic AED, chronic anemia, GERD, gout and OSA, who presents today with generalized weakness and progressive inability to attend to ADL's.  He lives at home with his spouse, who was recently diagnosed with COVID.  He has symptoms of  fatigue, intermittent subjective fever and chills, appetite change, dry cough, myalgias/arthralgias and lightheadedness.   In the ER, he was afebrile, hypertensive, tachycardic and tachypneic, saturating normally on baseline 2L via NC.  CXR shows no acute processes with mention of moderate sized HH.  EKG shows rate-controlled A-Fib with non-specific ST changes, but no e/o ACS. COVID PCR +   He received monoclonal antibody 10/22 and was started on decadron 6 mg daily for persistent fevers.  His fevers resolved.  He was weaned to home O2 requirement.  He was medically stable for discharge.   PT/OT recommends SAR
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram ST segment abnormal, Electrocardiogram abnormal, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: Patient is an 88M  with h/o CAD, A-Fib on chronic Eliquis, HTN, HLD, NIDDM, CKD, seizure disorder on chronic AED, chronic anemia, GERD, gout and OSA, who presents today with generalized weakness and progressive inability to attend to ADL's.  He lives at home with his spouse, who was recently diagnosed with COVID.  He has symptoms of  fatigue, intermittent subjective fever and chills, appetite change, dry cough, myalgias/arthralgias and lightheadedness.   In the ER, he was afebrile, hypertensive, tachycardic and tachypneic, saturating normally on baseline 2L via NC.  CXR shows no acute processes with mention of moderate sized HH.  EKG shows rate-controlled A-Fib with non-specific ST changes, but no e/o ACS. COVID PCR +   He received monoclonal antibody 10/22 and was started on decadron 6 mg daily for persistent fevers.  His fevers resolved.  He was weaned to home O2 requirement.  He was medically stable for discharge.   PT/OT recommends SAR
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Hiatus hernia, Hypertension, Loss of personal independence in daily activities, Myalgia, Pulmonary fibrosis
Clinical narrative: Patient is an 88M  with h/o CAD, A-Fib on chronic Eliquis, HTN, HLD, NIDDM, CKD, seizure disorder on chronic AED, chronic anemia, GERD, gout and OSA, who presents today with generalized weakness and progressive inability to attend to ADL's.  He lives at home with his spouse, who was recently diagnosed with COVID.  He has symptoms of  fatigue, intermittent subjective fever and chills, appetite change, dry cough, myalgias/arthralgias and lightheadedness.   In the ER, he was afebrile, hypertensive, tachycardic and tachypneic, saturating normally on baseline 2L via NC.  CXR shows no acute processes with mention of moderate sized HH.  EKG shows rate-controlled A-Fib with non-specific ST changes, but no e/o ACS. COVID PCR +   He received monoclonal antibody 10/22 and was started on decadron 6 mg daily for persistent fevers.  His fevers resolved.  He was weaned to home O2 requirement.  He was medically stable for discharge.   PT/OT recommends SAR
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Tachycardia, Tachypnoea
Clinical narrative: Patient is an 88M  with h/o CAD, A-Fib on chronic Eliquis, HTN, HLD, NIDDM, CKD, seizure disorder on chronic AED, chronic anemia, GERD, gout and OSA, who presents today with generalized weakness and progressive inability to attend to ADL's.  He lives at home with his spouse, who was recently diagnosed with COVID.  He has symptoms of  fatigue, intermittent subjective fever and chills, appetite change, dry cough, myalgias/arthralgias and lightheadedness.   In the ER, he was afebrile, hypertensive, tachycardic and tachypneic, saturating normally on baseline 2L via NC.  CXR shows no acute processes with mention of moderate sized HH.  EKG shows rate-controlled A-Fib with non-specific ST changes, but no e/o ACS. COVID PCR +   He received monoclonal antibody 10/22 and was started on decadron 6 mg daily for persistent fevers.  His fevers resolved.  He was weaned to home O2 requirement.  He was medically stable for discharge.   PT/OT recommends SAR
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Immediate metallic taste. It has been 4 weeks since the vaccine and it has not gone away at all.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia
Clinical narrative: Patient is having "nerve pain" on medial aspect of the left arm that extends from the elbow to the wrist.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received incorrect dose of Moderna 0.5mL instead of 0.25mL
Age: 45.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Abdominal discomfort, Abdominal distension, Blood creatine phosphokinase MB normal, C-reactive protein normal, Cardiac flutter
Clinical narrative: Heart palpations started about one week after receiving the vaccine.  Then, 3 weeks later I began coughing and noticed heart palpitations.  Then, my heart began racing and felt like it was fluttering.  My pulse was 144 and I feel dizzy and faint.  I sat down and after about 3 minutes my pulse went down to 112.  It remained 108-115 while at rest for the next 4 hours.  Four hours later, my pulse went down to the 90s and a few hours later it went down to 80.  The next day I felt tenderness in my left shoulder and left upper chest area, abdomen was swollen, upset stomach with diarrhea, mild heart palpitations, and felt tired.  I visited my PCP the next day.
Age: 45.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Condition aggravated, Cough, Diarrhoea, Dizziness, Electrocardiogram normal
Clinical narrative: Heart palpations started about one week after receiving the vaccine.  Then, 3 weeks later I began coughing and noticed heart palpitations.  Then, my heart began racing and felt like it was fluttering.  My pulse was 144 and I feel dizzy and faint.  I sat down and after about 3 minutes my pulse went down to 112.  It remained 108-115 while at rest for the next 4 hours.  Four hours later, my pulse went down to the 90s and a few hours later it went down to 80.  The next day I felt tenderness in my left shoulder and left upper chest area, abdomen was swollen, upset stomach with diarrhea, mild heart palpitations, and felt tired.  I visited my PCP the next day.
Age: 45.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered, Fatigue, Heart rate increased, Musculoskeletal chest pain, Palpitations
Clinical narrative: Heart palpations started about one week after receiving the vaccine.  Then, 3 weeks later I began coughing and noticed heart palpitations.  Then, my heart began racing and felt like it was fluttering.  My pulse was 144 and I feel dizzy and faint.  I sat down and after about 3 minutes my pulse went down to 112.  It remained 108-115 while at rest for the next 4 hours.  Four hours later, my pulse went down to the 90s and a few hours later it went down to 80.  The next day I felt tenderness in my left shoulder and left upper chest area, abdomen was swollen, upset stomach with diarrhea, mild heart palpitations, and felt tired.  I visited my PCP the next day.
Age: 45.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Platelet count increased, Red blood cell sedimentation rate increased, Tenderness
Clinical narrative: Heart palpations started about one week after receiving the vaccine.  Then, 3 weeks later I began coughing and noticed heart palpitations.  Then, my heart began racing and felt like it was fluttering.  My pulse was 144 and I feel dizzy and faint.  I sat down and after about 3 minutes my pulse went down to 112.  It remained 108-115 while at rest for the next 4 hours.  Four hours later, my pulse went down to the 90s and a few hours later it went down to 80.  The next day I felt tenderness in my left shoulder and left upper chest area, abdomen was swollen, upset stomach with diarrhea, mild heart palpitations, and felt tired.  I visited my PCP the next day.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Erythema, Fall, Gait disturbance
Clinical narrative: Covid + on 10/26/2021. Received Pfizer vaccine with 1st dose on 02/10/2021 and 2nd dose on 03/04/2021.  Per ED Note:  This is a 78-year-old male past medical history of CKD on dialysis, diabetes, hypertension, chronic anemia is presenting to the emergency department today with generalized weakness that has been progressively worsening over the last several weeks.  He is also complaining of right lower extremity pain.  Apparently he is supposed to have a stent placed at the end of this week by some of his providers at Hospital.  He indicates that he has noticed that the smell has been progressively worsening.  His wife is also drawn a line around some redness that has started extending itself up the patient's leg.  Otherwise, his wife states that she has been having difficulty taking care of him at home because he has been having difficulties ambulating because of not only the pain but the weakness diffusely.  She has had to call the ambulance on multiple occasions throughout the week because she is been unable to get him up off of the toilet.  Otherwise, the patient denies any fevers, chills, shortness of breath, chest pain, diarrhea  ED course:   This is a 78-year-old male presented to the emergency room today with complaints of generalized weakness.  His wife also states that he has had multiple falls over the last several weeks we will obtain a head CT as well as basic labs.  Will obtain blood cultures and start the patient on IV antibiotics as apparently the patient has been on antibiotics for the last 2 weeks.  We will plan for admission and evaluate to ensure that there is no sign of osteomyelitis or gas gangrene of his right foot.  Patient is Covid positive, he is agreeable to be transferred to our Hospital Center if a bed opens.  Will admit him to the emergency department initially.  Either way if the bed opens up the patient will be admitted.  I did speak to the on-call attending here at emergency department who is agreeable and would like infectious disease nephrology and podiatry consulted.  A bed did open up at hospital, patient is agreeable to transfer, an ambulance is called.  Final Impression:
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: Covid + on 10/26/2021. Received Pfizer vaccine with 1st dose on 02/10/2021 and 2nd dose on 03/04/2021.  Per ED Note:  This is a 78-year-old male past medical history of CKD on dialysis, diabetes, hypertension, chronic anemia is presenting to the emergency department today with generalized weakness that has been progressively worsening over the last several weeks.  He is also complaining of right lower extremity pain.  Apparently he is supposed to have a stent placed at the end of this week by some of his providers at Hospital.  He indicates that he has noticed that the smell has been progressively worsening.  His wife is also drawn a line around some redness that has started extending itself up the patient's leg.  Otherwise, his wife states that she has been having difficulty taking care of him at home because he has been having difficulties ambulating because of not only the pain but the weakness diffusely.  She has had to call the ambulance on multiple occasions throughout the week because she is been unable to get him up off of the toilet.  Otherwise, the patient denies any fevers, chills, shortness of breath, chest pain, diarrhea  ED course:   This is a 78-year-old male presented to the emergency room today with complaints of generalized weakness.  His wife also states that he has had multiple falls over the last several weeks we will obtain a head CT as well as basic labs.  Will obtain blood cultures and start the patient on IV antibiotics as apparently the patient has been on antibiotics for the last 2 weeks.  We will plan for admission and evaluate to ensure that there is no sign of osteomyelitis or gas gangrene of his right foot.  Patient is Covid positive, he is agreeable to be transferred to our Hospital Center if a bed opens.  Will admit him to the emergency department initially.  Either way if the bed opens up the patient will be admitted.  I did speak to the on-call attending here at emergency department who is agreeable and would like infectious disease nephrology and podiatry consulted.  A bed did open up at hospital, patient is agreeable to transfer, an ambulance is called.  Final Impression:
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration error, given expired vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction
Clinical narrative: Patient submitted a note that she told the pharmacist (which was me that gave her the vaccine) that she needed Benadryl, she DID NOT talk to me about this and I was not aware of any reaction the patient may have had, and she did not specify what kind of reaction she had. She needs to get her next shot at the doctors office for safety.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia, Vertigo
Clinical narrative: The evening after receipt of vaccine I experienced extreme fatigue, fever of 101 and severe headache. After 2 days the fever abated however 6 weeks later I am still getting daily headaches that worsen as the day progresses and for at least 4 weeks after was experiencing daily vertigo. after 5 weeks I had office visit with my internist Dr who agreed that symptoms were likely triggered by the booster. I also saw a neurologist on October 26, 2021 and he agreed that symptoms were triggered by the Moderna booster. while I was given Trazasdone, various supplements and take xtra strength Tylenol, nothing as been effective
Age: 59.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Acoustic stimulation tests abnormal, Meniere's disease, Pain, Pyrexia
Clinical narrative: I am not sure that they are related, but I was recently diagnosed with Meniere's disease. I had body aches, a very slight fever that lasted for about 18 hours. I saw my ENT and that is how I was diagnosed.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Lung opacity, Pyrexia
Clinical narrative: Patient tested positive for covid on 10/11 with sxs of fever, cough and congestion and presented to BWH ED on 10/18/21. Patient is fully vaccinated. Patient was appropriately treated and was discharged on 10/21/21.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for covid on 10/11 with sxs of fever, cough and congestion and presented to BWH ED on 10/18/21. Patient is fully vaccinated. Patient was appropriately treated and was discharged on 10/21/21.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Extra dose administered, Oedema peripheral
Clinical narrative: Moderna Booster. Within 24 hours noticed swelling on his left side, in the armpit area. The swelling is quite significant. Only a little painful when trying to feel for lymph nodes.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse drug reaction, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Approximately 5 days after the injection, I developed a bad itchy red rash on neck, arms, upper chest, and across abdomen. After about ten days (I first thought it might be from poison ivy, even though there is none in my yard at present) I went to a dermatologist and she said it wasn?t poison ivy and looked like a drug reaction.
Age: 72.0
Sex: M
Vaccine: FLU4, PNC13
Symptoms: Hypotension, Neck pain, Pain in extremity
Clinical narrative: Patient said that at the time the vaccines were given, he felt fine. The next day he felt terrible his arms and neck hurt and he had a low blood pressure of 93/50 and went to the ER. He did not have any follow up and fell fine now.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Seizure, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Medium, Systemic: Shakiness-Medium
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Medium, Systemic: Shakiness-Medium
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Fall, Feeling abnormal, General physical health deterioration
Clinical narrative: Pt presented to Emergency Room at local Medical Center on August 29, 2011 with complaints of not feeling right and fell at home.  The patient was diagnosed with COVID-19 infection, he was previously fully vaccinated on 2/19/2021 & 3/12/2021.  Patient completed Remdesivir and Decadron, patients oxygen requirements increased during hospitalization, requiring additional course of steroids.  Patient required CPAP during the Hospital Course.  After using the CPAP, the patient developed a facial abscess.  ENT did an incision and drainage.  The patient completed antibiotics. Patient was admitted to a Specialty Hospital.  to continue care.   On 10/27/2021 the patient met with the physician and family members and due to his significant decline, poor prognosis and increased oxygen needs, the patient chose to go comfort cares and expired on 10/27/2021 1835.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Incisional drainage, Positive airway pressure therapy, Subcutaneous abscess
Clinical narrative: Pt presented to Emergency Room at local Medical Center on August 29, 2011 with complaints of not feeling right and fell at home.  The patient was diagnosed with COVID-19 infection, he was previously fully vaccinated on 2/19/2021 & 3/12/2021.  Patient completed Remdesivir and Decadron, patients oxygen requirements increased during hospitalization, requiring additional course of steroids.  Patient required CPAP during the Hospital Course.  After using the CPAP, the patient developed a facial abscess.  ENT did an incision and drainage.  The patient completed antibiotics. Patient was admitted to a Specialty Hospital.  to continue care.   On 10/27/2021 the patient met with the physician and family members and due to his significant decline, poor prognosis and increased oxygen needs, the patient chose to go comfort cares and expired on 10/27/2021 1835.
Age: 71.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling of arm in the area where the pneumovax was given.  Mild pain as well
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Injection site swelling, Lymphadenopathy, Mobility decreased, Oedema peripheral
Clinical narrative: Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: pt stated pain on first day and 2nd day very painful 3rd could not lift arm and swollen under the arm pits and painful on left side of breast-Medium, Systemic: Lymph Node Swelling-Medium, Additional Details: patient stated her left arm was painful on first day and 2 nd day the left side of arm hurt on the third she was unable to lift her arm and under the armpit it was swollen and left side of her breast hurts
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: pt stated pain on first day and 2nd day very painful 3rd could not lift arm and swollen under the arm pits and painful on left side of breast-Medium, Systemic: Lymph Node Swelling-Medium, Additional Details: patient stated her left arm was painful on first day and 2 nd day the left side of arm hurt on the third she was unable to lift her arm and under the armpit it was swollen and left side of her breast hurts
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration error, given expired vaccine
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Palpitations
Clinical narrative: Dizziness Weakness Heart palpitations