chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was retrieved from pharmacy on the morning of 12/9/2021.  It was mistakenly grabbed from the area of the refrigerator that had been partitioned off for recently expired vaccine that is separate from the active vaccine refrigerator area.  Vaccine was brought to clinic in a temperature-controlled cooler that stored the vaccine at refrigerated temperatures (36F to 46F).  Vaccine was reconstituted and drawn up to administer.  Pharmacist gave vaccine and documented for CDC and state data.  It was discovered that vaccine was expired at this time.  Any additional vaccine from expired vials planned to give was postponed and remaining vaccine wasted.  No adverse effects noted post administration. Called pharmacy who ensured expired vaccine was removed completely to prevent any further errors.  Notified facility administration and patient of error.  Followed up again in less than 3 hours with patient who had no adverse effects noted and felt fine.  Patient questioned if additional vaccine would be needed.  Followed CDC guidance to contact manufacturer regarding error and gain additional information (Form #).  Will follow-up with facility and patient tomorrow to make sure there have been no adverse effects/events post administration.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.  Patient also got Tdap on 9/13/2021 that was later discovered to be in the same vaccine refrigerator that was out of temperature range. Also had no adverse event or outcome. Patient also notified of this and offered re-vaccination.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Headache, Myalgia
Clinical narrative: Client vaccinated for Covid with Pfizer vaccines on 7/13 and 8/3/2021.  Symptoms started on 12/3 - nasal congestion, fever, headache, myalgia, sore throat, loss of taste and smell.  Breakthrough Covid case.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Client vaccinated for Covid with Pfizer vaccines on 7/13 and 8/3/2021.  Symptoms started on 12/3 - nasal congestion, fever, headache, myalgia, sore throat, loss of taste and smell.  Breakthrough Covid case.
Age: 18.0
Sex: F
Vaccine: UNK
Symptoms: Syringe issue, Underdose
Clinical narrative: Vanishpoint syringe as it retracted inside patient arms noticed a quarter to a half of vaccine splash out of arm and down patients arm. we administered Adult Pfizer vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PT RECEIVED HER 1ST DOSE FOR PFIZER VACCINE BUT DIDNT REALIZE THAT SHE JUST TURNED 12 YRS 5 DAYS AGO
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Paraesthesia, Urticaria
Clinical narrative: Exactly two weeks after my moderna booster shot I developed a histamine outbreak with hives on my groin area, arms, chest, thighs, and lower neck.  The come for about 30 minutes and then go away and come back. I can run my finger nail across my skin and swelled line will appear for a while. My hands can sometimes feel a little swollen and tingle. After my shower I have fed lines and dots on my arms and shoulders. Goes away after a few minutes. This has been going on for about three weeks.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was retrieved from pharmacy on the morning of 12/9/2021.  It was mistakenly grabbed from the area of the refrigerator that had been partitioned off for recently expired vaccine that is separate from the active vaccine refrigerator area.  Vaccine was brought to clinic in a temperature-controlled cooler that stored the vaccine at refrigerated temperatures (36F to 46F).  Vaccine was reconstituted and drawn up to administer.  Pharmacist gave vaccine and documented for CDC. It was discovered that vaccine was expired at this time.  Any additional vaccine from expired vials planned to give was postponed and remaining vaccine wasted.  No adverse effects noted post administration.  Called pharmacy who ensured expired vaccine was removed completely to prevent any further errors.  Notified facility administration and nursing staff taking care of patient of error.  Followed up again in less than 3 hours with facility staff with how patient was doing.  No adverse effects were noted.  Followed CDC guidance to contact manufacturer regarding error and gain additional information (Form CS-321629-AS).  Will follow-up with facility and patient tomorrow to make sure there have been no adverse effects/events post administration.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Dyspnoea, Hypoaesthesia
Clinical narrative: Difficulty breathing at night Chest pains  Numb fingers and hands
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Electric shock, Hypoaesthesia, Pain, Tendonitis
Clinical narrative: In the the first week patient  felt like electric shock with certain movement. And then it progressed sever pain in the shoulder with certain movement with numbness. That continued for 6 weeks and then patient went to doctor. As per doctor it could be tendonitis from injection. Md prescribed Naproxen and then Physical Therapy
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Fatigue, Musculoskeletal stiffness, Pain
Clinical narrative: 1st day, extreme achievement, fatigue, 101 fever 2nd day: achy, feverish, stiff neck, chest heaviness/pain 3rd day: stiff neck, achy, chest discomfort 4th day: chest discomfort
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 1st day, extreme achievement, fatigue, 101 fever 2nd day: achy, feverish, stiff neck, chest heaviness/pain 3rd day: stiff neck, achy, chest discomfort 4th day: chest discomfort
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Furuncle, Injection site reaction, Rash
Clinical narrative: boils at injection site body rash on all of front torso
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Borrelia test, Computerised tomogram, Cough, Depressed level of consciousness
Clinical narrative: 1. immediate swelling, red, hot arm for 2 days (obvious allergic or immune response) 2. within hours Flu like feeling immediately with no temp (expected this) still have this 3+ weeks later 3. bloody nose for 1 hour on day 3 4. headache - constant for 23 days straight 5. dizzyness, cloudiness - still 23 days later 6. extreme fatigue - still 23 days later 7. metal taste in mouth, sore teeth - still 23 days later 8. body ache all over - still 23 days later 9. sub-temp of 95-97 every day - still 23 days later (I always run normal) 10. occasional nausea - still 23 days later 11. tinnitus - worsening every day - now audible over ambient noise 12. sore throat, dry cough - still 23 days later 13. mild shortness of breath - still 23 days later  I am an extremely healthy 61 year old who has never been sick beyond basic stuff like cold or flu, NEVER been hospitalized and exercises abundantly with softball, pickleball, biking (inside and out), hiking, skiing,  Orange Theory (tough!) fitness workout 2-3 times a week, avid runner, etc.)  I cannot do these things.  It makes me want to throw up or faint.  I walk and am extremely fatigued.  The constant headache is driving me insane.  I NEVER get headaches.  I finally called my doc on day 8 because this is just not right.  I had the two Moderna vaccines March 2021 and September 2021.  I was a little sore for 24 hours but NOT like this.  This was the booster shot (#3).  I will NEVER get the vax or Moderna again.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Dyspnoea, Epistaxis, Erythema
Clinical narrative: 1. immediate swelling, red, hot arm for 2 days (obvious allergic or immune response) 2. within hours Flu like feeling immediately with no temp (expected this) still have this 3+ weeks later 3. bloody nose for 1 hour on day 3 4. headache - constant for 23 days straight 5. dizzyness, cloudiness - still 23 days later 6. extreme fatigue - still 23 days later 7. metal taste in mouth, sore teeth - still 23 days later 8. body ache all over - still 23 days later 9. sub-temp of 95-97 every day - still 23 days later (I always run normal) 10. occasional nausea - still 23 days later 11. tinnitus - worsening every day - now audible over ambient noise 12. sore throat, dry cough - still 23 days later 13. mild shortness of breath - still 23 days later  I am an extremely healthy 61 year old who has never been sick beyond basic stuff like cold or flu, NEVER been hospitalized and exercises abundantly with softball, pickleball, biking (inside and out), hiking, skiing,  Orange Theory (tough!) fitness workout 2-3 times a week, avid runner, etc.)  I cannot do these things.  It makes me want to throw up or faint.  I walk and am extremely fatigued.  The constant headache is driving me insane.  I NEVER get headaches.  I finally called my doc on day 8 because this is just not right.  I had the two Moderna vaccines March 2021 and September 2021.  I was a little sore for 24 hours but NOT like this.  This was the booster shot (#3).  I will NEVER get the vax or Moderna again.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Eustachian tube dysfunction, Exercise tolerance decreased, Fatigue, Headache, Immediate post-injection reaction
Clinical narrative: 1. immediate swelling, red, hot arm for 2 days (obvious allergic or immune response) 2. within hours Flu like feeling immediately with no temp (expected this) still have this 3+ weeks later 3. bloody nose for 1 hour on day 3 4. headache - constant for 23 days straight 5. dizzyness, cloudiness - still 23 days later 6. extreme fatigue - still 23 days later 7. metal taste in mouth, sore teeth - still 23 days later 8. body ache all over - still 23 days later 9. sub-temp of 95-97 every day - still 23 days later (I always run normal) 10. occasional nausea - still 23 days later 11. tinnitus - worsening every day - now audible over ambient noise 12. sore throat, dry cough - still 23 days later 13. mild shortness of breath - still 23 days later  I am an extremely healthy 61 year old who has never been sick beyond basic stuff like cold or flu, NEVER been hospitalized and exercises abundantly with softball, pickleball, biking (inside and out), hiking, skiing,  Orange Theory (tough!) fitness workout 2-3 times a week, avid runner, etc.)  I cannot do these things.  It makes me want to throw up or faint.  I walk and am extremely fatigued.  The constant headache is driving me insane.  I NEVER get headaches.  I finally called my doc on day 8 because this is just not right.  I had the two Moderna vaccines March 2021 and September 2021.  I was a little sore for 24 hours but NOT like this.  This was the booster shot (#3).  I will NEVER get the vax or Moderna again.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Influenza like illness, Liver function test normal, Nasoendoscopy, Nausea
Clinical narrative: 1. immediate swelling, red, hot arm for 2 days (obvious allergic or immune response) 2. within hours Flu like feeling immediately with no temp (expected this) still have this 3+ weeks later 3. bloody nose for 1 hour on day 3 4. headache - constant for 23 days straight 5. dizzyness, cloudiness - still 23 days later 6. extreme fatigue - still 23 days later 7. metal taste in mouth, sore teeth - still 23 days later 8. body ache all over - still 23 days later 9. sub-temp of 95-97 every day - still 23 days later (I always run normal) 10. occasional nausea - still 23 days later 11. tinnitus - worsening every day - now audible over ambient noise 12. sore throat, dry cough - still 23 days later 13. mild shortness of breath - still 23 days later  I am an extremely healthy 61 year old who has never been sick beyond basic stuff like cold or flu, NEVER been hospitalized and exercises abundantly with softball, pickleball, biking (inside and out), hiking, skiing,  Orange Theory (tough!) fitness workout 2-3 times a week, avid runner, etc.)  I cannot do these things.  It makes me want to throw up or faint.  I walk and am extremely fatigued.  The constant headache is driving me insane.  I NEVER get headaches.  I finally called my doc on day 8 because this is just not right.  I had the two Moderna vaccines March 2021 and September 2021.  I was a little sore for 24 hours but NOT like this.  This was the booster shot (#3).  I will NEVER get the vax or Moderna again.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Peripheral swelling, Renal function test normal, Skin warm
Clinical narrative: 1. immediate swelling, red, hot arm for 2 days (obvious allergic or immune response) 2. within hours Flu like feeling immediately with no temp (expected this) still have this 3+ weeks later 3. bloody nose for 1 hour on day 3 4. headache - constant for 23 days straight 5. dizzyness, cloudiness - still 23 days later 6. extreme fatigue - still 23 days later 7. metal taste in mouth, sore teeth - still 23 days later 8. body ache all over - still 23 days later 9. sub-temp of 95-97 every day - still 23 days later (I always run normal) 10. occasional nausea - still 23 days later 11. tinnitus - worsening every day - now audible over ambient noise 12. sore throat, dry cough - still 23 days later 13. mild shortness of breath - still 23 days later  I am an extremely healthy 61 year old who has never been sick beyond basic stuff like cold or flu, NEVER been hospitalized and exercises abundantly with softball, pickleball, biking (inside and out), hiking, skiing,  Orange Theory (tough!) fitness workout 2-3 times a week, avid runner, etc.)  I cannot do these things.  It makes me want to throw up or faint.  I walk and am extremely fatigued.  The constant headache is driving me insane.  I NEVER get headaches.  I finally called my doc on day 8 because this is just not right.  I had the two Moderna vaccines March 2021 and September 2021.  I was a little sore for 24 hours but NOT like this.  This was the booster shot (#3).  I will NEVER get the vax or Moderna again.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Toothache
Clinical narrative: 1. immediate swelling, red, hot arm for 2 days (obvious allergic or immune response) 2. within hours Flu like feeling immediately with no temp (expected this) still have this 3+ weeks later 3. bloody nose for 1 hour on day 3 4. headache - constant for 23 days straight 5. dizzyness, cloudiness - still 23 days later 6. extreme fatigue - still 23 days later 7. metal taste in mouth, sore teeth - still 23 days later 8. body ache all over - still 23 days later 9. sub-temp of 95-97 every day - still 23 days later (I always run normal) 10. occasional nausea - still 23 days later 11. tinnitus - worsening every day - now audible over ambient noise 12. sore throat, dry cough - still 23 days later 13. mild shortness of breath - still 23 days later  I am an extremely healthy 61 year old who has never been sick beyond basic stuff like cold or flu, NEVER been hospitalized and exercises abundantly with softball, pickleball, biking (inside and out), hiking, skiing,  Orange Theory (tough!) fitness workout 2-3 times a week, avid runner, etc.)  I cannot do these things.  It makes me want to throw up or faint.  I walk and am extremely fatigued.  The constant headache is driving me insane.  I NEVER get headaches.  I finally called my doc on day 8 because this is just not right.  I had the two Moderna vaccines March 2021 and September 2021.  I was a little sore for 24 hours but NOT like this.  This was the booster shot (#3).  I will NEVER get the vax or Moderna again.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chiropractic, Fatigue, Feeling abnormal, Hypoaesthesia
Clinical narrative: Moderate aches and pains morning after shot, unable to go to work. Increase in pain daily over subsequent 5 days. Extreme fatigue/exhaustion, brain fog, and intense nerve pain throughout body, constant. Pain in joints, mobility difficult, pain increases when movement is minimal. Pain preventing sleeping.  Pain is strongest around trapezius, scapula, and triceps on both sides. Tingling and numbness below elbows. Migraine-level headache. Joint stiffness ongoing. Chiropractic adjustments 12/8/21. Ibuprofen, aspirin, and acetaminophen 12/2 - present (12/9)
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Inflammation, Joint stiffness, Migraine, Mobility decreased
Clinical narrative: Moderate aches and pains morning after shot, unable to go to work. Increase in pain daily over subsequent 5 days. Extreme fatigue/exhaustion, brain fog, and intense nerve pain throughout body, constant. Pain in joints, mobility difficult, pain increases when movement is minimal. Pain preventing sleeping.  Pain is strongest around trapezius, scapula, and triceps on both sides. Tingling and numbness below elbows. Migraine-level headache. Joint stiffness ongoing. Chiropractic adjustments 12/8/21. Ibuprofen, aspirin, and acetaminophen 12/2 - present (12/9)
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Myalgia, Neuralgia, Pain, Paraesthesia
Clinical narrative: Moderate aches and pains morning after shot, unable to go to work. Increase in pain daily over subsequent 5 days. Extreme fatigue/exhaustion, brain fog, and intense nerve pain throughout body, constant. Pain in joints, mobility difficult, pain increases when movement is minimal. Pain preventing sleeping.  Pain is strongest around trapezius, scapula, and triceps on both sides. Tingling and numbness below elbows. Migraine-level headache. Joint stiffness ongoing. Chiropractic adjustments 12/8/21. Ibuprofen, aspirin, and acetaminophen 12/2 - present (12/9)
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Moderate aches and pains morning after shot, unable to go to work. Increase in pain daily over subsequent 5 days. Extreme fatigue/exhaustion, brain fog, and intense nerve pain throughout body, constant. Pain in joints, mobility difficult, pain increases when movement is minimal. Pain preventing sleeping.  Pain is strongest around trapezius, scapula, and triceps on both sides. Tingling and numbness below elbows. Migraine-level headache. Joint stiffness ongoing. Chiropractic adjustments 12/8/21. Ibuprofen, aspirin, and acetaminophen 12/2 - present (12/9)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Communication disorder, Lethargy
Clinical narrative: Lethargy, and not engaging in conversations
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: 12/8 - 9:30 pm: chills start but no fever 12/8- 11:00 pm: slight fever of 99-100 12/9 - 1:30 am: woken up because legs and arms and tingling and numb. Adjusted sleeping position but no relief.  12/9 - 5:00 am : leg tingling and numbness gone but wrist numbness had gotten worse. Felt like someone was squeezing my wrists.  12/9 - 9:00 am to 7:00 pm: numbness and tingling gone in limbs. Headache and body aches for remainder of day
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 12/8 - 9:30 pm: chills start but no fever 12/8- 11:00 pm: slight fever of 99-100 12/9 - 1:30 am: woken up because legs and arms and tingling and numb. Adjusted sleeping position but no relief.  12/9 - 5:00 am : leg tingling and numbness gone but wrist numbness had gotten worse. Felt like someone was squeezing my wrists.  12/9 - 9:00 am to 7:00 pm: numbness and tingling gone in limbs. Headache and body aches for remainder of day
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injected limb mobility decreased
Clinical narrative: Left shoulder to elbow could not be used for almost 4 days
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient's mother asked us if we could give Pediatric Pfizer to her son. I asked how old he was, and she stated "5". I gave her a consent form to fill out, and for the "Age", she put "5". We gave the pediatric Pfizer, and when it came time to upload to website, we noticed that the son was only 4 years and 7 months old. When I asked the mother again, how old her son was, she stated again that he was "5". When I questioned her regarding the discrepancy with his birthday, she stated that "she considers him to be 5 years old" but admitted he will actually turn 5 in a few months. She apologized multiple times for misleading us.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Accidental overdose, Acute respiratory failure, Angiopathy, Anticoagulant therapy, Asthenia
Clinical narrative: Patient currently admitted fo inpatient stay at (2) days.   H & P:  Patient is a 65 y.o. female with history of DVT in 9/2021, HTN, hashimotos who presented with COVID and shortness of breath with hypoxia. Patient has neurocognitive deficits/dementia and is a very poor historian. Lives with her daughter but daughter is UNvaccinated and was unable to come back to provide history. ED called daughter several times with no call back and other daughter was called but patient does not live with her and there appears to be some sort of odd family dynamics so also unhelpful. Apparently per daughter who spoke with nurse at triage prior to leaving, patient tested positive 12/1 and on Saturday unintentionally took 20-22 tabs of tylenol (unconfirmed). Symptoms have included cough, weakness, shortness of breath and diarrhea. She was hypoxic at home in the mid 80s which prompted daughter to bring her in. She was very weak in the ED and hypoxic to 88 on room air sitting at the edge of the bed. She was admitted for further management. Decadron given.    Patient says she thinks she started having symptoms last week. Initially doesn't recall getting vaccinated against covid, doesn't understand many questions. Says she doesn't know if she's been taking eliquis. Doesn't knwo when she started or when she stopped. Doesn't recall taking so much tylenol. Very poor historian.    ED labs revealed hyponatremia at 127 patient appeared dry received 1 L IVF.  Assessment and plan:Acute respiratory failure with hypoxia COVID-19 pneumonia -supplemental O2 as needed -positive 12/1/21 -vaccinated July/august 2021, no booster yet -currently on 2L O2 -daughter with whom she lives is not vaccinated, did not come back with her and unable to be reached via telephone. Will hold off on remdesivir until she can be reached. -continue decadron x 10 days   Hyponatremia -likely hypovolemic + HCTZ use -repeat BMP at midnight -s/p 1L in ED. Cautious fluid resuscitation given COVID.    Unintentional tylenol overdose -apparently per daughter took 22 tabs of tylenol (unclear exact amount)  -LFTs normal -tylenol level <5 -monitor CMP daily -avoid acetaminophen   DVT 9/2021 -was on eliquis. Per patietn she doesn't recall when she started or stopped it.  -await pharmacy review of meds and if not on it any longer, will start lovenox. If still taking it will continue.    HTN -hold HCTZ -continue lisinopril   Dementia/neurocognitive deficits -sees neuropsych outpatient -unclear if she has DPOA paperwork, but will likely need it.   Hashimotos -continue synthroid   Diet: general DVT ppx: Lovenox Code Status: FULL CODE BY DEFAULT GIVEN DEMENTIA AND INABILITY TO REACH DAUGHTER  Dispo: Admit to IM
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune thyroiditis, Blood sodium decreased, COVID-19, COVID-19 pneumonia, Cardiomegaly
Clinical narrative: Patient currently admitted fo inpatient stay at (2) days.   H & P:  Patient is a 65 y.o. female with history of DVT in 9/2021, HTN, hashimotos who presented with COVID and shortness of breath with hypoxia. Patient has neurocognitive deficits/dementia and is a very poor historian. Lives with her daughter but daughter is UNvaccinated and was unable to come back to provide history. ED called daughter several times with no call back and other daughter was called but patient does not live with her and there appears to be some sort of odd family dynamics so also unhelpful. Apparently per daughter who spoke with nurse at triage prior to leaving, patient tested positive 12/1 and on Saturday unintentionally took 20-22 tabs of tylenol (unconfirmed). Symptoms have included cough, weakness, shortness of breath and diarrhea. She was hypoxic at home in the mid 80s which prompted daughter to bring her in. She was very weak in the ED and hypoxic to 88 on room air sitting at the edge of the bed. She was admitted for further management. Decadron given.    Patient says she thinks she started having symptoms last week. Initially doesn't recall getting vaccinated against covid, doesn't understand many questions. Says she doesn't know if she's been taking eliquis. Doesn't knwo when she started or when she stopped. Doesn't recall taking so much tylenol. Very poor historian.    ED labs revealed hyponatremia at 127 patient appeared dry received 1 L IVF.  Assessment and plan:Acute respiratory failure with hypoxia COVID-19 pneumonia -supplemental O2 as needed -positive 12/1/21 -vaccinated July/august 2021, no booster yet -currently on 2L O2 -daughter with whom she lives is not vaccinated, did not come back with her and unable to be reached via telephone. Will hold off on remdesivir until she can be reached. -continue decadron x 10 days   Hyponatremia -likely hypovolemic + HCTZ use -repeat BMP at midnight -s/p 1L in ED. Cautious fluid resuscitation given COVID.    Unintentional tylenol overdose -apparently per daughter took 22 tabs of tylenol (unclear exact amount)  -LFTs normal -tylenol level <5 -monitor CMP daily -avoid acetaminophen   DVT 9/2021 -was on eliquis. Per patietn she doesn't recall when she started or stopped it.  -await pharmacy review of meds and if not on it any longer, will start lovenox. If still taking it will continue.    HTN -hold HCTZ -continue lisinopril   Dementia/neurocognitive deficits -sees neuropsych outpatient -unclear if she has DPOA paperwork, but will likely need it.   Hashimotos -continue synthroid   Diet: general DVT ppx: Lovenox Code Status: FULL CODE BY DEFAULT GIVEN DEMENTIA AND INABILITY TO REACH DAUGHTER  Dispo: Admit to IM
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cognitive disorder, Condition aggravated, Cough, Deep vein thrombosis
Clinical narrative: Patient currently admitted fo inpatient stay at (2) days.   H & P:  Patient is a 65 y.o. female with history of DVT in 9/2021, HTN, hashimotos who presented with COVID and shortness of breath with hypoxia. Patient has neurocognitive deficits/dementia and is a very poor historian. Lives with her daughter but daughter is UNvaccinated and was unable to come back to provide history. ED called daughter several times with no call back and other daughter was called but patient does not live with her and there appears to be some sort of odd family dynamics so also unhelpful. Apparently per daughter who spoke with nurse at triage prior to leaving, patient tested positive 12/1 and on Saturday unintentionally took 20-22 tabs of tylenol (unconfirmed). Symptoms have included cough, weakness, shortness of breath and diarrhea. She was hypoxic at home in the mid 80s which prompted daughter to bring her in. She was very weak in the ED and hypoxic to 88 on room air sitting at the edge of the bed. She was admitted for further management. Decadron given.    Patient says she thinks she started having symptoms last week. Initially doesn't recall getting vaccinated against covid, doesn't understand many questions. Says she doesn't know if she's been taking eliquis. Doesn't knwo when she started or when she stopped. Doesn't recall taking so much tylenol. Very poor historian.    ED labs revealed hyponatremia at 127 patient appeared dry received 1 L IVF.  Assessment and plan:Acute respiratory failure with hypoxia COVID-19 pneumonia -supplemental O2 as needed -positive 12/1/21 -vaccinated July/august 2021, no booster yet -currently on 2L O2 -daughter with whom she lives is not vaccinated, did not come back with her and unable to be reached via telephone. Will hold off on remdesivir until she can be reached. -continue decadron x 10 days   Hyponatremia -likely hypovolemic + HCTZ use -repeat BMP at midnight -s/p 1L in ED. Cautious fluid resuscitation given COVID.    Unintentional tylenol overdose -apparently per daughter took 22 tabs of tylenol (unclear exact amount)  -LFTs normal -tylenol level <5 -monitor CMP daily -avoid acetaminophen   DVT 9/2021 -was on eliquis. Per patietn she doesn't recall when she started or stopped it.  -await pharmacy review of meds and if not on it any longer, will start lovenox. If still taking it will continue.    HTN -hold HCTZ -continue lisinopril   Dementia/neurocognitive deficits -sees neuropsych outpatient -unclear if she has DPOA paperwork, but will likely need it.   Hashimotos -continue synthroid   Diet: general DVT ppx: Lovenox Code Status: FULL CODE BY DEFAULT GIVEN DEMENTIA AND INABILITY TO REACH DAUGHTER  Dispo: Admit to IM
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dementia, Diarrhoea, Dry skin, Dyspnoea, Hypertension
Clinical narrative: Patient currently admitted fo inpatient stay at (2) days.   H & P:  Patient is a 65 y.o. female with history of DVT in 9/2021, HTN, hashimotos who presented with COVID and shortness of breath with hypoxia. Patient has neurocognitive deficits/dementia and is a very poor historian. Lives with her daughter but daughter is UNvaccinated and was unable to come back to provide history. ED called daughter several times with no call back and other daughter was called but patient does not live with her and there appears to be some sort of odd family dynamics so also unhelpful. Apparently per daughter who spoke with nurse at triage prior to leaving, patient tested positive 12/1 and on Saturday unintentionally took 20-22 tabs of tylenol (unconfirmed). Symptoms have included cough, weakness, shortness of breath and diarrhea. She was hypoxic at home in the mid 80s which prompted daughter to bring her in. She was very weak in the ED and hypoxic to 88 on room air sitting at the edge of the bed. She was admitted for further management. Decadron given.    Patient says she thinks she started having symptoms last week. Initially doesn't recall getting vaccinated against covid, doesn't understand many questions. Says she doesn't know if she's been taking eliquis. Doesn't knwo when she started or when she stopped. Doesn't recall taking so much tylenol. Very poor historian.    ED labs revealed hyponatremia at 127 patient appeared dry received 1 L IVF.  Assessment and plan:Acute respiratory failure with hypoxia COVID-19 pneumonia -supplemental O2 as needed -positive 12/1/21 -vaccinated July/august 2021, no booster yet -currently on 2L O2 -daughter with whom she lives is not vaccinated, did not come back with her and unable to be reached via telephone. Will hold off on remdesivir until she can be reached. -continue decadron x 10 days   Hyponatremia -likely hypovolemic + HCTZ use -repeat BMP at midnight -s/p 1L in ED. Cautious fluid resuscitation given COVID.    Unintentional tylenol overdose -apparently per daughter took 22 tabs of tylenol (unclear exact amount)  -LFTs normal -tylenol level <5 -monitor CMP daily -avoid acetaminophen   DVT 9/2021 -was on eliquis. Per patietn she doesn't recall when she started or stopped it.  -await pharmacy review of meds and if not on it any longer, will start lovenox. If still taking it will continue.    HTN -hold HCTZ -continue lisinopril   Dementia/neurocognitive deficits -sees neuropsych outpatient -unclear if she has DPOA paperwork, but will likely need it.   Hashimotos -continue synthroid   Diet: general DVT ppx: Lovenox Code Status: FULL CODE BY DEFAULT GIVEN DEMENTIA AND INABILITY TO REACH DAUGHTER  Dispo: Admit to IM
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Hypoventilation, Hypovolaemia, Hypoxia, Liver function test normal
Clinical narrative: Patient currently admitted fo inpatient stay at (2) days.   H & P:  Patient is a 65 y.o. female with history of DVT in 9/2021, HTN, hashimotos who presented with COVID and shortness of breath with hypoxia. Patient has neurocognitive deficits/dementia and is a very poor historian. Lives with her daughter but daughter is UNvaccinated and was unable to come back to provide history. ED called daughter several times with no call back and other daughter was called but patient does not live with her and there appears to be some sort of odd family dynamics so also unhelpful. Apparently per daughter who spoke with nurse at triage prior to leaving, patient tested positive 12/1 and on Saturday unintentionally took 20-22 tabs of tylenol (unconfirmed). Symptoms have included cough, weakness, shortness of breath and diarrhea. She was hypoxic at home in the mid 80s which prompted daughter to bring her in. She was very weak in the ED and hypoxic to 88 on room air sitting at the edge of the bed. She was admitted for further management. Decadron given.    Patient says she thinks she started having symptoms last week. Initially doesn't recall getting vaccinated against covid, doesn't understand many questions. Says she doesn't know if she's been taking eliquis. Doesn't knwo when she started or when she stopped. Doesn't recall taking so much tylenol. Very poor historian.    ED labs revealed hyponatremia at 127 patient appeared dry received 1 L IVF.  Assessment and plan:Acute respiratory failure with hypoxia COVID-19 pneumonia -supplemental O2 as needed -positive 12/1/21 -vaccinated July/august 2021, no booster yet -currently on 2L O2 -daughter with whom she lives is not vaccinated, did not come back with her and unable to be reached via telephone. Will hold off on remdesivir until she can be reached. -continue decadron x 10 days   Hyponatremia -likely hypovolemic + HCTZ use -repeat BMP at midnight -s/p 1L in ED. Cautious fluid resuscitation given COVID.    Unintentional tylenol overdose -apparently per daughter took 22 tabs of tylenol (unclear exact amount)  -LFTs normal -tylenol level <5 -monitor CMP daily -avoid acetaminophen   DVT 9/2021 -was on eliquis. Per patietn she doesn't recall when she started or stopped it.  -await pharmacy review of meds and if not on it any longer, will start lovenox. If still taking it will continue.    HTN -hold HCTZ -continue lisinopril   Dementia/neurocognitive deficits -sees neuropsych outpatient -unclear if she has DPOA paperwork, but will likely need it.   Hashimotos -continue synthroid   Diet: general DVT ppx: Lovenox Code Status: FULL CODE BY DEFAULT GIVEN DEMENTIA AND INABILITY TO REACH DAUGHTER  Dispo: Admit to IM
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Memory impairment, Metabolic function test, SARS-CoV-2 test positive, Total lung capacity decreased
Clinical narrative: Patient currently admitted fo inpatient stay at (2) days.   H & P:  Patient is a 65 y.o. female with history of DVT in 9/2021, HTN, hashimotos who presented with COVID and shortness of breath with hypoxia. Patient has neurocognitive deficits/dementia and is a very poor historian. Lives with her daughter but daughter is UNvaccinated and was unable to come back to provide history. ED called daughter several times with no call back and other daughter was called but patient does not live with her and there appears to be some sort of odd family dynamics so also unhelpful. Apparently per daughter who spoke with nurse at triage prior to leaving, patient tested positive 12/1 and on Saturday unintentionally took 20-22 tabs of tylenol (unconfirmed). Symptoms have included cough, weakness, shortness of breath and diarrhea. She was hypoxic at home in the mid 80s which prompted daughter to bring her in. She was very weak in the ED and hypoxic to 88 on room air sitting at the edge of the bed. She was admitted for further management. Decadron given.    Patient says she thinks she started having symptoms last week. Initially doesn't recall getting vaccinated against covid, doesn't understand many questions. Says she doesn't know if she's been taking eliquis. Doesn't knwo when she started or when she stopped. Doesn't recall taking so much tylenol. Very poor historian.    ED labs revealed hyponatremia at 127 patient appeared dry received 1 L IVF.  Assessment and plan:Acute respiratory failure with hypoxia COVID-19 pneumonia -supplemental O2 as needed -positive 12/1/21 -vaccinated July/august 2021, no booster yet -currently on 2L O2 -daughter with whom she lives is not vaccinated, did not come back with her and unable to be reached via telephone. Will hold off on remdesivir until she can be reached. -continue decadron x 10 days   Hyponatremia -likely hypovolemic + HCTZ use -repeat BMP at midnight -s/p 1L in ED. Cautious fluid resuscitation given COVID.    Unintentional tylenol overdose -apparently per daughter took 22 tabs of tylenol (unclear exact amount)  -LFTs normal -tylenol level <5 -monitor CMP daily -avoid acetaminophen   DVT 9/2021 -was on eliquis. Per patietn she doesn't recall when she started or stopped it.  -await pharmacy review of meds and if not on it any longer, will start lovenox. If still taking it will continue.    HTN -hold HCTZ -continue lisinopril   Dementia/neurocognitive deficits -sees neuropsych outpatient -unclear if she has DPOA paperwork, but will likely need it.   Hashimotos -continue synthroid   Diet: general DVT ppx: Lovenox Code Status: FULL CODE BY DEFAULT GIVEN DEMENTIA AND INABILITY TO REACH DAUGHTER  Dispo: Admit to IM
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: The morning following my first Pfizer shot, I woke up with numbness in my arms, starting from my middle finger and continuing distally, all the way to my shoulder.  I still feel the numbness now, 8 months later.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted in the chair.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Injection site pruritus, Injection site swelling
Clinical narrative: Patient came to pharmacy on 12/9/21 to report adverse reaction to COVID-19 booster shot. Left arm was swollen at the injection sight and itchy.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse events---Patient was administered a 3rd dose of vaccine when booster was not approved for his age yet.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse events---Patient was administered a 3rd dose of vaccine when booster was not approved for his age yet.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dyskinesia, Fall, Head injury, Headache, Loss of consciousness
Clinical narrative: Patient fainted and fell after the vaccine was administered by my tech.  Pharmacist observed patient on the floor jerking/twitching like patient was having seizure. 911 was called. Patient came to consciousness in approx 45seconds.  Patient bit his tongue during the incident so had bleeding.  Pt admitted that he was very nervous, and did not eat any breakfast today.  Vitals: BP 105/54 HR 54bpm.  Pt was not having anaphylaxis reaction.  Pt was breathing fine.  Pt was having headache afterwards.  Pt declined to go to ER with ambulance, as patient stated he will follow up with his PCP.  Followed up with the patient on 12/08 and patient stated patient has migraine and bump on head where he fell but otherwise doing fine.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Muscle twitching, Seizure like phenomena, Syncope, Tongue biting
Clinical narrative: Patient fainted and fell after the vaccine was administered by my tech.  Pharmacist observed patient on the floor jerking/twitching like patient was having seizure. 911 was called. Patient came to consciousness in approx 45seconds.  Patient bit his tongue during the incident so had bleeding.  Pt admitted that he was very nervous, and did not eat any breakfast today.  Vitals: BP 105/54 HR 54bpm.  Pt was not having anaphylaxis reaction.  Pt was breathing fine.  Pt was having headache afterwards.  Pt declined to go to ER with ambulance, as patient stated he will follow up with his PCP.  Followed up with the patient on 12/08 and patient stated patient has migraine and bump on head where he fell but otherwise doing fine.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Tongue haemorrhage
Clinical narrative: Patient fainted and fell after the vaccine was administered by my tech.  Pharmacist observed patient on the floor jerking/twitching like patient was having seizure. 911 was called. Patient came to consciousness in approx 45seconds.  Patient bit his tongue during the incident so had bleeding.  Pt admitted that he was very nervous, and did not eat any breakfast today.  Vitals: BP 105/54 HR 54bpm.  Pt was not having anaphylaxis reaction.  Pt was breathing fine.  Pt was having headache afterwards.  Pt declined to go to ER with ambulance, as patient stated he will follow up with his PCP.  Followed up with the patient on 12/08 and patient stated patient has migraine and bump on head where he fell but otherwise doing fine.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient in clinic for second dose COVID vaccine. Reported she received Pfizer as first dose and marked consent for as Pfizer for previous dose. Patient did not have her vaccine card at time of appointment. This LN administered Pfizer vaccine for patient. Patient waited 15 minutes and reported feeling fine. At time of charting, this LN learned that patient actually received Moderna for her first dose.  Patient notified, Dr/health officer notified, Director notified.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Postmenopausal haemorrhage
Clinical narrative: Postmenopausal breakthrough bleeding began approximately 12 hours post-vaccination and has continued for seven months depending on food intake (soy, dairy, corn, or almonds) or asthmatic trigger.
Age: 16.0
Sex: M
Vaccine: FLUR4
Symptoms: Extra dose administered
Clinical narrative: After administration, it was realized patient was a minor. After contacting mother, it was determined this was their 2nd flu shot this season. A first flu shot was given at the PCP office on 9-10-2021.
Age: 27.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site discolouration, Injection site inflammation, Injection site pain, Injection site swelling, Vaccine positive rechallenge
Clinical narrative: #1: no soreness, no redness in left arm #2: Mild soreness in arm if pressure applied to injection site in evening of day of shot; all gone by morning #3:  Moderate soreness in right arm if pressure applied to injection site; perception of mild swelling in muscle at injection site; soreness gone by morning of subsequent day. moderate inflammation about the size of a coin at injection site with roughness on a medium pink inflammation at injection site still observed 7 days later when bandaid first removed.  Smooth medium pink discoloration the size of a coin observed 15 days later. Light pink discoloration the size greater than a quarter coin ovserved 19 days later. Slight pink after 23 days quarter sized.
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event. Patient received 3rd dose of vaccine when it has not been approved for his age yet.
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, Incorrect dose administered, No adverse event
Clinical narrative: No adverse event. Patient received 3rd dose of vaccine when it has not been approved for his age yet.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Received booster earlier than eligible.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Dry skin, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: #1: no soreness, no redness in left arm #2: Mild soreness in arm if pressure applied to injection site in evening of day of shot; all gone by morning #3:  Moderate soreness in right arm if pressure applied to injection site; perception of mild swelling in muscle at injection site; soreness gone by morning of subsequent day. moderate inflammation about the size of a 50¢ coin at injection site with roughness on a medium pink inflammation at injection site still observed 7 days later when bandaid first removed.  Smooth medium pink discoloration the size of a 50¢ coin observed 15 days later. Light pink discoloration the size greater than a quarter coin ovserved 19 days later. Slight pink after 23 days quarter sized.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site reaction
Clinical narrative: #1: no soreness, no redness in left arm #2: Mild soreness in arm if pressure applied to injection site in evening of day of shot; all gone by morning #3:  Moderate soreness in right arm if pressure applied to injection site; perception of mild swelling in muscle at injection site; soreness gone by morning of subsequent day. moderate inflammation about the size of a 50¢ coin at injection site with roughness on a medium pink inflammation at injection site still observed 7 days later when bandaid first removed.  Smooth medium pink discoloration the size of a 50¢ coin observed 15 days later. Light pink discoloration the size greater than a quarter coin ovserved 19 days later. Slight pink after 23 days quarter sized.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Patient felt lightheaded, sweaty and nauseous. He vomited about 5 minutes after I gave him the vaccination. Had some chills  but felt better after 20 minutes.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Accidentally gave pediatric dose to 13 year old
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Fleeting chest pains followed by a chest ache  Started approximately 2 hours after the injection. Consulted Nurse Line and was told to monitor it & go to er if it worsens.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given a full dose of Moderna instead of a half dose booster. Patient was notified they were given a full dose of Moderna instead of a half dose booster and was briefed on what to expect. Patient states he understood and was monitored for an additional 15 minutes. Patient indicated they were not experiencing any symptoms. No further action taken.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Skin warm
Clinical narrative: Patient came in the pharmacy and showed me a half ring around her arm that was red and very warm to the touch. Received vaccine on 12/06/21. Advised  patient to try cool compresses as well as allergy medicine claritin and  hydrocortisone cream  and motrin to help.