chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Alanine aminotransferase normal, Albumin globulin ratio, Amylase decreased, Aortic arteriosclerosis
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriosclerosis coronary artery, Aspartate aminotransferase normal, Back pain, Basophil count decreased, Basophil percentage decreased
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood chloride normal
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose increased, Blood lactic acid, Blood potassium normal, Blood sodium normal
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea normal, Blood urine absent, Carbon dioxide normal, Chills, Computerised tomogram abdomen
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count abnormal, Eosinophil count normal, Eosinophil percentage, Full blood count abnormal, Glomerular filtration rate decreased
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Glucose urine absent, Haematocrit normal, Haemoglobin normal, Hepatic steatosis, Immature granulocyte count
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Lipase normal, Lymphocyte count normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration increased, Mean cell haemoglobin increased
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume increased, Mean platelet volume normal, Metabolic function test abnormal, Monocyte count normal, Monocyte percentage
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Neutrophil count normal, Neutrophil percentage, Nitrite urine absent, Protein total normal
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Protein urine absent, Red blood cell count decreased, Red blood cell morphology, Red blood cell nucleated morphology, Red blood cell sedimentation rate normal
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Red cell distribution width normal, Scan with contrast, Suprapubic pain, Urinary incontinence, Urinary sediment present
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, White blood cell count normal, White blood cells urine negative
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: pH urine normal
Clinical narrative: 3/24/21 ER: 77 y.o. female who presents with suprapubic abdominal discomfort.  Patient reports a 2 day history of increasing cramping and pressure in the suprapubic area.  Patient reports she felt this way when she had urinary tract infections.  However, patient denies any current urinary frequency, dysuria, hematuria, or urgency.  Patient does report some minor dribbling which she states is common for her.  Patient denies any fevers but does report an occasional chill.  Patient does report pain across her low back.  Patient denies any nausea, vomiting, constipation, diarrhea, melena, hematochezia.  Patient does have an extensive abdominal surgical history including colon resection, cholecystectomy, appendectomy, and hysterectomy
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Hot flush, Neuralgia
Clinical narrative: Extreme pain in all joints and some nerves, chills, and hot flashes beginning at 11;00 PM on 3/22/2021.  Treated with ibuprofen.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Asthma, Chills, Condition aggravated, Cough
Clinical narrative: I have a history of anaphylaxis, and disclosed that to the medics so they watched me more carefully, which was good, as while I did not experience anything that severe, I did immediately get itchy, turn red and feel quite nauseated. However,  after they monitored me awhile, I told them I felt okay to go home. The next day I had the expected mild flu-like symptoms, which I anticipated. However, what?s been atypical is they returned tenfold three days later. This time with a much higher fever (103), severe chills, fatigue, a seemingly never-ending headache,  muscle spasms,  chest palpitations and suddenly I am experiencing asthma (which is typically seasonal) and am coughing, too.  I?m now a week past when I was vaccinated and each day was feel worse, not better. I have had to cancel my clients and hire a sitter to care for my kids as I am too weak and ill to do it.  I looked up common reactions and nothing states chest pain and/or asthma, nor that it should last this long. That said, as I am high-risk, I work from home and homeschool both of my young kids. Thus, I have been nowhere aside from the vaccine site. Moreover, my partner, our kids and sitter get routinely tested for me,  and everyone is negative. Thus, it appears I am having prolonged, heightened side-effects much more intense than the ?mild? flu-like symptoms otherwise reported, which is concerning. I took no medication prior to receiving the vaccine, either.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Immediate post-injection reaction, Impaired work ability
Clinical narrative: I have a history of anaphylaxis, and disclosed that to the medics so they watched me more carefully, which was good, as while I did not experience anything that severe, I did immediately get itchy, turn red and feel quite nauseated. However,  after they monitored me awhile, I told them I felt okay to go home. The next day I had the expected mild flu-like symptoms, which I anticipated. However, what?s been atypical is they returned tenfold three days later. This time with a much higher fever (103), severe chills, fatigue, a seemingly never-ending headache,  muscle spasms,  chest palpitations and suddenly I am experiencing asthma (which is typically seasonal) and am coughing, too.  I?m now a week past when I was vaccinated and each day was feel worse, not better. I have had to cancel my clients and hire a sitter to care for my kids as I am too weak and ill to do it.  I looked up common reactions and nothing states chest pain and/or asthma, nor that it should last this long. That said, as I am high-risk, I work from home and homeschool both of my young kids. Thus, I have been nowhere aside from the vaccine site. Moreover, my partner, our kids and sitter get routinely tested for me,  and everyone is negative. Thus, it appears I am having prolonged, heightened side-effects much more intense than the ?mild? flu-like symptoms otherwise reported, which is concerning. I took no medication prior to receiving the vaccine, either.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Malaise, Muscle spasms, Nausea, Palpitations
Clinical narrative: I have a history of anaphylaxis, and disclosed that to the medics so they watched me more carefully, which was good, as while I did not experience anything that severe, I did immediately get itchy, turn red and feel quite nauseated. However,  after they monitored me awhile, I told them I felt okay to go home. The next day I had the expected mild flu-like symptoms, which I anticipated. However, what?s been atypical is they returned tenfold three days later. This time with a much higher fever (103), severe chills, fatigue, a seemingly never-ending headache,  muscle spasms,  chest palpitations and suddenly I am experiencing asthma (which is typically seasonal) and am coughing, too.  I?m now a week past when I was vaccinated and each day was feel worse, not better. I have had to cancel my clients and hire a sitter to care for my kids as I am too weak and ill to do it.  I looked up common reactions and nothing states chest pain and/or asthma, nor that it should last this long. That said, as I am high-risk, I work from home and homeschool both of my young kids. Thus, I have been nowhere aside from the vaccine site. Moreover, my partner, our kids and sitter get routinely tested for me,  and everyone is negative. Thus, it appears I am having prolonged, heightened side-effects much more intense than the ?mild? flu-like symptoms otherwise reported, which is concerning. I took no medication prior to receiving the vaccine, either.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia
Clinical narrative: I have a history of anaphylaxis, and disclosed that to the medics so they watched me more carefully, which was good, as while I did not experience anything that severe, I did immediately get itchy, turn red and feel quite nauseated. However,  after they monitored me awhile, I told them I felt okay to go home. The next day I had the expected mild flu-like symptoms, which I anticipated. However, what?s been atypical is they returned tenfold three days later. This time with a much higher fever (103), severe chills, fatigue, a seemingly never-ending headache,  muscle spasms,  chest palpitations and suddenly I am experiencing asthma (which is typically seasonal) and am coughing, too.  I?m now a week past when I was vaccinated and each day was feel worse, not better. I have had to cancel my clients and hire a sitter to care for my kids as I am too weak and ill to do it.  I looked up common reactions and nothing states chest pain and/or asthma, nor that it should last this long. That said, as I am high-risk, I work from home and homeschool both of my young kids. Thus, I have been nowhere aside from the vaccine site. Moreover, my partner, our kids and sitter get routinely tested for me,  and everyone is negative. Thus, it appears I am having prolonged, heightened side-effects much more intense than the ?mild? flu-like symptoms otherwise reported, which is concerning. I took no medication prior to receiving the vaccine, either.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine
Clinical narrative: Migraine Headache
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Laryngeal oedema, Oropharyngeal pain, Peripheral swelling
Clinical narrative: Reported side effects of fever, chills and headache that began within 24 hours, also reports burning in throat. Was evaluated by a specialist after 1 week due to continued burning and pain in throat. Reports was diagnosed with edema around vocal chords. Approximately 2 weeks after vaccination developed swelling  in left arm. She was seen by her physician who sent her for an ultrasound and they found a blood clot. Patient called  to report these symptoms.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Throat irritation, Thrombosis, Ultrasound scan
Clinical narrative: Reported side effects of fever, chills and headache that began within 24 hours, also reports burning in throat. Was evaluated by a specialist after 1 week due to continued burning and pain in throat. Reports was diagnosed with edema around vocal chords. Approximately 2 weeks after vaccination developed swelling  in left arm. She was seen by her physician who sent her for an ultrasound and they found a blood clot. Patient called  to report these symptoms.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Tinnitus, Vital signs measurement
Clinical narrative: Client received Pfizer vaccine at a Senior Center @ 11:01.  While in the recovery area, @ 11:05 c/o lightheadedness, ears ringing and diaphoresis. AAOx4, vitals stable @11:06: 105/42, 64, O2 sat 100% on RA, 11:15: 92/60, 11:28: 91/61, 59 O2 Sat 99% on RA.  Unaware of normal B/P range. Offered snacks, declined, receptive to oral hydration, stated, "did not eat yet today".  Monitored another 15 minutes in recovery, symptoms resolved, in NAD, felt better, denied dizziness, gait steady.  DC from recovery to self care, recovery Nurse, RN walked client to waiting vehicle, no need for 911.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Back disorder, Condition aggravated, Dyspnoea, Pain, Pharyngeal swelling
Clinical narrative: Starting on the day after the vaccine had body aches and his "back went out."  Has chronic back problems.   Also felt short of breath and felt like having some throat swelling.  Did not present for medical care during the time.  Slowly got better over the next several days.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: Dizzy, weak. Patient felt better after going outside. Patient suffered panic attacks in the past, felt better 10  minutes after symptoms onset. Refused to go to hospital.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Injection site reaction, Injection site warmth, Myalgia
Clinical narrative: 2? x  3? red rash with heat and itching at site of injection. Temp of 100.9 for 12 continuous hours with fatigue and muscle aches. Itching continued for about a week. On day 11, Mar 14th,  after vaccination, discovered red colored welts by underside of both arms  and leading to sides of chest wall with itching.  On day of this report,  Mar 24th, welts have subsided to tan blotches.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Rash macular, Rash pruritic, Urticaria
Clinical narrative: 2? x  3? red rash with heat and itching at site of injection. Temp of 100.9 for 12 continuous hours with fatigue and muscle aches. Itching continued for about a week. On day 11, Mar 14th,  after vaccination, discovered red colored welts by underside of both arms  and leading to sides of chest wall with itching.  On day of this report,  Mar 24th, welts have subsided to tan blotches.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Skin reaction, Vaccination site erythema, Vaccination site warmth
Clinical narrative: 6 days after vaccination, developed large erythematous patch that was pruritic, warm and covered upper humerus in area that was vaccinated, consistent with late onset dermatologic reaction.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Rash pruritic, Throat irritation, Urticaria
Clinical narrative: After a few hours, broke out in an itchy rash, felt pressure in the chest and back of the throat. broke out in hives
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Itching and swelling of right hand. Erythema. Began about 30 minutes after injection and lasted through the night, decreasing in intensity but still itching through the next night.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Breast tenderness, Discomfort, Lymphadenitis, Lymphadenopathy
Clinical narrative: Edema of lymph nodes in left armpit and left breast with pain and tenderness in breast lasting 4 days. Took Motrin 600 mg twice for discomfort twice on 03/22/2021.  Discomfort abated gradually over time. As of today, 03/24/2021 pain remains occasional with overall tenderness in Left breast continuing.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral
Clinical narrative: Patient states the next morning around 10 am felt tingling in her bottom lip and lip swelled.  Resolved on its own by around 1 pm. Did NOT take anything to help with symptoms.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Continuing exhaustion
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: 24 hours after vaccination I developed the chills and a high fever of 101?. The fever lasted for 10 hours.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Fever, headache, fatigue
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Dyspnoea, Headache
Clinical narrative: 3/22 Patient had clinic visit for cough, fever and post nasal drip that started 3/20 evening, tested COVID-19 positive. Patient reported to ER on 3/23 with worsened cough, shortness of breath, fever, myalgias and headache. Noted to be tacycardic with wheezing and rhonchi present, low 90s O2 on room air. Treated with IV fluids, Remdesivir, dexamethasone, oxygen, acetaminophen, duoneb, xopenex, albuterol inhaler
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Rhonchi, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: 3/22 Patient had clinic visit for cough, fever and post nasal drip that started 3/20 evening, tested COVID-19 positive. Patient reported to ER on 3/23 with worsened cough, shortness of breath, fever, myalgias and headache. Noted to be tacycardic with wheezing and rhonchi present, low 90s O2 on room air. Treated with IV fluids, Remdesivir, dexamethasone, oxygen, acetaminophen, duoneb, xopenex, albuterol inhaler
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome, Wheezing
Clinical narrative: 3/22 Patient had clinic visit for cough, fever and post nasal drip that started 3/20 evening, tested COVID-19 positive. Patient reported to ER on 3/23 with worsened cough, shortness of breath, fever, myalgias and headache. Noted to be tacycardic with wheezing and rhonchi present, low 90s O2 on room air. Treated with IV fluids, Remdesivir, dexamethasone, oxygen, acetaminophen, duoneb, xopenex, albuterol inhaler
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Background: Hesperia pharmacy received 49 vials of Pfizer COVID vaccine (Lot number EN6199) on 5 March 2021 and stored them in the pharmacy refrigerator.   The doses were labeled with an expiration date of 10 March 2021 at 0701.   Since starting the COVID-19 vaccine program, the Hesperia MOB has always used the doses before they approached the expiration date.  This time, there were 16 vials of the Pfizer vaccine that had not been used and set to expire. The labeled expiration date and time were clearly present on the outside of the bag containing the doses.  On the morning of 10 March 2021, a pharmacist retrieved 1 vial at 0754 and 7 vials at 1138 from that allocation and provided them to nursing for the day?s administrations.  The pharmacy placed those doses in a new amber bag and did not label the bag with an expiration date and time.   The nursing team received the vials, diluted and drew up 20 doses that were administered to patients before 1230.    The charge nurse did not question the expiration date until after 20 patients had been vaccinated.  At that time she messaged the pharmacist to verify the expiration date.  The pharmacist indicated that the label did not state am or pm and misinterpreted the expiration time for the doses as 7:01 PM rather than 7:01 AM.  There was not a defined double check at the time of distribution from the pharmacy to nursing  The remaining 11 vials were quarantined.  The pharmacy manager contacted the manufacturer.  According to Pfizer it?s recommended to use the thawed vaccine within 120 hours, but can be used up to 144 hours.  The doses in question were administered before 125 hours after they were thawed.  The remaining expired vials will be wasted and appropriate notifications sent.  Assessment: Twenty patients received Pfizer COVID vaccine 5 hours passed the labeled expiration date and time.  While exceeding the manufacturer?s recommended beyond use dating, the doses were within the acceptable 144 hours post thaw period and still safe for patient administration.  There was misinterpretation of the labeled expiration time by the dispensing pharmacist, the container of COVID vaccine vials provided to nursing was not labeled with an expiration date or time, there was not a double check on hand off, the nursing team did not double check the expiration date/time before dilution or administration.  Recommendation:  When repackaging COVID Vaccine vials for distribution to vaccination centers, a label including the expiration date and time should be placed on the new container.    When COVID vaccine is transferred from one location or department to the next, a double check of the product, quantity, integrity and expiration date and time may prevent a recurrence of this situation.
Sex: U
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: The syringe we received from the ancillary kit had a slight crack in it, so when nurse went to inject the diluent into the vaccine vial it squirted everywhere and unable to determine how much diluent actually went into the vaccine vial.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Paraesthesia
Clinical narrative: At 16:05 this RN was called to evaluate a patient with a reaction after receiving his first dose of the covid shot. He stated that he had shortness of breath for 1-2 minutes and then  Slight dizziness and  tingling throughout his body that came and went every 4-5 minutes. Patient was brought to the nurse clinic for observation.  I observed patient for 30 + minutes as his symptoms subsided and he returned to his baseline. See vital signs below.  At 16:45, patient denied any further symptoms and stated he felt better. Dr. was called with a brief report of these findings and advised that patient was ok to leave and to follow up or to go to Urgent Care if symptoms return or become worse. Patient was provided with these instructions. He verbalized an understanding of information provided him. Patient left ambulatory with no distress noted.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Oxygen therapy, Pain
Clinical narrative: I felt like I had covid again. Tired, mental fog, body aches. I had to go back on my O2 machine. I had Covid 11/26/2020.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Pyrexia
Clinical narrative: Low grade fever for six days (and counting) post vaccine; flush cheeks
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient received vaccines at 11;35 am once she stat down post vac area she begun to feel dizzy.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Burning sensation, Dizziness, Facial pain, Fatigue
Clinical narrative: Vaccine #1: extreme fatigue, genital herpes outbreak and mental sensation of euphoria or unnatural high. These symptoms lasted for 2 days.  Vaccine #2: high fever, nausea, vomiting, severe headache, dizziness. In bed for 2 days with symptoms . Remained fatigued, dizzy and nauseous for about a week. Second week experienced high mental anxiety and a internal sensation of my body vibrating uncontrollably. Third week I experienced burning, aching sensations on my face. My face was bright red with a burning raised rash all over my face but especially on my left cheek. Had a herpes outbreak inside my left cheek a few days after the burning started on my face. Herpes lasted about 7 days. My face still burns and I still have a rash on my left cheek.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Herpes virus infection, Pyrexia, Rash, Vomiting
Clinical narrative: Vaccine #1: extreme fatigue, genital herpes outbreak and mental sensation of euphoria or unnatural high. These symptoms lasted for 2 days.  Vaccine #2: high fever, nausea, vomiting, severe headache, dizziness. In bed for 2 days with symptoms . Remained fatigued, dizzy and nauseous for about a week. Second week experienced high mental anxiety and a internal sensation of my body vibrating uncontrollably. Third week I experienced burning, aching sensations on my face. My face was bright red with a burning raised rash all over my face but especially on my left cheek. Had a herpes outbreak inside my left cheek a few days after the burning started on my face. Herpes lasted about 7 days. My face still burns and I still have a rash on my left cheek.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Subject came to scheduled clinic, name not on list for clinic, but had vaccination card. She filled out prescreening form and marked, "NO" for recieving a vaccine in the last 14 days, and signed. Was vaccinated, and upon entering into ICARE patient only spaced first and second dose by one week, despite scheduling and reminder card given to subject with correct spacing date on it after first dose. Unknown if any adverse events occurred.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Head discomfort, Pyrexia, Somnolence
Clinical narrative: Around 2pm (27 hours after vaccine) fever jumped to 103.6.  This lasted for three hours.  Every bone ached.  Eyeballs ached.  Couldn't lift my head.  SO sleepy.  It was awful.  Then it was over.  I still was uncomfortable for the next 48 hours but not like it was.  Temperature was back to normal.  But overall felt badly.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: At 1345 patient reported having hives. Hives visible on right arm and face. Airway remained patent. First Responder called and 50mg IM Benedryl administered. Patient transported to ED.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucination, Metamorphopsia
Clinical narrative: Hallucinations that things are there that are not. Pictures piping out in 3D
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Fatigue, Malaise
Clinical narrative: PATIENT RECIEVED VACCINE ON FEBRUARY 12, 2021. BEGAN FEELING VERY FATIGUED AND SHORT OF BREATH ABOUT ONE WEEK LATER. AFTER A WEEK OF FEELING UNWELL SHE DECIDED TO GO TO LOCAL CLINIC. THEY DID AN EKG AND SENT FOR A HEART MONITOR. SHE WAS SENT HOME AND WAITED FOR THE MONITOR TO ARRIVE BY MAIL. IN ABOUT ANOTHER  WEEKS TIME SHE WAS RUSHED TO EMERGENCY AND WAS HAVING A MASSIVE HEART ATTACK. SHE PASSED AWAY MARCH 2, 2 1/2 WEEKS AFTER HER FIRST MODERNA VACCINE. I BELIEVE IT WAS THE VACCINE THAT CAUSED THE HEAT ATTACK.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was vaccinated at a senior residence. She was a new patient that had just transferred facilities and it was not noted in the chart that she had previously received a COVID-19 Vaccine  so her first dose of Moderna was on 3/11/21 and she received another dose on 3/24/21.  This was reported to the facility so that the patient would not receive anymore per the Moderna dosing protocol.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness, states that this is normal after vaccine but wanted to make sure she wasn't having a reaction.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Dizziness, Eye irritation, Eye swelling, Hypoaesthesia oral
Clinical narrative: Got the vaccine, got very dizzy immediately after and kept her for 30  minutes and gave her water.  Then driving home she started feeling itchy, and could feel little hives in each ear.  She was then very lethargic that night and all the next day Sunday, and then first thing Monday morning was covered with a large hives and a rash.  She was covered from one end of her body to the other and into her joints where she was not able to bend her joints.  She tried to use cortisone, but that made it worse.  Also tried Benadryl lotion and Calamine lotion, which also did not help.  She then went to the doctor and he prescribed steroids.  She has had pain as if somebody was sticking needles in her.  In the past 2 days her lips are numb and swelled, and on the right cheek plus her two eyes there is a big swollen area and her eyes are burning.  Now her entire body is peeling as if she had a bad sunburn.   Now her blood sugar due to the steroids is from 250-475.  The site of the vaccine itself was ok.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Joint range of motion decreased, Lethargy, Lip swelling, Pain
Clinical narrative: Got the vaccine, got very dizzy immediately after and kept her for 30  minutes and gave her water.  Then driving home she started feeling itchy, and could feel little hives in each ear.  She was then very lethargic that night and all the next day Sunday, and then first thing Monday morning was covered with a large hives and a rash.  She was covered from one end of her body to the other and into her joints where she was not able to bend her joints.  She tried to use cortisone, but that made it worse.  Also tried Benadryl lotion and Calamine lotion, which also did not help.  She then went to the doctor and he prescribed steroids.  She has had pain as if somebody was sticking needles in her.  In the past 2 days her lips are numb and swelled, and on the right cheek plus her two eyes there is a big swollen area and her eyes are burning.  Now her entire body is peeling as if she had a bad sunburn.   Now her blood sugar due to the steroids is from 250-475.  The site of the vaccine itself was ok.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin exfoliation, Swelling face, Urticaria
Clinical narrative: Got the vaccine, got very dizzy immediately after and kept her for 30  minutes and gave her water.  Then driving home she started feeling itchy, and could feel little hives in each ear.  She was then very lethargic that night and all the next day Sunday, and then first thing Monday morning was covered with a large hives and a rash.  She was covered from one end of her body to the other and into her joints where she was not able to bend her joints.  She tried to use cortisone, but that made it worse.  Also tried Benadryl lotion and Calamine lotion, which also did not help.  She then went to the doctor and he prescribed steroids.  She has had pain as if somebody was sticking needles in her.  In the past 2 days her lips are numb and swelled, and on the right cheek plus her two eyes there is a big swollen area and her eyes are burning.  Now her entire body is peeling as if she had a bad sunburn.   Now her blood sugar due to the steroids is from 250-475.  The site of the vaccine itself was ok.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: patient states she is having chest tightness and pain around 10 minutes after vaccination. BP 160s/110s. Clinic provider notified. Transferred to ED at patient request.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Grip strength decreased, Injected limb mobility decreased, Injection site pain, Injection site swelling
Clinical narrative: Woke up the following injection with discomfort and general aches and body pains which went away in a few days except the (L) shoulder which became more and more painful.  Pain moved across arm when moved at first, then started going down arm, affecting ability to moved arm and hold things in hand.  Had swelling from elbow to shoulder.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Woke up the following injection with discomfort and general aches and body pains which went away in a few days except the (L) shoulder which became more and more painful.  Pain moved across arm when moved at first, then started going down arm, affecting ability to moved arm and hold things in hand.  Had swelling from elbow to shoulder.
Age: 1.58
Sex: F
Vaccine: DTAPIPVHIB, HEPA, VARCEL
Symptoms: Body temperature increased, Chills, Sleep disorder, Tremor
Clinical narrative: She awoke around midnight with shivering/shaking and "clenching" of muscles for about 17 minutes in duration.  EMS was on scene when the episodes finally stopped. Pt. was then very sleepy afterwards.  Her temperature on arrival of EMS was 99.7, and during transport increased to as high as 104.6.  ED visit was unremarkable, she returned to her usual baseline and was discharged to follow up here today.  She has been doing tylenol suppositories every 4hr.   Pt. had received vaccines earlier in the day on 3/18/21 at her 18mo WCC.   She was delayed on vaccines, so received 2nd Hep A, DTaP-IPV/HIB, and varicella   No prior history of seizures or febrile seizures No known sick contacts, no daycare
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Energy increased
Clinical narrative: A few hours after the shot I started having a lot of energy. By the time I got home at 6 pm I felt like I was ready to run a marathon. The following day I still feel extra energy but not as much as the first day. I am typically a very low energy person so this was very unusual.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Migraine
Clinical narrative: Severe headach escalated to migraine lasting about 5-6 days and still ongoing...taking Excedrin Migraine and 5 day supply of Prednisone 20mg 1xday
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pain
Clinical narrative: Significant  Body/muscle aches Bad Headache
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper
Clinical narrative: Patient reported severe stomach upset that last 12 hours. Severe pain indicated almost going to the hospital for pain
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Parosmia
Clinical narrative: Smelling exhaust and gasoline since 3/10/21.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was given Moderna vaccine by mistake when they should have received a pfizer booster dose. Patient was notified. Patient is aware to report any adverse effects to us or primary care doctor.  Patient was told not to reschedule for a "third" dose.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Migraine
Clinical narrative: Early period, migraines. Know three others who got their second period of the month from their vaccines.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Fatigue, Hypertension, Nausea
Clinical narrative: Light headed, dizzy,neck pain, tiredness, blood pressure high, nausea   Thought I was having a heart attack.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, SARS-CoV-2 test, X-ray
Clinical narrative: Light headed, dizzy,neck pain, tiredness, blood pressure high, nausea   Thought I was having a heart attack.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Amylase decreased, Aspartate aminotransferase normal, Basophil count decreased, Basophil percentage
Clinical narrative: 3/24/21 ER HPI:  58 y.o. male who presents with shortness of breath, palpitations, chest pressure, and hemoptysis.  Patient has known history of atrial fibrillation and coronary artery disease.  Patient reports he was out in his yard approximately 1 hour ago this evening picking up some items when he bent over and started feeling palpitations.  Patient states the palpitations caused a pressure in the center of his chest.  He then became short of breath.  He then states he got into a coughing fit and coughed up some blood.  Patient states he knew something was not right so he told his wife to bring him to the ER.   Currently here in ER patient continues to complain of palpitations and trash pressure.  Patient currently gives his pain as 6/10.  It is nonradiating.  Patient reports shortness of breath but denies any lightheadedness, dizziness, nausea, vomiting, or diaphoresis.   Of note, patient reports he has been having acid reflux and belching tonight.  He states his wife had given him two Pepcid earlier.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased
Clinical narrative: 3/24/21 ER HPI:  58 y.o. male who presents with shortness of breath, palpitations, chest pressure, and hemoptysis.  Patient has known history of atrial fibrillation and coronary artery disease.  Patient reports he was out in his yard approximately 1 hour ago this evening picking up some items when he bent over and started feeling palpitations.  Patient states the palpitations caused a pressure in the center of his chest.  He then became short of breath.  He then states he got into a coughing fit and coughed up some blood.  Patient states he knew something was not right so he told his wife to bring him to the ER.   Currently here in ER patient continues to complain of palpitations and trash pressure.  Patient currently gives his pain as 6/10.  It is nonradiating.  Patient reports shortness of breath but denies any lightheadedness, dizziness, nausea, vomiting, or diaphoresis.   Of note, patient reports he has been having acid reflux and belching tonight.  He states his wife had given him two Pepcid earlier.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatine phosphokinase MB normal, Blood creatine phosphokinase normal, Blood creatinine normal, Blood glucose normal
Clinical narrative: 3/24/21 ER HPI:  58 y.o. male who presents with shortness of breath, palpitations, chest pressure, and hemoptysis.  Patient has known history of atrial fibrillation and coronary artery disease.  Patient reports he was out in his yard approximately 1 hour ago this evening picking up some items when he bent over and started feeling palpitations.  Patient states the palpitations caused a pressure in the center of his chest.  He then became short of breath.  He then states he got into a coughing fit and coughed up some blood.  Patient states he knew something was not right so he told his wife to bring him to the ER.   Currently here in ER patient continues to complain of palpitations and trash pressure.  Patient currently gives his pain as 6/10.  It is nonradiating.  Patient reports shortness of breath but denies any lightheadedness, dizziness, nausea, vomiting, or diaphoresis.   Of note, patient reports he has been having acid reflux and belching tonight.  He states his wife had given him two Pepcid earlier.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood potassium normal, Blood sodium normal, Blood urea normal, Blood urine present
Clinical narrative: 3/24/21 ER HPI:  58 y.o. male who presents with shortness of breath, palpitations, chest pressure, and hemoptysis.  Patient has known history of atrial fibrillation and coronary artery disease.  Patient reports he was out in his yard approximately 1 hour ago this evening picking up some items when he bent over and started feeling palpitations.  Patient states the palpitations caused a pressure in the center of his chest.  He then became short of breath.  He then states he got into a coughing fit and coughed up some blood.  Patient states he knew something was not right so he told his wife to bring him to the ER.   Currently here in ER patient continues to complain of palpitations and trash pressure.  Patient currently gives his pain as 6/10.  It is nonradiating.  Patient reports shortness of breath but denies any lightheadedness, dizziness, nausea, vomiting, or diaphoresis.   Of note, patient reports he has been having acid reflux and belching tonight.  He states his wife had given him two Pepcid earlier.