chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Injection site pain, Interchange of vaccine products, Nasopharyngitis, Productive cough, Pyrexia
Clinical narrative: This was a Covid Booster and Flu shot at the same time. I had the J & J vaccine on 19 March 2021  (Janssen Lot # 1805022). I was fine for about 12 hours, but for injection site pain. At approximately noon the next day, 3 November 21, I began feeling weak, flushed, and disoriented. I was struggling to focus and started coughing. I teach computer science and could not perform programming tasks that I do all the time. I canceled class and went home. I guess I was hallucinating a bit on the way home. I was at a traffic light near my house and felt I was lost. I was looking for my old house I moved out of in 2013 and my ex-wife! Not my current wife! I made it home and went to bed. - Fever spiked at 103 - Was coughing up massive amounts of thick yellow fluid - Was sweating yet was very cold.  - More hallucinations for a few minutes. Called out for my ex-wife again ( that's really weird) - Got up to use the bathroom and fell - Slept for about 12 hours My current wife is a nurse and got me through it.  Today I'm fine other than my chest hurts from coughing.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Death, Dyspnoea, Hypoxia
Clinical narrative: pt hospitalized at another hosp approx 1 wk ago, tested positive for COVID, dc'd to home on steroids and home O2 @ 3 LPM via NC; called EMS with c/o dyspnea, fever, and chest pain; presented to ED with worsening SOB, hypoxic; COVID test was positive; DNI; on NRB mask; admitted to ICU; pt's condition worsened and she was moved to comfort care measures; BiPAP mask removed and she passed away in the hospital
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Positive airway pressure therapy, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: pt hospitalized at another hosp approx 1 wk ago, tested positive for COVID, dc'd to home on steroids and home O2 @ 3 LPM via NC; called EMS with c/o dyspnea, fever, and chest pain; presented to ED with worsening SOB, hypoxic; COVID test was positive; DNI; on NRB mask; admitted to ICU; pt's condition worsened and she was moved to comfort care measures; BiPAP mask removed and she passed away in the hospital
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Exercise tolerance decreased, Fatigue, Heart rate increased
Clinical narrative: Chest discomfort, rapid heart rate, shortness of breath, fatigue, and exercise intolerance for 2-3 weeks following the first dose.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrioventricular block, Back pain, Bell's palsy, Biopsy lung, Blood test
Clinical narrative: numbness across chest and in severe pain. pain in upper back, right leg, nausea. diagnosed with bells palsy, right eye developed breathing difficulties, left heart blockage diagnosed with lung sarcoidosis also in brain and heart
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac sarcoidosis, Chest pain, Dyspnoea, Endoscopy, Extraocular muscle paresis
Clinical narrative: numbness across chest and in severe pain. pain in upper back, right leg, nausea. diagnosed with bells palsy, right eye developed breathing difficulties, left heart blockage diagnosed with lung sarcoidosis also in brain and heart
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Lumbar puncture, Nausea, Neurosarcoidosis, Pain in extremity
Clinical narrative: numbness across chest and in severe pain. pain in upper back, right leg, nausea. diagnosed with bells palsy, right eye developed breathing difficulties, left heart blockage diagnosed with lung sarcoidosis also in brain and heart
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Positron emission tomogram, Pulmonary sarcoidosis, Whole body scan
Clinical narrative: numbness across chest and in severe pain. pain in upper back, right leg, nausea. diagnosed with bells palsy, right eye developed breathing difficulties, left heart blockage diagnosed with lung sarcoidosis also in brain and heart
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site swelling, Lymphadenopathy
Clinical narrative: Swollen lymph nodes under chin, swollen injection site, numb middle toes on right foot
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administration error, Product storage error
Clinical narrative: Patient inadvertently received vaccine after published expiration date. Moderna company analyzed lot 007B21A and advised vaccine maintained activity necessary to protect against covid 19 at time of administration. Patient also did not call in to complain of adverse event.  This is administrative error without adverse event.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Rash, Rash pruritic, Urticaria
Clinical narrative: Diffuse hives-like rash beginning day 6 post 1st booster shot of Pfizer COVID vaccine. Mildly itchy and mostly noted on trunk, flanks, thighs, inner upper arms and wrists. No particular reaction noted at the injection site.
Age: 25.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Pyrexia, Skin warm, Swelling
Clinical narrative: Fever 101 x 1day; Red swollen warm for 5 days
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: COVID -19 symptoms started on October 25 and at that point I had a headache and fatigue. On the 27th I had a runny nose, and I went and got tested on October 28th and it was positive. Symptoms lasted for about 8 days, and I still have a dull headache.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Dyspnoea, Tremor
Clinical narrative: Shortness of breath, chest pain/pressure, severe chills & uncontrollable shaking, Temp 36.2
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Headache, Pain
Clinical narrative: Pt tested positive 11/3/21. Symptoms started 11/2/21: cough, body aches, head ache, fever, chest congestion
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive 11/3/21. Symptoms started 11/2/21: cough, body aches, head ache, fever, chest congestion
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swelling in lymph node of left armpit
Age: 73.0
Sex: M
Vaccine: UNK, UNK, UNK
Symptoms: Conversion disorder, Tremor
Clinical narrative: I experience a violent episode of Functional Neurological Disorder 24 hours after my Pfizer booster vaccination.  It reminded me of taking care of Parkinson patients except it was much worse than their tremors.  At the same time, I also got my flu shot and second shingles vaccination.  The shaking was also worse than the Grand Maul Seizers I have seen.  I was asleep when they started at 1:30 AM.  The complete episode lasted 45 minutes to an hour.  About half way thru the episode I was asking myself how long I would let this go on before calling EMS.    I got the shots at 11:30 AM and before going to bed at about midnight.   I had a nightcap of about ¼ to 1/3 cup of 80 proof vodka in about eight fluid ounces of juice. I wanted to let you know I had a lot of trouble saving this document.  I filled it out completely, clicked on the save button and then read the instructions and clicked on the link to submit the document.  That action wiped out all the information on the form and I had to start over and just filled out the abbreviated form.    YOUR WEBSITE ISN'T WORTH A CRAP.  There have to be a lot of people who tried to submit and then gave up.  Your drop down menu for medications is unreadable.  Before you put this crap up for people to use don't you have two or three people try it out first with out someone standing over their shoulder correcting their mistakes as they fill it out?
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral normal, Antinuclear antibody negative, Arteriogram carotid normal, Back pain, Borrelia test negative
Clinical narrative: Patient reported pain behind her eyes 1 week after shot.  She then was seen in ER on 09/15 with slurred speech and right facial droop .   CTA head and neck normal.  WBC 11.5, refused admission for further workup and MRI.   Evaluated in clinic 09/17.  Bilateral facial droop, severe thoracic back pain, fine motor tremor. refused ER.  agreed to MRI.   MRI below.  Admitted to hospital for lumbar puncture and eval.  Left AMA.  Seen in clinic 09/27/21 -   facial droop somewhat improved, right leg weakness  09/29 - admitted - lumbar puncture and neurology eval.  diagnosed post vaccine inflammation and cranial neuritis by neurology.  No inpatient treatment administered.  10/7/21  -10/8/21  admitted again for worsening tremors,  waxing/waning facial droop.  Started on primedone for tremors.  Evaluated again by neurology
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein increased, CSF cell count, CSF protein increased, Cranial nerve disorder, Demyelination
Clinical narrative: Patient reported pain behind her eyes 1 week after shot.  She then was seen in ER on 09/15 with slurred speech and right facial droop .   CTA head and neck normal.  WBC 11.5, refused admission for further workup and MRI.   Evaluated in clinic 09/17.  Bilateral facial droop, severe thoracic back pain, fine motor tremor. refused ER.  agreed to MRI.   MRI below.  Admitted to hospital for lumbar puncture and eval.  Left AMA.  Seen in clinic 09/27/21 -   facial droop somewhat improved, right leg weakness  09/29 - admitted - lumbar puncture and neurology eval.  diagnosed post vaccine inflammation and cranial neuritis by neurology.  No inpatient treatment administered.  10/7/21  -10/8/21  admitted again for worsening tremors,  waxing/waning facial droop.  Started on primedone for tremors.  Evaluated again by neurology
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysarthria, Electrophoresis protein normal, Eye pain, Facial paralysis, Full blood count normal
Clinical narrative: Patient reported pain behind her eyes 1 week after shot.  She then was seen in ER on 09/15 with slurred speech and right facial droop .   CTA head and neck normal.  WBC 11.5, refused admission for further workup and MRI.   Evaluated in clinic 09/17.  Bilateral facial droop, severe thoracic back pain, fine motor tremor. refused ER.  agreed to MRI.   MRI below.  Admitted to hospital for lumbar puncture and eval.  Left AMA.  Seen in clinic 09/27/21 -   facial droop somewhat improved, right leg weakness  09/29 - admitted - lumbar puncture and neurology eval.  diagnosed post vaccine inflammation and cranial neuritis by neurology.  No inpatient treatment administered.  10/7/21  -10/8/21  admitted again for worsening tremors,  waxing/waning facial droop.  Started on primedone for tremors.  Evaluated again by neurology
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Lumbar puncture, Magnetic resonance imaging head abnormal, Microangiopathy, Mucosal hypertrophy
Clinical narrative: Patient reported pain behind her eyes 1 week after shot.  She then was seen in ER on 09/15 with slurred speech and right facial droop .   CTA head and neck normal.  WBC 11.5, refused admission for further workup and MRI.   Evaluated in clinic 09/17.  Bilateral facial droop, severe thoracic back pain, fine motor tremor. refused ER.  agreed to MRI.   MRI below.  Admitted to hospital for lumbar puncture and eval.  Left AMA.  Seen in clinic 09/27/21 -   facial droop somewhat improved, right leg weakness  09/29 - admitted - lumbar puncture and neurology eval.  diagnosed post vaccine inflammation and cranial neuritis by neurology.  No inpatient treatment administered.  10/7/21  -10/8/21  admitted again for worsening tremors,  waxing/waning facial droop.  Started on primedone for tremors.  Evaluated again by neurology
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Neuritis cranial, Neurological examination, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative
Clinical narrative: Patient reported pain behind her eyes 1 week after shot.  She then was seen in ER on 09/15 with slurred speech and right facial droop .   CTA head and neck normal.  WBC 11.5, refused admission for further workup and MRI.   Evaluated in clinic 09/17.  Bilateral facial droop, severe thoracic back pain, fine motor tremor. refused ER.  agreed to MRI.   MRI below.  Admitted to hospital for lumbar puncture and eval.  Left AMA.  Seen in clinic 09/27/21 -   facial droop somewhat improved, right leg weakness  09/29 - admitted - lumbar puncture and neurology eval.  diagnosed post vaccine inflammation and cranial neuritis by neurology.  No inpatient treatment administered.  10/7/21  -10/8/21  admitted again for worsening tremors,  waxing/waning facial droop.  Started on primedone for tremors.  Evaluated again by neurology
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Scan with contrast abnormal, Tremor, Urine albumin/creatinine ratio, White blood cell count increased, White matter lesion
Clinical narrative: Patient reported pain behind her eyes 1 week after shot.  She then was seen in ER on 09/15 with slurred speech and right facial droop .   CTA head and neck normal.  WBC 11.5, refused admission for further workup and MRI.   Evaluated in clinic 09/17.  Bilateral facial droop, severe thoracic back pain, fine motor tremor. refused ER.  agreed to MRI.   MRI below.  Admitted to hospital for lumbar puncture and eval.  Left AMA.  Seen in clinic 09/27/21 -   facial droop somewhat improved, right leg weakness  09/29 - admitted - lumbar puncture and neurology eval.  diagnosed post vaccine inflammation and cranial neuritis by neurology.  No inpatient treatment administered.  10/7/21  -10/8/21  admitted again for worsening tremors,  waxing/waning facial droop.  Started on primedone for tremors.  Evaluated again by neurology
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Depression, Headache, Impaired work ability, Neuritis cranial
Clinical narrative: Patient reported pain behind her eyes 1 week after shot.  She then was seen in ER on 09/15 with slurred speech and right facial droop .   CTA head and neck normal.  WBC 11.5, refused admission for further workup and MRI.   Evaluated in clinic 09/17.  Bilateral facial droop, severe thoracic back pain, fine motor tremor. refused ER.  agreed to MRI.   MRI below.  Admitted to hospital for lumbar puncture and eval.  Left AMA.  Seen in clinic 09/27/21 -   facial droop somewhat improved, right leg weakness  09/29 - admitted - lumbar puncture and neurology eval.  diagnosed post vaccine inflammation and cranial neuritis by neurology.  No inpatient treatment administered.  10/7/21  -10/8/21  admitted again for worsening tremors,  waxing/waning facial droop.  Started on primedone for tremors.  Evaluated again by neurology
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Tremor
Clinical narrative: Patient reported pain behind her eyes 1 week after shot.  She then was seen in ER on 09/15 with slurred speech and right facial droop .   CTA head and neck normal.  WBC 11.5, refused admission for further workup and MRI.   Evaluated in clinic 09/17.  Bilateral facial droop, severe thoracic back pain, fine motor tremor. refused ER.  agreed to MRI.   MRI below.  Admitted to hospital for lumbar puncture and eval.  Left AMA.  Seen in clinic 09/27/21 -   facial droop somewhat improved, right leg weakness  09/29 - admitted - lumbar puncture and neurology eval.  diagnosed post vaccine inflammation and cranial neuritis by neurology.  No inpatient treatment administered.  10/7/21  -10/8/21  admitted again for worsening tremors,  waxing/waning facial droop.  Started on primedone for tremors.  Evaluated again by neurology
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Headache
Clinical narrative: Mother reported headache as reported by patient approximately 10 minutes after receiving vaccination. Patient alert and talkative. He had not eaten or had any liquids recently. Mother advised to give patient water and planned to retrieve a snack for him from the snack machine. Patient has a history of headaches in similar location and mother reported he tends to be very nervous with vaccines. Patient advised to monitor, may take pain reliever PRN and notify provider of any worsening or new symptoms. Mother in agreement.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administration error, Product storage error
Clinical narrative: Patient inadvertently received vaccine after published expiration date. Moderna Company analyzed lot 007B221A and advised vaccine maintained activity necessary to protect against covid 19 at time of administration. Also patient did not call in to report adverse event.  This is administrative error without adverse event.
Age: 23.0
Sex: F
Vaccine: FLU4, HPV9, IPV
Symptoms: Chills, Hyperhidrosis, Impaired work ability, Pain, Pain in extremity
Clinical narrative: RIGHT arm pain preventing pain-free active range of motion in addition to chills, sweats, and body aches. patient was provided acetaminophen for symptom management, placed on light duty in setting of pending inspection (can not hold a salute due to pain).
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy muscle, Inflammation, Myositis
Clinical narrative: Chronic inflammation - diagnosed with myositis.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest pain, Echocardiogram, Myocarditis, Pain
Clinical narrative: Suspect myocarditis - dull constant chest pain, increased cardiac CRP level
Age: 43.0
Sex: M
Vaccine: FLU4
Symptoms: Skin swelling, Skin warm, Soft tissue swelling, Swelling, Tenderness
Clinical narrative: A day after receiving the vaccine and a TB skin test (Tubersol), noticed a puffiness to the L side over L clavicle to the neck with a little tenderness touch and some warmth
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Head discomfort, Headache, Heart rate increased
Clinical narrative: ELEVATED HEART RATE, HIGH BLOOD PRESSURE, FATIGUE, FOGGY HEAD, PRESSURE IN MY HEAD, ACHY BODY, HEADACHE THAT WON'T GO AWAY, SWOLLEN LYMPH NODES IN RIGHT ARM PIT, WARM TO TOUCH ITCHY AND RED AT THE INJECTION SITE.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Injection site erythema, Injection site pruritus, Injection site warmth, Lymphadenopathy
Clinical narrative: ELEVATED HEART RATE, HIGH BLOOD PRESSURE, FATIGUE, FOGGY HEAD, PRESSURE IN MY HEAD, ACHY BODY, HEADACHE THAT WON'T GO AWAY, SWOLLEN LYMPH NODES IN RIGHT ARM PIT, WARM TO TOUCH ITCHY AND RED AT THE INJECTION SITE.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: ELEVATED HEART RATE, HIGH BLOOD PRESSURE, FATIGUE, FOGGY HEAD, PRESSURE IN MY HEAD, ACHY BODY, HEADACHE THAT WON'T GO AWAY, SWOLLEN LYMPH NODES IN RIGHT ARM PIT, WARM TO TOUCH ITCHY AND RED AT THE INJECTION SITE.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Whole body itching including scalp. Went to dr and was told to take some cortisone cream and if itching persist to return.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac stress test, Chest discomfort, Chest pain, Coronary arterial stent insertion, Laboratory test
Clinical narrative: Chest pain, thightness in chest, saw cardiologist had stress test 3-1021 10:00Am had to have stent placement in LAD Mode on 3-12-21
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Angiogram abnormal, Asymptomatic COVID-19, Bronchiectasis, COVID-19
Clinical narrative: ED to Hosp-Admission  Discharged   10/27/2021 - 10/29/2021 (2 days)  HPI: Very pleasant 84-year-old gentleman with a past medical history of coronary artery disease with last intervention several years ago, previous CABG, previous stenting, CKD stage III who presented to Hospital with bright red blood per rectum and significant drop in hemoglobin resulting in anemia.     Hospital Course: Patient was hospitalized for GI bleed but incidentally tested positive for COVID-19 in the setting of vaccinations x2.   Patient underwent colonoscopy which did not reveal source for bleeding.  He does have underlying diverticula so it is quite possible that a self-limited diverticular bleed might have been the etiology of the bleed.  He can follow-up with gastroenterology as an outpatient if needed.  Please recheck hemoglobin in 3 to 5days.     Due to bleeding as above, he has been recommended to avoid NSAIDs.  Furthermore, I am going to stop Brilinta and recommend that PCP evaluate the need for dual antiplatelet therapy.  I do not see an indication.   Patient is asymptomatic from COVID-19 and I do not think he warrants further hospitalization in regards to this.  Would recommend quarantine time of 10 days for asymptomatic patient
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Colonoscopy normal, Diverticulum intestinal, Gastrointestinal haemorrhage, Haemoglobin decreased, Intervertebral disc degeneration
Clinical narrative: ED to Hosp-Admission  Discharged   10/27/2021 - 10/29/2021 (2 days)  HPI: Very pleasant 84-year-old gentleman with a past medical history of coronary artery disease with last intervention several years ago, previous CABG, previous stenting, CKD stage III who presented to Hospital with bright red blood per rectum and significant drop in hemoglobin resulting in anemia.     Hospital Course: Patient was hospitalized for GI bleed but incidentally tested positive for COVID-19 in the setting of vaccinations x2.   Patient underwent colonoscopy which did not reveal source for bleeding.  He does have underlying diverticula so it is quite possible that a self-limited diverticular bleed might have been the etiology of the bleed.  He can follow-up with gastroenterology as an outpatient if needed.  Please recheck hemoglobin in 3 to 5days.     Due to bleeding as above, he has been recommended to avoid NSAIDs.  Furthermore, I am going to stop Brilinta and recommend that PCP evaluate the need for dual antiplatelet therapy.  I do not see an indication.   Patient is asymptomatic from COVID-19 and I do not think he warrants further hospitalization in regards to this.  Would recommend quarantine time of 10 days for asymptomatic patient
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Mesenteric artery stenosis, Nephrolithiasis, Pulmonary fibrosis, Rectal haemorrhage, Renal artery arteriosclerosis
Clinical narrative: ED to Hosp-Admission  Discharged   10/27/2021 - 10/29/2021 (2 days)  HPI: Very pleasant 84-year-old gentleman with a past medical history of coronary artery disease with last intervention several years ago, previous CABG, previous stenting, CKD stage III who presented to Hospital with bright red blood per rectum and significant drop in hemoglobin resulting in anemia.     Hospital Course: Patient was hospitalized for GI bleed but incidentally tested positive for COVID-19 in the setting of vaccinations x2.   Patient underwent colonoscopy which did not reveal source for bleeding.  He does have underlying diverticula so it is quite possible that a self-limited diverticular bleed might have been the etiology of the bleed.  He can follow-up with gastroenterology as an outpatient if needed.  Please recheck hemoglobin in 3 to 5days.     Due to bleeding as above, he has been recommended to avoid NSAIDs.  Furthermore, I am going to stop Brilinta and recommend that PCP evaluate the need for dual antiplatelet therapy.  I do not see an indication.   Patient is asymptomatic from COVID-19 and I do not think he warrants further hospitalization in regards to this.  Would recommend quarantine time of 10 days for asymptomatic patient
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Renal artery stenosis, Renal atrophy, SARS-CoV-2 test positive, Scan with contrast abnormal, Vertebral foraminal stenosis
Clinical narrative: ED to Hosp-Admission  Discharged   10/27/2021 - 10/29/2021 (2 days)  HPI: Very pleasant 84-year-old gentleman with a past medical history of coronary artery disease with last intervention several years ago, previous CABG, previous stenting, CKD stage III who presented to Hospital with bright red blood per rectum and significant drop in hemoglobin resulting in anemia.     Hospital Course: Patient was hospitalized for GI bleed but incidentally tested positive for COVID-19 in the setting of vaccinations x2.   Patient underwent colonoscopy which did not reveal source for bleeding.  He does have underlying diverticula so it is quite possible that a self-limited diverticular bleed might have been the etiology of the bleed.  He can follow-up with gastroenterology as an outpatient if needed.  Please recheck hemoglobin in 3 to 5days.     Due to bleeding as above, he has been recommended to avoid NSAIDs.  Furthermore, I am going to stop Brilinta and recommend that PCP evaluate the need for dual antiplatelet therapy.  I do not see an indication.   Patient is asymptomatic from COVID-19 and I do not think he warrants further hospitalization in regards to this.  Would recommend quarantine time of 10 days for asymptomatic patient
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased
Clinical narrative: Has been experiencing occasional fast heartbeat and shortness of breath for several weeks, but do not remember the exact date symptoms started.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Neuralgia
Clinical narrative: Nerve pain and numbness in left hand developed approx 48 hours after injection.  extremely sensitive nerve (located between the main joint of the thumb and the index finger knuckled) nerve causing high level of pain from slightest touch.  numbness covering top and metatarsal area between middle and index fingers.   additional nerve pain developed approx 1 week later in right hand wrist upon extension of wrist joint outward.    no injury or event exist other than the vaccination preceding symptoms
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bradycardia, COVID-19, Death, Dyspnoea
Clinical narrative: pt presents to ED with c/o increasing dyspnea and generalized weakness; diagnosed positive for COVID 2 days prior; will receive monoclonal antibodies; hx of pancreatic cancer; pt experienced acute conversion to V Fib with loss of pulse; ACLS performed x approx 45 mins; ROSC eventually achieved; refractory shock with bradycardia requiring meds; family decided to not do any more CPR if became pulseless; pt died in the hospital
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Pulse absent, SARS-CoV-2 test positive, Shock, Ventricular fibrillation
Clinical narrative: pt presents to ED with c/o increasing dyspnea and generalized weakness; diagnosed positive for COVID 2 days prior; will receive monoclonal antibodies; hx of pancreatic cancer; pt experienced acute conversion to V Fib with loss of pulse; ACLS performed x approx 45 mins; ROSC eventually achieved; refractory shock with bradycardia requiring meds; family decided to not do any more CPR if became pulseless; pt died in the hospital
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Emotional disorder, Hypoaesthesia, Nasopharyngitis
Clinical narrative: Pt complaints of feeling dizziness, cold, clammy.  Right side of face felt numb, "emotional response"
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Patient inadvertently received vaccine after published expiration date.  Moderna  Company analyzed lot 007B21A and advise d vaccine maintained  activity necessary to protect against covid 19 at time of administration. Also patient did not call in to complain of adverse event.  This is administrative error without adverse event.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Chest X-ray abnormal, Chest pain, Cough, Discomfort
Clinical narrative: he presents to the emergency room by private auto complaining of upper respiratory type symptoms with a cough over the last 3 weeks.  She believes her symptoms are getting worse and yesterday she developed some reproducible right-sided chest pain which is worse with coughing and deep inspiration.  The pain seems to radiate to her right back.  She also complains of some increased shortness of breath.  She did speak with her primary care physician who requested she go to the emergency room for further evaluation.  She had a Covid test obtained yesterday and is still awaiting the results.  She has been vaccinated for Covid.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Pain, Painful respiration, Pneumonia, Pneumothorax
Clinical narrative: he presents to the emergency room by private auto complaining of upper respiratory type symptoms with a cough over the last 3 weeks.  She believes her symptoms are getting worse and yesterday she developed some reproducible right-sided chest pain which is worse with coughing and deep inspiration.  The pain seems to radiate to her right back.  She also complains of some increased shortness of breath.  She did speak with her primary care physician who requested she go to the emergency room for further evaluation.  She had a Covid test obtained yesterday and is still awaiting the results.  She has been vaccinated for Covid.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary congestion, Respiratory symptom, SARS-CoV-2 test
Clinical narrative: he presents to the emergency room by private auto complaining of upper respiratory type symptoms with a cough over the last 3 weeks.  She believes her symptoms are getting worse and yesterday she developed some reproducible right-sided chest pain which is worse with coughing and deep inspiration.  The pain seems to radiate to her right back.  She also complains of some increased shortness of breath.  She did speak with her primary care physician who requested she go to the emergency room for further evaluation.  She had a Covid test obtained yesterday and is still awaiting the results.  She has been vaccinated for Covid.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Inflammation, Lymph node pain, Lymphadenopathy
Clinical narrative: Swelling, pain and inflammation of lymph nodes in left armpit lasting from 4/3/21 (the day after the second dose) through 4/7/21. Treated with ice, acetaminophen and message.   Massive changes to menstrual cycle. From 3 days in March to 6 days in April, very heavy flow with break-through bleeding (which I never had before), intense cramping lasting several days (brand new sympton, I don't get cramps usually). Since 4/2/21 my periods have been heavy and painful, nearly doubling in volume. I have always had a very light flow with little to no cramps/PMS. My period has not returned to normal yet.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder
Clinical narrative: Swelling, pain and inflammation of lymph nodes in left armpit lasting from 4/3/21 (the day after the second dose) through 4/7/21. Treated with ice, acetaminophen and message.   Massive changes to menstrual cycle. From 3 days in March to 6 days in April, very heavy flow with break-through bleeding (which I never had before), intense cramping lasting several days (brand new sympton, I don't get cramps usually). Since 4/2/21 my periods have been heavy and painful, nearly doubling in volume. I have always had a very light flow with little to no cramps/PMS. My period has not returned to normal yet.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Muscle twitching
Clinical narrative: Within 20 minutes of receiving her Booster dose, patient reported via email to me that her lip was twitching. The lip is where she had a dermal filler injected a few years ago. She had no other symptoms and was planning to monitor at home.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Feeling hot, Headache
Clinical narrative: Mild headache similar to fever that lasted a couple of days on and off. I felt a little warmer than usual but not enough to even bother taking my temperature. I may get a headache once or twice a year.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood immunoglobulin G increased, C1 esterase inhibitor decreased, Complement factor C3, Complement factor C4, Full blood count
Clinical narrative: Painful swollen lip on the following dates, 5/28, 5/29, 6/4, 6/20,  7/14, 8/6,9/1, 11/3.   was occurring close to every 3-4 weeks, tapering off to once every 2 months now.  swelling and pain has been less severe during the last 2 occurrences.  This has only happened twice in my life before this, both were a reaction to anti-biotics, which I immediately stopped taking.  I have not taken antibiotics for years
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Immune complex assay, Lip pain, Lip swelling, Tryptase
Clinical narrative: Painful swollen lip on the following dates, 5/28, 5/29, 6/4, 6/20,  7/14, 8/6,9/1, 11/3.   was occurring close to every 3-4 weeks, tapering off to once every 2 months now.  swelling and pain has been less severe during the last 2 occurrences.  This has only happened twice in my life before this, both were a reaction to anti-biotics, which I immediately stopped taking.  I have not taken antibiotics for years
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Nausea, Vomiting
Clinical narrative: My daughter woke up to feeling nauseous vomiting and was having effects of her stomach hurting. I tried to give her some clear liquids and she could not hold any liquids down constant vomiting throughout the a.m. in the morning
Age: 71.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Balance disorder, Chills, Fatigue, Injection site pain, Myalgia
Clinical narrative: This was the second of two shots. The side effects that will be described were present after the first shot, but about 80 percent level of the second shot. Tired, pain at injection site, slight fever, slight chills, lack of balance and extreme ?muscle pain?.  By muscle pain, I mean my entire body inside and out. The pain started a few hours after the injection and was extremely painful for about 36 hours. The pain was excruciating for about 12 hours. Note that 1) I don?t respond to shots in any way including the two covid shots which I had  6 months ago and 2) I have an extremely good immune system. The reason I am reporting the adverse effects is that the first shot effects  were very painful, but this time the pain was extreme.
Age: 71.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: This was the second of two shots. The side effects that will be described were present after the first shot, but about 80 percent level of the second shot. Tired, pain at injection site, slight fever, slight chills, lack of balance and extreme ?muscle pain?.  By muscle pain, I mean my entire body inside and out. The pain started a few hours after the injection and was extremely painful for about 36 hours. The pain was excruciating for about 12 hours. Note that 1) I don?t respond to shots in any way including the two covid shots which I had  6 months ago and 2) I have an extremely good immune system. The reason I am reporting the adverse effects is that the first shot effects  were very painful, but this time the pain was extreme.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient presented to clinic to receive second full dose of Moderna vaccine (0.5mL). Patient was given Moderna booster dose (0.25mL). Vaccine was administered by RN.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Extra dose administered, Haematospermia
Clinical narrative: Blood in Semen. Current. No pain or other syptoms
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure
Clinical narrative: Patient was fully vaccinated for COVID (Moderna vaccines on 3/4/21, and 4/1/21) and was admitted to hospital as an inpatient due to respiratory failure on 11/2/21, and is still inpatient today, 11/4/21
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt received fourth dose of Pfizer in error on 11/3/21 after receiving it on 1/15/21, 2/5/21 and 10/12/21. NP and resident aware. No complaints or symptoms at this time
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure diastolic increased, Nasal congestion
Clinical narrative: Around 08/2021, I noticed that my diastolic pressure number was higher than normal because I have been monitoring my blood pressure. 10/25/2021- I went to see my doctor.  He will monitor my BP  for a while and then I come back in 6 weeks. I have a follow up appointment with him on 12/06/2021. The past couple of months, I am constantly congested in my head and nose. It basically comes and goes throughout the day.  I don't have any allergies. I have not recovered from my high BP or my congestion. I am being monitored by my doctor.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 1.08
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Routine well child check for a 1 year old appointment. Wednesday, October 27th, 2021; appointment time: 3:30pm.  time of vaccination 4:20pm; Two nurses administered vaccines- 1 in each thigh. (1 single dose of Varicella/ 1 dose of Varicella/MMR mix); Child was administered a single varicella dose IN ADDITION TO a varicella/MMR mix. Child was given an overdose or EXTRA unnecesary dose of Varicella at this appointment. I was notified of the incorrect dosage 7 days later.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient inadvertently received vaccine after published expiration date. Moderna Company analyzed lot 007B21A and advised vaccine maintained activity necessary to protect against covid 19 at time of administration.  Also patient did not call in to complain of adverse event.  This is administrative error without  adverse event.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site erythema, Injection site induration, Injection site mass, Injection site pain
Clinical narrative: Sore arm first day of injection at injection site (day 0-1 Tuesday), day 1 (wednesday) hard lump under skin at site of injection (deltoid region), day 2 (thursday) lump under skin has resolved but now there is a slight redness on the skin in bicep area/side of arm below the deltoid  that is warm to the touch.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: Sore arm first day of injection at injection site (day 0-1 Tuesday), day 1 (wednesday) hard lump under skin at site of injection (deltoid region), day 2 (thursday) lump under skin has resolved but now there is a slight redness on the skin in bicep area/side of arm below the deltoid  that is warm to the touch.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Pain, Swelling
Clinical narrative: Patient called me on Day 3 post vaccine to report that her right shoulder was very swollen and painful since she received her booster dose. She experience severe headache, chills, and body aches, too which have resolved. Her main concern is the shoulder pain. She's using a sling.  Two children's tylenol did not help.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Vision blurred
Clinical narrative: Loss of vision. Could not see for 20 minutes, colors were blurred when vision began to return.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECEIVED COVID VACCINE THAT WAS PAST BEYOND USE DATE. NO ADVERSE REACTION.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Back pain, Blood test, C-reactive protein increased, Computerised tomogram normal
Clinical narrative: DVT/ Blood clot found incidentally when receiving MRI for back pain. Pain had been escalating, and also progressing with a severe flare of groin pain. The MRI was ordered to look for signs of inflammation, as ESR and CRP labs showed elevation.  DVT in left groin was found.  Extensive testing was then done to determine the cause of the blood clot (ultrasounds, MRIs, CTs, bloodwork for clotting disorders, etc), and no underlying disorder was found other than the increased risk of estrogen birth control. After 3 months of treatment with Eliquis/blood thinner, CT scan on 11/2 confirmed resolution of the clot.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Deep vein thrombosis, Groin pain, Laboratory test, Magnetic resonance imaging spinal abnormal
Clinical narrative: DVT/ Blood clot found incidentally when receiving MRI for back pain. Pain had been escalating, and also progressing with a severe flare of groin pain. The MRI was ordered to look for signs of inflammation, as ESR and CRP labs showed elevation.  DVT in left groin was found.  Extensive testing was then done to determine the cause of the blood clot (ultrasounds, MRIs, CTs, bloodwork for clotting disorders, etc), and no underlying disorder was found other than the increased risk of estrogen birth control. After 3 months of treatment with Eliquis/blood thinner, CT scan on 11/2 confirmed resolution of the clot.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red blood cell sedimentation rate normal, Thrombosis, Ultrasound Doppler
Clinical narrative: DVT/ Blood clot found incidentally when receiving MRI for back pain. Pain had been escalating, and also progressing with a severe flare of groin pain. The MRI was ordered to look for signs of inflammation, as ESR and CRP labs showed elevation.  DVT in left groin was found.  Extensive testing was then done to determine the cause of the blood clot (ultrasounds, MRIs, CTs, bloodwork for clotting disorders, etc), and no underlying disorder was found other than the increased risk of estrogen birth control. After 3 months of treatment with Eliquis/blood thinner, CT scan on 11/2 confirmed resolution of the clot.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site swelling, Lymphadenopathy, Swelling
Clinical narrative: Swelling in the armpit noticed after 36 hours. It was very flabby, not stiff. It increased over the next 24-48 hours. By  Monday it had dispersed over the left side of my rib cage down to my belt and across my peck and abs to my sternum and navel. It has not increased in the last 3 days but it has not gone away either. I still have flabby swelling from my armpit my waist, even some between my belt buckle and privates but only on the left side. Besides this, I had some stiff swelling where I received the injection and some fatigue in the 36-60 hours following the injection. These have subsided
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient received an undiluted Pfizer COVID-19 vaccination for his 1st dose in the 2-dose series of Pfizer COVID-19 Vaccinations. Provider and patient were contacted to make aware that patient received undiluted dose of COVID-19 vaccine and the potential for local side effects. The patient was instructed to proceed with the 2nd dose in the series as originally planned, 21 days after the 1st dose was administered.
Age: 33.0
Sex: U
Vaccine: VARCEL
Symptoms: Headache, Rash, Skin lesion
Clinical narrative: On 10/27/21 developed significant HA that continued through 10/31 when lesions began breaking out all over body.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Seborrhoeic keratosis, Skin lesion
Clinical narrative: Growing lesion on right temple
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Sex: U
Vaccine: UNK
Symptoms: Dizziness, Nausea, Tachycardia
Clinical narrative: tachycardia (hr 145-150), nausea and dizziness
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Somnolence
Clinical narrative: Booster  was pfizer  Modena the Covid 19 vaccine can not sleep then can not wake up felt bad for one week
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Body temperature increased, Chills, Diarrhoea
Clinical narrative: pt stated her left arm was sore about ten minutes after getting the vaccine but then her right arm was also sore in the muscle and then the pain moved down her arm to her wrist.   She became very cold with chills.  She took Tylenol and slept.  During the night her head started hurting.  She took more Tylenol and went back to sleep.  Next day she was very weak and had flu like symptoms.  She had diarhea that evening and still had chills.  After third day she no longer had any temperature but she still had fatigue.  All of her joints were stiff and hurting.  The stiffness and pain was really bad in her knees.  She developed a painful spot on the side of her right knee.  She started taking Motrin.  She went to Urgent Care  on 11/2/21.  She had an XRAY with negative  results.  She was recommended to FU w/ Orthopedic doctor and get an MRI.  She still has pain and limping when she walks.  She feels like the pain is going down from her knee to her calf.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Gait disturbance, Headache, Influenza like illness
Clinical narrative: pt stated her left arm was sore about ten minutes after getting the vaccine but then her right arm was also sore in the muscle and then the pain moved down her arm to her wrist.   She became very cold with chills.  She took Tylenol and slept.  During the night her head started hurting.  She took more Tylenol and went back to sleep.  Next day she was very weak and had flu like symptoms.  She had diarhea that evening and still had chills.  After third day she no longer had any temperature but she still had fatigue.  All of her joints were stiff and hurting.  The stiffness and pain was really bad in her knees.  She developed a painful spot on the side of her right knee.  She started taking Motrin.  She went to Urgent Care  on 11/2/21.  She had an XRAY with negative  results.  She was recommended to FU w/ Orthopedic doctor and get an MRI.  She still has pain and limping when she walks.  She feels like the pain is going down from her knee to her calf.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Joint stiffness, Myalgia, Pain in extremity, X-ray normal
Clinical narrative: pt stated her left arm was sore about ten minutes after getting the vaccine but then her right arm was also sore in the muscle and then the pain moved down her arm to her wrist.   She became very cold with chills.  She took Tylenol and slept.  During the night her head started hurting.  She took more Tylenol and went back to sleep.  Next day she was very weak and had flu like symptoms.  She had diarhea that evening and still had chills.  After third day she no longer had any temperature but she still had fatigue.  All of her joints were stiff and hurting.  The stiffness and pain was really bad in her knees.  She developed a painful spot on the side of her right knee.  She started taking Motrin.  She went to Urgent Care  on 11/2/21.  She had an XRAY with negative  results.  She was recommended to FU w/ Orthopedic doctor and get an MRI.  She still has pain and limping when she walks.  She feels like the pain is going down from her knee to her calf.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Pain
Clinical narrative: strong chills, severe headache, flu like symptoms, body aches, fatigue
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Apathy, Depression, Suicidal ideation
Clinical narrative: Having episodes of  deep depression and suicidal thoughts.  Lack of motivation. No interest in everyday events or happenings.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PT RECEIVED COVID VACCINE THAT WAS PAST BEYOND USE DATE. NO ADVERSE REACTION.