chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Approximately a few hours after my vaccination I experienced the following: Fever, Chills, Fatigue and this lasted for about 72 hours. I took TYLENOL to suppress the symptoms and I felt better the next day.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Muscular weakness
Clinical narrative: Pharmacist received phone call from patient around noon on 2/8/22.  She reported extreme weakness in arms and legs.  Patient reports not being able to stand and having to pull self across floor, while also suffering from arm weakness.  She reports symptoms starting around 8pm on 2/7/22 and persisting until approximately 10:30am on 2/8/22.  Treatments: Patient did not report any. Outcome: Patient reports symptoms subsiding the morning of 2/8/22.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive covid 19 test
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest discomfort, Fibrin D dimer, Fibrin D dimer increased, SARS-CoV-2 test negative
Clinical narrative: She even had an elevated D dimer test with no PE on VQ scan.  She is slowly improving but continues to have some chest tightness with deep breaths.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ventilation/perfusion scan
Clinical narrative: She even had an elevated D dimer test with no PE on VQ scan.  She is slowly improving but continues to have some chest tightness with deep breaths.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abortion spontaneous, Exposure during pregnancy, Foetal heart rate abnormal, Headache
Clinical narrative: This was my third miscarriage. However the prior two the child did not grow past 6 weeks. This pregnancy was in its second trimester and had been going perfectly when I got the vaccine. After the vaccine I had horrible headaches and abdominal cramping for days.  I got my COVID booster at 14 weeks 6 days and the baby should've measured at 18 weeks 3 days when we found out we lost him but he only measured at 15w 3d. He had always been measuring on target before then. His due date was going to be 6/24/22.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound foetal abnormal
Clinical narrative: This was my third miscarriage. However the prior two the child did not grow past 6 weeks. This pregnancy was in its second trimester and had been going perfectly when I got the vaccine. After the vaccine I had horrible headaches and abdominal cramping for days.  I got my COVID booster at 14 weeks 6 days and the baby should've measured at 18 weeks 3 days when we found out we lost him but he only measured at 15w 3d. He had always been measuring on target before then. His due date was going to be 6/24/22.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Peripheral swelling, Skin discolouration, Swelling
Clinical narrative: Received shot on a Friday and symptoms showed up on Sunday. Swelling upper quadrant of shoulder, knot around lymphnodes, cheek turned yellow and left arm swollen. She received Moderna all three shots.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound scan abnormal
Clinical narrative: BLOOD CLOT FORMED in my LEFT LEG 25 days after getting my COVID-19 Pfizer BOOSTER injection
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Joint swelling, Paraesthesia
Clinical narrative: Experience arm swelling - felt like could feel fluid, tingling in arm, around should blade and neck, swelling of neck and shoulder. Headache, dizziness, and extreme fatigue
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Sensory disturbance, Swelling
Clinical narrative: Experience arm swelling - felt like could feel fluid, tingling in arm, around should blade and neck, swelling of neck and shoulder. Headache, dizziness, and extreme fatigue
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID 19 TEST
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was supposed to get 0.5 ml dose and was given 1.0 ml dose. No adverse events noted at this time.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive covid 19 test
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The patient was supposed to get 0.25 ml booster dose and was given 0.5 ml dose, No adverse event was noted.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Urticaria
Clinical narrative: On 1/27/22 an hour after booster, developed hives on arms, then 2 hours after booster, body aches and then fever to 102 evening of 1/27/22.  Took cocktail of Benadryl 25 mg - 3 tabs, and Claritin 10mg, 1 tab in the AM of booster.  Evening of booster took Benadryl 25 mg 4 tabs, and Claritin 10 mg 1 tab (as directed by primary physician).  Also took Aleve one dose and Tylenol one dose treatment of fever. Symptoms resolved by 1/29/22 and back to work on 1/31/22.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive covid 19 test
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID 19 TEST
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID 19 TEST
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Lethargy, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: Low grade fever, with cold like symptoms (chills, lethargy, inappetence) within 24 hours of vaccination. 84 hours post vaccination, hives covering back, torso, and chest. 96 hours post hives spread to buttocks and thighs, sore throat and cold symptoms began as well no fever.  At 1st symptom of hives, 25mg Benadryl taken and cold shower & air dry, repeated every 6-12 hours since. Benadryl and shower gives temporary relief, but no lasting improvement.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urticaria
Clinical narrative: Low grade fever, with cold like symptoms (chills, lethargy, inappetence) within 24 hours of vaccination. 84 hours post vaccination, hives covering back, torso, and chest. 96 hours post hives spread to buttocks and thighs, sore throat and cold symptoms began as well no fever.  At 1st symptom of hives, 25mg Benadryl taken and cold shower & air dry, repeated every 6-12 hours since. Benadryl and shower gives temporary relief, but no lasting improvement.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Injection site paraesthesia, Paraesthesia
Clinical narrative: 3 MONTHS AFTER VACCINE PATIENT EXPERIENCED TINGLING/NUMBNESS ON LEFT ARM (WHERE THE SHOT WAS GIVEN) THEN AFTER A YEAR IT SPREAD TO HIPS AND RIGHT ARM. STATES ALSO TO HAVE PAIN IN BOTH RIGHT AND LEFT ARM AS WELL AS HIPS WORST AT NIGHT. PATIENT IS OVERALL HEALTHY, DOES NOT HAVE ANY UNDERLYING CONDITIONS AND TAKES NO MEDICINE. TAKES ALEVE BUT STATES THAT DOES NOT WORK.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Ophthalmological examination
Clinical narrative: After my first dose of Moderna on 3/19/21 (046A21A) I started having ringing in my right ear and having facial pain while still waiting in the 15 minute holding area after the shot.  The attendants said they hadn't heard of that side effect and I left when my time was up.  I had my second shot on 4/15/21 and didn't experience the same reaction.  Two weeks later on 5/2/21 I woke up with the right side of my face feeling numb and heavy with a drooping eyelid.  At the ER, the ruled out a stroke with a CT scan, diagnosed it as Bell's Palsy and gave me 20 mg Prednisone 2x per day for 5 days.  The symptoms subside and return, unlike a typical case of Bell's Palsy.   I also experienced muffled hearing on the same side of my face, vision changes that come and go, and eye pain.  A referral was put in to see a neurologist, but was unable to see them due to the distance, cost, and time
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient had no adverse events but was only 17 at the time of vaccination.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID 19 TEST
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event occurred but the patient was only 17 at the time of vaccination.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: reaction was described by witness what seemed to be a muscle spasm in the leg
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine was expired by 2 days per Moderna website and was inadvertently administered.  Patient denied any abnormal symptoms or issues after receiving shot. Patient was monitored for approx. 3.5 hrs after injection due to patient being an employee of clinic that shot was administered.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray abnormal, Pulmonary thrombosis, Thrombosis, Ultrasound scan abnormal
Clinical narrative: Blood clots in both legs, right one significant and a significant clot in my right lung. My hemotologist has no explanation for this.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Confusional state, Death, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   The individual was vaccinated with the Moderna product on 03/10/2021 and 04/07/2021. It is not known if this person had a specific symptom onset date. However, they presented to emergency department on 01/12/2022 with hypoxia and confusion, and tested COVID-19 positive via PCR test upon hospital admission on 01/12/2022. They remained hospitalized until their death on 01/22/2022. They were a resident of a nursing home.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   The individual was vaccinated with the Moderna product on 03/10/2021 and 04/07/2021. It is not known if this person had a specific symptom onset date. However, they presented to emergency department on 01/12/2022 with hypoxia and confusion, and tested COVID-19 positive via PCR test upon hospital admission on 01/12/2022. They remained hospitalized until their death on 01/22/2022. They were a resident of a nursing home.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Electrocardiogram ambulatory abnormal, Palpitations, Ventricular extrasystoles
Clinical narrative: Approximately a week after the second injection I developed heart palpitations that started off very infrequent and gradually became almost constant over the next 9 months or so.  I saw my dr and had an ekg and wore a holtee monitor that showed PVC?s.   I never had anything like this prior to getting the vaccination.  When I got covid twice in Dec and then in jan the palpitations worsened.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Pallor, Presyncope
Clinical narrative: After 3 minutes post injection, pt experienced vasovagal, no LOC, no head trauma, clammy Pale, EMS at site, Legs elevated to 45 degrees, no further episode. vs 101/67, Hr 67, o2 Sat 99 . R 18. in no respiratory distress, no chest pain. Pt observed and hydrated. Dr and EMS personnel with patient.  Second VS Stable BP 117/75, HR 68 RR 20 SaO2 98 RA.
Age: 72.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 49.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Palpitations, Paraesthesia
Clinical narrative: I woke up the next morning after vaccine with left side of entire body numb. I asked husband and brother if they felt the same and they stated no. My face down to my feet was numb on left side of body and tingling sensation. It lasted about 5 days and slowly lessened from there. I called my doctor and I spoke to with him . He stated that most likely it will go away. I also have heart palpitations now that I did not have before.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Rash, Rash pruritic
Clinical narrative: migratory rash - very itchy. Rash would move around every 5 -15 minutes to new spots.  Prednisone helped immensely with itching.  Then when course was done had about another week of mild migratory, itchy rash.  Now no rash.
Age: 88.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came in to receive 2nd dose of the Pediatric Pfizer vaccine series. After vaccine was administered it was realized that the vial was not diluted.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchospasm, COVID-19, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Covid symptoms started on 01/21/2022. I've had mostly a cough but that didn't start right away. No fever, but I did have body aches and a bad headache and diarrhea, and then the cough started and I've had bronchial spasms which is why I still have a cough and sore throat. I tested positive on 02/03/2022. I've seen the Doctor several times and I'm using an inhaler and that's mostly it. The reason I went to Urgent Care was because my throat and uvula were swollen and I was having trouble breathing.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Enlarged uvula, Headache, Influenza virus test, Malaise, Oropharyngeal pain
Clinical narrative: Covid symptoms started on 01/21/2022. I've had mostly a cough but that didn't start right away. No fever, but I did have body aches and a bad headache and diarrhea, and then the cough started and I've had bronchial spasms which is why I still have a cough and sore throat. I tested positive on 02/03/2022. I've seen the Doctor several times and I'm using an inhaler and that's mostly it. The reason I went to Urgent Care was because my throat and uvula were swollen and I was having trouble breathing.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pharyngeal swelling, SARS-CoV-2 test positive, Streptococcus test
Clinical narrative: Covid symptoms started on 01/21/2022. I've had mostly a cough but that didn't start right away. No fever, but I did have body aches and a bad headache and diarrhea, and then the cough started and I've had bronchial spasms which is why I still have a cough and sore throat. I tested positive on 02/03/2022. I've seen the Doctor several times and I'm using an inhaler and that's mostly it. The reason I went to Urgent Care was because my throat and uvula were swollen and I was having trouble breathing.
Age: 83.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient DOB 09/16/2009 presented to the Center on 2/9/2022 for a first dose of Pfizer COVID vaccine for ages 12 and up. Client presented with her mother and 10 year old brother. Upon sitting at the pediatric vaccination table, both patient and her brother were vaccinated at 4:18 pm with Pfizer COVID vaccine for ages 5 to 11 in her right arm. (Lot FL8095 exp 3-16-22). PHN called Clinical Project coordinator and discussed CDC guidance for error. PHN informed client?s mother on CDC guidance to administer the Pfizer COVID vaccine 12 and up formulation in 21 days to complete the primary series. Client?s mother verbalized understanding. Client waited in observation area for 15 minutes and left with mother and brother in stable condition with no complaints. PHN reeducated vaccination table on Pfizer COVID vaccine ages 5-11 and Pfizer COVID vaccine for ages 12 and up formulation. Vaccination table verbalized understanding.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Cognitive disorder, Laboratory test, Scan, Visual field defect
Clinical narrative: Stroke - Cerebral Vascular Accident. Hospitalized 5 days. In patient physical therapy 3 days. Outpatient physical therapy 2 months.  Visual field cut, Cognitive impairment. Stroke was 19 months ago. I have improved since then, but still have some impairment.
Age: 67.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Abdominal pain upper, Bloody discharge, Dysuria
Clinical narrative: She received her immunizations earlier today (DTaP-IPV, MMRV and Influenza) at about 11 am this morning. She went home and had lunch. After eating lunch, she complained that her stomach hurt. She had complained of stomach pain after breakfast also. Mom told her to go use the bathroom to see if that would help with her stomach ache. She voided and passed a BM. Mom wiped her afterwards and noticed red "discharge" on the toilet paper. Mom then had her lay down so she could see where the blood was coming from. She wiped her bottom and there was no blood so the pink discoloration was not coming from her anus. The urine in the toilet bowl was clear yellow, not pink tinged. When asked if she had pain with urination, pt. responded yes. She had not stated anything about painful urination prior to being asked. ROS neg fever, back pain, vomiting, enuresis, urinary urgency or urinary frequency. No recent bubble baths
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Aphasia, COVID-19, Cerebrovascular accident, Chest X-ray normal
Clinical narrative: Patient received Pfizer vaccine + booster - 2/24/21, 3/17/21, booster 11/23/21. Patient asymptomatic except fever spike of 101 on 2/5/22.  Patient admitted 12/3/21 for NSTEMI.  12/5/21 suffered acute CVA.  Patient currently aphasic and placement to a facility pending.   Any information omitted from this report was purposeful and due to information availability at report submission.   Choice to say none of the above on item 21 is due to the identifier -(vaccine received during existing hospitalization).
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer vaccine + booster - 2/24/21, 3/17/21, booster 11/23/21. Patient asymptomatic except fever spike of 101 on 2/5/22.  Patient admitted 12/3/21 for NSTEMI.  12/5/21 suffered acute CVA.  Patient currently aphasic and placement to a facility pending.   Any information omitted from this report was purposeful and due to information availability at report submission.   Choice to say none of the above on item 21 is due to the identifier -(vaccine received during existing hospitalization).
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Burning sensation, Erythema, Peripheral swelling, Pruritus
Clinical narrative: Bottom of both feet broke out with blisters and very red and swollen. Tops of my feet itch and burn.
Age: 77.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Hypoxia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   This individudal was a resident of a group home type facility for individuals with disabilities.   The individual was vaccinated with the Moderna product on 02/05/2021 and 03/04/2021. The individual presented to emergency dept on 11/24/2021 for hypoxia and tested positive same day. She was admitted 11/24/2022 and transferred to an out-of -state hospital for higher level of care on 11/30/2021. They remained hospitalized at this out-of-state hospital until their death on 12/07/2021.
Age: 57.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Activated partial thromboplastin time normal, Ageusia, Anosmia, Brain natriuretic peptide normal, COVID-19
Clinical narrative: 1/19-1/22/22  17 yr/o 4 mth/o female patient s/p heart transplant at 11days of life for HLHS. Additionally has a complex medical history of chronic kidney disease, CLD, PTLD s/p partial lung resection, community acquired pneumonia, asthma, poor airway clearance, and insulin dependent diabetes who present to hospital ED with a 4-day history of chest pain, headache, fatigue, cough and wheezing.  Patient saw PCP on day of admission (1/19/21), where she tested positive for COVID-19.  Given patient's complex medical history and her diagnosis of COVID-19, she was admitted to the PCU for further monitoring and administration of Remdesivir.   Neuro: No acute issues during admission  Resp:  Patient remained SORA throughout her admiss Neuro: No acute issues during admission    She reports sore throat, cough, chest pain, difficulty breathing, nasal congestion for the past three days. She reports she has loss of taste and smell. She has not had any known sick contacts.   Resp:  Patient remained SORA throughout her admission.  Her CPT and Hypersal treatments were increased to QID to aid in mucous clearance however she was discharged home on her home regimen of Albuterol, Pulmozyme, Flonase, Dulera, Singulair and Spiriva.    CV: She had no changes to her CV management while inpatient.  She continued her home Amlodipine, Cellcept and sirolimus.  Her Troponin and BNP remained WNL throughout her admission.  A Sirolimus level was sent the morning of discharge however it is a send out lab therefore the results were not available prior to discharge.  The PAHFT team will be following up these results.    GI: Patient has Insulin dependent type 1 diabetes mellitus.  The Endocrine medical team followed her while she was inpatient and made some adjustments to her medications.  She will be discharged home on Lantus 33 Units daily with a carb correction of 1 unit: 4 carbs, 1 unit for every 25mg/dl >120mg/dl. Ketone corrections- 3- small, 4- mod, 5- large. (check ketones with BG >/= 250).  Her blood glucoses will be monitored via her Dexcom.  She was encouraged to take medications as directed and to continue her carb consistent diet.  She will continue her home Lansoprazole, Vit D, MVI and Calcitrol.      Heme: Per COVID guidelines PT, PTT/INR were drawn and WNL    ID:  Patient received 3 doses of remdesivir per COVID guidelines.  She tolerated this well without any complications.  A CMP was drawn on day of discharge to assess liver functions after receiving the remdesivir and there were no concerns.  She will continue her home Pen VK upon discharge.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: 1/19-1/22/22  17 yr/o 4 mth/o female patient s/p heart transplant at 11days of life for HLHS. Additionally has a complex medical history of chronic kidney disease, CLD, PTLD s/p partial lung resection, community acquired pneumonia, asthma, poor airway clearance, and insulin dependent diabetes who present to hospital ED with a 4-day history of chest pain, headache, fatigue, cough and wheezing.  Patient saw PCP on day of admission (1/19/21), where she tested positive for COVID-19.  Given patient's complex medical history and her diagnosis of COVID-19, she was admitted to the PCU for further monitoring and administration of Remdesivir.   Neuro: No acute issues during admission  Resp:  Patient remained SORA throughout her admiss Neuro: No acute issues during admission    She reports sore throat, cough, chest pain, difficulty breathing, nasal congestion for the past three days. She reports she has loss of taste and smell. She has not had any known sick contacts.   Resp:  Patient remained SORA throughout her admission.  Her CPT and Hypersal treatments were increased to QID to aid in mucous clearance however she was discharged home on her home regimen of Albuterol, Pulmozyme, Flonase, Dulera, Singulair and Spiriva.    CV: She had no changes to her CV management while inpatient.  She continued her home Amlodipine, Cellcept and sirolimus.  Her Troponin and BNP remained WNL throughout her admission.  A Sirolimus level was sent the morning of discharge however it is a send out lab therefore the results were not available prior to discharge.  The PAHFT team will be following up these results.    GI: Patient has Insulin dependent type 1 diabetes mellitus.  The Endocrine medical team followed her while she was inpatient and made some adjustments to her medications.  She will be discharged home on Lantus 33 Units daily with a carb correction of 1 unit: 4 carbs, 1 unit for every 25mg/dl >120mg/dl. Ketone corrections- 3- small, 4- mod, 5- large. (check ketones with BG >/= 250).  Her blood glucoses will be monitored via her Dexcom.  She was encouraged to take medications as directed and to continue her carb consistent diet.  She will continue her home Lansoprazole, Vit D, MVI and Calcitrol.      Heme: Per COVID guidelines PT, PTT/INR were drawn and WNL    ID:  Patient received 3 doses of remdesivir per COVID guidelines.  She tolerated this well without any complications.  A CMP was drawn on day of discharge to assess liver functions after receiving the remdesivir and there were no concerns.  She will continue her home Pen VK upon discharge.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Intensive care, International normalised ratio normal, Laboratory test, Liver function test normal, Metabolic function test normal
Clinical narrative: 1/19-1/22/22  17 yr/o 4 mth/o female patient s/p heart transplant at 11days of life for HLHS. Additionally has a complex medical history of chronic kidney disease, CLD, PTLD s/p partial lung resection, community acquired pneumonia, asthma, poor airway clearance, and insulin dependent diabetes who present to hospital ED with a 4-day history of chest pain, headache, fatigue, cough and wheezing.  Patient saw PCP on day of admission (1/19/21), where she tested positive for COVID-19.  Given patient's complex medical history and her diagnosis of COVID-19, she was admitted to the PCU for further monitoring and administration of Remdesivir.   Neuro: No acute issues during admission  Resp:  Patient remained SORA throughout her admiss Neuro: No acute issues during admission    She reports sore throat, cough, chest pain, difficulty breathing, nasal congestion for the past three days. She reports she has loss of taste and smell. She has not had any known sick contacts.   Resp:  Patient remained SORA throughout her admission.  Her CPT and Hypersal treatments were increased to QID to aid in mucous clearance however she was discharged home on her home regimen of Albuterol, Pulmozyme, Flonase, Dulera, Singulair and Spiriva.    CV: She had no changes to her CV management while inpatient.  She continued her home Amlodipine, Cellcept and sirolimus.  Her Troponin and BNP remained WNL throughout her admission.  A Sirolimus level was sent the morning of discharge however it is a send out lab therefore the results were not available prior to discharge.  The PAHFT team will be following up these results.    GI: Patient has Insulin dependent type 1 diabetes mellitus.  The Endocrine medical team followed her while she was inpatient and made some adjustments to her medications.  She will be discharged home on Lantus 33 Units daily with a carb correction of 1 unit: 4 carbs, 1 unit for every 25mg/dl >120mg/dl. Ketone corrections- 3- small, 4- mod, 5- large. (check ketones with BG >/= 250).  Her blood glucoses will be monitored via her Dexcom.  She was encouraged to take medications as directed and to continue her carb consistent diet.  She will continue her home Lansoprazole, Vit D, MVI and Calcitrol.      Heme: Per COVID guidelines PT, PTT/INR were drawn and WNL    ID:  Patient received 3 doses of remdesivir per COVID guidelines.  She tolerated this well without any complications.  A CMP was drawn on day of discharge to assess liver functions after receiving the remdesivir and there were no concerns.  She will continue her home Pen VK upon discharge.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Prothrombin time normal, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: 1/19-1/22/22  17 yr/o 4 mth/o female patient s/p heart transplant at 11days of life for HLHS. Additionally has a complex medical history of chronic kidney disease, CLD, PTLD s/p partial lung resection, community acquired pneumonia, asthma, poor airway clearance, and insulin dependent diabetes who present to hospital ED with a 4-day history of chest pain, headache, fatigue, cough and wheezing.  Patient saw PCP on day of admission (1/19/21), where she tested positive for COVID-19.  Given patient's complex medical history and her diagnosis of COVID-19, she was admitted to the PCU for further monitoring and administration of Remdesivir.   Neuro: No acute issues during admission  Resp:  Patient remained SORA throughout her admiss Neuro: No acute issues during admission    She reports sore throat, cough, chest pain, difficulty breathing, nasal congestion for the past three days. She reports she has loss of taste and smell. She has not had any known sick contacts.   Resp:  Patient remained SORA throughout her admission.  Her CPT and Hypersal treatments were increased to QID to aid in mucous clearance however she was discharged home on her home regimen of Albuterol, Pulmozyme, Flonase, Dulera, Singulair and Spiriva.    CV: She had no changes to her CV management while inpatient.  She continued her home Amlodipine, Cellcept and sirolimus.  Her Troponin and BNP remained WNL throughout her admission.  A Sirolimus level was sent the morning of discharge however it is a send out lab therefore the results were not available prior to discharge.  The PAHFT team will be following up these results.    GI: Patient has Insulin dependent type 1 diabetes mellitus.  The Endocrine medical team followed her while she was inpatient and made some adjustments to her medications.  She will be discharged home on Lantus 33 Units daily with a carb correction of 1 unit: 4 carbs, 1 unit for every 25mg/dl >120mg/dl. Ketone corrections- 3- small, 4- mod, 5- large. (check ketones with BG >/= 250).  Her blood glucoses will be monitored via her Dexcom.  She was encouraged to take medications as directed and to continue her carb consistent diet.  She will continue her home Lansoprazole, Vit D, MVI and Calcitrol.      Heme: Per COVID guidelines PT, PTT/INR were drawn and WNL    ID:  Patient received 3 doses of remdesivir per COVID guidelines.  She tolerated this well without any complications.  A CMP was drawn on day of discharge to assess liver functions after receiving the remdesivir and there were no concerns.  She will continue her home Pen VK upon discharge.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Wheezing
Clinical narrative: 1/19-1/22/22  17 yr/o 4 mth/o female patient s/p heart transplant at 11days of life for HLHS. Additionally has a complex medical history of chronic kidney disease, CLD, PTLD s/p partial lung resection, community acquired pneumonia, asthma, poor airway clearance, and insulin dependent diabetes who present to hospital ED with a 4-day history of chest pain, headache, fatigue, cough and wheezing.  Patient saw PCP on day of admission (1/19/21), where she tested positive for COVID-19.  Given patient's complex medical history and her diagnosis of COVID-19, she was admitted to the PCU for further monitoring and administration of Remdesivir.   Neuro: No acute issues during admission  Resp:  Patient remained SORA throughout her admiss Neuro: No acute issues during admission    She reports sore throat, cough, chest pain, difficulty breathing, nasal congestion for the past three days. She reports she has loss of taste and smell. She has not had any known sick contacts.   Resp:  Patient remained SORA throughout her admission.  Her CPT and Hypersal treatments were increased to QID to aid in mucous clearance however she was discharged home on her home regimen of Albuterol, Pulmozyme, Flonase, Dulera, Singulair and Spiriva.    CV: She had no changes to her CV management while inpatient.  She continued her home Amlodipine, Cellcept and sirolimus.  Her Troponin and BNP remained WNL throughout her admission.  A Sirolimus level was sent the morning of discharge however it is a send out lab therefore the results were not available prior to discharge.  The PAHFT team will be following up these results.    GI: Patient has Insulin dependent type 1 diabetes mellitus.  The Endocrine medical team followed her while she was inpatient and made some adjustments to her medications.  She will be discharged home on Lantus 33 Units daily with a carb correction of 1 unit: 4 carbs, 1 unit for every 25mg/dl >120mg/dl. Ketone corrections- 3- small, 4- mod, 5- large. (check ketones with BG >/= 250).  Her blood glucoses will be monitored via her Dexcom.  She was encouraged to take medications as directed and to continue her carb consistent diet.  She will continue her home Lansoprazole, Vit D, MVI and Calcitrol.      Heme: Per COVID guidelines PT, PTT/INR were drawn and WNL    ID:  Patient received 3 doses of remdesivir per COVID guidelines.  She tolerated this well without any complications.  A CMP was drawn on day of discharge to assess liver functions after receiving the remdesivir and there were no concerns.  She will continue her home Pen VK upon discharge.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Dyspnoea, Influenza like illness
Clinical narrative: 2 days of significant weakness and medium flu-like symptoms (dizziness, sniffling, mild fever/chills, mild shortness-of-breath); worst reaction of the 3 shots in Covid vaccine series.  Relieved after 2 days of bedrest.  Minor pain at injection site for about 1 week.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia, Rhinorrhoea
Clinical narrative: 2 days of significant weakness and medium flu-like symptoms (dizziness, sniffling, mild fever/chills, mild shortness-of-breath); worst reaction of the 3 shots in Covid vaccine series.  Relieved after 2 days of bedrest.  Minor pain at injection site for about 1 week.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paresis
Clinical narrative: Bell's Palsy
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Death
Clinical narrative: patient found on floor in home on 12/20/21 and passed away on 1/12/22.  Longtime friend, is the person reporting this as an adverse event.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Chest pain, Dizziness, Ear pain
Clinical narrative: Seven hours post third vaccine; acute onset of all symptoms such as headache, high blood pressure, neck & ear ache, sensitivity to cold, pain in all joints, body aches, dizziness, weakness & chest pain. All persisted for two days. Not relieved by any OTC medications. Random chest pain still appears on occasion.  First vaccine - sore on site Second vaccine - No S/E
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hypertension, Injection site pain, Neck pain, Neuropathy peripheral
Clinical narrative: Seven hours post third vaccine; acute onset of all symptoms such as headache, high blood pressure, neck & ear ache, sensitivity to cold, pain in all joints, body aches, dizziness, weakness & chest pain. All persisted for two days. Not relieved by any OTC medications. Random chest pain still appears on occasion.  First vaccine - sore on site Second vaccine - No S/E
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: Seven hours post third vaccine; acute onset of all symptoms such as headache, high blood pressure, neck & ear ache, sensitivity to cold, pain in all joints, body aches, dizziness, weakness & chest pain. All persisted for two days. Not relieved by any OTC medications. Random chest pain still appears on occasion.  First vaccine - sore on site Second vaccine - No S/E
Age: 86.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Loss of personal independence in daily activities, Somnolence
Clinical narrative: Very fatigued the following day. Unable to perform daily activities. Just wanted to sleep all afternoon.
Age: 79.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 22.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Respiratory tract congestion
Clinical narrative: TIRED, ACHES, SLIGHT CONGESTION & HEADACHE
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever of over 100 F all day. As high as 102.5 F responded to Tylenol  Vomiting
Age: 48.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: No adverse event after administration of vaccine.   Pediatric Pfizer vaccine was administered without reconstituting.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient came in for a booster and on her form said that she had cancer but did not indicate that she had any current anticancer meds or treatments that would suppress her immune system. We administered a booster shot (0.25 ml).  She came back today (2/10/22) and asked whether it was time for her 4th shot.  I asked her what she meant and she told me that she was immunocompromised and that she had 3 doses and needed a booster.  I investigated and determined that she was indeed immunocompromised due to anti-cancer meds and that she should have received an additional dose on 11/3/21  of 0.5 ml rather than a booster dose of 0.25 ml.  According to the CDC website when you administer a dose that is lower than the recommended dose you should immediately administer the correct dose.  I administered the 0.5 ml dose on 2/10/22 as an additional dose and scheduled her for a booster of 0.25 ml in 5 months.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin, Chills, Herpes zoster, Pain, Pruritus
Clinical narrative: I had fever, chills and severe body aches after the 2nd vaccine which lasted 24 hrs.  The major reaction started as an itchy spot on my back, which eventually, over the course of several weeks,  developed into several red itchy spots.  These spread across the back, buttocks, hips, groin, back of legs, shoulders, and eventually to my chest and stomach. These spots were very itchy and developed a darker brownish color or gray scaly appearance over time.  These have persisted to the present time although the itch has subsided (the discoloration has remained). I visited my primary care physician who referred me to a local Dermatology. Dr. suspected this was a reaction to the Moderna vaccine and had my primary order a quantative covid antibody test. To confirm the diagnosis, two skin biopsies were performed.  Shingles developed on the side of my head, neck and face. on 01/24/2022, This may or may not be related.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rash macular, SARS-CoV-2 antibody test, Skin discolouration
Clinical narrative: I had fever, chills and severe body aches after the 2nd vaccine which lasted 24 hrs.  The major reaction started as an itchy spot on my back, which eventually, over the course of several weeks,  developed into several red itchy spots.  These spread across the back, buttocks, hips, groin, back of legs, shoulders, and eventually to my chest and stomach. These spots were very itchy and developed a darker brownish color or gray scaly appearance over time.  These have persisted to the present time although the itch has subsided (the discoloration has remained). I visited my primary care physician who referred me to a local Dermatology. Dr. suspected this was a reaction to the Moderna vaccine and had my primary order a quantative covid antibody test. To confirm the diagnosis, two skin biopsies were performed.  Shingles developed on the side of my head, neck and face. on 01/24/2022, This may or may not be related.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain of skin, Pyrexia
Clinical narrative: I did not have a them to take a temp, but I know how it feels when you have a fever, I had chills and body aches and the body aches was the worst. Nobody could touch me because my skin hurt. I went to bed, did not eat that much. A couple days later the fever finally broke and I was fine.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Discomfort, Feeling abnormal, Hypoaesthesia, Pain
Clinical narrative: I started feeling ?off? a few hours after vaccine. I had pains traveling throughout my body and was worried it was a blood clot. Later that night, I began feeling pins and needles in my arms, legs, hands and feet which lead to numbness. I continue to have these same symptoms 2 weeks later. They have been getting worse as my whole body is now experiencing numbness (including torso, tongue, gums, face, etc). The tingling and numbness was so bad that i had to pull over when driving. I cannot sleep at night because of how painful and uncomfortable I am. I have been to 2 doctors (PCP and neurologist) and have to undergo further testing. I also developed a large rash on the inside of both legs, both elbows and on my stomach.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Rash, Sleep disorder
Clinical narrative: I started feeling ?off? a few hours after vaccine. I had pains traveling throughout my body and was worried it was a blood clot. Later that night, I began feeling pins and needles in my arms, legs, hands and feet which lead to numbness. I continue to have these same symptoms 2 weeks later. They have been getting worse as my whole body is now experiencing numbness (including torso, tongue, gums, face, etc). The tingling and numbness was so bad that i had to pull over when driving. I cannot sleep at night because of how painful and uncomfortable I am. I have been to 2 doctors (PCP and neurologist) and have to undergo further testing. I also developed a large rash on the inside of both legs, both elbows and on my stomach.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest pain, Headache, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Approximately 1 hour after injection face turned numb . Then left side of body went numb . Than burning fever , over the next 8 hours I had spasms,  sight became poor in left eye . Headache and profuse sweating . Burning fever for 2 days . On 08/12/21  had to go to doctor with chest pain . Blood pressure was extremely elevated . Shortness of breath . Diagnosed with pneumonia.  Left long infected . Previous symptoms lasted about 5 days .
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Pneumonia, Pyrexia, Visual impairment
Clinical narrative: Approximately 1 hour after injection face turned numb . Then left side of body went numb . Than burning fever , over the next 8 hours I had spasms,  sight became poor in left eye . Headache and profuse sweating . Burning fever for 2 days . On 08/12/21  had to go to doctor with chest pain . Blood pressure was extremely elevated . Shortness of breath . Diagnosed with pneumonia.  Left long infected . Previous symptoms lasted about 5 days .
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: So far patient has not reported any adverse events.   When  we started to administer the second dose from the vial for another patient we realized we only had 0.5ml left in the vial.   We did add diluent but we must not have added the full 1.8ml.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Cardiac flutter, Cardiac monitoring abnormal, Electrocardiogram normal, Heart rate abnormal
Clinical narrative: Within 48 hours there were changes in my heart rate and rhythm that felt like fluttering. I used a smartwatch to take an EKG that recommended I contacted a doctor. It was not a normal rhythm, contact a doctor. That kind of came and went for several hours. It was more anxiety inducing than anything else. I contacted my GP the next morning, and he immediately directed me a cardiologist. Saw him within the next week. He did an EKG and recommended a full work up with a stress echocardiogram. All of that came back normal. He also had me wear a heart monitor for 2 weeks 24/7. The monitor registered a pretty regular intervals, PVCs. He told me it wasn't dangerous, and it was then my husband's cardiologist to not worry about it and that it would pass in 5-6 weeks. He said it was due to the vaccine, but it was gone in 5-6 weeks. It got less and less each week and finally gone in the middle of the 6th week. Same symptoms happened for the 2nd and 3rd vaccinations - but less severe compared. Fewer incidents within the same time frame of 5-6 weeks.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Stress echocardiogram normal, Ventricular extrasystoles
Clinical narrative: Within 48 hours there were changes in my heart rate and rhythm that felt like fluttering. I used a smartwatch to take an EKG that recommended I contacted a doctor. It was not a normal rhythm, contact a doctor. That kind of came and went for several hours. It was more anxiety inducing than anything else. I contacted my GP the next morning, and he immediately directed me a cardiologist. Saw him within the next week. He did an EKG and recommended a full work up with a stress echocardiogram. All of that came back normal. He also had me wear a heart monitor for 2 weeks 24/7. The monitor registered a pretty regular intervals, PVCs. He told me it wasn't dangerous, and it was then my husband's cardiologist to not worry about it and that it would pass in 5-6 weeks. He said it was due to the vaccine, but it was gone in 5-6 weeks. It got less and less each week and finally gone in the middle of the 6th week. Same symptoms happened for the 2nd and 3rd vaccinations - but less severe compared. Fewer incidents within the same time frame of 5-6 weeks.