chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain, Pain in extremity, Polymerase chain reaction negative, SARS-CoV-2 test positive
Clinical narrative: Patient is a 69 y.o. male with a history of untreated metastatic lung CA, recent admission 3/17/23-3/25/23 with low back pain found to have new met to the sacrum and discharged on pain control who presented to RMH 3/27/2023 with worsening cancer related pain. Recommended outpatient radiation once COVID-19 isolation completed. Discharged to home w/ HHC 3/31/23.    1. Cancer Related Pain: recent admission for same in setting of newly found mets in known metastatic diease. Presented with recurrent low-back and right calf pain. Continued home po morphine. Increased Gabapentin, continued Robaxin, continued Decadron, Ativan. Restarted sch Tylenol. VIR and RadOnc followed. Plan for OP radiation for further pain control. 2. COVID-19 Infection : s/p vaccination x3 (Pfizer). Denied with fever, general malaise. Symptom onset ~3/24/23, Positive test 3/27/2023. Intermittent LFNC requirements on admission. Discontinued remdesivir 3/29/23. Continued decadron as above. Stable on room air. 3. Acute Diarrhea: suspected secondary to bowel regimen/medication induced following recent prolonged episode of constipation. Stool PCR negative. Supportive care. 4. Metastatic NSCLC of RUL: (Dx 2019). Follows with Dr (Oncology). Recommended radiation at time of diagnosis, however declined treatment and later lost to follow-up. Recent admission as above, found to have new metastasis to sacrum, discharged with plans for outpatient follow-up with radiation oncology. Awaiting scheduling for outpatient full body scan. Oncology navigator followed.
Age: 43.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Decreased appetite, Pyrexia, Rhinorrhoea, Somnolence
Clinical narrative: Fever, runny nose, coughing, drowsiness, loss of appetite
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Affective disorder, Atrial fibrillation, Bacteraemia
Clinical narrative: Patient is 68 years old with past medical history of diabetes, hyperlipidemia, hypertension, atrial fibrillation, obstructive sleep apnea, obesity who presented to a HCF on 3/10 for shortness of breath, nausea and fatigue.  On arrival to the hospital, patient was hypoxic requiring 2 L nasal cannula; other associated vital signs were temperature of 101.5 otherwise stable.  Lab work in the ED was relatively unremarkable except for AKI with a creatinine of 1.5 and COVID-positive nasal swab.  Patient was started on steroids and broad-spectrum antibiotics and admitted to the hospital for further management.  Patient was able to quickly be weaned off of oxygen after admission and only required 2 doses of Decadron and 2 doses of remdesivir before these were discontinued.  Patient was set to be discharged home on 3/11 before blood culture collected on admission was positive for MRSA.  Patient was started on vancomycin at this time.  CT abdomen that was collected on admission was concerning for osteomyelitis of the pelvis/sacrum so MRI was performed to better assess.  MRI was not consistent with acute or chronic osteomyelitis but did show a 8.2 cm fluid collection in the deep pelvis with abscess unable to be ruled out.  General surgery was consulted who performed aspiration of a more superficial fluid collection that had formed to be a tract from the larger fluid collection.  This fluid was nonpurulent and it was suspected to not be primary source for patient's bacteremia.  However, this fluid did end up growing MRSA and general surgery recommended transfer to higher level of care capable of interventional radiology drainage of the fluid collection.  Transfer to a local Hospital was initiated at this time.  While awaiting transfer, patient was continued on vancomycin with repeat cultures collected on 3/13 with no growth to date.  On 3/15, pharmacy notified hospital medicine team that the MIC of the vancomycin for this specific strain of MRSA would require toxic levels of vancomycin for appropriate treatment and it was switched to daptomycin at this time.  Ultimately, patient was hemodynamically stable and discharged to a local Hospital on 3/16 for IR drainage and ID evaluation.   *TEE was going to be performed at a HCF to rule out endocarditis (TTE was normal). However, when abdominal fluid grew MRSA, we had a source so the TEE was cancelled. I would defer to RMH team/ID on need for TEE prior to discharge. *     Discharge diagnosis   Sepsis Acute hypoxic respiratory failure, resolved COVID-pneumonia MRSA Bacteremia Staph Aureus Positive Intra-abdominal Fluid Collection Acute kidney injury, resolved Nausea and Vomiting, improved Protein calorie malnutrition Pulmonary hypertension Obstructive sleep apnea Atrial fibrillation History of hypertension Hyperlipidemia Mood disorder
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood culture positive, Body temperature increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is 68 years old with past medical history of diabetes, hyperlipidemia, hypertension, atrial fibrillation, obstructive sleep apnea, obesity who presented to a HCF on 3/10 for shortness of breath, nausea and fatigue.  On arrival to the hospital, patient was hypoxic requiring 2 L nasal cannula; other associated vital signs were temperature of 101.5 otherwise stable.  Lab work in the ED was relatively unremarkable except for AKI with a creatinine of 1.5 and COVID-positive nasal swab.  Patient was started on steroids and broad-spectrum antibiotics and admitted to the hospital for further management.  Patient was able to quickly be weaned off of oxygen after admission and only required 2 doses of Decadron and 2 doses of remdesivir before these were discontinued.  Patient was set to be discharged home on 3/11 before blood culture collected on admission was positive for MRSA.  Patient was started on vancomycin at this time.  CT abdomen that was collected on admission was concerning for osteomyelitis of the pelvis/sacrum so MRI was performed to better assess.  MRI was not consistent with acute or chronic osteomyelitis but did show a 8.2 cm fluid collection in the deep pelvis with abscess unable to be ruled out.  General surgery was consulted who performed aspiration of a more superficial fluid collection that had formed to be a tract from the larger fluid collection.  This fluid was nonpurulent and it was suspected to not be primary source for patient's bacteremia.  However, this fluid did end up growing MRSA and general surgery recommended transfer to higher level of care capable of interventional radiology drainage of the fluid collection.  Transfer to a local Hospital was initiated at this time.  While awaiting transfer, patient was continued on vancomycin with repeat cultures collected on 3/13 with no growth to date.  On 3/15, pharmacy notified hospital medicine team that the MIC of the vancomycin for this specific strain of MRSA would require toxic levels of vancomycin for appropriate treatment and it was switched to daptomycin at this time.  Ultimately, patient was hemodynamically stable and discharged to a local Hospital on 3/16 for IR drainage and ID evaluation.   *TEE was going to be performed at a HCF to rule out endocarditis (TTE was normal). However, when abdominal fluid grew MRSA, we had a source so the TEE was cancelled. I would defer to RMH team/ID on need for TEE prior to discharge. *     Discharge diagnosis   Sepsis Acute hypoxic respiratory failure, resolved COVID-pneumonia MRSA Bacteremia Staph Aureus Positive Intra-abdominal Fluid Collection Acute kidney injury, resolved Nausea and Vomiting, improved Protein calorie malnutrition Pulmonary hypertension Obstructive sleep apnea Atrial fibrillation History of hypertension Hyperlipidemia Mood disorder
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Condition aggravated, Dyspnoea, Echocardiogram, Fatigue
Clinical narrative: Patient is 68 years old with past medical history of diabetes, hyperlipidemia, hypertension, atrial fibrillation, obstructive sleep apnea, obesity who presented to a HCF on 3/10 for shortness of breath, nausea and fatigue.  On arrival to the hospital, patient was hypoxic requiring 2 L nasal cannula; other associated vital signs were temperature of 101.5 otherwise stable.  Lab work in the ED was relatively unremarkable except for AKI with a creatinine of 1.5 and COVID-positive nasal swab.  Patient was started on steroids and broad-spectrum antibiotics and admitted to the hospital for further management.  Patient was able to quickly be weaned off of oxygen after admission and only required 2 doses of Decadron and 2 doses of remdesivir before these were discontinued.  Patient was set to be discharged home on 3/11 before blood culture collected on admission was positive for MRSA.  Patient was started on vancomycin at this time.  CT abdomen that was collected on admission was concerning for osteomyelitis of the pelvis/sacrum so MRI was performed to better assess.  MRI was not consistent with acute or chronic osteomyelitis but did show a 8.2 cm fluid collection in the deep pelvis with abscess unable to be ruled out.  General surgery was consulted who performed aspiration of a more superficial fluid collection that had formed to be a tract from the larger fluid collection.  This fluid was nonpurulent and it was suspected to not be primary source for patient's bacteremia.  However, this fluid did end up growing MRSA and general surgery recommended transfer to higher level of care capable of interventional radiology drainage of the fluid collection.  Transfer to a local Hospital was initiated at this time.  While awaiting transfer, patient was continued on vancomycin with repeat cultures collected on 3/13 with no growth to date.  On 3/15, pharmacy notified hospital medicine team that the MIC of the vancomycin for this specific strain of MRSA would require toxic levels of vancomycin for appropriate treatment and it was switched to daptomycin at this time.  Ultimately, patient was hemodynamically stable and discharged to a local Hospital on 3/16 for IR drainage and ID evaluation.   *TEE was going to be performed at a HCF to rule out endocarditis (TTE was normal). However, when abdominal fluid grew MRSA, we had a source so the TEE was cancelled. I would defer to RMH team/ID on need for TEE prior to discharge. *     Discharge diagnosis   Sepsis Acute hypoxic respiratory failure, resolved COVID-pneumonia MRSA Bacteremia Staph Aureus Positive Intra-abdominal Fluid Collection Acute kidney injury, resolved Nausea and Vomiting, improved Protein calorie malnutrition Pulmonary hypertension Obstructive sleep apnea Atrial fibrillation History of hypertension Hyperlipidemia Mood disorder
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperlipidaemia, Hypoxia, Laboratory test abnormal, Magnetic resonance imaging abnormal, Malnutrition
Clinical narrative: Patient is 68 years old with past medical history of diabetes, hyperlipidemia, hypertension, atrial fibrillation, obstructive sleep apnea, obesity who presented to a HCF on 3/10 for shortness of breath, nausea and fatigue.  On arrival to the hospital, patient was hypoxic requiring 2 L nasal cannula; other associated vital signs were temperature of 101.5 otherwise stable.  Lab work in the ED was relatively unremarkable except for AKI with a creatinine of 1.5 and COVID-positive nasal swab.  Patient was started on steroids and broad-spectrum antibiotics and admitted to the hospital for further management.  Patient was able to quickly be weaned off of oxygen after admission and only required 2 doses of Decadron and 2 doses of remdesivir before these were discontinued.  Patient was set to be discharged home on 3/11 before blood culture collected on admission was positive for MRSA.  Patient was started on vancomycin at this time.  CT abdomen that was collected on admission was concerning for osteomyelitis of the pelvis/sacrum so MRI was performed to better assess.  MRI was not consistent with acute or chronic osteomyelitis but did show a 8.2 cm fluid collection in the deep pelvis with abscess unable to be ruled out.  General surgery was consulted who performed aspiration of a more superficial fluid collection that had formed to be a tract from the larger fluid collection.  This fluid was nonpurulent and it was suspected to not be primary source for patient's bacteremia.  However, this fluid did end up growing MRSA and general surgery recommended transfer to higher level of care capable of interventional radiology drainage of the fluid collection.  Transfer to a local Hospital was initiated at this time.  While awaiting transfer, patient was continued on vancomycin with repeat cultures collected on 3/13 with no growth to date.  On 3/15, pharmacy notified hospital medicine team that the MIC of the vancomycin for this specific strain of MRSA would require toxic levels of vancomycin for appropriate treatment and it was switched to daptomycin at this time.  Ultimately, patient was hemodynamically stable and discharged to a local Hospital on 3/16 for IR drainage and ID evaluation.   *TEE was going to be performed at a HCF to rule out endocarditis (TTE was normal). However, when abdominal fluid grew MRSA, we had a source so the TEE was cancelled. I would defer to RMH team/ID on need for TEE prior to discharge. *     Discharge diagnosis   Sepsis Acute hypoxic respiratory failure, resolved COVID-pneumonia MRSA Bacteremia Staph Aureus Positive Intra-abdominal Fluid Collection Acute kidney injury, resolved Nausea and Vomiting, improved Protein calorie malnutrition Pulmonary hypertension Obstructive sleep apnea Atrial fibrillation History of hypertension Hyperlipidemia Mood disorder
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Obstructive sleep apnoea syndrome, Pelvic fluid collection, Pelvic fluid collection drainage, Pulmonary hypertension
Clinical narrative: Patient is 68 years old with past medical history of diabetes, hyperlipidemia, hypertension, atrial fibrillation, obstructive sleep apnea, obesity who presented to a HCF on 3/10 for shortness of breath, nausea and fatigue.  On arrival to the hospital, patient was hypoxic requiring 2 L nasal cannula; other associated vital signs were temperature of 101.5 otherwise stable.  Lab work in the ED was relatively unremarkable except for AKI with a creatinine of 1.5 and COVID-positive nasal swab.  Patient was started on steroids and broad-spectrum antibiotics and admitted to the hospital for further management.  Patient was able to quickly be weaned off of oxygen after admission and only required 2 doses of Decadron and 2 doses of remdesivir before these were discontinued.  Patient was set to be discharged home on 3/11 before blood culture collected on admission was positive for MRSA.  Patient was started on vancomycin at this time.  CT abdomen that was collected on admission was concerning for osteomyelitis of the pelvis/sacrum so MRI was performed to better assess.  MRI was not consistent with acute or chronic osteomyelitis but did show a 8.2 cm fluid collection in the deep pelvis with abscess unable to be ruled out.  General surgery was consulted who performed aspiration of a more superficial fluid collection that had formed to be a tract from the larger fluid collection.  This fluid was nonpurulent and it was suspected to not be primary source for patient's bacteremia.  However, this fluid did end up growing MRSA and general surgery recommended transfer to higher level of care capable of interventional radiology drainage of the fluid collection.  Transfer to a local Hospital was initiated at this time.  While awaiting transfer, patient was continued on vancomycin with repeat cultures collected on 3/13 with no growth to date.  On 3/15, pharmacy notified hospital medicine team that the MIC of the vancomycin for this specific strain of MRSA would require toxic levels of vancomycin for appropriate treatment and it was switched to daptomycin at this time.  Ultimately, patient was hemodynamically stable and discharged to a local Hospital on 3/16 for IR drainage and ID evaluation.   *TEE was going to be performed at a HCF to rule out endocarditis (TTE was normal). However, when abdominal fluid grew MRSA, we had a source so the TEE was cancelled. I would defer to RMH team/ID on need for TEE prior to discharge. *     Discharge diagnosis   Sepsis Acute hypoxic respiratory failure, resolved COVID-pneumonia MRSA Bacteremia Staph Aureus Positive Intra-abdominal Fluid Collection Acute kidney injury, resolved Nausea and Vomiting, improved Protein calorie malnutrition Pulmonary hypertension Obstructive sleep apnea Atrial fibrillation History of hypertension Hyperlipidemia Mood disorder
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Staphylococcal infection, Staphylococcus test positive, Vomiting
Clinical narrative: Patient is 68 years old with past medical history of diabetes, hyperlipidemia, hypertension, atrial fibrillation, obstructive sleep apnea, obesity who presented to a HCF on 3/10 for shortness of breath, nausea and fatigue.  On arrival to the hospital, patient was hypoxic requiring 2 L nasal cannula; other associated vital signs were temperature of 101.5 otherwise stable.  Lab work in the ED was relatively unremarkable except for AKI with a creatinine of 1.5 and COVID-positive nasal swab.  Patient was started on steroids and broad-spectrum antibiotics and admitted to the hospital for further management.  Patient was able to quickly be weaned off of oxygen after admission and only required 2 doses of Decadron and 2 doses of remdesivir before these were discontinued.  Patient was set to be discharged home on 3/11 before blood culture collected on admission was positive for MRSA.  Patient was started on vancomycin at this time.  CT abdomen that was collected on admission was concerning for osteomyelitis of the pelvis/sacrum so MRI was performed to better assess.  MRI was not consistent with acute or chronic osteomyelitis but did show a 8.2 cm fluid collection in the deep pelvis with abscess unable to be ruled out.  General surgery was consulted who performed aspiration of a more superficial fluid collection that had formed to be a tract from the larger fluid collection.  This fluid was nonpurulent and it was suspected to not be primary source for patient's bacteremia.  However, this fluid did end up growing MRSA and general surgery recommended transfer to higher level of care capable of interventional radiology drainage of the fluid collection.  Transfer to a local Hospital was initiated at this time.  While awaiting transfer, patient was continued on vancomycin with repeat cultures collected on 3/13 with no growth to date.  On 3/15, pharmacy notified hospital medicine team that the MIC of the vancomycin for this specific strain of MRSA would require toxic levels of vancomycin for appropriate treatment and it was switched to daptomycin at this time.  Ultimately, patient was hemodynamically stable and discharged to a local Hospital on 3/16 for IR drainage and ID evaluation.   *TEE was going to be performed at a HCF to rule out endocarditis (TTE was normal). However, when abdominal fluid grew MRSA, we had a source so the TEE was cancelled. I would defer to RMH team/ID on need for TEE prior to discharge. *     Discharge diagnosis   Sepsis Acute hypoxic respiratory failure, resolved COVID-pneumonia MRSA Bacteremia Staph Aureus Positive Intra-abdominal Fluid Collection Acute kidney injury, resolved Nausea and Vomiting, improved Protein calorie malnutrition Pulmonary hypertension Obstructive sleep apnea Atrial fibrillation History of hypertension Hyperlipidemia Mood disorder
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Customer came in for her 2nd dose of Shingrix vaccine and reported having gotten her 1st dose in 2022.  Verified patient had gotten her 1st dose on 10/2022.  After receiving her vaccination, patient had requested a print out of her vaccination history, which included older vaccinations some of which are not shown on her current profile.  It was then realized that patient had actually gotten one dose back in 10/2021 which patient had forgotten about.  So she has now gotten a total of 3 Shingrix vaccine.  Patient did not report any adverse effects.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE PAST BUD, CONSIDERED AS AN INVALID DOSE AND WILL COME BY NEXT WEEK FOR RE-VACCINATING
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccination given 1 day past Beyond use date. Moderna ran stability report, vaccination was still safe and effective at time of vaccination.  No need to re-vaccinate. Pt had no adverse effects.
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: PATIENT RECEIVED VACCINE PAST BUD, CONSIDERED AS AN INVALID DOSE . PATIENT STATED NOT EXPERIENCING ANY ADVERSE EVENTS AND WILL COME BY WHEN HAVE TIME FOR RE-VACCINATING
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: PATIENT RECEIVED VACCINE PAST BUD, CONSIDERED AS AN INVALID DOSE. PATIENT CAME BY 05/20/2023 FOR RE-VACCINATING  NOT EXPERIENCING ANY ADVERSE EVENTS
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling, Skin warm, Tenderness
Clinical narrative: arm was red -  hot   - painful to touch - swollen
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: PATIENT RECEIVED VACCINE PAST BUD, CONSIDERED AS AN INVALID DOSE AND WILL COME BY NEXT WEEK FOR RE-VACCINATING  NOT EXPERIENCING ANY ADVERSE EVENTS FROM THAT DOSE
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Pain
Clinical narrative: Vaccination was given a few days after beyond use date. Moderna certified that vaccination was safe and effective at time given. No need to revaccinate. Patient reported no adverse effect, only sore are for 2 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Loss of personal independence in daily activities, Mobility decreased, Muscle disorder
Clinical narrative: 3/12/2021 Moderna shot 1, 013A21A ? Pharmacy   4/9/2021   Moderna shot 2, 039A21A ? Pharmacy   5/26/2021 Moderna shot 3, 012F21A ? Pharmacy   11/4/2021 Dr. seen for right shoulder pain (going on for 2 months estimate) referred to physical therapy 12/2/2021 Physical Therapy started  12/30/2021 PA ? pain located right side of neck as well as anterior shoulder/deltoid region radiating down to the wrist. Pain described as dull and throbbing. X-rays taken of cervical spine and right shoulder.  Corticosteroid injection given in the shoulder and referred back to physical therapy for 4 ? 6 weeks. 2/10/2022 Physical Therapy last day 2/16/2022 Wrist x-rays taken on PA orders 2/18/2022 Virtual visit with PA ? shoulder pain almost completely resolved. Diagnosed with bilateral wrist ulnar-sided tendinitis with pain rated a 9 out of 10. Referred to hand therapy and to use Voltaren gel. 3/10/2022 ? Physiotherapy first visit for hand therapy 5/4/2022 ? Last hand therapy visit  5/18/22 Moderna shot 4, 038A22A, ? Pharmacy    I started losing strength in my arms after the second vaccine but didn?t know why.  It was getting better until I had the third vaccine and things slowly got worse. I could no longer crank the lawnmower or cut our grass. While doing therapy for the shoulder the wrist started getting so bad, I could not lift any thing with one hand.  It eventually started attacking the muscles in my arms. I could no longer sit on the floor because I couldn?t get myself up.  I kept thinking it was from the vaccine but was told it couldn?t be.  This was not a symptom.  Things finally became manageable with but not normal until I had the last vaccine.  My symptoms started getting worse again and that is when I knew no matter what anyone said, the vaccine caused all my problems.  As of May of 2023, I have to do light weight exercises, and wrist and finger exercises or they tend to freeze up.  My arm muscles feel like they are in a vise but the weights calm them down.  I can once again sit in the floor and get up slowly.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Spinal X-ray, Tendonitis, X-ray limb
Clinical narrative: 3/12/2021 Moderna shot 1, 013A21A ? Pharmacy   4/9/2021   Moderna shot 2, 039A21A ? Pharmacy   5/26/2021 Moderna shot 3, 012F21A ? Pharmacy   11/4/2021 Dr. seen for right shoulder pain (going on for 2 months estimate) referred to physical therapy 12/2/2021 Physical Therapy started  12/30/2021 PA ? pain located right side of neck as well as anterior shoulder/deltoid region radiating down to the wrist. Pain described as dull and throbbing. X-rays taken of cervical spine and right shoulder.  Corticosteroid injection given in the shoulder and referred back to physical therapy for 4 ? 6 weeks. 2/10/2022 Physical Therapy last day 2/16/2022 Wrist x-rays taken on PA orders 2/18/2022 Virtual visit with PA ? shoulder pain almost completely resolved. Diagnosed with bilateral wrist ulnar-sided tendinitis with pain rated a 9 out of 10. Referred to hand therapy and to use Voltaren gel. 3/10/2022 ? Physiotherapy first visit for hand therapy 5/4/2022 ? Last hand therapy visit  5/18/22 Moderna shot 4, 038A22A, ? Pharmacy    I started losing strength in my arms after the second vaccine but didn?t know why.  It was getting better until I had the third vaccine and things slowly got worse. I could no longer crank the lawnmower or cut our grass. While doing therapy for the shoulder the wrist started getting so bad, I could not lift any thing with one hand.  It eventually started attacking the muscles in my arms. I could no longer sit on the floor because I couldn?t get myself up.  I kept thinking it was from the vaccine but was told it couldn?t be.  This was not a symptom.  Things finally became manageable with but not normal until I had the last vaccine.  My symptoms started getting worse again and that is when I knew no matter what anyone said, the vaccine caused all my problems.  As of May of 2023, I have to do light weight exercises, and wrist and finger exercises or they tend to freeze up.  My arm muscles feel like they are in a vise but the weights calm them down.  I can once again sit in the floor and get up slowly.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray limb abnormal
Clinical narrative: 3/12/2021 Moderna shot 1, 013A21A ? Pharmacy   4/9/2021   Moderna shot 2, 039A21A ? Pharmacy   5/26/2021 Moderna shot 3, 012F21A ? Pharmacy   11/4/2021 Dr. seen for right shoulder pain (going on for 2 months estimate) referred to physical therapy 12/2/2021 Physical Therapy started  12/30/2021 PA ? pain located right side of neck as well as anterior shoulder/deltoid region radiating down to the wrist. Pain described as dull and throbbing. X-rays taken of cervical spine and right shoulder.  Corticosteroid injection given in the shoulder and referred back to physical therapy for 4 ? 6 weeks. 2/10/2022 Physical Therapy last day 2/16/2022 Wrist x-rays taken on PA orders 2/18/2022 Virtual visit with PA ? shoulder pain almost completely resolved. Diagnosed with bilateral wrist ulnar-sided tendinitis with pain rated a 9 out of 10. Referred to hand therapy and to use Voltaren gel. 3/10/2022 ? Physiotherapy first visit for hand therapy 5/4/2022 ? Last hand therapy visit  5/18/22 Moderna shot 4, 038A22A, ? Pharmacy    I started losing strength in my arms after the second vaccine but didn?t know why.  It was getting better until I had the third vaccine and things slowly got worse. I could no longer crank the lawnmower or cut our grass. While doing therapy for the shoulder the wrist started getting so bad, I could not lift any thing with one hand.  It eventually started attacking the muscles in my arms. I could no longer sit on the floor because I couldn?t get myself up.  I kept thinking it was from the vaccine but was told it couldn?t be.  This was not a symptom.  Things finally became manageable with but not normal until I had the last vaccine.  My symptoms started getting worse again and that is when I knew no matter what anyone said, the vaccine caused all my problems.  As of May of 2023, I have to do light weight exercises, and wrist and finger exercises or they tend to freeze up.  My arm muscles feel like they are in a vise but the weights calm them down.  I can once again sit in the floor and get up slowly.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Rash
Clinical narrative: rash on left arm that spread downwards, arm is sore to touch
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccination was given a few days after beyond use date. Moderna was contacted and states the vaccination was safe and effective at the time given. No revaccination required. Patient reported having no adverse reactions.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Colitis ulcerative, Colonoscopy, Delivery, Exposure during pregnancy, Laboratory test
Clinical narrative: Rectal Bleeding after vaccination during pregnancy.  No complications with labor and delivery of my son in September 2021. October, 2 weeks after his birth I was hospitalized with severe ulcerative colitis. A condition I had zero prior symptoms of.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Normal labour, Rectal haemorrhage
Clinical narrative: Rectal Bleeding after vaccination during pregnancy.  No complications with labor and delivery of my son in September 2021. October, 2 weeks after his birth I was hospitalized with severe ulcerative colitis. A condition I had zero prior symptoms of.
Age: 2.0
Sex: M
Vaccine: DTPPVHBHPB, MMRV, PNC13, DTPPVHBHPB, MMRV, PNC13
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Checked the system for patient's record.  Put in patient's full name (four parts) and date of birth.  System search returned with no matching records.  Continued on as if to create new record, then the system produced a record for the patient.  I checked what vaccines were due per the system and the following were due and available to be given: Vaxelis, ProQuad, and Prevnar-13.  When going to print updated record for parent, a second system record was found, and contained two of the same vaccines - Vaxelis, ProQuad as being administered 4/28/2023.  We observed the child for 30 minutes: he did not show any reaction, and instructed mom to return here immediately if she noticed and change in the child including rash, fever, change in activity level/lethargy.
Age: 2.0
Sex: M
Vaccine: DTPPVHBHPB, MMRV, PNC13, DTPPVHBHPB, MMRV, PNC13
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Checked the system for patient's record.  Put in patient's full name (four parts) and date of birth.  System search returned with no matching records.  Continued on as if to create new record, then the system produced a record for the patient.  I checked what vaccines were due per the system and the following were due and available to be given: Vaxelis, ProQuad, and Prevnar-13.  When going to print updated record for parent, a second system record was found, and contained two of the same vaccines - Vaxelis, ProQuad as being administered 4/28/2023.  We observed the child for 30 minutes: he did not show any reaction, and instructed mom to return here immediately if she noticed and change in the child including rash, fever, change in activity level/lethargy.
Age: 62.0
Sex: F
Vaccine: COVID19-2, PPV, VARZOS
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin discolouration, Skin warm
Clinical narrative: All 3 vaccines were give less than 1 inch apart per patient and were all able to be covered by 1 band aid. Patient's arm was hot to touch, painful, red/purple, and swollen to the size of a baseball. Patient was advised to apply ice, take Tylenol, and wait a couple of days to allow initial  symptoms to resolve on their own. If it gets worse see PCP.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Drug use disorder
Clinical narrative: Reason for Admission: Respiratory failure    Brief Summary of Hospital Stay:  Patient long time, heavy smoker  with suspected COPD (chronic obstructive pulmonary disease) (no pulmonary function testing on record) developed Acute respiratory failure with hypoxia.  The cause of the respiratory failure was was felt to be a pneumonia due to a COVID-19 infection.  For COVID she has completed a coursed of REMDESIVIR.   She had 10 days of DECADRON, For possible superimposed bacterial pneumonia she had 10 days of CEFTRIAXONE and 6 days of DOXYCYLINE.  She had been on high flow nasal cannula but now weaned down to 5-6 liters per nasal cannula though she is experiencing air hunger.  We started low dose Roxanol with good effect.   CT chest on 5/15 reporting, "New multifocal bilateral peripheral consolidation with lower lung predominance." Patient's procalcitonin remains low. Erythocyte sedimenation rate is normal.  Mild elevation of pro-BNP.  Pulmonary following and and recommended longer taper of steroids.  She was able to wean down to supplemental oxygen of 3 L/m and was discharged home on oxygen.     Active Problems: Essential hypertension she had relative hypotension for a time so her medications were held but have restarted LOSARTAN.   Dyslipidemia on SIMVASTATIN at home.   Chronic narcotic use with regular HYDROCODONE use.  Issues Requiring Follow Up: If patient is staying on steroids for a longer period would need PCP prophylaxis.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dyslipidaemia, Dyspnoea, Essential hypertension, Hypotension, Hypoxia
Clinical narrative: Reason for Admission: Respiratory failure    Brief Summary of Hospital Stay:  Patient long time, heavy smoker  with suspected COPD (chronic obstructive pulmonary disease) (no pulmonary function testing on record) developed Acute respiratory failure with hypoxia.  The cause of the respiratory failure was was felt to be a pneumonia due to a COVID-19 infection.  For COVID she has completed a coursed of REMDESIVIR.   She had 10 days of DECADRON, For possible superimposed bacterial pneumonia she had 10 days of CEFTRIAXONE and 6 days of DOXYCYLINE.  She had been on high flow nasal cannula but now weaned down to 5-6 liters per nasal cannula though she is experiencing air hunger.  We started low dose Roxanol with good effect.   CT chest on 5/15 reporting, "New multifocal bilateral peripheral consolidation with lower lung predominance." Patient's procalcitonin remains low. Erythocyte sedimenation rate is normal.  Mild elevation of pro-BNP.  Pulmonary following and and recommended longer taper of steroids.  She was able to wean down to supplemental oxygen of 3 L/m and was discharged home on oxygen.     Active Problems: Essential hypertension she had relative hypotension for a time so her medications were held but have restarted LOSARTAN.   Dyslipidemia on SIMVASTATIN at home.   Chronic narcotic use with regular HYDROCODONE use.  Issues Requiring Follow Up: If patient is staying on steroids for a longer period would need PCP prophylaxis.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Lung consolidation, Procalcitonin decreased, Prohormone brain natriuretic peptide increased, Red blood cell sedimentation rate normal, Respiratory failure
Clinical narrative: Reason for Admission: Respiratory failure    Brief Summary of Hospital Stay:  Patient long time, heavy smoker  with suspected COPD (chronic obstructive pulmonary disease) (no pulmonary function testing on record) developed Acute respiratory failure with hypoxia.  The cause of the respiratory failure was was felt to be a pneumonia due to a COVID-19 infection.  For COVID she has completed a coursed of REMDESIVIR.   She had 10 days of DECADRON, For possible superimposed bacterial pneumonia she had 10 days of CEFTRIAXONE and 6 days of DOXYCYLINE.  She had been on high flow nasal cannula but now weaned down to 5-6 liters per nasal cannula though she is experiencing air hunger.  We started low dose Roxanol with good effect.   CT chest on 5/15 reporting, "New multifocal bilateral peripheral consolidation with lower lung predominance." Patient's procalcitonin remains low. Erythocyte sedimenation rate is normal.  Mild elevation of pro-BNP.  Pulmonary following and and recommended longer taper of steroids.  She was able to wean down to supplemental oxygen of 3 L/m and was discharged home on oxygen.     Active Problems: Essential hypertension she had relative hypotension for a time so her medications were held but have restarted LOSARTAN.   Dyslipidemia on SIMVASTATIN at home.   Chronic narcotic use with regular HYDROCODONE use.  Issues Requiring Follow Up: If patient is staying on steroids for a longer period would need PCP prophylaxis.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Reason for Admission: Respiratory failure    Brief Summary of Hospital Stay:  Patient long time, heavy smoker  with suspected COPD (chronic obstructive pulmonary disease) (no pulmonary function testing on record) developed Acute respiratory failure with hypoxia.  The cause of the respiratory failure was was felt to be a pneumonia due to a COVID-19 infection.  For COVID she has completed a coursed of REMDESIVIR.   She had 10 days of DECADRON, For possible superimposed bacterial pneumonia she had 10 days of CEFTRIAXONE and 6 days of DOXYCYLINE.  She had been on high flow nasal cannula but now weaned down to 5-6 liters per nasal cannula though she is experiencing air hunger.  We started low dose Roxanol with good effect.   CT chest on 5/15 reporting, "New multifocal bilateral peripheral consolidation with lower lung predominance." Patient's procalcitonin remains low. Erythocyte sedimenation rate is normal.  Mild elevation of pro-BNP.  Pulmonary following and and recommended longer taper of steroids.  She was able to wean down to supplemental oxygen of 3 L/m and was discharged home on oxygen.     Active Problems: Essential hypertension she had relative hypotension for a time so her medications were held but have restarted LOSARTAN.   Dyslipidemia on SIMVASTATIN at home.   Chronic narcotic use with regular HYDROCODONE use.  Issues Requiring Follow Up: If patient is staying on steroids for a longer period would need PCP prophylaxis.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Parkinson's disease, Periarthritis, Sciatica
Clinical narrative: After the vaccination in September, 2021, I developed debilitating sciatica but didn't think it was from the vaccine.  I then developed frozen shoulder, and other ailments.  Recently, I have been diagnosed with early Parkinson's Disease.  I understand that there are certain neurological problems that may be associated with Covid.  So, not sure if any of this is from the vaccines, or Covid itself, or not related at all.  I just wanted to pass this information on to you. Thank you
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy to chemicals, Apoptosis, Arthropod bite, Asphyxia, Computerised tomogram
Clinical narrative: Spiked a fever and the right side of my face and jaw swelled severely. My jaw was huge for 10 days and as hard as a rock. I experienced back to back cold type illnesses and reacted to chemicals, a spider bite and felt generally unwell from the time period preceding the vaccine ( after the ice storm) until June 8th, 2021 when I was attacked and I became acutely I?ll after that and have never recovered. Many doctors have told me the vaccine caused apoptosis and are blaming the vaccine for my condition, however they?re not sharing a lot of test results with me.  My MRI and CT imaging findings are being withheld from me at this time and I?m being told I need an MRI of the brain.  I?d like to know if I have a systemic fungal infection that is affecting my brain and lungs.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation reaction, Induration, Laboratory test, Magnetic resonance imaging, Malaise
Clinical narrative: Spiked a fever and the right side of my face and jaw swelled severely. My jaw was huge for 10 days and as hard as a rock. I experienced back to back cold type illnesses and reacted to chemicals, a spider bite and felt generally unwell from the time period preceding the vaccine ( after the ice storm) until June 8th, 2021 when I was attacked and I became acutely I?ll after that and have never recovered. Many doctors have told me the vaccine caused apoptosis and are blaming the vaccine for my condition, however they?re not sharing a lot of test results with me.  My MRI and CT imaging findings are being withheld from me at this time and I?m being told I need an MRI of the brain.  I?d like to know if I have a systemic fungal infection that is affecting my brain and lungs.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Physical assault, Pyrexia, Swelling face, X-ray
Clinical narrative: Spiked a fever and the right side of my face and jaw swelled severely. My jaw was huge for 10 days and as hard as a rock. I experienced back to back cold type illnesses and reacted to chemicals, a spider bite and felt generally unwell from the time period preceding the vaccine ( after the ice storm) until June 8th, 2021 when I was attacked and I became acutely I?ll after that and have never recovered. Many doctors have told me the vaccine caused apoptosis and are blaming the vaccine for my condition, however they?re not sharing a lot of test results with me.  My MRI and CT imaging findings are being withheld from me at this time and I?m being told I need an MRI of the brain.  I?d like to know if I have a systemic fungal infection that is affecting my brain and lungs.
Age: 2.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, IPV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The event was a vaccine error, double dose of polio vaccine pentacel and IPV  was given.  There was no adverse reaction.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB, HEP, IPV
Symptoms: No adverse event, Vaccination error
Clinical narrative: The event was a vaccine error in that in that pentacel and IPV was given, no adverse reaction occured
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Dysstasia, Gait disturbance, Hemiplegia
Clinical narrative: 10:30 PM Saturday OCT 9, I woke up with extreme pain and pearlized on the left side, leg, knee, hip. At 2:30 AM Sunday OCT. 10 I awoke again with Massive Pain, completely pearlized on left side.  A few days later the massive pearlized condition lessened but my low back hurt constantly and I could no longer stand up straight. I saw 5 doctors over the next month or so. I can no longer walk more than a couple hundred feet, I can not stand for more than a minute or so without horrible pain.  The first doctor I saw was a knee doctor.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Monoplegia, Posture abnormal, X-ray
Clinical narrative: 10:30 PM Saturday OCT 9, I woke up with extreme pain and pearlized on the left side, leg, knee, hip. At 2:30 AM Sunday OCT. 10 I awoke again with Massive Pain, completely pearlized on left side.  A few days later the massive pearlized condition lessened but my low back hurt constantly and I could no longer stand up straight. I saw 5 doctors over the next month or so. I can no longer walk more than a couple hundred feet, I can not stand for more than a minute or so without horrible pain.  The first doctor I saw was a knee doctor.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Fatigue, Loss of personal independence in daily activities, Magnetic resonance imaging
Clinical narrative: Within hours of first vaccine symptoms  started feel unwell, hand joint pain, fatigue,  not taking care of self due to body changes happening so fast.  11/19/2021 primary tested for RA after 6 months of hand joint pain, fatigue, unable to handle daily life well. 10/07/2022 got diagnosis of RA.  That was third dr as first two miss diagnosed me, never having read my medical records.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Rheumatoid arthritis
Clinical narrative: Within hours of first vaccine symptoms  started feel unwell, hand joint pain, fatigue,  not taking care of self due to body changes happening so fast.  11/19/2021 primary tested for RA after 6 months of hand joint pain, fatigue, unable to handle daily life well. 10/07/2022 got diagnosis of RA.  That was third dr as first two miss diagnosed me, never having read my medical records.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Loss of personal independence in daily activities, Palpitations
Clinical narrative: Heart palpitations/ponding Chest pain Shortness of breath (only few times)
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Heart rate increased, Palpitations
Clinical narrative: Heart palpitations/ponding Chest pain Shortness of breath (only few times)
Age: 12.0
Sex: M
Vaccine: HPV9, HPV9, HPV9, HPV9, HPV9
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse event; temperature excursion total time: 25 mins, 3 excursions on dates: 9/9/22 for 8 minutes, 9/16/22 for 5 minutes, 1/3/23 for 12 mins; This spontaneous report was received from an office manager and refers to a 12-year-old male patient. No information on patient medical history, current conditions and concomitant medications was provided.  On 31-OCT-2022, the patient was vaccinated with one dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) pre-filled syringe, injection, 1 dosage form, lot # and expiration dates: 1775811, 07-DEC-2023; 1775827, 27-JUN-2024; W009829, 19-OCT-2024; U032681, 26-OCT-2023; and 1780876, 09-NOV-2023 (administration sites and routes of administration were not provided) administered for prophylaxis (product storage error and no adverse event).  Temperature excursion total time was 25 minutes. There were 3 temperature excursions: on 09-SEP-2022 for 8 minutes, on 16-SEP-2022 for 5 minutes and on 03-JAN-2023 for 12 minutes. Excursions were not noted until after the first fact due to employee error of cleaning data logger more than once a day. Patient was vaccinated in private doctor's office/hospital.  This is one of several reports received from the same reporter.  This is an amended report. The aware date had to be changed from 10-MAY-2023 to 09-MAY-2023. This report is copy of case #2305USA004565, which is deteled from our files and was copied into this case. ; Sender's Comments:  US-009507513-2304USA002221:MSD