chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Platelet count decreased
Clinical narrative: I went to check to see if my low platelets had dropped.  I went to get blood work, it confirmed that it had.  I got medicine for it.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Pain
Clinical narrative: Severe chills, ache, weakness for 12 hours
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Nausea, Syncope
Clinical narrative: Patient has received the vaccine. Fainted 5 minutes later while being monitored inside the store. Regained consciousness 2 minutes later, reported feeling hot and nauseous. Patient reported no difficulty breathing or signs of swelling. 911 was called, and patient monitored by the pharmacist before they arrived.  Epipen was kept on standby, but was not administered before the arrival of the paramedics. Patient remained consciousness until the paramedics arrived. Paramedics have examined the patient and have decided to take her to the ER.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: pt did not have a reaction to vaccine. Vaccine given was beyond use date of refrigeration. Lot number was not expired.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Extreme joint pain, started in hips moved to all other joints
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy
Clinical narrative: Swelling under arm and at injection site and redness
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received Pfizer vaccine outside of the time frame.  Vaccine was diluted at 8:45AM, and after the six hours after dilution vial should have been thrown out, but it was not and patient received vaccine after the 6 hours.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Swollen tongue
Clinical narrative: 2 hours after vaccine I developed a swelling under my tongue and on my neck. I took Benadryl and the swelling decreased.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No adverse event occurred; per protocol, submitting VAERS for following reason: Client received Cansino Biotech vaccine (not approved by WHO) in  on 04/15/2021 Lot #A030521.  Client requesting Pfizer primary series and received dose 1 on this day 10/28/21. Approved by T3 lead
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated with Pfizer. Second dose received 4/29/2021. Tested positive for COVID on 10/14/2021. Admitted to Hospital on 10/15/2021. Expired on 10/20/2021 while still hospitalized.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site pain, Myalgia
Clinical narrative: Extreme fatigue, pain at injection site and shoulder joint, and muscle ache in upper right arm.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature abnormal, Chills, Decreased appetite, Feeling hot
Clinical narrative: Received booster dose 10/27. Next morning, experienced severe chills. Caused muscle tension to the extent of diminished function. Has since had continuous dysregulation of temperature for x2 days; experiencing extreme heat and sweating alternating with chills. Reports feeling weak and nauseated with decreased appetite. Has noticed some improvement since initial onset of symptoms, but does continue to have difficulty controlling body temperature and sweating.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Mobility decreased, Muscle tightness, Nausea
Clinical narrative: Received booster dose 10/27. Next morning, experienced severe chills. Caused muscle tension to the extent of diminished function. Has since had continuous dysregulation of temperature for x2 days; experiencing extreme heat and sweating alternating with chills. Reports feeling weak and nauseated with decreased appetite. Has noticed some improvement since initial onset of symptoms, but does continue to have difficulty controlling body temperature and sweating.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received Pfizer vaccine outside of the time frame.  Vaccine was diluted at 8:45AM, and after the six hours after dilution vial should have been thrown out, but it was not and patient received vaccine after the 6 hours.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Vaccination error
Clinical narrative: Vaccine administered after "beyond use date". No ADRs reported by patient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Whole body shaking chills Whole body muscle pain Joint pain Headache Fever 102 degrees F
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Whole body shaking chills Whole body muscle pain Joint pain Headache Fever 102 degrees F
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenopia, Dizziness, Electrocardiogram normal, Fatigue
Clinical narrative: Day 1 -  Pfizer booster shot at 2:00pm on 10/20/2021 Day 2 - Fever of 99.5, joint pain, sore arm, headache and fatigue started at 9:00am on Day 2.      Day 3 in AM - Fever and joint pain were gone and fatigue and headache seemed to be better that time.   Day 3 in PM - Around 1:00pm,  fatigue, lightheadedness, headaches came back and I had to lie down all day.  My blood pressure got lower to 68/52 as the lowest and and 93/63 as the highest that day.   Day 4-6  Pressured headaches as if someone squeezing upper part of my head,  forehead aches, eye strains,  fatigue, lightheaded and lower blood pressure average of 89/62 stayed on.  Day 7  I got Electrocardiogram which was normal.  My cardiologist lowered the dosage of Entresto to see if my symptoms get better hoping my blood pressure adjust to normal by reducing in half dosage of Entresto.      So far, my headaches and eye strains are present.    Contacted my neuro-ophthalmologist about my symptoms since I am recovering from Double Vision caused by microvascular 6th nerve palsy.   Day 8 -    My blood pressure is no more low as I am taking ½ dose of Entresto.   However, my headaches, forehead pain and eye strains are the same. Day 9- Echocardiogram is done and was no new evidence.  Day 10- Still headaches, forehead aches, lightheaded, eye strains continue.   MRI of brain, orbits and sinuses is scheduled.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Hypotension, Pain in extremity
Clinical narrative: Day 1 -  Pfizer booster shot at 2:00pm on 10/20/2021 Day 2 - Fever of 99.5, joint pain, sore arm, headache and fatigue started at 9:00am on Day 2.      Day 3 in AM - Fever and joint pain were gone and fatigue and headache seemed to be better that time.   Day 3 in PM - Around 1:00pm,  fatigue, lightheadedness, headaches came back and I had to lie down all day.  My blood pressure got lower to 68/52 as the lowest and and 93/63 as the highest that day.   Day 4-6  Pressured headaches as if someone squeezing upper part of my head,  forehead aches, eye strains,  fatigue, lightheaded and lower blood pressure average of 89/62 stayed on.  Day 7  I got Electrocardiogram which was normal.  My cardiologist lowered the dosage of Entresto to see if my symptoms get better hoping my blood pressure adjust to normal by reducing in half dosage of Entresto.      So far, my headaches and eye strains are present.    Contacted my neuro-ophthalmologist about my symptoms since I am recovering from Double Vision caused by microvascular 6th nerve palsy.   Day 8 -    My blood pressure is no more low as I am taking ½ dose of Entresto.   However, my headaches, forehead pain and eye strains are the same. Day 9- Echocardiogram is done and was no new evidence.  Day 10- Still headaches, forehead aches, lightheaded, eye strains continue.   MRI of brain, orbits and sinuses is scheduled.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received Pfizer vaccine outside of the time frame.  Vaccine was diluted at 8:45AM, and after the six hours after dilution vial should have been thrown out, but it was not and patient received vaccine after the 6 hours.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: pt did not have a reaction to vaccine. Pt was given a beyond use of refrigeration vaccine. Lot number was not expired.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Constipation, Decreased appetite, Diarrhoea, Exposure to SARS-CoV-2
Clinical narrative: Principal Problem: COVID-19      Assessment & Plan Note:     Patient is a 91 year old male with AD, HTN who presents for COVID+  Patient's son tested positive 9/16, isolation began since then Patient tested positive 9/20 Recently hospitalized and discharged 9/5 (hospitalized for constipation/ileus) Patient vaccinated Pfizer (1/2021) No oxygen requirements, no role for decadron or remdesivir at this time Unknown if any relationship of mental status changes to COVID diagnosis, but otherwise has no symptoms related to COVID and does not meet criteria for monoclonal antibody therapy at the present time    ? Hyponatremia
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Hyponatraemia, Hypophagia, Ileus, SARS-CoV-2 test positive
Clinical narrative: Principal Problem: COVID-19      Assessment & Plan Note:     Patient is a 91 year old male with AD, HTN who presents for COVID+  Patient's son tested positive 9/16, isolation began since then Patient tested positive 9/20 Recently hospitalized and discharged 9/5 (hospitalized for constipation/ileus) Patient vaccinated Pfizer (1/2021) No oxygen requirements, no role for decadron or remdesivir at this time Unknown if any relationship of mental status changes to COVID diagnosis, but otherwise has no symptoms related to COVID and does not meet criteria for monoclonal antibody therapy at the present time    ? Hyponatremia
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Computerised tomogram, Condition aggravated, Drainage
Clinical narrative: The Bull's Eye exploded, it collapsed my lower left lobe of my lung. I went to the ER, they stuck in a drainage tube, inflated my lung by taking out the fluid. I was in the hospital for 3 days. They did 2 CT scans, 6 x-rays, blood tests, COVID-19 test. The first x-ray showed I had Pneumothorax and Bull Eye.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumothorax, Pulmonary calcification, SARS-CoV-2 test negative, X-ray abnormal
Clinical narrative: The Bull's Eye exploded, it collapsed my lower left lobe of my lung. I went to the ER, they stuck in a drainage tube, inflated my lung by taking out the fluid. I was in the hospital for 3 days. They did 2 CT scans, 6 x-rays, blood tests, COVID-19 test. The first x-ray showed I had Pneumothorax and Bull Eye.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error, Vaccination error
Clinical narrative: Patient received Pfizer vaccine outside of the time frame.  Vaccine was diluted at 8:45AM, and after the six hours after dilution vial should have been thrown out, but it was not and patient received vaccine after the 6 hours.
Age: 33.0
Sex: M
Vaccine: FLU4
Symptoms: Body temperature decreased, Eye pain, Fatigue, Head discomfort, Headache
Clinical narrative: Immediately after getting the shot: the injection site slightly hurt for a hour or so after getting the shot.  My left bicep hurt for the next two days due to the shot.  It felt like someone punched my bicep a few times.   (see continuation page for more).
Age: 33.0
Sex: M
Vaccine: FLU4
Symptoms: Hyperacusis, Immediate post-injection reaction, Injection site pain, Migraine
Clinical narrative: Immediately after getting the shot: the injection site slightly hurt for a hour or so after getting the shot.  My left bicep hurt for the next two days due to the shot.  It felt like someone punched my bicep a few times.   (see continuation page for more).
Age: 76.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Chills, Dyspnoea, Fatigue, Hypersomnia
Clinical narrative: Severe chills for four hours then they broke, required two heating pads on high to warm up for four hours, severe pains in every joint and entire body, shortness of breath, stayed in bed and slept all day the next day October 22 because of exhaustion, could only walk to the bathroom and back to bed, then I felt much better on 10/23/21 and was back to normal on 10/24/21.
Age: 76.0
Sex: M
Vaccine: FLU4
Symptoms: Mobility decreased, Pain
Clinical narrative: Severe chills for four hours then they broke, required two heating pads on high to warm up for four hours, severe pains in every joint and entire body, shortness of breath, stayed in bed and slept all day the next day October 22 because of exhaustion, could only walk to the bathroom and back to bed, then I felt much better on 10/23/21 and was back to normal on 10/24/21.
Age: 61.0
Sex: F
Vaccine: FLUR4
Symptoms: Abdominal pain, Diarrhoea, Hyperhidrosis
Clinical narrative: Patient states that she awoke at 2 am with full body sweats and severe abdominal cramps. States that she had severe diarrhea. Afterward went back to bed and slept. States that she had some residual sweating this morning. No further cramps. No fever. No rash , throat or facial swelling, no shortness of breath. States that she has had similar reactions to vaccines in the past.
Age: 83.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Contusion, Fatigue, Hypersomnia
Clinical narrative: Pt got extremely tired that evening, states she slept for 13 hours, also had large bruise on left arm, which is subsiding, pt feels better
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Throat irritation
Clinical narrative: Per mandate all healthcare workers need to be vaccinated by 10/29/21.  This RN was very against the vaccine and was anxious. She spoke with her director. Director agreed to talk to her about it and administer the vaccine. Once the RN was comfortable the director administered the vaccine and minutes later the RN started to have trouble swallowing. RN took oral pepcid and again hours later benadryl. Next day throat still scratchy from reaction. Continuing to take benadryl. Refuses to be seen in ED. Overall RN is ok and doing better.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administered after beyond use date. No ADRs reported at this time.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Neuritis, Paraesthesia, Sensory loss
Clinical narrative: Numbness and tingles on fingers and feet.  At first more pronounced on left arm and feet. Now about the same on both sides.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chest X-ray, Contusion, Cough
Clinical narrative: I had a reaction in the arm when it first started. I was short of breath, coughing, and felt weak. I had major shortness of breath so I was using a cpap machine while I was awake and sleep. I had upper body swelling and bruises on rib cages. My blood vessels distended in chest and shoulder. I have swollen lymph nodes in my neck and collarbone. I wasn't able to lift my arms up. I had pressure in my head and eye balls. I had muscle weakness and fatigue. I couldn't take care of myself like I normally could. I couldn't use my foot. I am still having these same symptoms. I have knots on my neck and shoulder area. I have extreme headaches. I went to the doctors many times and ER. I was prescribed blood thinners.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Extra dose administered, Fatigue, Head discomfort, Headache
Clinical narrative: I had a reaction in the arm when it first started. I was short of breath, coughing, and felt weak. I had major shortness of breath so I was using a cpap machine while I was awake and sleep. I had upper body swelling and bruises on rib cages. My blood vessels distended in chest and shoulder. I have swollen lymph nodes in my neck and collarbone. I wasn't able to lift my arms up. I had pressure in my head and eye balls. I had muscle weakness and fatigue. I couldn't take care of myself like I normally could. I couldn't use my foot. I am still having these same symptoms. I have knots on my neck and shoulder area. I have extreme headaches. I went to the doctors many times and ER. I was prescribed blood thinners.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Lymphadenopathy, Muscular weakness, Ocular discomfort, SARS-CoV-2 test negative
Clinical narrative: I had a reaction in the arm when it first started. I was short of breath, coughing, and felt weak. I had major shortness of breath so I was using a cpap machine while I was awake and sleep. I had upper body swelling and bruises on rib cages. My blood vessels distended in chest and shoulder. I have swollen lymph nodes in my neck and collarbone. I wasn't able to lift my arms up. I had pressure in my head and eye balls. I had muscle weakness and fatigue. I couldn't take care of myself like I normally could. I couldn't use my foot. I am still having these same symptoms. I have knots on my neck and shoulder area. I have extreme headaches. I went to the doctors many times and ER. I was prescribed blood thinners.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: I had a reaction in the arm when it first started. I was short of breath, coughing, and felt weak. I had major shortness of breath so I was using a cpap machine while I was awake and sleep. I had upper body swelling and bruises on rib cages. My blood vessels distended in chest and shoulder. I have swollen lymph nodes in my neck and collarbone. I wasn't able to lift my arms up. I had pressure in my head and eye balls. I had muscle weakness and fatigue. I couldn't take care of myself like I normally could. I couldn't use my foot. I am still having these same symptoms. I have knots on my neck and shoulder area. I have extreme headaches. I went to the doctors many times and ER. I was prescribed blood thinners.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Case fully vaccinated with Moderna. Second dose administered on 4/23/2021. Tested positive for COVID on 10/12/2021. Admitted to Medical Center on 10/21/2021 and expired on 10/27/2021 while still hospitalized.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Death, Dyspnoea, Endotracheal intubation, General physical health deterioration
Clinical narrative: Case fully vaccinated with Moderna. Second dose administered on 4/23/2021. Tested positive for COVID on 10/12/2021. Admitted to Medical Center on 10/21/2021 and expired on 10/27/2021 while still hospitalized.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Mental status changes
Clinical narrative: Case fully vaccinated with Moderna. Second dose administered on 4/23/2021. Tested positive for COVID on 10/12/2021. Admitted to Medical Center on 10/21/2021 and expired on 10/27/2021 while still hospitalized.
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Lip disorder
Clinical narrative: Received vaccine on 10/26 and that night patient states site was itchy and then the next day on 10/27 developed raised, red area and started to increase in swelling and states it is now the size of an apple. Patient has been applying anti-itch cream with relief. Patient states has small bump on inside of lip by teeth, patient unsure if it's related to flu vaccine or not.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient was given 0.5ml of moderna as a booster after receiving a jnj dose.  dose should have been 0.25ml
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Colonoscopy, Computerised tomogram, Endoscopy, Faeces discoloured
Clinical narrative: I was sick for three days from October 1st through October 3rd 2021.  I got better then sick again October 8th.  Went to the hospital on October 10th, 2021.  I had bleeding bruised redness and swelling in the vaccination right arm, fever, flu symptom, large lump under where vaccination was given. Right arm was bleeding under the skin, I did bleed a little after vaccination.  Hospital diagnosed my condition as Low Anemia, my Ferritin was 8 that caused me to have Low Hemoglobin of 6. I had blood transfusion, internal bleeding with black stool. I am still experiencing very low hemoglobin.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Illness, Influenza, Internal haemorrhage, Mineral supplementation
Clinical narrative: I was sick for three days from October 1st through October 3rd 2021.  I got better then sick again October 8th.  Went to the hospital on October 10th, 2021.  I had bleeding bruised redness and swelling in the vaccination right arm, fever, flu symptom, large lump under where vaccination was given. Right arm was bleeding under the skin, I did bleed a little after vaccination.  Hospital diagnosed my condition as Low Anemia, my Ferritin was 8 that caused me to have Low Hemoglobin of 6. I had blood transfusion, internal bleeding with black stool. I am still experiencing very low hemoglobin.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Scan with contrast, Serum ferritin decreased, Transfusion, Vaccination site erythema
Clinical narrative: I was sick for three days from October 1st through October 3rd 2021.  I got better then sick again October 8th.  Went to the hospital on October 10th, 2021.  I had bleeding bruised redness and swelling in the vaccination right arm, fever, flu symptom, large lump under where vaccination was given. Right arm was bleeding under the skin, I did bleed a little after vaccination.  Hospital diagnosed my condition as Low Anemia, my Ferritin was 8 that caused me to have Low Hemoglobin of 6. I had blood transfusion, internal bleeding with black stool. I am still experiencing very low hemoglobin.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site haemorrhage, Vaccination site mass, Vaccination site swelling
Clinical narrative: I was sick for three days from October 1st through October 3rd 2021.  I got better then sick again October 8th.  Went to the hospital on October 10th, 2021.  I had bleeding bruised redness and swelling in the vaccination right arm, fever, flu symptom, large lump under where vaccination was given. Right arm was bleeding under the skin, I did bleed a little after vaccination.  Hospital diagnosed my condition as Low Anemia, my Ferritin was 8 that caused me to have Low Hemoglobin of 6. I had blood transfusion, internal bleeding with black stool. I am still experiencing very low hemoglobin.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches,  accelerated heart rate lasted about 24 hours
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hyperhidrosis, Migraine, Nausea, Pain
Clinical narrative: migraine, got really hot and sweating   and nauseas. could not keep anything down for 2 days and my entire body was sore. took tylenol  for the migraine but did not help
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: migraine, got really hot and sweating   and nauseas. could not keep anything down for 2 days and my entire body was sore. took tylenol  for the migraine but did not help
Age: 55.0
Sex: M
Vaccine: FLU4
Symptoms: Vaccination site joint pain
Clinical narrative: Significant pain in shoulder joint after vaccination
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Death, SARS-CoV-2 test positive
Clinical narrative: Death on  10/27/2021
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: patient was given 0.5ml of moderna as a booster after receiving a jnj dose.  dose should have been 0.25ml  pt has had no side effects from it.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Bedridden, Blood creatinine increased, Blood culture
Clinical narrative: History of Present Illness:  This is a 88y.o. female with PMH significant for dementia presents to ED as brought by her grandson and DPOA for c/o leg pain and fall. History is limited as pt has hx dementia, A&Ox1 at baseline. Pt denies SOB, chest pain or any acute pain at this time, denies nausea. Pt's grandson states he took pt from nursing home and brought to this facility as he was unsatisfied with her prior care. He confirms pt was being treated for PE and Covid infection. States that she is mostly bed ridden and he does carry her. family has been watching her more closely since her falling In the ED, pt was afebrile normotensive and hypoxic on room air with improvement on 2LNC. BUN 36, creatinine 1.18, GFR 48. BNP 165. Troponin 0.04. WBC 9.9. COVID detected. Blood cultures pending. EKG - ST rate 72 with normal ST and non-specific T waves with prolonged qTc interval. CT head - 1. No acute intracranial process. 2. Nonspecific white matter changes, likely secondary to chronic small vessel ischemic disease. CTA PE protocol - 1. Significant bilateral pulmonary emboli burden with suggestion of right heart strain. 2. Scattered patchy ground glass opacities which could be seen in atypical/viral infectious process. 3. Main pulmonary enlargement which may be secondary to #1 or commonly seen in pulmonary arterial hypertension. Bilateral lower extremity doppler - 1. Deep vein thrombosis of the left common femoral vein. 2. No evidence of deep vein thrombosis of the right lower extremity. In the ED, pt was given 500cc saline bolus, duoneb NMT and IV heparin was initiated.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea increased, Brain natriuretic peptide increased, COVID-19, Cardiac disorder, Cerebral small vessel ischaemic disease
Clinical narrative: History of Present Illness:  This is a 88y.o. female with PMH significant for dementia presents to ED as brought by her grandson and DPOA for c/o leg pain and fall. History is limited as pt has hx dementia, A&Ox1 at baseline. Pt denies SOB, chest pain or any acute pain at this time, denies nausea. Pt's grandson states he took pt from nursing home and brought to this facility as he was unsatisfied with her prior care. He confirms pt was being treated for PE and Covid infection. States that she is mostly bed ridden and he does carry her. family has been watching her more closely since her falling In the ED, pt was afebrile normotensive and hypoxic on room air with improvement on 2LNC. BUN 36, creatinine 1.18, GFR 48. BNP 165. Troponin 0.04. WBC 9.9. COVID detected. Blood cultures pending. EKG - ST rate 72 with normal ST and non-specific T waves with prolonged qTc interval. CT head - 1. No acute intracranial process. 2. Nonspecific white matter changes, likely secondary to chronic small vessel ischemic disease. CTA PE protocol - 1. Significant bilateral pulmonary emboli burden with suggestion of right heart strain. 2. Scattered patchy ground glass opacities which could be seen in atypical/viral infectious process. 3. Main pulmonary enlargement which may be secondary to #1 or commonly seen in pulmonary arterial hypertension. Bilateral lower extremity doppler - 1. Deep vein thrombosis of the left common femoral vein. 2. No evidence of deep vein thrombosis of the right lower extremity. In the ED, pt was given 500cc saline bolus, duoneb NMT and IV heparin was initiated.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Deep vein thrombosis, Electrocardiogram QT prolonged, Electrocardiogram ST segment normal, Electrocardiogram T wave abnormal
Clinical narrative: History of Present Illness:  This is a 88y.o. female with PMH significant for dementia presents to ED as brought by her grandson and DPOA for c/o leg pain and fall. History is limited as pt has hx dementia, A&Ox1 at baseline. Pt denies SOB, chest pain or any acute pain at this time, denies nausea. Pt's grandson states he took pt from nursing home and brought to this facility as he was unsatisfied with her prior care. He confirms pt was being treated for PE and Covid infection. States that she is mostly bed ridden and he does carry her. family has been watching her more closely since her falling In the ED, pt was afebrile normotensive and hypoxic on room air with improvement on 2LNC. BUN 36, creatinine 1.18, GFR 48. BNP 165. Troponin 0.04. WBC 9.9. COVID detected. Blood cultures pending. EKG - ST rate 72 with normal ST and non-specific T waves with prolonged qTc interval. CT head - 1. No acute intracranial process. 2. Nonspecific white matter changes, likely secondary to chronic small vessel ischemic disease. CTA PE protocol - 1. Significant bilateral pulmonary emboli burden with suggestion of right heart strain. 2. Scattered patchy ground glass opacities which could be seen in atypical/viral infectious process. 3. Main pulmonary enlargement which may be secondary to #1 or commonly seen in pulmonary arterial hypertension. Bilateral lower extremity doppler - 1. Deep vein thrombosis of the left common femoral vein. 2. No evidence of deep vein thrombosis of the right lower extremity. In the ED, pt was given 500cc saline bolus, duoneb NMT and IV heparin was initiated.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Glomerular filtration rate decreased, Hypoxia, Lung disorder, Lung opacity
Clinical narrative: History of Present Illness:  This is a 88y.o. female with PMH significant for dementia presents to ED as brought by her grandson and DPOA for c/o leg pain and fall. History is limited as pt has hx dementia, A&Ox1 at baseline. Pt denies SOB, chest pain or any acute pain at this time, denies nausea. Pt's grandson states he took pt from nursing home and brought to this facility as he was unsatisfied with her prior care. He confirms pt was being treated for PE and Covid infection. States that she is mostly bed ridden and he does carry her. family has been watching her more closely since her falling In the ED, pt was afebrile normotensive and hypoxic on room air with improvement on 2LNC. BUN 36, creatinine 1.18, GFR 48. BNP 165. Troponin 0.04. WBC 9.9. COVID detected. Blood cultures pending. EKG - ST rate 72 with normal ST and non-specific T waves with prolonged qTc interval. CT head - 1. No acute intracranial process. 2. Nonspecific white matter changes, likely secondary to chronic small vessel ischemic disease. CTA PE protocol - 1. Significant bilateral pulmonary emboli burden with suggestion of right heart strain. 2. Scattered patchy ground glass opacities which could be seen in atypical/viral infectious process. 3. Main pulmonary enlargement which may be secondary to #1 or commonly seen in pulmonary arterial hypertension. Bilateral lower extremity doppler - 1. Deep vein thrombosis of the left common femoral vein. 2. No evidence of deep vein thrombosis of the right lower extremity. In the ED, pt was given 500cc saline bolus, duoneb NMT and IV heparin was initiated.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pulmonary embolism, SARS-CoV-2 test positive, Troponin, Ultrasound Doppler abnormal
Clinical narrative: History of Present Illness:  This is a 88y.o. female with PMH significant for dementia presents to ED as brought by her grandson and DPOA for c/o leg pain and fall. History is limited as pt has hx dementia, A&Ox1 at baseline. Pt denies SOB, chest pain or any acute pain at this time, denies nausea. Pt's grandson states he took pt from nursing home and brought to this facility as he was unsatisfied with her prior care. He confirms pt was being treated for PE and Covid infection. States that she is mostly bed ridden and he does carry her. family has been watching her more closely since her falling In the ED, pt was afebrile normotensive and hypoxic on room air with improvement on 2LNC. BUN 36, creatinine 1.18, GFR 48. BNP 165. Troponin 0.04. WBC 9.9. COVID detected. Blood cultures pending. EKG - ST rate 72 with normal ST and non-specific T waves with prolonged qTc interval. CT head - 1. No acute intracranial process. 2. Nonspecific white matter changes, likely secondary to chronic small vessel ischemic disease. CTA PE protocol - 1. Significant bilateral pulmonary emboli burden with suggestion of right heart strain. 2. Scattered patchy ground glass opacities which could be seen in atypical/viral infectious process. 3. Main pulmonary enlargement which may be secondary to #1 or commonly seen in pulmonary arterial hypertension. Bilateral lower extremity doppler - 1. Deep vein thrombosis of the left common femoral vein. 2. No evidence of deep vein thrombosis of the right lower extremity. In the ED, pt was given 500cc saline bolus, duoneb NMT and IV heparin was initiated.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: History of Present Illness:  This is a 88y.o. female with PMH significant for dementia presents to ED as brought by her grandson and DPOA for c/o leg pain and fall. History is limited as pt has hx dementia, A&Ox1 at baseline. Pt denies SOB, chest pain or any acute pain at this time, denies nausea. Pt's grandson states he took pt from nursing home and brought to this facility as he was unsatisfied with her prior care. He confirms pt was being treated for PE and Covid infection. States that she is mostly bed ridden and he does carry her. family has been watching her more closely since her falling In the ED, pt was afebrile normotensive and hypoxic on room air with improvement on 2LNC. BUN 36, creatinine 1.18, GFR 48. BNP 165. Troponin 0.04. WBC 9.9. COVID detected. Blood cultures pending. EKG - ST rate 72 with normal ST and non-specific T waves with prolonged qTc interval. CT head - 1. No acute intracranial process. 2. Nonspecific white matter changes, likely secondary to chronic small vessel ischemic disease. CTA PE protocol - 1. Significant bilateral pulmonary emboli burden with suggestion of right heart strain. 2. Scattered patchy ground glass opacities which could be seen in atypical/viral infectious process. 3. Main pulmonary enlargement which may be secondary to #1 or commonly seen in pulmonary arterial hypertension. Bilateral lower extremity doppler - 1. Deep vein thrombosis of the left common femoral vein. 2. No evidence of deep vein thrombosis of the right lower extremity. In the ED, pt was given 500cc saline bolus, duoneb NMT and IV heparin was initiated.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Pt. states that after receiving the 3rd Booster of Moderna 10/26/2021, started experiencing symptoms that evening of itchiness at the injection site, warm to the touch, and fatigue. No noted Primary visit/communications. Still experiencing symptoms of redness (5in x 4in)  at the injection site.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Pain, Skin reaction, Skin warm
Clinical narrative: Dermal reaction, redness , warmth, headache. Body Aches.   Has taken 2 Tylenol for headache.  Cannot take Benadryl due to work schedule. Recommend following up with a phone call to HCP.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Pruritus, Wheezing
Clinical narrative: Flushing, itching, wheezing.  All within 40 min of shot. Wheezing continues 7 days post vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Headache
Clinical narrative: The day after receiving the vaccine on 9/11/21 I developed a headache, then the following day on 9/12, my joints started aching, and I was having abdominal cramps much like menstrual cramps, only more painful.   The joint pain lasted until around 10/22, the headache is low grade and ongoing, and the sharp abdominal pain comes and goes.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient was given 0.5ml of moderna as a booster after receiving a jnj dose.  dose should have been 0.25ml
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administered past the beyond use date. No ADRs reported at this time.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Woke up next morning with a sore arm right at the injection site, but thought nothing more of that as that is expected. This morning (10/29/2021) was at work talking with co-workers and client rolled up her sleeve and her co-workers saw a red area and asked what that was from. It was the site from her flu shot two days prior. Area is red and warm to the touch. Client did have a left breast mastectomy due to breast cancer and was told never to have a blood pressure taken or any shots from this arm. She wanted to test this so she got her flu vaccine shot in her left arm and now has this adverse reaction, she was also wearing a shirt that she had to roll up the sleeves which was then tight on her arm at the time of injection. She was advised to watch the area closely and just give her PCP a message on mychart so they are aware as it is a Friday.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dyshidrotic eczema
Clinical narrative: Dyshidrotic Eczema on hands and soles of feet. Being treated with topical steroidal cream
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Immediate post-injection reaction, Immunodeficiency, Injection site pain
Clinical narrative: Fever, body aches, muscle pain and soreness at injection site, fatigue (started day after injection - went away after 1 day) *Right Neck pain immediately after injection *Underarm pain and swelling in right arm pit (started at time of injection and has lingered 3+ days) *Swelling, pain and warmth at mid point of Right Clavicle (started at time of injection and has lingered 3+ days)
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Myalgia, Neck pain, Pain, Pyrexia
Clinical narrative: Fever, body aches, muscle pain and soreness at injection site, fatigue (started day after injection - went away after 1 day) *Right Neck pain immediately after injection *Underarm pain and swelling in right arm pit (started at time of injection and has lingered 3+ days) *Swelling, pain and warmth at mid point of Right Clavicle (started at time of injection and has lingered 3+ days)
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling
Clinical narrative: Fever, body aches, muscle pain and soreness at injection site, fatigue (started day after injection - went away after 1 day) *Right Neck pain immediately after injection *Underarm pain and swelling in right arm pit (started at time of injection and has lingered 3+ days) *Swelling, pain and warmth at mid point of Right Clavicle (started at time of injection and has lingered 3+ days)
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine decreased, COVID-19, Renal failure
Clinical narrative: About 4 weeks after first dose, my mother got the covid virus!!!!!! Now, her kidneys are shutting down!!!!!!!
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gastrointestinal disorder, Headache, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient had headache, fever, fatigue, and GI issues. Then after 48 hours her thigh to her knee went numb. She went to the ER and they checked for blood clots, but she did not have any blood cloths. The area is still numb and tingling.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient had headache, fever, fatigue, and GI issues. Then after 48 hours her thigh to her knee went numb. She went to the ER and they checked for blood clots, but she did not have any blood cloths. The area is still numb and tingling.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, FLU4
Symptoms: Abdominal X-ray, Abdominal pain, Anaemia, Aortic aneurysm rupture, Blood creatinine normal
Clinical narrative: patient with atypical chest pain on 10/25/2021 & then with ruptured AAA on 10/28/2021.  AAA is inoperable and patient has been admitted to the Palliative Care service. 10/28/2021: Patient is a 67 y.o. male who presents with abdominal pain that started earlier today. It was acute and severe in nature. Has a history of known AAA. He also has a history of COPD/CAD for which is he on home O2. He is received immunotherapy for NSCLC. 10/25/2021: 67-year-old male with past medical history notable for pulmonary hypertension, hyperlipidemia, CAD, atrial fibrillation on anticoagulation, COPD, NSCLC on immunotherapy, CKD 3 who presents with sudden onset of left-sided rib pain. Patient is non-toxic appearing. Hemodynamically stable and all other vital signs within normal limits.  Differential includes rib fracture, intercostal muscle strain/sprain, pleurisy, pneumonia, PE.  Workup is notable for stable anemia, no leukocytosis, normal electrolytes, baseline creatinine, negative COVID/flu/RSV, nonischemic EKG, baseline high sensitivity troponin 49 with stable to or delta troponin of 48, elevated BNP at 2800 similar to baseline.  X-ray of the chest and left ribs did not reveal any focal infiltrate or rib fracture, or other definite etiology of patient's symptoms.  Given this, as well as history of active malignancy with focal pleuritic pain, a D-dimer was obtained which was greater than 9000; a CT PE was then obtained, which showed no evidence of PE, but did unfortunately show interval development of a spiculated mass in the right lung concerning for tumor recurrence.  Given negative workup as detailed above, suspect that patient's pain is related to an intercostal muscle strain/sprain.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, FLU4
Symptoms: Blood electrolytes normal, Brain natriuretic peptide increased, Chest X-ray normal, Chest pain, Computerised tomogram thorax
Clinical narrative: patient with atypical chest pain on 10/25/2021 & then with ruptured AAA on 10/28/2021.  AAA is inoperable and patient has been admitted to the Palliative Care service. 10/28/2021: Patient is a 67 y.o. male who presents with abdominal pain that started earlier today. It was acute and severe in nature. Has a history of known AAA. He also has a history of COPD/CAD for which is he on home O2. He is received immunotherapy for NSCLC. 10/25/2021: 67-year-old male with past medical history notable for pulmonary hypertension, hyperlipidemia, CAD, atrial fibrillation on anticoagulation, COPD, NSCLC on immunotherapy, CKD 3 who presents with sudden onset of left-sided rib pain. Patient is non-toxic appearing. Hemodynamically stable and all other vital signs within normal limits.  Differential includes rib fracture, intercostal muscle strain/sprain, pleurisy, pneumonia, PE.  Workup is notable for stable anemia, no leukocytosis, normal electrolytes, baseline creatinine, negative COVID/flu/RSV, nonischemic EKG, baseline high sensitivity troponin 49 with stable to or delta troponin of 48, elevated BNP at 2800 similar to baseline.  X-ray of the chest and left ribs did not reveal any focal infiltrate or rib fracture, or other definite etiology of patient's symptoms.  Given this, as well as history of active malignancy with focal pleuritic pain, a D-dimer was obtained which was greater than 9000; a CT PE was then obtained, which showed no evidence of PE, but did unfortunately show interval development of a spiculated mass in the right lung concerning for tumor recurrence.  Given negative workup as detailed above, suspect that patient's pain is related to an intercostal muscle strain/sprain.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, FLU4
Symptoms: Condition aggravated, Electrocardiogram normal, Fibrin D dimer, Influenza virus test negative, Musculoskeletal chest pain
Clinical narrative: patient with atypical chest pain on 10/25/2021 & then with ruptured AAA on 10/28/2021.  AAA is inoperable and patient has been admitted to the Palliative Care service. 10/28/2021: Patient is a 67 y.o. male who presents with abdominal pain that started earlier today. It was acute and severe in nature. Has a history of known AAA. He also has a history of COPD/CAD for which is he on home O2. He is received immunotherapy for NSCLC. 10/25/2021: 67-year-old male with past medical history notable for pulmonary hypertension, hyperlipidemia, CAD, atrial fibrillation on anticoagulation, COPD, NSCLC on immunotherapy, CKD 3 who presents with sudden onset of left-sided rib pain. Patient is non-toxic appearing. Hemodynamically stable and all other vital signs within normal limits.  Differential includes rib fracture, intercostal muscle strain/sprain, pleurisy, pneumonia, PE.  Workup is notable for stable anemia, no leukocytosis, normal electrolytes, baseline creatinine, negative COVID/flu/RSV, nonischemic EKG, baseline high sensitivity troponin 49 with stable to or delta troponin of 48, elevated BNP at 2800 similar to baseline.  X-ray of the chest and left ribs did not reveal any focal infiltrate or rib fracture, or other definite etiology of patient's symptoms.  Given this, as well as history of active malignancy with focal pleuritic pain, a D-dimer was obtained which was greater than 9000; a CT PE was then obtained, which showed no evidence of PE, but did unfortunately show interval development of a spiculated mass in the right lung concerning for tumor recurrence.  Given negative workup as detailed above, suspect that patient's pain is related to an intercostal muscle strain/sprain.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, FLU4
Symptoms: Pleuritic pain, Pulmonary mass, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Troponin
Clinical narrative: patient with atypical chest pain on 10/25/2021 & then with ruptured AAA on 10/28/2021.  AAA is inoperable and patient has been admitted to the Palliative Care service. 10/28/2021: Patient is a 67 y.o. male who presents with abdominal pain that started earlier today. It was acute and severe in nature. Has a history of known AAA. He also has a history of COPD/CAD for which is he on home O2. He is received immunotherapy for NSCLC. 10/25/2021: 67-year-old male with past medical history notable for pulmonary hypertension, hyperlipidemia, CAD, atrial fibrillation on anticoagulation, COPD, NSCLC on immunotherapy, CKD 3 who presents with sudden onset of left-sided rib pain. Patient is non-toxic appearing. Hemodynamically stable and all other vital signs within normal limits.  Differential includes rib fracture, intercostal muscle strain/sprain, pleurisy, pneumonia, PE.  Workup is notable for stable anemia, no leukocytosis, normal electrolytes, baseline creatinine, negative COVID/flu/RSV, nonischemic EKG, baseline high sensitivity troponin 49 with stable to or delta troponin of 48, elevated BNP at 2800 similar to baseline.  X-ray of the chest and left ribs did not reveal any focal infiltrate or rib fracture, or other definite etiology of patient's symptoms.  Given this, as well as history of active malignancy with focal pleuritic pain, a D-dimer was obtained which was greater than 9000; a CT PE was then obtained, which showed no evidence of PE, but did unfortunately show interval development of a spiculated mass in the right lung concerning for tumor recurrence.  Given negative workup as detailed above, suspect that patient's pain is related to an intercostal muscle strain/sprain.