chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality sleep, Somnolence
Clinical narrative: Started off with a sore arm and I started getting a headache and falling asleep that same day. I was so tired that I felt like I hadn't gotten a good sleep in a few days. A few weeks later I developed a cough and it has not gone away since. It is intermittent and it may be there one week and then gone the next. There are times I am coughing so bad that I cannot breath and then an hour later I am perfectly normal.
Age: 1.5
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Incorrect dose administered, Incorrect product formulation administered
Clinical narrative: Only a partial dose was given, the 2 vials were not mixed together.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood test, Decreased appetite, Diarrhoea, Eye swelling
Clinical narrative: Left eyeball swelling x 3 days, increased tinnitus sounds-both ears?ongoing, nausea, increased diarrhea, unable to drink fluids and loss of appetite x 10 days that caused acute renal failure (by labs)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fluid intake reduced, Laboratory test abnormal, Nausea, Tinnitus
Clinical narrative: Left eyeball swelling x 3 days, increased tinnitus sounds-both ears?ongoing, nausea, increased diarrhea, unable to drink fluids and loss of appetite x 10 days that caused acute renal failure (by labs)
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: That night my arm got sore and I got a headache. Symptoms did not get worse and eased off over next 3 days. Took ibuprofen.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: On April 18, 2022, A Licensed Immunized 10 patients with an expired dose of Moderna, which I immediately realized when I filed the documents and stopped the vaccination process. The Covid-19 Vaccine delivery document stated that deadline date and time to use these vaccines was day 6 of month 4 and year 2022 at 7:10am.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal distension, Blood bilirubin increased, Cardiac failure, Cardiac function test abnormal
Clinical narrative: About six weeks ago I started having a pressure in my upper abdomen and shortness of breath. I have had this occur before but it had not like this. It would last a day or two and go away but time it has not gone away. I had a heart abrasion back in 2017/18 and there was no damage to my heart at that time. Since having the vaccine and this starting about 6 weeks ago I have the shortness of breath and the pressure in my upper abdomen, along swelling in the legs up into my hips and stomach. I have done many tests and was diagnosed with heart failure and hepatic congestion. They have seen damage to my heart on the tests we have done since this started 6 weeks and I am following up with a cardiologist on 5/6/2022
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Congestive hepatopathy, Dyspnoea, Electrocardiogram, Glomerular filtration rate
Clinical narrative: About six weeks ago I started having a pressure in my upper abdomen and shortness of breath. I have had this occur before but it had not like this. It would last a day or two and go away but time it has not gone away. I had a heart abrasion back in 2017/18 and there was no damage to my heart at that time. Since having the vaccine and this starting about 6 weeks ago I have the shortness of breath and the pressure in my upper abdomen, along swelling in the legs up into my hips and stomach. I have done many tests and was diagnosed with heart failure and hepatic congestion. They have seen damage to my heart on the tests we have done since this started 6 weeks and I am following up with a cardiologist on 5/6/2022
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Laboratory test, Peripheral swelling, Scan with contrast, Skin abrasion
Clinical narrative: About six weeks ago I started having a pressure in my upper abdomen and shortness of breath. I have had this occur before but it had not like this. It would last a day or two and go away but time it has not gone away. I had a heart abrasion back in 2017/18 and there was no damage to my heart at that time. Since having the vaccine and this starting about 6 weeks ago I have the shortness of breath and the pressure in my upper abdomen, along swelling in the legs up into my hips and stomach. I have done many tests and was diagnosed with heart failure and hepatic congestion. They have seen damage to my heart on the tests we have done since this started 6 weeks and I am following up with a cardiologist on 5/6/2022
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: On April 18, 2022, A Licensed Immunized 10 patients with an expired dose of Moderna, which I immediately realized when I filed the documents and stopped the vaccination process. The Covid-19 Vaccine delivery document stated that deadline date and time to use these vaccines was day 6 of month 4 and year 2022 at 7:10am.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Asthenia, COVID-19, Cough, Fatigue
Clinical narrative: I started feeling bad on April 14th. After 5 or 6 days, I called my doctor and went to the HCF center to have a COVID test done. I was notified that it was positive. I called the doctor back and advised it was positive. He prescribed azithromycin tablets. I am feeling better but still a bit tired with sore throat. I took Claritin and gargled with salt water for my throat, I continued to not feel so I retested on April 27, and still came up positive. I tested again 3 days later and still came up as positive. I tested positive again May 30 after isolating for 20 days. I called the nurse practitioner who ordered another test. I have not received the results yet. I was told that you could get positive readings for up to 3 months. I was advised that I was no longer contagious. I never had fever but I did lose my sense of taste. I am still tired a lot and experiencing weakness. I have issues with my sinuses but I am no longer coughing.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Oropharyngeal pain, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: I started feeling bad on April 14th. After 5 or 6 days, I called my doctor and went to the HCF center to have a COVID test done. I was notified that it was positive. I called the doctor back and advised it was positive. He prescribed azithromycin tablets. I am feeling better but still a bit tired with sore throat. I took Claritin and gargled with salt water for my throat, I continued to not feel so I retested on April 27, and still came up positive. I tested again 3 days later and still came up as positive. I tested positive again May 30 after isolating for 20 days. I called the nurse practitioner who ordered another test. I have not received the results yet. I was told that you could get positive readings for up to 3 months. I was advised that I was no longer contagious. I never had fever but I did lose my sense of taste. I am still tired a lot and experiencing weakness. I have issues with my sinuses but I am no longer coughing.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Computerised tomogram abdomen, Electrocardiogram, Haemorrhage
Clinical narrative: Several months after the third dose, I had to have a right stint replaced from my ureter. After it was replaced I had to get bilateral nephrostomy tubes put in. I had those in for 3 months. I had a major surgery in mid March on multiple organ systems. I had 3 blot clots in my right calf and had to be put on blood thinners. I bled so much I almost had to have a blood transfusion and went back into the ER. I was put on progesterone and eventually a Depo Lupron shot for temporary Menopause. I am also still on the blood thinner Xarelto.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Menopause, Nephrostomy, Stent placement, Surgery, Thrombosis
Clinical narrative: Several months after the third dose, I had to have a right stint replaced from my ureter. After it was replaced I had to get bilateral nephrostomy tubes put in. I had those in for 3 months. I had a major surgery in mid March on multiple organ systems. I had 3 blot clots in my right calf and had to be put on blood thinners. I bled so much I almost had to have a blood transfusion and went back into the ER. I was put on progesterone and eventually a Depo Lupron shot for temporary Menopause. I am also still on the blood thinner Xarelto.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test, Ultrasound Doppler abnormal
Clinical narrative: Several months after the third dose, I had to have a right stint replaced from my ureter. After it was replaced I had to get bilateral nephrostomy tubes put in. I had those in for 3 months. I had a major surgery in mid March on multiple organ systems. I had 3 blot clots in my right calf and had to be put on blood thinners. I bled so much I almost had to have a blood transfusion and went back into the ER. I was put on progesterone and eventually a Depo Lupron shot for temporary Menopause. I am also still on the blood thinner Xarelto.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Myalgia, Oropharyngeal pain, Pain
Clinical narrative: Sore throat, sneezing, cough - Thursday-Monday Body ache/muscle aches - Thursday-Friday Positive Test - Sunday, May 1 Paxlovid - Monday-Friday, May 6 Promethazine-DM - Monday-Wednesday Flonase - Monday-Thursday
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing
Clinical narrative: Sore throat, sneezing, cough - Thursday-Monday Body ache/muscle aches - Thursday-Friday Positive Test - Sunday, May 1 Paxlovid - Monday-Friday, May 6 Promethazine-DM - Monday-Wednesday Flonase - Monday-Thursday
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: On April 18, 2022, A Licensed Immunized 10 patients with an expired dose of Moderna, which I immediately realized when I filed the documents and stopped the vaccination process. The Covid-19 Vaccine delivery document stated that deadline date and time to use these vaccines was day 6 of month 4 and year 2022 at 7:10am.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Bladder catheterisation, Extra dose administered, Gait inability, Malaise, Nausea
Clinical narrative: I received Dose 4 on 04/20/2022, On 04/22/22, I woke up not feeling well. I have lived with this infection for years. I was feeling nauseous, was running a fever, I normally am cathed in the morning, it was a different consistency. After the cath, my husband put a foley in because I could not walk. I needed assistance the entire day. It still comes and goes.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I received Dose 4 on 04/20/2022, On 04/22/22, I woke up not feeling well. I have lived with this infection for years. I was feeling nauseous, was running a fever, I normally am cathed in the morning, it was a different consistency. After the cath, my husband put a foley in because I could not walk. I needed assistance the entire day. It still comes and goes.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: When I had the vaccine and when I get a booster, I get a rash in the same spot on my leg.  It eventually goes away.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Contraception, Oligomenorrhoea, Presyncope
Clinical narrative: Staring in March I had non stop menstrual bleeding that made me feel like I was going to pass out. I have been put on birth control it has help to lessen the bleeding but I am still bleeding daily.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding
Clinical narrative: A week after the vaccine I had break through bleeding which lasted for 3 months. I visited my Dr. who rx'd a stronger birth control.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood bilirubin increased, COVID-19, Hepatitis toxic, Laboratory test abnormal
Clinical narrative: ABNORMAL LAB, BILIRUBIN  11.8,  DIAGNOSED WITH tOXIC HEPATITIS, ON POWERFUL STEROIDS, WITH LONG TERM AFFECT. 2 HOSPITAL STAYS, ER VISIT, MANY TEST DONE
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Exposure during pregnancy, Foetal death, Foetal hypokinesia, Platelet count decreased, Vaginal haemorrhage
Clinical narrative: Patient received her Booster at 14w1d gestation and began bleeding the following morning.  She had intermittent bleeding until 19w6d when she was found to have intrauterine fetal demise. She was examined that day due to decreased fetal movement.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Pruritus, Rash, Rash pruritic
Clinical narrative: Has had an extremely pruritic rash of whole body. Started three days ago, two days after receiving first covid vaccine.   Very difficult for him to sleep at night due to skin itch They tried over the counter hydrocortisone, zyrtec and benadryl with limited improvement
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Case went to hospital with ongoing vomiting and fatigue. Tested positive upon admission. No other COVID symptoms were reported.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide, Computerised tomogram, Dyspnoea, Full blood count, Pulmonary thrombosis
Clinical narrative: First episode of extreme shortness of breath lasted about five minutes. After second episode of same time frame, made appointment to see doctor.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Venous oxygen saturation abnormal
Clinical narrative: First episode of extreme shortness of breath lasted about five minutes. After second episode of same time frame, made appointment to see doctor.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: I contracted COVID-19 and experienced symptoms of sore throat, cough, chest congestion, shortness of breath and the symptoms began to resolve after 3 to 5 days. I took Mucinex at symptom onset, and was prescribed Paxlovid 5 day regimen. I have a small amount of lingering congestion and cough, but feel much better.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 and experienced symptoms of sore throat, cough, chest congestion, shortness of breath and the symptoms began to resolve after 3 to 5 days. I took Mucinex at symptom onset, and was prescribed Paxlovid 5 day regimen. I have a small amount of lingering congestion and cough, but feel much better.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Fatigue, Headache
Clinical narrative: I started to have symptoms on April 02. I was really tired with a headache. I had a worse cough than usual, a sore throat and a fever. I was exhausted. I contacted my doctor on the 3rd and she arranged to meet me at the office on the 4th and she did a swab test. On the 5th she advised me that I was positive and she arranged for an infusion of monoclonal antibodies which I got on the 6th at the hospital. I continued to be fairly sick through the rest of that week and the next. I started to feel better about the 18th or 19th. I feel completed recovered outside of the feeling of being tired. I am still needing to take a nap at a moments notice.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I started to have symptoms on April 02. I was really tired with a headache. I had a worse cough than usual, a sore throat and a fever. I was exhausted. I contacted my doctor on the 3rd and she arranged to meet me at the office on the 4th and she did a swab test. On the 5th she advised me that I was positive and she arranged for an infusion of monoclonal antibodies which I got on the 6th at the hospital. I continued to be fairly sick through the rest of that week and the next. I started to feel better about the 18th or 19th. I feel completed recovered outside of the feeling of being tired. I am still needing to take a nap at a moments notice.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site inflammation, Nasal congestion, SARS-CoV-2 test
Clinical narrative: MILD INFLAMTION AT INJECTION SITE  ASSOCIATED WITH NASAL CONGESTION, 24 HRS POST VACCINATION.  PT ADVISED TO TAKE AN ANTIHYSTAMINE IF SYMPTOMS DO NOT RESOLVE.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Oedema peripheral
Clinical narrative: PAIN AND SWELLING TO RT. ARM PIT.  CONSERVATIVE TREATMENT, OTC TYLENOL OR IBUPROFEN AS RECOMMENDED BY PCP, COOLING MEASURES, TO AREA, 3 TIMES A DAY.  FOLLOW-UP WITH PCP.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Laboratory test normal, Skin swelling, Tongue discomfort, Ultrasound biliary tract
Clinical narrative: 04/14/2021, I was driving home after waiting the 15 minutes and I felt puffy and my tongue felt funny and I had hives. I drove back to the test site. They gave me a double dose of Benadryl, then another dose. I waited there for close to two hours. I drove home and zonked out for a little while. The next day, I experienced crazy, severe, explosive diarrhea. I kept drinking water. I finally went in to see the doctor, about 2 weeks later. At night, I would drink a protein shake with a scoop of greens and a scoop of fiber. I cut back on the fiber. The doctor had me set up for tests, but it resolved itself on its own.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal, Urticaria
Clinical narrative: 04/14/2021, I was driving home after waiting the 15 minutes and I felt puffy and my tongue felt funny and I had hives. I drove back to the test site. They gave me a double dose of Benadryl, then another dose. I waited there for close to two hours. I drove home and zonked out for a little while. The next day, I experienced crazy, severe, explosive diarrhea. I kept drinking water. I finally went in to see the doctor, about 2 weeks later. At night, I would drink a protein shake with a scoop of greens and a scoop of fiber. I cut back on the fiber. The doctor had me set up for tests, but it resolved itself on its own.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Activated partial thromboplastin time shortened, Alanine aminotransferase increased, Aspartate aminotransferase increased, Biopsy liver abnormal
Clinical narrative: Significantly elevated hepatic functions, nausea and vomiting  and abdominal pain
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood alkaline phosphatase increased, Blood bilirubin increased, Blood glucose normal, Blood immunoglobulin A, Blood immunoglobulin A increased
Clinical narrative: Significantly elevated hepatic functions, nausea and vomiting  and abdominal pain
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood iron increased, Blood thyroid stimulating hormone, Computerised tomogram abdomen normal, Full blood count, Gamma-glutamyltransferase
Clinical narrative: Significantly elevated hepatic functions, nausea and vomiting  and abdominal pain
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Globulins increased, Haematocrit decreased, Haemochromatosis, Haemoglobin decreased, Hepatic function abnormal
Clinical narrative: Significantly elevated hepatic functions, nausea and vomiting  and abdominal pain
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hepatitis viral test negative, International normalised ratio increased, Laboratory test, Laboratory test normal, Lipase normal
Clinical narrative: Significantly elevated hepatic functions, nausea and vomiting  and abdominal pain
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Monocyte percentage increased, Nausea, Neutrophil count decreased, Protein total increased
Clinical narrative: Significantly elevated hepatic functions, nausea and vomiting  and abdominal pain
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red blood cell sedimentation rate normal, Serum ferritin increased, Smooth muscle antibody, Ultrasound abdomen normal, Vomiting
Clinical narrative: Significantly elevated hepatic functions, nausea and vomiting  and abdominal pain
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Significantly elevated hepatic functions, nausea and vomiting  and abdominal pain
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Muscle spasms, Myalgia, Pain, Pyrexia
Clinical narrative: Fever,. Body ache, muscle ache, vertigo fatigue & muscle spasm
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Fever,. Body ache, muscle ache, vertigo fatigue & muscle spasm
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Lethargy, Pain
Clinical narrative: I had overall body aches and soreness. I was very lethargic and tired. It was almost like I had the flu but without coughing. All of these symptoms started 05/02/21, the morning after I received the first dose. My symptoms lasted a good 4 or 5 days. On the 4th day I was considering going to my provider or the ER. On the 5th day I noticed the symptoms were starting to go away. I called the nurse line on my insurance card and they recommended on the 5th day if they were still happening to go in, but on the 5th day they had started to go away.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin swelling, Urticaria
Clinical narrative: Red, quarter size raised welts on arms. 3 or 4 at a time on arms an some on legs. Non itchy Go away in a few days an then reappear again in different spots. Diminished after 3 months.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was reported to us by Public Health to be 4 years of age on 05/02/2022. Her DOB on Vaccine Card this day was. Patient had immunization at our facility on 03/28/2022, where forms were completed by mother and DOB was listed, making the patient 5 years of age already. Since no form of ID could be produced we had no choice but to accept the age. It is not clear if the age is 4 or 5, but the forms that were filled out and scanned into our charts were within the age limits for vaccination. We wanted to report this event as it was not clear and we have not been able to reach the patient at the provided numbers.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient received an unauthorized vaccine/ patient was not age 12 at the time that vaccine was administered.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Have Bell's Palsy.  Took prednisone 60 mg for 7 days and 3 grams of valacyclovir for 7 days.  Taking Tylenol (325 mg) every 4-6 hours
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Blood creatine phosphokinase increased, Comminuted fracture, Exposure to SARS-CoV-2, Fall
Clinical narrative: Patient up to date on Moderna COVID vaccinations who admitted to hospital with incidental COVID positive test found during admission testing.  No respiratory issues throughout stay.  Provider d/c note below:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  73 year old active male with complex cardiac history with BiVAICD, prostate cancer and CKD stage 3 with history of radical left nephrectomy in setting of renal carcinoma presenting with rhabdomyolysis and closed comminuted impacted humeral neck fracture extending into the head after being found down in his barn for almost 24 hours status post fall. Of note, he had a recent ORIF of right proximal humeral fracture with Dr.  Patient initially given 3L fluids at ER and was subsequently transferred to ED for further management. While in ED, patient's CPK minimally elevated at 4,406. He was admitted into the general medicine service for further evaluation of ground level fall and impacted humeral neck fracture. His CPK  continued to trend downward with additional IV fluids. Patient also incidentally tested positive for COVID-19. He is vaccinated and received booster and suspects caught COVID during this past week from his girlfriend. Patient is asymptomatic with great oxygen saturations on room air. Patient was treated with supportive care as steroids and remdesivir were not indicated. Case discussed informally with Orthopedic surgery team, he is to have non-weight bearing with sling, and to follow up outpatient in one week for further management. He was given a short supply of opioid medication for breakthrough pain and a bowel regimen to mitigate opioid induced constipation, will defer further pain management to orthopedic team. He is to follow with PCP as scheduled for further medication changes as it is unclear why patient is not taking aspirin or beta blocker therapy given his extensive cardiac history. Patient is medically stable and ready for discharge home on January 25, 2022."
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Humerus fracture, Impacted fracture, Open reduction of fracture, Pain, Rhabdomyolysis
Clinical narrative: Patient up to date on Moderna COVID vaccinations who admitted to hospital with incidental COVID positive test found during admission testing.  No respiratory issues throughout stay.  Provider d/c note below:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  73 year old active male with complex cardiac history with BiVAICD, prostate cancer and CKD stage 3 with history of radical left nephrectomy in setting of renal carcinoma presenting with rhabdomyolysis and closed comminuted impacted humeral neck fracture extending into the head after being found down in his barn for almost 24 hours status post fall. Of note, he had a recent ORIF of right proximal humeral fracture with Dr.  Patient initially given 3L fluids at ER and was subsequently transferred to ED for further management. While in ED, patient's CPK minimally elevated at 4,406. He was admitted into the general medicine service for further evaluation of ground level fall and impacted humeral neck fracture. His CPK  continued to trend downward with additional IV fluids. Patient also incidentally tested positive for COVID-19. He is vaccinated and received booster and suspects caught COVID during this past week from his girlfriend. Patient is asymptomatic with great oxygen saturations on room air. Patient was treated with supportive care as steroids and remdesivir were not indicated. Case discussed informally with Orthopedic surgery team, he is to have non-weight bearing with sling, and to follow up outpatient in one week for further management. He was given a short supply of opioid medication for breakthrough pain and a bowel regimen to mitigate opioid induced constipation, will defer further pain management to orthopedic team. He is to follow with PCP as scheduled for further medication changes as it is unclear why patient is not taking aspirin or beta blocker therapy given his extensive cardiac history. Patient is medically stable and ready for discharge home on January 25, 2022."
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient up to date on Moderna COVID vaccinations who admitted to hospital with incidental COVID positive test found during admission testing.  No respiratory issues throughout stay.  Provider d/c note below:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  73 year old active male with complex cardiac history with BiVAICD, prostate cancer and CKD stage 3 with history of radical left nephrectomy in setting of renal carcinoma presenting with rhabdomyolysis and closed comminuted impacted humeral neck fracture extending into the head after being found down in his barn for almost 24 hours status post fall. Of note, he had a recent ORIF of right proximal humeral fracture with Dr.  Patient initially given 3L fluids at ER and was subsequently transferred to ED for further management. While in ED, patient's CPK minimally elevated at 4,406. He was admitted into the general medicine service for further evaluation of ground level fall and impacted humeral neck fracture. His CPK  continued to trend downward with additional IV fluids. Patient also incidentally tested positive for COVID-19. He is vaccinated and received booster and suspects caught COVID during this past week from his girlfriend. Patient is asymptomatic with great oxygen saturations on room air. Patient was treated with supportive care as steroids and remdesivir were not indicated. Case discussed informally with Orthopedic surgery team, he is to have non-weight bearing with sling, and to follow up outpatient in one week for further management. He was given a short supply of opioid medication for breakthrough pain and a bowel regimen to mitigate opioid induced constipation, will defer further pain management to orthopedic team. He is to follow with PCP as scheduled for further medication changes as it is unclear why patient is not taking aspirin or beta blocker therapy given his extensive cardiac history. Patient is medically stable and ready for discharge home on January 25, 2022."
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site rash, Product administered at inappropriate site
Clinical narrative: Minor rash around injection site approximately 3-5 cm, rash appearing lower in the arm suggesting incorrect administration (subcutaneous) lower than the deltoid muscle. Patient stated vaccine was administered lower than the deltoid. Patient treating rash with OTC cream and will follow-up if any changes. Pharmacist scheduled follow-up for next day. Today 05/05 patient returned to pharmacy to show rash and question revaccination. Providing administration errors revaccination guidance documentations for recommendations in case of subcutaneous administration to patient for guidance.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypersomnia, Immediate post-injection reaction, Mobility decreased, Muscular weakness
Clinical narrative: Immediately after the vaccine I felt sore and dizzy. After some time I went home, then I started feeling something sour in the back of my throat. When I got home I felt achy and feverish, I took Tylenol and slept for almost a day. I felt this way for about a week. I couldn't even lift my hands.  Even now, a year later I still feel weakness in my hands. After this happened I started taking vitamins. My Dr. recommended that I have ACL surgery and now I'm taking a lot of supplements.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Pain, Pyrexia
Clinical narrative: Immediately after the vaccine I felt sore and dizzy. After some time I went home, then I started feeling something sour in the back of my throat. When I got home I felt achy and feverish, I took Tylenol and slept for almost a day. I felt this way for about a week. I couldn't even lift my hands.  Even now, a year later I still feel weakness in my hands. After this happened I started taking vitamins. My Dr. recommended that I have ACL surgery and now I'm taking a lot of supplements.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pruritus, Rash
Clinical narrative: Approximately one hour after vaccine administration, the patient reported itchiness on her upper extremities, as well as a localized rash on the right inner forearm and tingling on the tongue. Symptoms improved with a cold pack and cetirizine. The patient was monitored for one hour.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: No adverse event reported by parent as of 5/5/2022. Spoke with father, notified by providers office of vaccine matter.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Arthralgia, Diarrhoea, Fatigue, Pyrexia
Clinical narrative: Approximately a few hours after my booster shot (Dose 3) I experienced the following symptoms: Low grade fever, Diarrhea, Fatigue, Joint pain and There was like a siren in my ear as well and it won't go away. I did not take any medications and gave it time to go away. The other symptoms went away after a few days (low grade fever and fatigue) but the siren in my ears (Both ears) did not stop and it just became louder. I noticed it wasn't going away so I had to go to my ENT and had it checked. I was advised that it was known for people who got the booster shot to experience this kind of symptom. She prescribed me with Fish oil, Vitamin D3, Vitamin C.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Approximately a few hours after my booster shot (Dose 3) I experienced the following symptoms: Low grade fever, Diarrhea, Fatigue, Joint pain and There was like a siren in my ear as well and it won't go away. I did not take any medications and gave it time to go away. The other symptoms went away after a few days (low grade fever and fatigue) but the siren in my ears (Both ears) did not stop and it just became louder. I noticed it wasn't going away so I had to go to my ENT and had it checked. I was advised that it was known for people who got the booster shot to experience this kind of symptom. She prescribed me with Fish oil, Vitamin D3, Vitamin C.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Staff was misled by mother, regarding the patient's age. This resulted in the child being vaccinated despite bing ineligible (due to being 4). The vaccination process otherwise went without incident. Patient was observation for approx. 15 minutes after, in accordance with current guidelines. Afterwards, the patient left with her mother again without incident.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: the patient received an unauthorized vaccine/ patient was not age 12 at the time that vaccine was administered
Age: 69.0
Sex: F
Vaccine: FLUA4
Symptoms: Rotator cuff syndrome
Clinical narrative: Patient contacted office about having cerva, and stated she believed that the shot her to have a torn rotator cuff when she got the shot.  We are just reporting this because it was just recently reported to us.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Visual impairment
Clinical narrative: Five minutes after vaccine patient stated she was having pulsating vision, and upset stomach.  Immediately started vitals,  BP:  113/73, HR: 85, R:16, O2 sat:98 . Patient remained A/O x 4 at all times.  Continued to monitor, another set of vitals taken after 10mins. BP: 107/69 HR:82 R: 17 O2 sat 99.  All reactions subsided after 15minutes. Monitored for an additional 15mins after all reactions subsided. Patient stated she was okay, and felt better before leaving.
Age: 24.0
Sex: M
Vaccine: HEPA
Symptoms: Extra dose administered
Clinical narrative: Pt was in for a visit and stated he needed his 2nd Hep A vaccine. The immunization screen  was showing only 1 previous dose and the forcast was showing he was due for his 2nd Hep A. The vaccine was ordered and administered per protocol. After pt left the clinic, I noticed on the front screen that the patient had received a 2nd Hep A  on 8/10/20 that was never entered on his immunization screen. Therefore the patient received an extra dose of Hep A.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Agitation, COVID-19, Chest X-ray normal
Clinical narrative: Vaccinated patient admitted to hospital for complications of COVID.  Provider D/C note below:  "Brief Summary of Hospital Stay:  Per HPI, 60yo female, with PMHx T2DM, HTN, histoplasmosis, who presented to the ED with nausea/vomiting. Patient reports that she was going in to get a COVID test. Her symptoms started 1/21. She complains of fever/chills, abdominal pain, cough, decreased appetite, shortness of breath, fatigue, malaise. She also complains of a puritic rash across her body. She notes being around her sick 5yo granddaughter, unsure if she had COVID. She is vaccinated for COVID, and had COVID 11/2020. She also notes having a dental procedure done recently and was placed on Clindamycin. She reports finishing Clindamycin on Wednesday 1/19. She reports smoking occassionally. Denies alcohol use. Denies chest pain, headache, diarrhea, sore throat..   In ED, patient was hypoxic- placed on 6L NC and eventually increased to HFNC due to continued hypoxia. No significant findings on lab work.  CXR- No evidence of acute cardiopulmonary process.   Started on Remdesivir, decadron in ED.    Hospital Course:  1. Acute hypoxic respiratory failure: due to recurrent COVID-19 infection, vaccinated  though not boosted. Initially on HFNC, started on dexamethasone and remdesivir with improvement. Patient ultimately able to completely wean off of supplemental O2.    2. Acute metabolic encephalopathy/agitation: may be related to #1, though exact etiology remain entirely unclear. Resolved.    3. Pruritic rash: suspect due to viral syndrome, possible drug related with recent clindamycin use though pt reports tolerating this in the past. Improved   4. Sinus tachycardia: resolved. Likely due to #1, no evidence of PE on imaging.    5. DM II: A1c 7.2, steroid induced hyperglycemia  - Metformin   6. HTN - ARB   7. MDD - Elavil    8. Migraine headache  - PRN Maxalt    Issues Requiring Follow Up:  - Follow up with PCP"
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Decreased appetite, Dental operation, Dyspnoea, Fatigue
Clinical narrative: Vaccinated patient admitted to hospital for complications of COVID.  Provider D/C note below:  "Brief Summary of Hospital Stay:  Per HPI, 60yo female, with PMHx T2DM, HTN, histoplasmosis, who presented to the ED with nausea/vomiting. Patient reports that she was going in to get a COVID test. Her symptoms started 1/21. She complains of fever/chills, abdominal pain, cough, decreased appetite, shortness of breath, fatigue, malaise. She also complains of a puritic rash across her body. She notes being around her sick 5yo granddaughter, unsure if she had COVID. She is vaccinated for COVID, and had COVID 11/2020. She also notes having a dental procedure done recently and was placed on Clindamycin. She reports finishing Clindamycin on Wednesday 1/19. She reports smoking occassionally. Denies alcohol use. Denies chest pain, headache, diarrhea, sore throat..   In ED, patient was hypoxic- placed on 6L NC and eventually increased to HFNC due to continued hypoxia. No significant findings on lab work.  CXR- No evidence of acute cardiopulmonary process.   Started on Remdesivir, decadron in ED.    Hospital Course:  1. Acute hypoxic respiratory failure: due to recurrent COVID-19 infection, vaccinated  though not boosted. Initially on HFNC, started on dexamethasone and remdesivir with improvement. Patient ultimately able to completely wean off of supplemental O2.    2. Acute metabolic encephalopathy/agitation: may be related to #1, though exact etiology remain entirely unclear. Resolved.    3. Pruritic rash: suspect due to viral syndrome, possible drug related with recent clindamycin use though pt reports tolerating this in the past. Improved   4. Sinus tachycardia: resolved. Likely due to #1, no evidence of PE on imaging.    5. DM II: A1c 7.2, steroid induced hyperglycemia  - Metformin   6. HTN - ARB   7. MDD - Elavil    8. Migraine headache  - PRN Maxalt    Issues Requiring Follow Up:  - Follow up with PCP"
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Glycosylated haemoglobin normal, Hyperglycaemia, Hypoxia, Laboratory test normal, Major depression
Clinical narrative: Vaccinated patient admitted to hospital for complications of COVID.  Provider D/C note below:  "Brief Summary of Hospital Stay:  Per HPI, 60yo female, with PMHx T2DM, HTN, histoplasmosis, who presented to the ED with nausea/vomiting. Patient reports that she was going in to get a COVID test. Her symptoms started 1/21. She complains of fever/chills, abdominal pain, cough, decreased appetite, shortness of breath, fatigue, malaise. She also complains of a puritic rash across her body. She notes being around her sick 5yo granddaughter, unsure if she had COVID. She is vaccinated for COVID, and had COVID 11/2020. She also notes having a dental procedure done recently and was placed on Clindamycin. She reports finishing Clindamycin on Wednesday 1/19. She reports smoking occassionally. Denies alcohol use. Denies chest pain, headache, diarrhea, sore throat..   In ED, patient was hypoxic- placed on 6L NC and eventually increased to HFNC due to continued hypoxia. No significant findings on lab work.  CXR- No evidence of acute cardiopulmonary process.   Started on Remdesivir, decadron in ED.    Hospital Course:  1. Acute hypoxic respiratory failure: due to recurrent COVID-19 infection, vaccinated  though not boosted. Initially on HFNC, started on dexamethasone and remdesivir with improvement. Patient ultimately able to completely wean off of supplemental O2.    2. Acute metabolic encephalopathy/agitation: may be related to #1, though exact etiology remain entirely unclear. Resolved.    3. Pruritic rash: suspect due to viral syndrome, possible drug related with recent clindamycin use though pt reports tolerating this in the past. Improved   4. Sinus tachycardia: resolved. Likely due to #1, no evidence of PE on imaging.    5. DM II: A1c 7.2, steroid induced hyperglycemia  - Metformin   6. HTN - ARB   7. MDD - Elavil    8. Migraine headache  - PRN Maxalt    Issues Requiring Follow Up:  - Follow up with PCP"
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Metabolic encephalopathy, Migraine, Nausea, Pyrexia
Clinical narrative: Vaccinated patient admitted to hospital for complications of COVID.  Provider D/C note below:  "Brief Summary of Hospital Stay:  Per HPI, 60yo female, with PMHx T2DM, HTN, histoplasmosis, who presented to the ED with nausea/vomiting. Patient reports that she was going in to get a COVID test. Her symptoms started 1/21. She complains of fever/chills, abdominal pain, cough, decreased appetite, shortness of breath, fatigue, malaise. She also complains of a puritic rash across her body. She notes being around her sick 5yo granddaughter, unsure if she had COVID. She is vaccinated for COVID, and had COVID 11/2020. She also notes having a dental procedure done recently and was placed on Clindamycin. She reports finishing Clindamycin on Wednesday 1/19. She reports smoking occassionally. Denies alcohol use. Denies chest pain, headache, diarrhea, sore throat..   In ED, patient was hypoxic- placed on 6L NC and eventually increased to HFNC due to continued hypoxia. No significant findings on lab work.  CXR- No evidence of acute cardiopulmonary process.   Started on Remdesivir, decadron in ED.    Hospital Course:  1. Acute hypoxic respiratory failure: due to recurrent COVID-19 infection, vaccinated  though not boosted. Initially on HFNC, started on dexamethasone and remdesivir with improvement. Patient ultimately able to completely wean off of supplemental O2.    2. Acute metabolic encephalopathy/agitation: may be related to #1, though exact etiology remain entirely unclear. Resolved.    3. Pruritic rash: suspect due to viral syndrome, possible drug related with recent clindamycin use though pt reports tolerating this in the past. Improved   4. Sinus tachycardia: resolved. Likely due to #1, no evidence of PE on imaging.    5. DM II: A1c 7.2, steroid induced hyperglycemia  - Metformin   6. HTN - ARB   7. MDD - Elavil    8. Migraine headache  - PRN Maxalt    Issues Requiring Follow Up:  - Follow up with PCP"
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash pruritic, SARS-CoV-2 test positive, Sinus tachycardia, Viral infection, Vomiting
Clinical narrative: Vaccinated patient admitted to hospital for complications of COVID.  Provider D/C note below:  "Brief Summary of Hospital Stay:  Per HPI, 60yo female, with PMHx T2DM, HTN, histoplasmosis, who presented to the ED with nausea/vomiting. Patient reports that she was going in to get a COVID test. Her symptoms started 1/21. She complains of fever/chills, abdominal pain, cough, decreased appetite, shortness of breath, fatigue, malaise. She also complains of a puritic rash across her body. She notes being around her sick 5yo granddaughter, unsure if she had COVID. She is vaccinated for COVID, and had COVID 11/2020. She also notes having a dental procedure done recently and was placed on Clindamycin. She reports finishing Clindamycin on Wednesday 1/19. She reports smoking occassionally. Denies alcohol use. Denies chest pain, headache, diarrhea, sore throat..   In ED, patient was hypoxic- placed on 6L NC and eventually increased to HFNC due to continued hypoxia. No significant findings on lab work.  CXR- No evidence of acute cardiopulmonary process.   Started on Remdesivir, decadron in ED.    Hospital Course:  1. Acute hypoxic respiratory failure: due to recurrent COVID-19 infection, vaccinated  though not boosted. Initially on HFNC, started on dexamethasone and remdesivir with improvement. Patient ultimately able to completely wean off of supplemental O2.    2. Acute metabolic encephalopathy/agitation: may be related to #1, though exact etiology remain entirely unclear. Resolved.    3. Pruritic rash: suspect due to viral syndrome, possible drug related with recent clindamycin use though pt reports tolerating this in the past. Improved   4. Sinus tachycardia: resolved. Likely due to #1, no evidence of PE on imaging.    5. DM II: A1c 7.2, steroid induced hyperglycemia  - Metformin   6. HTN - ARB   7. MDD - Elavil    8. Migraine headache  - PRN Maxalt    Issues Requiring Follow Up:  - Follow up with PCP"
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pruritus, Pruritus, Rash, Urticaria
Clinical narrative: Rash, hives, itchy eyes and nose.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: That night I started feeling body pains and fever, it lasted for 4 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Condition aggravated, Feeling abnormal, Headache
Clinical narrative: Started with headache late morning on 05/02/22 it came and went. Then I started having abdominal pain and back pain.  I felt like my blood pressure was getting high and I took a reading it was up to 145. Later that night I felt worse took another reading and it was up to 179. Called my cardiologist on the phone directed me to take another amlodipine later it went down to the 150s. Took reading in the morning it was in the 130s. On Tuesday had mild HA, abdominal pain and back pain. End of Tuesday I felt better expect for back and abdominal pain. Episodes of back and abdominal pain do come and go but when they are here they are very painful. I have an appointment with my general doctor today.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: Started with headache late morning on 05/02/22 it came and went. Then I started having abdominal pain and back pain.  I felt like my blood pressure was getting high and I took a reading it was up to 145. Later that night I felt worse took another reading and it was up to 179. Called my cardiologist on the phone directed me to take another amlodipine later it went down to the 150s. Took reading in the morning it was in the 130s. On Tuesday had mild HA, abdominal pain and back pain. End of Tuesday I felt better expect for back and abdominal pain. Episodes of back and abdominal pain do come and go but when they are here they are very painful. I have an appointment with my general doctor today.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue
Clinical narrative: I contracted COVID-19 on 4/25. Scratchy throat, low grade fever, fatigue, little cough, headache. Loss of taste and smell.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Throat irritation
Clinical narrative: I contracted COVID-19 on 4/25. Scratchy throat, low grade fever, fatigue, little cough, headache. Loss of taste and smell.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Colitis ulcerative, Condition aggravated, Culture stool negative, Diarrhoea haemorrhagic
Clinical narrative: Starting on March 15, 2022 he started with diarrhea. It was continuous. He said his diarrhea was bloody from the beginning. That continued until April 29, 2022 when he was put on Prednisone and Lialda because he was diagnosed with ulcerative colitis. He is better now. He didn't experience any fever or nausea.