chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Blood lactic acid normal, Blood magnesium normal, Brain natriuretic peptide normal
Clinical narrative: Hospitalized (1.12.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admitted 1.12.22 - 1.13.22 (32 hours - observation) CHIEF COMPLAINT: ALTERED MENTAL STATUS (per ems: found by coworkers on scene unreponsive on ground by them, last thing he remembers was feeling weak, inspiratory wheeze, was given duoneb in route that seemed to improve his symptoms, inititially Aox2 and is currently Aox4 with delays in respoinding, bs 162) DIAGNOSIS at time of disposition: 1. Syncope and collapse  2. COVID  MEDICAL DECISION MAKING: Patient seen evaluated by myself.  Electronic medical record was reviewed.  I did review prior emergency department visits for similar complaints.  I see that he were a ZIO patch in November 2021 for 14 days which was unremarkable.  At this time patient appears somewhat groggy.  Will do routine labs, urine drug screen, EKG, chest x-ray as well as CT head and neck and x-rays of the right shoulder from his fall. EKG shows sinus mechanism with sinus arrhythmia.  No ST elevation, depression or signs of acute ischemic change. Urine drug screen is negative Lactic acid is normal Troponin is normal BNP is normal Complete blood count and CMP are unremarkable Magnesium is normal CT head does not show any acute process CT cervical spine does not show any acute fracture Chest x-ray is unremarkable X-rays right shoulder did not show any fracture. At this time patient is re-evaluated.  His vital signs have been stable in the emergency department.  There has been no signs of significant cardiac ectopy. I discussed the findings with patient.  It is my concern that since he has had serial episodes of the last few months these potentially could be seizure in etiology.  The fact that he was altered after this last episode would further collaborate that.  He has remained neurovascularly intact in the emergency department during my observation as well as has stable vital signs.  I placed a call the observation unit for admission for likely echo/EEG/ MRI. Patient's COVID-19 screen did come back positive.  I did reinterview him.  Again he has had no cough, congestion or shortness of breath.  No fevers or chills.  He states he feels back to normal currently.  He denies any recent upper respiratory infection symptoms over the last few weeks.  He denies testing positive previously.  He is vaccinated. I did speak with the observation unit regarding this COVID-19 positive finding.  They have agreed still to take him for above workup. Blood Pressure Screening: Based on last blood pressure taken in the ED of 112/66, BP <120/80, routine follow up with PCP.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray, Computerised tomogram head normal, Computerised tomogram spine, Drug screen negative
Clinical narrative: Hospitalized (1.12.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admitted 1.12.22 - 1.13.22 (32 hours - observation) CHIEF COMPLAINT: ALTERED MENTAL STATUS (per ems: found by coworkers on scene unreponsive on ground by them, last thing he remembers was feeling weak, inspiratory wheeze, was given duoneb in route that seemed to improve his symptoms, inititially Aox2 and is currently Aox4 with delays in respoinding, bs 162) DIAGNOSIS at time of disposition: 1. Syncope and collapse  2. COVID  MEDICAL DECISION MAKING: Patient seen evaluated by myself.  Electronic medical record was reviewed.  I did review prior emergency department visits for similar complaints.  I see that he were a ZIO patch in November 2021 for 14 days which was unremarkable.  At this time patient appears somewhat groggy.  Will do routine labs, urine drug screen, EKG, chest x-ray as well as CT head and neck and x-rays of the right shoulder from his fall. EKG shows sinus mechanism with sinus arrhythmia.  No ST elevation, depression or signs of acute ischemic change. Urine drug screen is negative Lactic acid is normal Troponin is normal BNP is normal Complete blood count and CMP are unremarkable Magnesium is normal CT head does not show any acute process CT cervical spine does not show any acute fracture Chest x-ray is unremarkable X-rays right shoulder did not show any fracture. At this time patient is re-evaluated.  His vital signs have been stable in the emergency department.  There has been no signs of significant cardiac ectopy. I discussed the findings with patient.  It is my concern that since he has had serial episodes of the last few months these potentially could be seizure in etiology.  The fact that he was altered after this last episode would further collaborate that.  He has remained neurovascularly intact in the emergency department during my observation as well as has stable vital signs.  I placed a call the observation unit for admission for likely echo/EEG/ MRI. Patient's COVID-19 screen did come back positive.  I did reinterview him.  Again he has had no cough, congestion or shortness of breath.  No fevers or chills.  He states he feels back to normal currently.  He denies any recent upper respiratory infection symptoms over the last few weeks.  He denies testing positive previously.  He is vaccinated. I did speak with the observation unit regarding this COVID-19 positive finding.  They have agreed still to take him for above workup. Blood Pressure Screening: Based on last blood pressure taken in the ED of 112/66, BP <120/80, routine follow up with PCP.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Fall, Fatigue, Feeling abnormal, Full blood count normal
Clinical narrative: Hospitalized (1.12.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admitted 1.12.22 - 1.13.22 (32 hours - observation) CHIEF COMPLAINT: ALTERED MENTAL STATUS (per ems: found by coworkers on scene unreponsive on ground by them, last thing he remembers was feeling weak, inspiratory wheeze, was given duoneb in route that seemed to improve his symptoms, inititially Aox2 and is currently Aox4 with delays in respoinding, bs 162) DIAGNOSIS at time of disposition: 1. Syncope and collapse  2. COVID  MEDICAL DECISION MAKING: Patient seen evaluated by myself.  Electronic medical record was reviewed.  I did review prior emergency department visits for similar complaints.  I see that he were a ZIO patch in November 2021 for 14 days which was unremarkable.  At this time patient appears somewhat groggy.  Will do routine labs, urine drug screen, EKG, chest x-ray as well as CT head and neck and x-rays of the right shoulder from his fall. EKG shows sinus mechanism with sinus arrhythmia.  No ST elevation, depression or signs of acute ischemic change. Urine drug screen is negative Lactic acid is normal Troponin is normal BNP is normal Complete blood count and CMP are unremarkable Magnesium is normal CT head does not show any acute process CT cervical spine does not show any acute fracture Chest x-ray is unremarkable X-rays right shoulder did not show any fracture. At this time patient is re-evaluated.  His vital signs have been stable in the emergency department.  There has been no signs of significant cardiac ectopy. I discussed the findings with patient.  It is my concern that since he has had serial episodes of the last few months these potentially could be seizure in etiology.  The fact that he was altered after this last episode would further collaborate that.  He has remained neurovascularly intact in the emergency department during my observation as well as has stable vital signs.  I placed a call the observation unit for admission for likely echo/EEG/ MRI. Patient's COVID-19 screen did come back positive.  I did reinterview him.  Again he has had no cough, congestion or shortness of breath.  No fevers or chills.  He states he feels back to normal currently.  He denies any recent upper respiratory infection symptoms over the last few weeks.  He denies testing positive previously.  He is vaccinated. I did speak with the observation unit regarding this COVID-19 positive finding.  They have agreed still to take him for above workup. Blood Pressure Screening: Based on last blood pressure taken in the ED of 112/66, BP <120/80, routine follow up with PCP.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Mental status changes, Metabolic function test normal, Pain, Pain in extremity
Clinical narrative: Hospitalized (1.12.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admitted 1.12.22 - 1.13.22 (32 hours - observation) CHIEF COMPLAINT: ALTERED MENTAL STATUS (per ems: found by coworkers on scene unreponsive on ground by them, last thing he remembers was feeling weak, inspiratory wheeze, was given duoneb in route that seemed to improve his symptoms, inititially Aox2 and is currently Aox4 with delays in respoinding, bs 162) DIAGNOSIS at time of disposition: 1. Syncope and collapse  2. COVID  MEDICAL DECISION MAKING: Patient seen evaluated by myself.  Electronic medical record was reviewed.  I did review prior emergency department visits for similar complaints.  I see that he were a ZIO patch in November 2021 for 14 days which was unremarkable.  At this time patient appears somewhat groggy.  Will do routine labs, urine drug screen, EKG, chest x-ray as well as CT head and neck and x-rays of the right shoulder from his fall. EKG shows sinus mechanism with sinus arrhythmia.  No ST elevation, depression or signs of acute ischemic change. Urine drug screen is negative Lactic acid is normal Troponin is normal BNP is normal Complete blood count and CMP are unremarkable Magnesium is normal CT head does not show any acute process CT cervical spine does not show any acute fracture Chest x-ray is unremarkable X-rays right shoulder did not show any fracture. At this time patient is re-evaluated.  His vital signs have been stable in the emergency department.  There has been no signs of significant cardiac ectopy. I discussed the findings with patient.  It is my concern that since he has had serial episodes of the last few months these potentially could be seizure in etiology.  The fact that he was altered after this last episode would further collaborate that.  He has remained neurovascularly intact in the emergency department during my observation as well as has stable vital signs.  I placed a call the observation unit for admission for likely echo/EEG/ MRI. Patient's COVID-19 screen did come back positive.  I did reinterview him.  Again he has had no cough, congestion or shortness of breath.  No fevers or chills.  He states he feels back to normal currently.  He denies any recent upper respiratory infection symptoms over the last few weeks.  He denies testing positive previously.  He is vaccinated. I did speak with the observation unit regarding this COVID-19 positive finding.  They have agreed still to take him for above workup. Blood Pressure Screening: Based on last blood pressure taken in the ED of 112/66, BP <120/80, routine follow up with PCP.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sinus arrhythmia, Sinus disorder, Somnolence, Syncope
Clinical narrative: Hospitalized (1.12.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admitted 1.12.22 - 1.13.22 (32 hours - observation) CHIEF COMPLAINT: ALTERED MENTAL STATUS (per ems: found by coworkers on scene unreponsive on ground by them, last thing he remembers was feeling weak, inspiratory wheeze, was given duoneb in route that seemed to improve his symptoms, inititially Aox2 and is currently Aox4 with delays in respoinding, bs 162) DIAGNOSIS at time of disposition: 1. Syncope and collapse  2. COVID  MEDICAL DECISION MAKING: Patient seen evaluated by myself.  Electronic medical record was reviewed.  I did review prior emergency department visits for similar complaints.  I see that he were a ZIO patch in November 2021 for 14 days which was unremarkable.  At this time patient appears somewhat groggy.  Will do routine labs, urine drug screen, EKG, chest x-ray as well as CT head and neck and x-rays of the right shoulder from his fall. EKG shows sinus mechanism with sinus arrhythmia.  No ST elevation, depression or signs of acute ischemic change. Urine drug screen is negative Lactic acid is normal Troponin is normal BNP is normal Complete blood count and CMP are unremarkable Magnesium is normal CT head does not show any acute process CT cervical spine does not show any acute fracture Chest x-ray is unremarkable X-rays right shoulder did not show any fracture. At this time patient is re-evaluated.  His vital signs have been stable in the emergency department.  There has been no signs of significant cardiac ectopy. I discussed the findings with patient.  It is my concern that since he has had serial episodes of the last few months these potentially could be seizure in etiology.  The fact that he was altered after this last episode would further collaborate that.  He has remained neurovascularly intact in the emergency department during my observation as well as has stable vital signs.  I placed a call the observation unit for admission for likely echo/EEG/ MRI. Patient's COVID-19 screen did come back positive.  I did reinterview him.  Again he has had no cough, congestion or shortness of breath.  No fevers or chills.  He states he feels back to normal currently.  He denies any recent upper respiratory infection symptoms over the last few weeks.  He denies testing positive previously.  He is vaccinated. I did speak with the observation unit regarding this COVID-19 positive finding.  They have agreed still to take him for above workup. Blood Pressure Screening: Based on last blood pressure taken in the ED of 112/66, BP <120/80, routine follow up with PCP.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tooth abscess, Tooth extraction, Toothache, Transient ischaemic attack, Troponin normal
Clinical narrative: Hospitalized (1.12.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admitted 1.12.22 - 1.13.22 (32 hours - observation) CHIEF COMPLAINT: ALTERED MENTAL STATUS (per ems: found by coworkers on scene unreponsive on ground by them, last thing he remembers was feeling weak, inspiratory wheeze, was given duoneb in route that seemed to improve his symptoms, inititially Aox2 and is currently Aox4 with delays in respoinding, bs 162) DIAGNOSIS at time of disposition: 1. Syncope and collapse  2. COVID  MEDICAL DECISION MAKING: Patient seen evaluated by myself.  Electronic medical record was reviewed.  I did review prior emergency department visits for similar complaints.  I see that he were a ZIO patch in November 2021 for 14 days which was unremarkable.  At this time patient appears somewhat groggy.  Will do routine labs, urine drug screen, EKG, chest x-ray as well as CT head and neck and x-rays of the right shoulder from his fall. EKG shows sinus mechanism with sinus arrhythmia.  No ST elevation, depression or signs of acute ischemic change. Urine drug screen is negative Lactic acid is normal Troponin is normal BNP is normal Complete blood count and CMP are unremarkable Magnesium is normal CT head does not show any acute process CT cervical spine does not show any acute fracture Chest x-ray is unremarkable X-rays right shoulder did not show any fracture. At this time patient is re-evaluated.  His vital signs have been stable in the emergency department.  There has been no signs of significant cardiac ectopy. I discussed the findings with patient.  It is my concern that since he has had serial episodes of the last few months these potentially could be seizure in etiology.  The fact that he was altered after this last episode would further collaborate that.  He has remained neurovascularly intact in the emergency department during my observation as well as has stable vital signs.  I placed a call the observation unit for admission for likely echo/EEG/ MRI. Patient's COVID-19 screen did come back positive.  I did reinterview him.  Again he has had no cough, congestion or shortness of breath.  No fevers or chills.  He states he feels back to normal currently.  He denies any recent upper respiratory infection symptoms over the last few weeks.  He denies testing positive previously.  He is vaccinated. I did speak with the observation unit regarding this COVID-19 positive finding.  They have agreed still to take him for above workup. Blood Pressure Screening: Based on last blood pressure taken in the ED of 112/66, BP <120/80, routine follow up with PCP.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli, Wheezing, X-ray limb normal
Clinical narrative: Hospitalized (1.12.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admitted 1.12.22 - 1.13.22 (32 hours - observation) CHIEF COMPLAINT: ALTERED MENTAL STATUS (per ems: found by coworkers on scene unreponsive on ground by them, last thing he remembers was feeling weak, inspiratory wheeze, was given duoneb in route that seemed to improve his symptoms, inititially Aox2 and is currently Aox4 with delays in respoinding, bs 162) DIAGNOSIS at time of disposition: 1. Syncope and collapse  2. COVID  MEDICAL DECISION MAKING: Patient seen evaluated by myself.  Electronic medical record was reviewed.  I did review prior emergency department visits for similar complaints.  I see that he were a ZIO patch in November 2021 for 14 days which was unremarkable.  At this time patient appears somewhat groggy.  Will do routine labs, urine drug screen, EKG, chest x-ray as well as CT head and neck and x-rays of the right shoulder from his fall. EKG shows sinus mechanism with sinus arrhythmia.  No ST elevation, depression or signs of acute ischemic change. Urine drug screen is negative Lactic acid is normal Troponin is normal BNP is normal Complete blood count and CMP are unremarkable Magnesium is normal CT head does not show any acute process CT cervical spine does not show any acute fracture Chest x-ray is unremarkable X-rays right shoulder did not show any fracture. At this time patient is re-evaluated.  His vital signs have been stable in the emergency department.  There has been no signs of significant cardiac ectopy. I discussed the findings with patient.  It is my concern that since he has had serial episodes of the last few months these potentially could be seizure in etiology.  The fact that he was altered after this last episode would further collaborate that.  He has remained neurovascularly intact in the emergency department during my observation as well as has stable vital signs.  I placed a call the observation unit for admission for likely echo/EEG/ MRI. Patient's COVID-19 screen did come back positive.  I did reinterview him.  Again he has had no cough, congestion or shortness of breath.  No fevers or chills.  He states he feels back to normal currently.  He denies any recent upper respiratory infection symptoms over the last few weeks.  He denies testing positive previously.  He is vaccinated. I did speak with the observation unit regarding this COVID-19 positive finding.  They have agreed still to take him for above workup. Blood Pressure Screening: Based on last blood pressure taken in the ED of 112/66, BP <120/80, routine follow up with PCP.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Computerised tomogram head normal, Dizziness, Headache, Laboratory test
Clinical narrative: dizziness, aphasia, headache, weakness of upper and lower extremities
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: dizziness, aphasia, headache, weakness of upper and lower extremities
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received a dose of 0.5ml instead of 0.25ml.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Swollen tongue, Urticaria
Clinical narrative: Hives and swelling of tongue.  Vaccination ~4:30PM and reaction started ~8pm Pt mother called PCP and recommended pt go to the ED.  It is unclear if pt went to ED. Appears that pt developed a moderate- severe reaction to second covid vaccine.  At this time, I would not recommend he get the booster until he has been evaluated and counseled from allergy clinic
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: Patient felt faint right after receiving the COVID-19 Pfizer vaccine. He laid down with legs elevated. He did not loose consciousness and talked to us the whole time. After 15 minutes or so, he felt it was okay to sit up, so he did. He drank some water but then immediately vomited. Paramedics were called after this occurred. They came, assessed the patient and declared him healthy/well. Patient walked out of the pharmacy with no help. He went home with his family who was there with him.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Sinus congestion
Clinical narrative: cough, sinus congestion, shortness of breath. starting 1/22/22
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after stored at freezer temperature for too long. Patient advised and may get revaccinated.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Eustachian tube dysfunction, Tinnitus
Clinical narrative: Tinnitus and Eustachian tube dysfunction
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy bone marrow abnormal, Condition aggravated, Leukaemia recurrent, Lymphadenopathy, Malaise
Clinical narrative: lymph's node - the area around my collar bone and my neck I just was not feeling well.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Positron emission tomogram abnormal
Clinical narrative: lymph's node - the area around my collar bone and my neck I just was not feeling well.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: NO ADVERSE REACTION....... PT RECEIVED 2ND DOSE ON DAYS 14 IN STEAD OF DAY 21
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received Pfizer Covid-19 pediatric dose when she she have received the  Pfizer Covid-19 adult dose. Patient is 12 years old.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness, Dizziness, Ear discomfort, Excessive cerumen production
Clinical narrative: First noticeable event at dinner Nov 18, 2021. Tuna dish w/seaweed salad, which seemed high in sodium. Experienced 5-10 min of dizziness, some ringing in ears. Tinnitus continued thru night and calmed down over coming days but ear felt ?full? or blocked partially with wax Dec 1, appt w/Dr. to clear wax --not as much as is often the case Dec 13, appt w/audiologist bc ear still felt ?full?. Results show loss of high frequency in left ear vs results from 3-4 years previously Dec 16, hearing loss episode in left, about half gone. Called next morning to have nurse relay msg to Dr. Hearing seemed back to ?normal? morning of 17th. Advised to call back if it happens again, or go to ER Dec 30, Moderna booster shot received  Jan 4, hearing loss episode again, about same feeling w/all low frequencies half gone Jan 5, audiologist test, big drop in low frequency end Jan 7, Rx finally filled by Pharmacy, oral Prednisone for 12 days and water pills Jan 19, recheck hearing, further low freq loss. Prednisone direct injection into inner ear, #1, no relief Jan 24, Prednisone injection #2 Jan 27, Prednisone #3 scheduled Feb 3, MRI scheduled to consider next steps
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoacusis, Tinnitus
Clinical narrative: First noticeable event at dinner Nov 18, 2021. Tuna dish w/seaweed salad, which seemed high in sodium. Experienced 5-10 min of dizziness, some ringing in ears. Tinnitus continued thru night and calmed down over coming days but ear felt ?full? or blocked partially with wax Dec 1, appt w/Dr. to clear wax --not as much as is often the case Dec 13, appt w/audiologist bc ear still felt ?full?. Results show loss of high frequency in left ear vs results from 3-4 years previously Dec 16, hearing loss episode in left, about half gone. Called next morning to have nurse relay msg to Dr. Hearing seemed back to ?normal? morning of 17th. Advised to call back if it happens again, or go to ER Dec 30, Moderna booster shot received  Jan 4, hearing loss episode again, about same feeling w/all low frequencies half gone Jan 5, audiologist test, big drop in low frequency end Jan 7, Rx finally filled by Pharmacy, oral Prednisone for 12 days and water pills Jan 19, recheck hearing, further low freq loss. Prednisone direct injection into inner ear, #1, no relief Jan 24, Prednisone injection #2 Jan 27, Prednisone #3 scheduled Feb 3, MRI scheduled to consider next steps
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Vaccine positive rechallenge
Clinical narrative: Within two weeks of all 3 Moderna vaccinations I developed a UTI requiring medical treatment.  I have no history of UTI's.  Dose 1 4/7/21   UTI 4/20 Dose 2 5/5/21  UTI 5/14 Booster 12/17/21  UTI 12/29
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Hepatic enzyme decreased, Inflammatory marker increased, Liver function test increased, Pain
Clinical narrative: Patient had pfizer booster on 11/28/21 and 1 week later started developing an itchy eruption.  OTC medications did not help so she came to see me on 12/10/21.  at that time I considered vaccine hypersensitivity reaction and gave her strong topical steroid and had her come back on 12/14/21.  At thie visit the eruption had spread up and down her legs, it was erythematous and violaceous, a few lesions felt raised and she complained of itching and pain.  I then did a punch biopsy of one lesion and sent her for lab work.  She was subsequently diagnosed with polyarteritis nodosa.  I started her on prednisone 60mg daily right away and had her follow up with her PCP and rheumatologist, who lowered prednsione dose to 20 and started colchicine 0.6mg bid.  She is still on this therapy and doing better.  No new lesions, pain resolved and she will follow up with me and rheumatologist by end of January 2022.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Polyarteritis nodosa, Pruritus, Rash, Rash erythematous, Rash papular
Clinical narrative: Patient had pfizer booster on 11/28/21 and 1 week later started developing an itchy eruption.  OTC medications did not help so she came to see me on 12/10/21.  at that time I considered vaccine hypersensitivity reaction and gave her strong topical steroid and had her come back on 12/14/21.  At thie visit the eruption had spread up and down her legs, it was erythematous and violaceous, a few lesions felt raised and she complained of itching and pain.  I then did a punch biopsy of one lesion and sent her for lab work.  She was subsequently diagnosed with polyarteritis nodosa.  I started her on prednisone 60mg daily right away and had her follow up with her PCP and rheumatologist, who lowered prednsione dose to 20 and started colchicine 0.6mg bid.  She is still on this therapy and doing better.  No new lesions, pain resolved and she will follow up with me and rheumatologist by end of January 2022.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Renal function test normal
Clinical narrative: Patient had pfizer booster on 11/28/21 and 1 week later started developing an itchy eruption.  OTC medications did not help so she came to see me on 12/10/21.  at that time I considered vaccine hypersensitivity reaction and gave her strong topical steroid and had her come back on 12/14/21.  At thie visit the eruption had spread up and down her legs, it was erythematous and violaceous, a few lesions felt raised and she complained of itching and pain.  I then did a punch biopsy of one lesion and sent her for lab work.  She was subsequently diagnosed with polyarteritis nodosa.  I started her on prednisone 60mg daily right away and had her follow up with her PCP and rheumatologist, who lowered prednsione dose to 20 and started colchicine 0.6mg bid.  She is still on this therapy and doing better.  No new lesions, pain resolved and she will follow up with me and rheumatologist by end of January 2022.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: patient reported today on 01/25/2022 that she has had a flat intchy rash on abdomen, chest, neck for 3 weeks post initial vaccine. She was recommended to follow up wthi MD or urgent car before getting any further covid vaccine
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after stored at freezer temperature for too long. Patient advised and may get revaccinated.
Age: 1.42
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness & swelling at injection site after 2nd DTaP dose
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Joint range of motion decreased, Pain, Pain in extremity
Clinical narrative: Sore arm. Sore shoulder. Can not lift her arm past her shoulder. Pain. Has a follow up with her PCP next week due to continued pain.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in freezer temperature for too long. We recommended to the patient to get revaccinated.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after stored at freezer temperature for too long. Patient advised and may get revaccinated.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Body temperature decreased, Cholecystitis infective, Computerised tomogram, Diarrhoea, Endoscopy gastrointestinal
Clinical narrative: 08/24/21 with intermittent pain (thought a kidney stone). By 9/2/21, pain was severe. CT scans, MRI of abdomen, endoscopy of stomach. Ruled out kidney stone. Unable to determine source of pain. Sent home 09/04/21 with Aciphex and Dilaudid.  2nd Moderna 09/09/21. On 09/19/21 to ER, ER doc believed ultrasound showed infection of gall bladder. 09/20/21, Dr. performed surgery and did not remove gall bladder due to inflammation described as "angry" tissue around the stomach. She had another surgeon come into the operating room to view the inflamed tissue. IV antibiotics, home 09/21/21. On 09/29/21, back to hospital with severe vomiting, diarrhea, low body temp, acute pancreatitis (lipase levels normal 9/19/21 in hosp). CT scans, endoscopy, labs. TPN, IV abts x7 days. Almost died. Lost 20+ lbs. Unable to determine reasons for inflammation.  No justifiable reason for the massive inflammation and pain. Believe could be inflammatory response to Moderna vaccine.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gallbladder operation, Inappropriate schedule of product administration, Inflammation, Laboratory test, Lipase normal
Clinical narrative: 08/24/21 with intermittent pain (thought a kidney stone). By 9/2/21, pain was severe. CT scans, MRI of abdomen, endoscopy of stomach. Ruled out kidney stone. Unable to determine source of pain. Sent home 09/04/21 with Aciphex and Dilaudid.  2nd Moderna 09/09/21. On 09/19/21 to ER, ER doc believed ultrasound showed infection of gall bladder. 09/20/21, Dr. performed surgery and did not remove gall bladder due to inflammation described as "angry" tissue around the stomach. She had another surgeon come into the operating room to view the inflamed tissue. IV antibiotics, home 09/21/21. On 09/29/21, back to hospital with severe vomiting, diarrhea, low body temp, acute pancreatitis (lipase levels normal 9/19/21 in hosp). CT scans, endoscopy, labs. TPN, IV abts x7 days. Almost died. Lost 20+ lbs. Unable to determine reasons for inflammation.  No justifiable reason for the massive inflammation and pain. Believe could be inflammatory response to Moderna vaccine.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging abdominal, Pain, Pancreatitis acute, Ultrasound biliary tract abnormal, Vomiting
Clinical narrative: 08/24/21 with intermittent pain (thought a kidney stone). By 9/2/21, pain was severe. CT scans, MRI of abdomen, endoscopy of stomach. Ruled out kidney stone. Unable to determine source of pain. Sent home 09/04/21 with Aciphex and Dilaudid.  2nd Moderna 09/09/21. On 09/19/21 to ER, ER doc believed ultrasound showed infection of gall bladder. 09/20/21, Dr. performed surgery and did not remove gall bladder due to inflammation described as "angry" tissue around the stomach. She had another surgeon come into the operating room to view the inflamed tissue. IV antibiotics, home 09/21/21. On 09/29/21, back to hospital with severe vomiting, diarrhea, low body temp, acute pancreatitis (lipase levels normal 9/19/21 in hosp). CT scans, endoscopy, labs. TPN, IV abts x7 days. Almost died. Lost 20+ lbs. Unable to determine reasons for inflammation.  No justifiable reason for the massive inflammation and pain. Believe could be inflammatory response to Moderna vaccine.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: 08/24/21 with intermittent pain (thought a kidney stone). By 9/2/21, pain was severe. CT scans, MRI of abdomen, endoscopy of stomach. Ruled out kidney stone. Unable to determine source of pain. Sent home 09/04/21 with Aciphex and Dilaudid.  2nd Moderna 09/09/21. On 09/19/21 to ER, ER doc believed ultrasound showed infection of gall bladder. 09/20/21, Dr. performed surgery and did not remove gall bladder due to inflammation described as "angry" tissue around the stomach. She had another surgeon come into the operating room to view the inflamed tissue. IV antibiotics, home 09/21/21. On 09/29/21, back to hospital with severe vomiting, diarrhea, low body temp, acute pancreatitis (lipase levels normal 9/19/21 in hosp). CT scans, endoscopy, labs. TPN, IV abts x7 days. Almost died. Lost 20+ lbs. Unable to determine reasons for inflammation.  No justifiable reason for the massive inflammation and pain. Believe could be inflammatory response to Moderna vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Confusional state, Loss of consciousness, Tenderness
Clinical narrative: Per patient had vaccine done 1/21/22 and felt a lump next to her LT breast on 1/23/22. Patient then blacked out yesterday 1/24/22 at work at 1:00PM and when patient woke up, patient couldn't understand the words coming out of her mouth. This morning 1/25/22 patient didn't feel the lump anymore but it hurt to touch.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: I had my covid shots, then flew to another location 2 weeks later.  I had 2 events.  Event 1:  About 3 weeks after my 2nd Covid on 3/11/21, I had red bumps on hands, arms, legs.  I went to urgent care .  Dr. didn't know what it was...thought it could be environmental like an allergy.  He gave me Triamcinolone cream.  It cleared up within 2 weeks.  Event 2:   About 6 weeks after the booster, I flew to another location.  I had another outbreak, worse and longer lasting than the first.  My GP,  Dr., thought it might be related to the Covid  vax.   I'm not sure if it was related or not, but thought I should report it just in case.    Currently the bumps have subsided, but they are still visible.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: shingles, 8 wks to resolve, treated with antiviral medications for 10 days
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient's third (booster) dose of Pfizer vaccine was given early, only 3 months after his second dose. This was an error in administration. There were no other known complications or adverse effects, beyond the anticipated immune response, experienced from this early administration. Concrete steps are being taken to prevent similar errors in the future.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in freezer temperature for too long. We recommended to the patient to get revaccinated.
Age: 4.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Nurse received a vaccine administration fax from pharmacy Patient received his Pediatric Covid-19 vaccines. Nurse went into chart to add historical administration and noticed that his DOB in our records did not match what was on the fax from pharmacy.  Nurse called pharmacy to verify administration and they stated they had been. Nurse reported his actual birth date to pharmacist.  Nurse then called mother, and nurse stated that we had received a fax from pharmacy stating that he received his pediatric Covid-19 vaccines and on the fax it states the wrong DOB and in his medical chart it says another DOB I want to verify this is accurate. Mom stated that yes he had received his Covid vaccines and nurse confirmed that his birthday in the chart was correct meaning that at this time he was too young and ineligible to receive the Covid vaccine because it is not recommended or approved by the CDC. Mom confirmed and stated that she had spoke to physician about it and she said that it was ok for him to get the vaccine due to the history of cancer in our family. Nurse stated "to be clear what you are telling me is that physician gave you permission to lie about his age and receive the Covid-19 Pfizer vaccine that is not recommended or approved for his age?" Mom stated "Yes, since the history of cancer in our family.  Nurse stated "ok this will be added to his permanent medical record.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dyspnoea, Heart rate increased, Wheezing
Clinical narrative: Approximately 10 minutes after injection, patient stated she started experiencing shortness of breath and chest tightness.  Rph monitored for about 20 more minutes and patient condition did not change one way or the other. Advised patient to seek medical treatment and offered to have EMS come evaluate her. She stated she would monitor at home and seek treatment if condition worsened.  On 1/25/2022, patient stopped by the pharmacy to advise that she contacted pfizer and they stated she was experiencing a severe adverse reaction. She also stated that her symptoms had not improved and she was still experiencing shortness of breath, chest tightness, increased heart rate and wheezing.  It was advised again that the patient seek medical treatment by both Pfizer representative and pharmacist on duty, which she refused.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Condition aggravated, Dyspnoea, Heart rate, Heart rate increased
Clinical narrative: Approximately 10 minutes after injection, patient stated she started experiencing shortness of breath and chest tightness.  Rph monitored for about 20 more minutes and patient condition did not change one way or the other. Advised patient to seek medical treatment and offered to have EMS come evaluate her. She stated she would monitor at home and seek treatment if condition worsened.  On 1/25/2022, patient stopped by the pharmacy to advise that she contacted pfizer and they stated she was experiencing a severe adverse reaction. She also stated that her symptoms had not improved and she was still experiencing shortness of breath, chest tightness, increased heart rate and wheezing.  It was advised again that the patient seek medical treatment by both Pfizer representative and pharmacist on duty, which she refused.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation, Oxygen saturation decreased
Clinical narrative: Approximately 10 minutes after injection, patient stated she started experiencing shortness of breath and chest tightness.  Rph monitored for about 20 more minutes and patient condition did not change one way or the other. Advised patient to seek medical treatment and offered to have EMS come evaluate her. She stated she would monitor at home and seek treatment if condition worsened.  On 1/25/2022, patient stopped by the pharmacy to advise that she contacted pfizer and they stated she was experiencing a severe adverse reaction. She also stated that her symptoms had not improved and she was still experiencing shortness of breath, chest tightness, increased heart rate and wheezing.  It was advised again that the patient seek medical treatment by both Pfizer representative and pharmacist on duty, which she refused.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in freezer temperature for too long. We recommended to the patient to get revaccinated.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Rash pruritic, Skin discolouration
Clinical narrative: A few days after getting the vaccine, developed an itching/burning rash on top of both feet and discoloration on big toes. Currently treating with antistamine and itch relieving cream
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Sensation of foreign body, Vaccine positive rechallenge
Clinical narrative: Patient stated she felt a lump sensation in her throat. It happened each vaccination. Patient declined treatment and stated she felt okay to go home.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Muscle twitching, Pain in extremity, Paraesthesia
Clinical narrative: within couple of hours of receiving vaccine my feet were tingling and felt like pins & needles were being pushed in them.  One week later my feet are still tingling.  Felt extremely tired.   Other random muscle twitches.  Sore arm
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED FOR FREEZER TEMPERATURE FOR TOO LONG.  WE HAVE RECOMMENDED TO THE PATIENT TO GET REVACCINATED.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Dizziness, Nausea, Tachycardia
Clinical narrative: Client states he received Moderna first dose on 4/6/21. He states that two weeks after receiving dose client began feeling dizzy and nauseous while driving. Client went to Emergency room and client had tachycardia, Heart rate was ?175 and went up to 200?and stated had a ?temperature of 103.?. Client received Tylenol. Client states he was in emergency room for about 9hrs and was discharged, and stated his symptoms had ?resolved?. He was told at the emergency room that his symptoms were due to a reaction to the vaccine. Client stated he received Dose 2 of Moderna on 5/22/21. Client states he had a similar reaction the second time within 12hrs of receiving Dose 2. Client states symptoms resolved in 2 hrs. and client only rested and didn't seek emergency care. Client hasn't had symptoms since then. Client didn't follow up with his Primary care provider and states he has No allergies or chronic conditions. Moderna booster was not administered and was recommended by RN, per MD recommendation to his primary care provider before getting his booster.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Otitis media, SARS-CoV-2 test negative
Clinical narrative: Middle ear infection diagnosed in her right ear on Jan. 19. Diagnosed by doctor on Jan. 20.  She never had any other cold symptoms and tested negative for covid on a Binax test. I don't think it's related to her vaccine but maybe a new, odd Covid symptom? She has never had an ear infection before.  Still no other symptoms.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Feeling abnormal, SARS-CoV-2 test positive
Clinical narrative: On 01/08/2022 I started feeling poorly. By the time I could get tested it was 01/10/2022 and I tested positive for it despite being fully vaccinated with booster. I saw my PCP and they gave me 4 shots of antibodies.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED FOR FREEZER TEMPERATURE FOR TOO LONG.  WE HAVE RECOMMENDED TO THE PATIENT TO GET REVACCINATED.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac murmur, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: On or about 12/29/2021 I began to have severe shortness of breath. I scheduled an appointment with my internist on 1/6/2022 who scheduled me for an EKG on 1/7 after hearing a murmur during my visit. The EKG confirmed the atrial fibrillation and I was referred to cardiologist Dr. who confirmed the diagnosis and began treatment with Eliquis.
Age: 8.0
Sex: F
Vaccine: UNK
Symptoms: Product preparation error
Clinical narrative: I prepared the vaccine without diluent, by mistake.  I had prepared gray top Pfizer vaccine and a Moderna vaccine prior to the Pedi Pfizer and  didn't remember to dilute these two doses.  I normally place the diluent with the vaccine; however, today the diluent was not in plain view and I overlooked that step.  It was not  intentional.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Body became very itchy.  Hands, feet, neck, face, back, groin
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Chest X-ray abnormal, Cough, Nasopharyngitis, SARS-CoV-2 test negative
Clinical narrative: Seem to get a cold and as it progressed turned into bronchitis. 1/6 took a CoVid test rapid (negative) just to make sure and later on 1/12 went to urgent care. There, I got a chest X-ray and oxy levels. Thru the physical exam and prior history doctor diagnosed as bronchitis. Breathing treatment for albuterol, antibiotic, prescription for cough (benzonatate caps), and prednisone. Also, advised to use nebulizer as per usual. Took about 10 days but feel much better and have recovered.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Carotid artery occlusion, Carotid artery thrombosis, Cerebrovascular accident, Embolic stroke, Laboratory test
Clinical narrative: Stroke and blocked carotid artery.  Clots filled the artery and then broke of into  the brain. Cause of the clots are unknown. An ultrasound prior showed no blockage
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED FOR FREEZER TEMPERATURE FOR TOO LONG.  WE HAVE RECOMMENDED TO THE PATIENT TO GET REVACCINATED.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Fatigue, Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: A day post my 3rd vaccine, my lymph nodes began swelling  and my left breast is still swollen as well and hives in mid to low back left of the spine. Very sensitive to touch and causes left side pain and soreness.  Lymph node swelling has currently started to come down, however there is still some swelling present in my shoulder and breast. Fatigue has been present and my taste has seemed to be off as well.  Physician told me to rest for 2-3 weeks.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia, Tenderness, Urticaria
Clinical narrative: A day post my 3rd vaccine, my lymph nodes began swelling  and my left breast is still swollen as well and hives in mid to low back left of the spine. Very sensitive to touch and causes left side pain and soreness.  Lymph node swelling has currently started to come down, however there is still some swelling present in my shoulder and breast. Fatigue has been present and my taste has seemed to be off as well.  Physician told me to rest for 2-3 weeks.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED FOR FREEZER TEMPERATURE FOR TOO LONG.  WE HAVE RECOMMENDED TO THE PATIENT TO GET REVACCINATED.