chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Seizure like phenomena
Clinical narrative: Child had seizure like activity in parking lot. EMS was called. Child recovered on own without any intervention. Left facility in private vehicle with mother.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Blood creatinine increased, Blood culture, Blood lactic acid decreased, Computerised tomogram abdomen abnormal
Clinical narrative: Patient presented here yesterday with lower abdominal pain and was found to have UTI he was discharged on Bactrim after he apparently refused admission, CT at that time showed bilateral perinephric stranding concerning for pyelonephritis Presented back today with dizziness, hypertension, and unable to urinate In the ED, BMP showed significant elevation in creatinine from 1.0 to 2.58, patient was noted to be hypotensive requiring transient norepinephrine with bolus of normal saline x3 (total of 3L) Lactic acid was 1.9 Patient was started on meropenem based on previous sensitivity Continue maintenance IV fluids Blood cultures pending
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypertension, Hypotension, Metabolic function test abnormal, Renal disorder
Clinical narrative: Patient presented here yesterday with lower abdominal pain and was found to have UTI he was discharged on Bactrim after he apparently refused admission, CT at that time showed bilateral perinephric stranding concerning for pyelonephritis Presented back today with dizziness, hypertension, and unable to urinate In the ED, BMP showed significant elevation in creatinine from 1.0 to 2.58, patient was noted to be hypotensive requiring transient norepinephrine with bolus of normal saline x3 (total of 3L) Lactic acid was 1.9 Patient was started on meropenem based on previous sensitivity Continue maintenance IV fluids Blood cultures pending
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary retention, Urinary tract infection
Clinical narrative: Patient presented here yesterday with lower abdominal pain and was found to have UTI he was discharged on Bactrim after he apparently refused admission, CT at that time showed bilateral perinephric stranding concerning for pyelonephritis Presented back today with dizziness, hypertension, and unable to urinate In the ED, BMP showed significant elevation in creatinine from 1.0 to 2.58, patient was noted to be hypotensive requiring transient norepinephrine with bolus of normal saline x3 (total of 3L) Lactic acid was 1.9 Patient was started on meropenem based on previous sensitivity Continue maintenance IV fluids Blood cultures pending
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID-19 on 07/21/2022
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Corneal oedema, Eye swelling, Fundoscopy, Intraocular pressure test, Rash
Clinical narrative: Facial/ arm chest rash Swollen eyes Bilateral Corneal Edema Blurred vision  Significant decreased vision Inability to see to read phone/computer screen About 5-10 minutes after taking vaccine took a long acting antihistamine as per my allergist?s recommendation.  Tests: Automatic Tonometer eye test Slit lamp test Treatment: Prednisone 60mg daily x 6 days (first treatment in ER)  Outcome:  Decreased vision with significant inability to see for about  1 month
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Slit-lamp examination, Vision blurred, Visual impairment
Clinical narrative: Facial/ arm chest rash Swollen eyes Bilateral Corneal Edema Blurred vision  Significant decreased vision Inability to see to read phone/computer screen About 5-10 minutes after taking vaccine took a long acting antihistamine as per my allergist?s recommendation.  Tests: Automatic Tonometer eye test Slit lamp test Treatment: Prednisone 60mg daily x 6 days (first treatment in ER)  Outcome:  Decreased vision with significant inability to see for about  1 month
Age: 1.42
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Crying, Fatigue, Hypersomnia, Irritability
Clinical narrative: Four days after vaccination, 8-10-2022, she started having a fever up to 102.2, crying and mildly irritable with fatigue. She did not want to play with any of her toys at daycare. There was no lump or swelling at vaccine site. I called the nurse at my primary care physicians office and she suggested Tylenol if temp up to 102 and to increase oral fluids. She advised that the fever was probably due to a virus instead of the vaccine. The following day, her temp was still 101.6. She still had excessive sleeping periods. She missed 2 days of daycare. There was no fever on 8-12 and seemed to be much better.
Age: 1.42
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pyrexia, Viral infection
Clinical narrative: Four days after vaccination, 8-10-2022, she started having a fever up to 102.2, crying and mildly irritable with fatigue. She did not want to play with any of her toys at daycare. There was no lump or swelling at vaccine site. I called the nurse at my primary care physicians office and she suggested Tylenol if temp up to 102 and to increase oral fluids. She advised that the fever was probably due to a virus instead of the vaccine. The following day, her temp was still 101.6. She still had excessive sleeping periods. She missed 2 days of daycare. There was no fever on 8-12 and seemed to be much better.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Client presented with a COVID-19 vaccination card with 2 dates on it, 05/20/2021 and 06/10/2021. The record for this client was not looked up in the registry system because she presented with her father, who stated she was at clinic for her booster. Upon entering the vaccination into the local Immunization Registry, it was discovered that she also had received COVID-19 vaccines on 12/28/2021 and 04/22/2022. All vaccines were Pfizer. The father was called by writer. He admitted that he thought she received the vaccine on 12/28/21, but was not sure about 4/22/22. Information discussed regarding child being inappropriately vaccinated. Child is having no ill effect that parent can identify. He was counseled to contact HCP if any health concerns arise. Parent was notified a report would be completed.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Urticaria
Clinical narrative: 20min after mmrv developped hives over body, 6ml given po of Diphenhydramine per MD, referred to Allergy/Immunology .
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Anticoagulant therapy, Blood electrolytes normal, Blood test abnormal, COVID-19
Clinical narrative: Developed symptoms on 7/30. Rapid home test for COVID-19 negative. Persistent cough, shortness of breath, dyspnea on exertion, and fatigue. Saw PCP on 8/2 - rapid point-of-care COVID test positive. Monoclonal antibody therapy bebtelovimab given on 8/4. Presented 8/8/2022 to emergency department for evaluation of cough and shortness of breath. Eliquis for history of COPD. Appetite has been poor. Pulse ox 89%. Placed on nasal cannula oxygen supplementation. Physical examination is notable for diffuse wheezing and albuterol HFA was ordered. She was not volume overloaded to suggest congestive failure in the setting. Albuterol is provided as was Decadron in the setting of her hypoxia with COVID. The patient was admitted to the medical service for further care.  ID consulted to assist with COVID management. Recommendations: - Continue dexamethasone 10mg for 2 more days followed by 7 days of 5mg - Check baseline COVID inflammatory labs - Outside of window for anti-viral therapy - Not seeing a need for antibiotics - Isolate for 20 days; end of isolation 8/19 - Monitor respiratory status and for signs of secondary bacterial infection Submitter does not have access to further medical records or course of hospitalization. If further information is needed, please contact HCF
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Decreased appetite, Dyspnoea, Dyspnoea exertional
Clinical narrative: Developed symptoms on 7/30. Rapid home test for COVID-19 negative. Persistent cough, shortness of breath, dyspnea on exertion, and fatigue. Saw PCP on 8/2 - rapid point-of-care COVID test positive. Monoclonal antibody therapy bebtelovimab given on 8/4. Presented 8/8/2022 to emergency department for evaluation of cough and shortness of breath. Eliquis for history of COPD. Appetite has been poor. Pulse ox 89%. Placed on nasal cannula oxygen supplementation. Physical examination is notable for diffuse wheezing and albuterol HFA was ordered. She was not volume overloaded to suggest congestive failure in the setting. Albuterol is provided as was Decadron in the setting of her hypoxia with COVID. The patient was admitted to the medical service for further care.  ID consulted to assist with COVID management. Recommendations: - Continue dexamethasone 10mg for 2 more days followed by 7 days of 5mg - Check baseline COVID inflammatory labs - Outside of window for anti-viral therapy - Not seeing a need for antibiotics - Isolate for 20 days; end of isolation 8/19 - Monitor respiratory status and for signs of secondary bacterial infection Submitter does not have access to further medical records or course of hospitalization. If further information is needed, please contact HCF
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Hypoxia, Interstitial lung disease, Leukocytosis
Clinical narrative: Developed symptoms on 7/30. Rapid home test for COVID-19 negative. Persistent cough, shortness of breath, dyspnea on exertion, and fatigue. Saw PCP on 8/2 - rapid point-of-care COVID test positive. Monoclonal antibody therapy bebtelovimab given on 8/4. Presented 8/8/2022 to emergency department for evaluation of cough and shortness of breath. Eliquis for history of COPD. Appetite has been poor. Pulse ox 89%. Placed on nasal cannula oxygen supplementation. Physical examination is notable for diffuse wheezing and albuterol HFA was ordered. She was not volume overloaded to suggest congestive failure in the setting. Albuterol is provided as was Decadron in the setting of her hypoxia with COVID. The patient was admitted to the medical service for further care.  ID consulted to assist with COVID management. Recommendations: - Continue dexamethasone 10mg for 2 more days followed by 7 days of 5mg - Check baseline COVID inflammatory labs - Outside of window for anti-viral therapy - Not seeing a need for antibiotics - Isolate for 20 days; end of isolation 8/19 - Monitor respiratory status and for signs of secondary bacterial infection Submitter does not have access to further medical records or course of hospitalization. If further information is needed, please contact HCF
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, SARS-CoV-2 test positive, Wheezing
Clinical narrative: Developed symptoms on 7/30. Rapid home test for COVID-19 negative. Persistent cough, shortness of breath, dyspnea on exertion, and fatigue. Saw PCP on 8/2 - rapid point-of-care COVID test positive. Monoclonal antibody therapy bebtelovimab given on 8/4. Presented 8/8/2022 to emergency department for evaluation of cough and shortness of breath. Eliquis for history of COPD. Appetite has been poor. Pulse ox 89%. Placed on nasal cannula oxygen supplementation. Physical examination is notable for diffuse wheezing and albuterol HFA was ordered. She was not volume overloaded to suggest congestive failure in the setting. Albuterol is provided as was Decadron in the setting of her hypoxia with COVID. The patient was admitted to the medical service for further care.  ID consulted to assist with COVID management. Recommendations: - Continue dexamethasone 10mg for 2 more days followed by 7 days of 5mg - Check baseline COVID inflammatory labs - Outside of window for anti-viral therapy - Not seeing a need for antibiotics - Isolate for 20 days; end of isolation 8/19 - Monitor respiratory status and for signs of secondary bacterial infection Submitter does not have access to further medical records or course of hospitalization. If further information is needed, please contact HCF
Age: 0.42
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Local health center administered COVID-19 vaccine to patient when he was only 5 months and 4 days of age.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient given expired dose of Moderna. Vial opened on 8/9 and expired 8/10. Vial should have been discarded. Vial kept refrigerated appropriately. It had not been punctured more than 20 times. Patient experienced no adverse reactions.
Age: 32.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: Vaccine was given via Intramuscular route instead of subcutaneous route.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID on 07/23/22
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID-19 on 07/23/2022
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Neuralgia, Pain
Clinical narrative: PT DESCRIBES IMMEDIATE PAIN UPON INJECTION. "FELT HIGHER UP ON ARM THAN NORMAL". DAYS FOLLOWING INJECTION PT EXPERIENCED MORE PAIN THAN WITH PREVIOUS VACCINES AND LIMITED MOBILITY. PT STATES SHE DID BEST TO KEEP ARM MOBILE AND EVENTUALLY PAIN/MOBILITY HAS IMPROVED.  PT STATES SHE STILL HAS "NERVE PAIN" THAT RADIATES TO ELBOW AREA ON AFFECTED ARM. PT DID NOT SEEK ANY MEDICAL CARE TO DATE. ADVISED TO DO SO IF PAIN CONTINUES.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Product administered at inappropriate site
Clinical narrative: PT DESCRIBES IMMEDIATE PAIN UPON INJECTION. "FELT HIGHER UP ON ARM THAN NORMAL". DAYS FOLLOWING INJECTION PT EXPERIENCED MORE PAIN THAN WITH PREVIOUS VACCINES AND LIMITED MOBILITY. PT STATES SHE DID BEST TO KEEP ARM MOBILE AND EVENTUALLY PAIN/MOBILITY HAS IMPROVED.  PT STATES SHE STILL HAS "NERVE PAIN" THAT RADIATES TO ELBOW AREA ON AFFECTED ARM. PT DID NOT SEEK ANY MEDICAL CARE TO DATE. ADVISED TO DO SO IF PAIN CONTINUES.
Age: 9.0
Sex: F
Vaccine: IPV, TD
Symptoms: Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Arm swollen with pain warm to touch lasted 3-4 days
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID on 07/24/22.
Age: 40.0
Sex: M
Vaccine: VARZOS
Symptoms: Wrong product administered
Clinical narrative: Patient was given wrong vaccination, given Shingrix instead of Twinrix , no side effects occurred.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID-19 on 07/27/2022.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None. Package insert had expiration date at 12/31/2069, unknown to us, this was not correct. Moderna found with proper storage, vaccine maintained the activity necessary to protect against the SARS-COV-2 virus at the time of administration. Viability check done by Moderna found vaccine to be viable and effective.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: No adverse event from the vaccine, but I did end up getting COVID, so I don't know if that's considered an adverse event or not. I received my last dose of the vaccine in August 2021, which was a booster, and then tested positive for COVID on May 31, 2022.
Age: 20.0
Sex: F
Vaccine: HEPA
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Hepatitis A vaccine was given instead of intended Hepatitis B vaccine.   No adverse reactions reported by patient. This was the first Hep A vaccine patient has received.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, COVID-19, Chest X-ray abnormal, Death, Dyspnoea
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 10/14/21, LOT #FH8020; 1/29 - 2/7/22 pt hospitalized with COVID; was on supplemental O2; dc'd to home on RA with 10 day supply of Omnicef and Dexamethasone; 2/9/22 back to hospital with increasing SOB and fatigue; home health nurse encouraged pt to come to ED if SOB worsened; O2 supplementation; PO2 45 on RA, ABG; CXR worse when compared to the ones done on 2/1 and 2/5/22; givO2 needs continued to increase requiring Vapotherm and eventually BiPAP; family chose comfort care for pt since she was not improving; pt expired in the hospital
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, PO2 decreased, Positive airway pressure therapy
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 10/14/21, LOT #FH8020; 1/29 - 2/7/22 pt hospitalized with COVID; was on supplemental O2; dc'd to home on RA with 10 day supply of Omnicef and Dexamethasone; 2/9/22 back to hospital with increasing SOB and fatigue; home health nurse encouraged pt to come to ED if SOB worsened; O2 supplementation; PO2 45 on RA, ABG; CXR worse when compared to the ones done on 2/1 and 2/5/22; givO2 needs continued to increase requiring Vapotherm and eventually BiPAP; family chose comfort care for pt since she was not improving; pt expired in the hospital
Age: 12.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong product administered
Clinical narrative: DTap was administered to patient instead of TDap.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID 07/27/2022
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer COVID vaccine was stored in regular freezer for longer than 2 weeks and patient received
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer Covid vaccine stored in regular freezer for longer than 2 weeks and patient received.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Product expiration date issue
Clinical narrative: None. Package insert had expiration date at 12/31/2069, unknown to us, this was not correct. Moderna found that with proper storage, the vaccine maintained the activity necessary to protect against the SARS-COV-2 virus at the time of administration.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Dysstasia, Head injury, Loss of consciousness, Pain in extremity
Clinical narrative: left arm hurting-dizziness, hardly stand, passed out. hit head
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer COVID vaccine was stored in regular freezer for longer than 2 weeks and patient received
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Chest tube insertion, Death, Endotracheal intubation
Clinical narrative: 2/21/22 was taken to the Medical Center in cardiac arrest, CPR, intubated; found to be positive for COVID; 2/22/22 pt was transferred to a different Medical Center for higher level of care; hypotensive, vasopressors and chest tube placed; concern about anoxic brain injury; dexamethasone, ABX, vitamins C & D, zinc, thiamine; DNR; pt expired in the hospital
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: 2/21/22 was taken to the Medical Center in cardiac arrest, CPR, intubated; found to be positive for COVID; 2/22/22 pt was transferred to a different Medical Center for higher level of care; hypotensive, vasopressors and chest tube placed; concern about anoxic brain injury; dexamethasone, ABX, vitamins C & D, zinc, thiamine; DNR; pt expired in the hospital
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Angina pectoris, Pyrexia, Tachycardia
Clinical narrative: The night the vaccines were administered (8/16/22( patient started complaining of "heart pain." Mother took patients temperature was 100.0 F. Patient was given Tylenol Q4H until patient was seen in office on 8/17/22 around 9 am. Initial presentation in office was tachycardia (140-150) and a fever of 99.8. Patient was given 7.5 mL of Tylenol in office. After 30 minutes patient heart rate reduced to 120 BPM.  Patient tolerated medication in office and effectively had HR reduced to a normal range. Patient instructed to follow-up in ER if symptoms returned.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Upon returning the vaccine to another store we reallized that it is only good 30 days from the deep freeze.  We thought  that it was good until 10-30-2022 according to the mfg website when kept at room temperature.  We received this medication on  06-02-2022.  We called the manufactor and gave them the information.  They are going to do batch testing to see if we need to revaccinate.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Fully vaccinated with J&J and one booster
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: fatigue, lightheaded, generalized weakness, brain fog
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer COVID vaccine stored in regular freezer for longer than 2 weeks and patient received.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Hypoxia, Immunisation reaction, Vomiting
Clinical narrative: dizziness, vomiting, sob, hypoxia,
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea about 5 hours after the vaccine, followed by vomiting  starting at about 34 hours after the vaccine and lasting until 48 hours after.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer COVID vaccine was stored in regular freezer for longer than 2 weeks and patient received.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cerebral disorder, Chest X-ray, Computerised tomogram, Diarrhoea
Clinical narrative: Pt. stated symptoms started 3/6/2022, very weak and tired. Brain fog, extreme diarrhea. Stayed in bed for 3 days, and then went to urgent care. 5 days later went to ER, was told she had pneumonia. Brain is still very slow. Pt. also stated she had a rash for about 3 weeks and was given steroids and antibiotics.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Laboratory test, Pneumonia, Rash
Clinical narrative: Pt. stated symptoms started 3/6/2022, very weak and tired. Brain fog, extreme diarrhea. Stayed in bed for 3 days, and then went to urgent care. 5 days later went to ER, was told she had pneumonia. Brain is still very slow. Pt. also stated she had a rash for about 3 weeks and was given steroids and antibiotics.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Potentially sub therapeutic dose.  When we were returning the vaccine to another store we realized that it was only good 30 days from the deep freeze.  We thought is was good   until 10-30-2022 when kept in the fridge.  We got this medication from supplier on 06-02-2022 and vaccinated 08-02-2022.  We contacted the mfg and they are going to do batch testing to see if we need to re-vaccinate.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Severe nausea that required trip to Urgent Care for antinausea medication; nausea continued for 18 hours even if Zofran taken every 4 hours orally
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted twice.  COVID breakthrough infection
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer COVID vaccine stored in regular freezer for longer than 2 weeks and patient received.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash maculo-papular, Urticaria
Clinical narrative: Five days following second dose of COVID-19 vaccination my son began having a recurring rash.  He has no chronic medical conditions and has not been diagnosed with COVID-19 in the past.  His vaccination history is up-to-date with no prior allergic reaction to vaccines.  He does have a severe allergy to peanuts and treenuts.  He has developed a global widespread uticaria formation of a daily rash with maculopapular wheels.  The rash resolves within 15-30 minutes of Zyrtec administration but appears again globally throughout the body within 24 hours of taking Zyrtec.  He has tried taking Zyrtec consistently for various prolonged periods of time, but uticaria would resume after 24 hours of ceasing daily dosage.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Extra dose administered, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case. Received dose 4 of Moderna on 02/15/2022. Around grandson who had COVID-19 and tested positive for COVID-19 on  08/10/2022. Was prescribed P,AXLOVID and is starting to feel a little bit better on 08/17/2022 but is still tired.
Age: 41.0
Sex: F
Vaccine: COVID19, TDAP
Symptoms: Product storage error
Clinical narrative: Pfizer COVID vaccine was stored in regular freezer for longer than 2 weeks and patient received
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Upon returning the unused bottles of vaccine that we had left we realized that the vaccine was only good 30 days from the deep freeze.  We thought it was 10-30-2022 the date on the manufacter website when kept in the fridge.  We received this vaccine on 06-02-2022 and vaccinated on 08-02-2022.  We contacted the mfg which is going to do batch testing to see if we need to revaccinate.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer covid vaccine stored in regular freezer for longer than 2 weeks and patient received.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Erythema, Feeling abnormal, Headache, Influenza like illness
Clinical narrative: Shingrix vaccine first dose 2-14-2022 ..swollen red arm for several days.  I felt like I had the flu for two days and had a burning headache on my left side of  my brain for two weeks?not a good feeling at all.  August 8, 2022 second shingrix vaccine dose?arm very red and very swollen like a baseball for two days.  I did feel like I had the flu for two days. After two days still red and swollen but decreasing.  After a week the left arm is still red and itchy but not swollen.  I only had one bad headache for one day.   I did not have a burning headache for two weeks.  I did take Tylenol before and after the vaccine at my doctors request the second injection.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Pruritus
Clinical narrative: Shingrix vaccine first dose 2-14-2022 ..swollen red arm for several days.  I felt like I had the flu for two days and had a burning headache on my left side of  my brain for two weeks?not a good feeling at all.  August 8, 2022 second shingrix vaccine dose?arm very red and very swollen like a baseball for two days.  I did feel like I had the flu for two days. After two days still red and swollen but decreasing.  After a week the left arm is still red and itchy but not swollen.  I only had one bad headache for one day.   I did not have a burning headache for two weeks.  I did take Tylenol before and after the vaccine at my doctors request the second injection.
Age: 30.0
Sex: F
Vaccine: COVID19, TDAP
Symptoms: Product storage error
Clinical narrative: Patient received Pfizer COVID-19 vaccine stored in regular freezer for longer than 2 weeks.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine from previous day was given in error
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Upon trying to return unused vaccine vials to another store we realized that it was only good 30 days from the deep freeze.  We got the vaccine on 06-02-2022 and vaccinated on 08-02-2022. We thought that it was good until 10-30-2022 according to the mfg website when kept in the fridge. We created a report to Moderna and requested batch testing to see if we should revaccinate. Waiting for a reply.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Febrile convulsion, Feeling hot, Head titubation, Irritability, Tremor
Clinical narrative: Patient received second dose of COVID Moderna <6 vaccine on 8/10/22 at 11:00 am. Parents noticed patient started to get very fussy that evening, parent went in to check on patient around 1:00 am on 8/11/22, patient was extremely warm so they went to give tylenol and when they did the patient's head went back and his arms and legs shook for 1-2 minutes. Went to the ED and patient was diagnosed with febrile seizure.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pneumonia
Clinical narrative: Patient sent to the ED with bilateral pneumonia.  Patient admitted to hospital with Covid and treated with remdesivir.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine from the previous day was given in error
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, X-ray
Clinical narrative: Right shoulder hurts to move in certain directions.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Upon trying to return unused vaccine to another store we realized that the vaccine was only good 30 days from deep freeze.  We thought is was good until 10-30-2022 according to the mfg website when kept in the fridge. We received this medication on 06-02-2022 and vaccinated on 08-02-2022.  We reported this problem to the mfg and they are going to do batch testing to see if we need to revaccinate
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Muscular weakness, Nausea, Pain
Clinical narrative: Immediate  fever , nausea , weakness , chest pain .  Fever lasted up to 4 days . Pain lasted for couple of weeks. Weakness of left shoulder and arm still in place to the date .
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Immediate  fever , nausea , weakness , chest pain .  Fever lasted up to 4 days . Pain lasted for couple of weeks. Weakness of left shoulder and arm still in place to the date .
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Ligament operation, Magnetic resonance imaging abnormal, Surgery
Clinical narrative: 09/21/2021 I had my vaccination. I had surgery 03/08/2022 to repair ligaments in my knee. My knee was immediately swollen just after surgery. It went down for 3 to 4 weeks but then started to swell again. There was no remnant of the graft left at all and no tissue left. I had a MRI and second surgery on 08/01/2022. I had my second booster on 05/17/2022.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial pain, Injection site pain, Injection site pruritus, Oral herpes, Pain in extremity
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Fever-Medium, Additional Details: patient states she is having pain on left side of face and ear. She has rush on face and arm is swore. Pt also states they had fever blisters but have since resolved however she still has fever.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Fever-Medium, Additional Details: patient states she is having pain on left side of face and ear. She has rush on face and arm is swore. Pt also states they had fever blisters but have since resolved however she still has fever.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: developed sx and tested positive for covid 8/17/2022
Age: 19.0
Sex: F
Vaccine: COVID19, MENB, MNQ
Symptoms: Expired product administered
Clinical narrative: Pfizer Covid 19 vaccine vial opened 08/15/2022 @ 8:28am and expired 08/15/2022 @ 8:28 pm  On 08/16/2022 The Clinical Staff administered 0.3 cc of the expired Pfizer Covid vaccine @ 10:08am  Patient informed and is currently doing well However vaccine dose invalid and will need to be repeated
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Asthma, Condition aggravated, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: asthma flare-up, large secondary rash close to injection site with raised skin that is warm to the touch, itching and pain reported by patient
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: asthma flare-up, large secondary rash close to injection site with raised skin that is warm to the touch, itching and pain reported by patient
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Upon trying to return some unused vaccine bottles to another store we realized that the vaccine was only good 30 days from the deep freeze.  We thought is was good unitl 10-30-2022 according to the mfg website when kept in the fridge.  We received this medication on 06-02-2022 from supplier and gave the vaccine on 08-02-2022.  We contacted the manufacter which is going to do batch testing to see if we need to revaccinate
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Package insert had expiration date at 12/31/2069, unknown to us, this was not correct. Moderna found that with proper storage, the vaccine maintained the activity necessary to protect against the SARS-COV-2 virus at the time of administration.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Blood calcium decreased, Blood creatinine increased, Blood culture, Blood glucose increased
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/21/21, 2/13/21 and 8/18/21. Covid + at home on 7/14/22 - Tx'd w/paxlovid, doxycycline, and decadron w/o improvement. Presented to ED 8/2/21 tachypneic, hypooxic, and hypertensive. Admitted for acute resp fail w/hypoxia and hypercapnia. Glucose 222, BUN 99, Cr 3.13, CO2 16, Cal 7.1, CRP 156.8, Procal 0.50, INR 1.6, WBC 14.1, Hgb 8.6, Plt 112, CXR - bil PNA, COVID+ swab. BC x2 and UC pending. Pt was admitted to ICU and required intubation and prognosis cont'd to worsen. Transitioned to comfort care, expired on 8/9/22. Tx'd w/decadron, cefepime, and vancomycin.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood urea increased, C-reactive protein increased, COVID-19, Carbon dioxide decreased, Chest X-ray abnormal
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/21/21, 2/13/21 and 8/18/21. Covid + at home on 7/14/22 - Tx'd w/paxlovid, doxycycline, and decadron w/o improvement. Presented to ED 8/2/21 tachypneic, hypooxic, and hypertensive. Admitted for acute resp fail w/hypoxia and hypercapnia. Glucose 222, BUN 99, Cr 3.13, CO2 16, Cal 7.1, CRP 156.8, Procal 0.50, INR 1.6, WBC 14.1, Hgb 8.6, Plt 112, CXR - bil PNA, COVID+ swab. BC x2 and UC pending. Pt was admitted to ICU and required intubation and prognosis cont'd to worsen. Transitioned to comfort care, expired on 8/9/22. Tx'd w/decadron, cefepime, and vancomycin.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Culture urine, Death, Endotracheal intubation, General physical health deterioration, Haemoglobin
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/21/21, 2/13/21 and 8/18/21. Covid + at home on 7/14/22 - Tx'd w/paxlovid, doxycycline, and decadron w/o improvement. Presented to ED 8/2/21 tachypneic, hypooxic, and hypertensive. Admitted for acute resp fail w/hypoxia and hypercapnia. Glucose 222, BUN 99, Cr 3.13, CO2 16, Cal 7.1, CRP 156.8, Procal 0.50, INR 1.6, WBC 14.1, Hgb 8.6, Plt 112, CXR - bil PNA, COVID+ swab. BC x2 and UC pending. Pt was admitted to ICU and required intubation and prognosis cont'd to worsen. Transitioned to comfort care, expired on 8/9/22. Tx'd w/decadron, cefepime, and vancomycin.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypercapnia, Hypertension, Hypoxia, Inappropriate schedule of product administration, Intensive care
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/21/21, 2/13/21 and 8/18/21. Covid + at home on 7/14/22 - Tx'd w/paxlovid, doxycycline, and decadron w/o improvement. Presented to ED 8/2/21 tachypneic, hypooxic, and hypertensive. Admitted for acute resp fail w/hypoxia and hypercapnia. Glucose 222, BUN 99, Cr 3.13, CO2 16, Cal 7.1, CRP 156.8, Procal 0.50, INR 1.6, WBC 14.1, Hgb 8.6, Plt 112, CXR - bil PNA, COVID+ swab. BC x2 and UC pending. Pt was admitted to ICU and required intubation and prognosis cont'd to worsen. Transitioned to comfort care, expired on 8/9/22. Tx'd w/decadron, cefepime, and vancomycin.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: International normalised ratio increased, Platelet count decreased, Pneumonia, Procalcitonin, SARS-CoV-2 test positive
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/21/21, 2/13/21 and 8/18/21. Covid + at home on 7/14/22 - Tx'd w/paxlovid, doxycycline, and decadron w/o improvement. Presented to ED 8/2/21 tachypneic, hypooxic, and hypertensive. Admitted for acute resp fail w/hypoxia and hypercapnia. Glucose 222, BUN 99, Cr 3.13, CO2 16, Cal 7.1, CRP 156.8, Procal 0.50, INR 1.6, WBC 14.1, Hgb 8.6, Plt 112, CXR - bil PNA, COVID+ swab. BC x2 and UC pending. Pt was admitted to ICU and required intubation and prognosis cont'd to worsen. Transitioned to comfort care, expired on 8/9/22. Tx'd w/decadron, cefepime, and vancomycin.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tachypnoea, White blood cell count increased
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/21/21, 2/13/21 and 8/18/21. Covid + at home on 7/14/22 - Tx'd w/paxlovid, doxycycline, and decadron w/o improvement. Presented to ED 8/2/21 tachypneic, hypooxic, and hypertensive. Admitted for acute resp fail w/hypoxia and hypercapnia. Glucose 222, BUN 99, Cr 3.13, CO2 16, Cal 7.1, CRP 156.8, Procal 0.50, INR 1.6, WBC 14.1, Hgb 8.6, Plt 112, CXR - bil PNA, COVID+ swab. BC x2 and UC pending. Pt was admitted to ICU and required intubation and prognosis cont'd to worsen. Transitioned to comfort care, expired on 8/9/22. Tx'd w/decadron, cefepime, and vancomycin.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Alcohol poisoning, Alcohol withdrawal syndrome, Aspartate aminotransferase increased, Blood bilirubin increased
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: None Physician, DO None Admission Date: 8/7/2022 Discharge Date: 08/9/2022  PRESENTING PROBLEM: Hypokalemia [E87.6] Hypomagnesemia [E83.42] Hypoxia [R09.02] Alcoholic intoxication without complication  [F10.920] COVID [U07.1] Suspected COVID-19 virus infection [Z20.822]   HOSPITAL COURSE: Patient is a 41-year-old male who presented to the emergency department with alcohol intoxication and was incidentally found to be hypoxemic with COVID-19 infection.  In the emergency department, vital signs were stable except for hypoxia on room air.  He was placed on supplemental oxygen.  Chest x-ray was unremarkable.  Lab work revealed a potassium 2.9, magnesium 1.5, AST 188, ALT 37, bilirubin 1.1.  COVID-19 was positive.  Patient was started on Decadron and admitted to the Internal Medicine Service.  Patient was able to be quickly weaned from supplemental oxygen.  Given patient's significant use of alcohol psychiatry was consulted.  He was placed on psych protocol for withdrawal treatment.  PT/OT evaluated the patient and recommended subacute rehab.  This was being arranged when the patient eloped.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood potassium decreased, COVID-19, Chest X-ray normal, Hypokalaemia
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: None Physician, DO None Admission Date: 8/7/2022 Discharge Date: 08/9/2022  PRESENTING PROBLEM: Hypokalemia [E87.6] Hypomagnesemia [E83.42] Hypoxia [R09.02] Alcoholic intoxication without complication  [F10.920] COVID [U07.1] Suspected COVID-19 virus infection [Z20.822]   HOSPITAL COURSE: Patient is a 41-year-old male who presented to the emergency department with alcohol intoxication and was incidentally found to be hypoxemic with COVID-19 infection.  In the emergency department, vital signs were stable except for hypoxia on room air.  He was placed on supplemental oxygen.  Chest x-ray was unremarkable.  Lab work revealed a potassium 2.9, magnesium 1.5, AST 188, ALT 37, bilirubin 1.1.  COVID-19 was positive.  Patient was started on Decadron and admitted to the Internal Medicine Service.  Patient was able to be quickly weaned from supplemental oxygen.  Given patient's significant use of alcohol psychiatry was consulted.  He was placed on psych protocol for withdrawal treatment.  PT/OT evaluated the patient and recommended subacute rehab.  This was being arranged when the patient eloped.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Hypomagnesaemia, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: None Physician, DO None Admission Date: 8/7/2022 Discharge Date: 08/9/2022  PRESENTING PROBLEM: Hypokalemia [E87.6] Hypomagnesemia [E83.42] Hypoxia [R09.02] Alcoholic intoxication without complication  [F10.920] COVID [U07.1] Suspected COVID-19 virus infection [Z20.822]   HOSPITAL COURSE: Patient is a 41-year-old male who presented to the emergency department with alcohol intoxication and was incidentally found to be hypoxemic with COVID-19 infection.  In the emergency department, vital signs were stable except for hypoxia on room air.  He was placed on supplemental oxygen.  Chest x-ray was unremarkable.  Lab work revealed a potassium 2.9, magnesium 1.5, AST 188, ALT 37, bilirubin 1.1.  COVID-19 was positive.  Patient was started on Decadron and admitted to the Internal Medicine Service.  Patient was able to be quickly weaned from supplemental oxygen.  Given patient's significant use of alcohol psychiatry was consulted.  He was placed on psych protocol for withdrawal treatment.  PT/OT evaluated the patient and recommended subacute rehab.  This was being arranged when the patient eloped.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood creatine phosphokinase increased, COVID-19, Computerised tomogram head normal, Computerised tomogram spine
Clinical narrative: Discharge Provider: Private MD Primary Care Provider: Private NP Admission Date: 8/8/2022 Discharge Date: Aug 13, 2022  PRESENTING PROBLEM: Rhabdomyolysis [M62.82] Non-traumatic rhabdomyolysis [M62.82] COVID [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: 73 y.o. male with a pertinent past medical history of cognitive delay, DM2, hypothyroidism, obesity who presented with recurrent falls and weakness after recent COVID diagnosis. Lives alone, did not visit his sister 8/7 (abnormal, usually visits daily), then was found on floor by family. Reports he fell and hit head but didn't lose consciousness. Went to ED, negative CT head and c-spine. Was able to ambulate independently and sent home. Unfortunately fell upon getting out of car-> brought back to ED.    Pt had elevated CK, was treated for rhabdomyolysis w/ aggressive fluid resuscitation. Initially LFTs elevated but improved over time.   Treated for COVID while inpatient with Remdesivir (8/9-8/13) and O2 monitored.   PT/OT evaluated and recommended skilled nursing.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Liver function test increased, Rhabdomyolysis
Clinical narrative: Discharge Provider: Private MD Primary Care Provider: Private NP Admission Date: 8/8/2022 Discharge Date: Aug 13, 2022  PRESENTING PROBLEM: Rhabdomyolysis [M62.82] Non-traumatic rhabdomyolysis [M62.82] COVID [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: 73 y.o. male with a pertinent past medical history of cognitive delay, DM2, hypothyroidism, obesity who presented with recurrent falls and weakness after recent COVID diagnosis. Lives alone, did not visit his sister 8/7 (abnormal, usually visits daily), then was found on floor by family. Reports he fell and hit head but didn't lose consciousness. Went to ED, negative CT head and c-spine. Was able to ambulate independently and sent home. Unfortunately fell upon getting out of car-> brought back to ED.    Pt had elevated CK, was treated for rhabdomyolysis w/ aggressive fluid resuscitation. Initially LFTs elevated but improved over time.   Treated for COVID while inpatient with Remdesivir (8/9-8/13) and O2 monitored.   PT/OT evaluated and recommended skilled nursing.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Chest tube insertion, Cough, Death
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 10/12/21, LOT #30155BA; 1/21-2/6/22 pt hospitalized for COVID, dc'd to home on O2; 2/10/22 pt back to hospital after experiencing epigastric pain  and worsening SOB the night before while on CPAP; pt took himself off of CPAP and went onto O2 via NC; dry cough; found to have a right pneumothorax; chest tube placed; ABX; respiratory status continued to worsen; pt's family opted for comfort care; pt passed away in the hospital
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Pneumothorax, Positive airway pressure therapy, Respiratory disorder
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 10/12/21, LOT #30155BA; 1/21-2/6/22 pt hospitalized for COVID, dc'd to home on O2; 2/10/22 pt back to hospital after experiencing epigastric pain  and worsening SOB the night before while on CPAP; pt took himself off of CPAP and went onto O2 via NC; dry cough; found to have a right pneumothorax; chest tube placed; ABX; respiratory status continued to worsen; pt's family opted for comfort care; pt passed away in the hospital
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Received the first dose of COVID-19 immunization on 8.15.22 - four hours after receiving dose - minor developed hives all over her trunk and both upper and lower extremities. Minor strongly denies any respiratory distress. Minor states that she felt itchiness all over her body.  Minor took Diphenhydramine 25 mg and after one hour of taking it symptoms completely subsided.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: coivd positive after vaccination, hospitalization
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acupuncture, Arthralgia, Dizziness, Fatigue, Neck pain
Clinical narrative: 08/12/2022, woke up fatigue, later in the evening pain began in the left arm and client became dizzy. 08/13/2022, only symptoms of soreness in arm. 08/16,2022, woke up with pain and throbbing to left lower part of occipital area that goes down into neck, shoulder, and arm. Client states receives acupuncture monthly and will have areas of concern punctured; client counseled not to have areas of concern tinctured at this time. Client counseled on importance of calling physician for further recommendation, if unable to speak with/visit physician to seek urgent care; client verbalized good understanding.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: 08/12/2022, woke up fatigue, later in the evening pain began in the left arm and client became dizzy. 08/13/2022, only symptoms of soreness in arm. 08/16,2022, woke up with pain and throbbing to left lower part of occipital area that goes down into neck, shoulder, and arm. Client states receives acupuncture monthly and will have areas of concern punctured; client counseled not to have areas of concern tinctured at this time. Client counseled on importance of calling physician for further recommendation, if unable to speak with/visit physician to seek urgent care; client verbalized good understanding.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION