chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Nausea, Pyrexia
Clinical narrative: Pt woke up next day "freezing to death", nausea, headache in right temple, fever of 102F.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: At 17:00, RN alerted Lead RN that the client had received a 0.25 mL Moderna (lot #069H21A) COVID vaccine booster dose in his left arm instead of a 0.5 mL dose for his 2nd dose of Moderna COVID vaccine. Per CDC's Interim Revaccination Guidance on a person who has received a lower than authorized dose of the correct formulation of Moderna COVID vaccine, RN was able to administer an additional dose of Moderna COVID vaccine 0.25 mL (lot #069H21A) in the client's right arm at 1705  to complete a full 0.5 mL dose of Moderna COVID vaccine. Client was educated on being fully vaccinated for his 2nd dose with the two Moderna COVID vaccine doses he had received, client verbalized understanding.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Our vaccinator gave a Pfizer booster dose to a patient who had already received their booster. This was due to the person who registrant the patient  failing to properly check our state vaccine information systems (databases). Vaccinator did not have this information readily available to him and was vaccinating based off of what was presented to him on the patients physical paperwork
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Volunteer administered 10 mcg instead of 30 mcg.   Notified mother of child. Left voicemail as she works M-F 8-5 and we could only communicate by VM.  CDC allows repeat, dosing per clinical judgment.  Child is under-vaccinated for age.  Recommended repeat dose on 2/4/2022.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Heart rate increased, Hypoaesthesia, Pallor, Pharyngeal swelling
Clinical narrative: About 5 minutes after he received the vaccine, the patient reported feeling tightness and swelling in his throat. We called the emergency number. I had him sit down. He further complained of having rapid heart rate and no feeling in his hands. I have him 1 shot of epinephrine 0.3mg in his left thigh and gave him 2 tablets of diphenhydramine 25mg, which he said he swallowed with difficulty. His face became ashen colored. I asked him to lie on his back on the floor and raised his feet. I acquired a wet compress and placed it on his forehead and supported him until EMTs arrived. They supported him and transported him to the ER. Later around 4:00pm we learned he was doing fine and had left the hospital.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: About 5 minutes after he received the vaccine, the patient reported feeling tightness and swelling in his throat. We called the emergency number. I had him sit down. He further complained of having rapid heart rate and no feeling in his hands. I have him 1 shot of epinephrine 0.3mg in his left thigh and gave him 2 tablets of diphenhydramine 25mg, which he said he swallowed with difficulty. His face became ashen colored. I asked him to lie on his back on the floor and raised his feet. I acquired a wet compress and placed it on his forehead and supported him until EMTs arrived. They supported him and transported him to the ER. Later around 4:00pm we learned he was doing fine and had left the hospital.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Pfizer vaccine booster on date entered.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event; patient tolerated vaccine well. Vaccine error (booster dose given early).  Booster given after 4 months and 20 days after 2nd dose rather than 5 months per CDC guidelines.  Alert in database showed that patient was due for booster but was not yet due until 2/7.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Client came to receive Moderna Booster. Client informed RN that when she received Moderna Dose 2, the same night she experienced fever, body aches and Shortness of breath. Client stated she checked her oxygenation, and it went all the way down to ?86%?. Client stated it only lasted 30 minutes and subsided. Client didn?t seek emergency care or followed up with her Primary care provider. Client took Benadryl at home while having symptoms. Client stated she has a history of anxiety, and currently takes medications. Client has a history of high blood pressure but doesn?t take meds. No known allergies. A medical consult was submitted by RN to Clinical Lead .  Client received approval to receive Moderna Booster by MD. Client was vaccinated with Moderna Booster Lot#084J21A. Client reported no symptoms while waiting in observation area for 15mins. Client left vaccination area in steady gait.
Age: 17.0
Sex: M
Vaccine: HEPA
Symptoms: Blood creatine phosphokinase increased, C-reactive protein, Culture urine, Full blood count normal, Haematuria
Clinical narrative: Patient had hematuria and bilateral thigh pain for 2 days that started on the day the vaccine was given.
Age: 17.0
Sex: M
Vaccine: HEPA
Symptoms: Hepatic enzyme increased, Inflammatory marker increased, Laboratory test, Metabolic function test, Pain in extremity
Clinical narrative: Patient had hematuria and bilateral thigh pain for 2 days that started on the day the vaccine was given.
Age: 17.0
Sex: M
Vaccine: HEPA
Symptoms: SARS-CoV-2 antibody test, Urine analysis
Clinical narrative: Patient had hematuria and bilateral thigh pain for 2 days that started on the day the vaccine was given.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Hypoxia, Pneumonia
Clinical narrative: ER Triage Note   patient a 59 year old FEMALE presents to Emergency   Department on 01/07/22 09:02.       Tetanus status: Last Tdap: Oct 20, 2020      LMP:    Chief Complaint: Visit CC: cough.  {Date and Time of Arrival: 07-Jan-2022 22:06 patient is a 59 old FEMALE who is being admitted to care unit for observation due to diagnosis of   PNA, hypoxia   patient is being admitted to HOSPITAL  patient a 59 year old FEMALE currently  on care unit was admitted on JAN 8,2022 09:30.The patient is being discharged 09-Jan-2022by staff   LOCAL TITLE: CASE MANAGEMENT DISCHARGE FOLLOW UP                 STANDARD TITLE: CASE MANAGER NOTE                                DATE OF NOTE: JAN 10, 2022@15:56:44  ENTRY DATE: JAN 10, 2022@15:56:44             AUTHOR:        EXP COSIGNER:                                 URGENCY:                            STATUS: COMPLETED                           SUBJECT: followup                                                           Patient discharged from care unit following pneumonia and hypoxia
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder
Clinical narrative: stomach issues
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Axillary pain, Breast pain, Chills, Diarrhoea
Clinical narrative: Arm increasingly sore the evening I received the vaccine, started feeling feverish sometime after 11pm; woke up the next day (1/25)  at 8:30am feeling feverish, nauseous, full body muscle aches, intense pain in left arm (site of vaccine), developed 101.2 fever by 10am, experienced vomiting, diarrhea, intense nausea, fatigue, weakness, and muscle pain; pain increased at site of vaccine and spread to underarm and left breast (assuming swollen lymph nodes) and has been throbbing, developed headache; 1/26 fever broke around 9am and is down to 98.5, still fatigued and experiencing headache, muscle pain, swollen lymph nodes, intense underarm pain on side of vaccine, diarrhea, chills/sweating, developed swollen tonsils/irritated throat around 12pm but not feeling as weak today
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Injection site pain, Myalgia, Nausea
Clinical narrative: Arm increasingly sore the evening I received the vaccine, started feeling feverish sometime after 11pm; woke up the next day (1/25)  at 8:30am feeling feverish, nauseous, full body muscle aches, intense pain in left arm (site of vaccine), developed 101.2 fever by 10am, experienced vomiting, diarrhea, intense nausea, fatigue, weakness, and muscle pain; pain increased at site of vaccine and spread to underarm and left breast (assuming swollen lymph nodes) and has been throbbing, developed headache; 1/26 fever broke around 9am and is down to 98.5, still fatigued and experiencing headache, muscle pain, swollen lymph nodes, intense underarm pain on side of vaccine, diarrhea, chills/sweating, developed swollen tonsils/irritated throat around 12pm but not feeling as weak today
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Throat irritation, Tonsillar hypertrophy, Vomiting
Clinical narrative: Arm increasingly sore the evening I received the vaccine, started feeling feverish sometime after 11pm; woke up the next day (1/25)  at 8:30am feeling feverish, nauseous, full body muscle aches, intense pain in left arm (site of vaccine), developed 101.2 fever by 10am, experienced vomiting, diarrhea, intense nausea, fatigue, weakness, and muscle pain; pain increased at site of vaccine and spread to underarm and left breast (assuming swollen lymph nodes) and has been throbbing, developed headache; 1/26 fever broke around 9am and is down to 98.5, still fatigued and experiencing headache, muscle pain, swollen lymph nodes, intense underarm pain on side of vaccine, diarrhea, chills/sweating, developed swollen tonsils/irritated throat around 12pm but not feeling as weak today
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Pruritus, Tenderness, Urticaria
Clinical narrative: DAY 2 AFTER VACCINE SIGNIFICANT SWELLING/TENDERNESS OF LEFT AXILLA. ON DAY 9 SIGNIFICANT HIVES/ITCHING STARTED ALL OVER BODY (HEAD,NECK,CHEST,ABDOMEN,LOWER EXTREMITIES) UNRELIEVED BY OVER THE COUNTER ANTIHISTAMINES. SEEN BY PRIMARY CARE TODAY.PRESCRIBED 10 DAY COURSE OF ORAL STEROIDS AND ADDITIONAL ANTIHISTAMINES. NO RECENT CHANGES IN HEALTH,MEDICATIONS,PRODUCTS OR DIET. NO KNOWN ALLERGIES.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine  received was stored in a freezer longer than recommended by the manufacturer.  Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver.  After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Hypotonia, Loss of consciousness, Nausea
Clinical narrative: 2-3 minutes after patient received immunization, she was seated and began to feel nauseous and dizzy/lightheaded. She reports that she then started trembling slightly and dropped her phone. Her mother was close by and saw her looking pale and starting to slump over in her seat so she went and caught her as she briefly lost consciousness (<30 seconds). The patient did not hit her head or fall onto the ground as she was being held by her mother seated next to her. Patient regained consciousness and it was noted that her lips were void of color. She stated that she still felt a little dizzy but was able to drank a mini water bottle and a bottle of orange juice, and  eat a granola bar. EMS arrive and evaluated her. She was found to have normal pulse ox and normal finger stick glucose level with all vital signs stable. She and her mother declined transport to ED and left for home. Patient reported that she has a history of anxiety surrounding needles, but this has not happened to her before.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Tremor
Clinical narrative: 2-3 minutes after patient received immunization, she was seated and began to feel nauseous and dizzy/lightheaded. She reports that she then started trembling slightly and dropped her phone. Her mother was close by and saw her looking pale and starting to slump over in her seat so she went and caught her as she briefly lost consciousness (<30 seconds). The patient did not hit her head or fall onto the ground as she was being held by her mother seated next to her. Patient regained consciousness and it was noted that her lips were void of color. She stated that she still felt a little dizzy but was able to drank a mini water bottle and a bottle of orange juice, and  eat a granola bar. EMS arrive and evaluated her. She was found to have normal pulse ox and normal finger stick glucose level with all vital signs stable. She and her mother declined transport to ED and left for home. Patient reported that she has a history of anxiety surrounding needles, but this has not happened to her before.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: BOOSTER DOSE WAS DUE ON 3/25/22 BUT WAS ADMINISTERED ON 1/23/22
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in both ears started shortly after injection, minor ringing has continued. Treatment included antibiotics from PCP to treat for possible ear infection. Saw immunologist about risk of second dose, held off on second dose for 4 months, no improvement or increase of severity.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Feeding disorder, Malaise
Clinical narrative: Patient received her 2nd dose of Moderna. After 15 minutes had passed (6:00ish) , she informed me that her heart was hurting. She had shooting pain in her heart( scale 1-10 ( most) she said like a 5. Asked her if she wanted me to call the paramedics, she said no. Patient was accompanied by mother and sister. Told pt to wait a little longer to see if pain went away.  Her prior dose did make her sick for two weeks didn't eat; sleep was not feeling good.  At around 6:36 pt felt better and said she was fine to go.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Flushing, Headache, Injection site pain
Clinical narrative: Chills, flushing headache, moderate site injection pain, arthralgias, myalgias
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: Chills, flushing headache, moderate site injection pain, arthralgias, myalgias
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine  received was stored in a freezer longer than recommended by the manufacturer.  Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver.  After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash papular, Urticaria
Clinical narrative: Patient stated she developed hives in both hands beginning the night after vaccine administration resulting in raised rashes and itchiness. The following day, she presented to the vaccine clinic for clinical advice. Rashes appeared to no longer be raised the day following vaccine administration, but itchiness and redness persisted. Patient referred to and outpatient clinic for further evaluation.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Laboratory test abnormal, Magnetic resonance imaging abnormal, Monoplegia, Myelitis transverse
Clinical narrative: After completion of the second vaccination dose, patient developed back pain a few weeks later. Approximately 3 months after completion of second vaccination dose, patient developed idiopathic transverse myelitis which has resulted in permanent lower extremity paralysis.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Headache, Illness, Injection site pain
Clinical narrative: Injection site soreness, lethargy for 2 days after injection then no issues until a month later when illness with headache, fever to 101 F, nausea for 2 days and diarrhea for 4 days.  Lightheaded with vaso-vagal reaction and fainted on Day 2.  No long-term sequelae.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Presyncope, Pyrexia, SARS-CoV-2 test negative, Syncope
Clinical narrative: Injection site soreness, lethargy for 2 days after injection then no issues until a month later when illness with headache, fever to 101 F, nausea for 2 days and diarrhea for 4 days.  Lightheaded with vaso-vagal reaction and fainted on Day 2.  No long-term sequelae.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, COVID-19, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: LOCAL TITLE: EMERGENCY                                           STANDARD TITLE: EMERGENCY MEDICINE NOTE                          DATE OF NOTE: JAN 15, 2022@11:42:02  ENTRY DATE: JAN 15, 2022@11:42:02             AUTHOR:            EXP COSIGNER:                                 URGENCY:                            STATUS: COMPLETED                          *** EMERGENCY Has ADDENDA ***  ER Triage Note   Pt., a 69 year old FEMALE presents to Emergency   Department on 01/15/22 11:28.       Tetanus status: Last Tdap: Jul 29, 2019      LMP:    Chief Complaint: Visit CC: + covid,back pain and stomach pain  Pt. is a 69 year old FEMALE who is being admitted to the Hospital. This patient meets inpatient  level of care because of need for supplemental O2 and remdesivir.  ASSESSMENT/PLAN: 69 yo lady with obesity, HTN, LBBB with Covid 19 infection and ambulatory  hypoxia.  # Covid 19 - tested positive 1/13/22  Pt., a 69 year old FEMALE currently  was admitted on JAN 16,2022 17:04.The patient is being discharged 20-Jan-2022.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Alcohol withdrawal syndrome, COVID-19, Cellulitis, Chest X-ray abnormal
Clinical narrative: 33 Y F with a PMHx of severe alcohol use disorder, bulimia, multiple hospital admissions for alcoholic withdrawal & alcohol hepatitis, most recent admission 11/2021 for mallory weiss syndrome and alcohol withdrawal was admitted on 12/31/21 for alcoholic hepatitis and abdominal wall cellulitis. S/p paracentesis x 2 (12/31/21 removed 4L, and 1/2/22 removed 2.4L). Was found to have covid exposure at home, tested positive on 1/2/22.    On admission, her Maddy Discriminant Function 45.1 indicating poor prognosis. She was treated for alcoholic hepatitis with steroids and finished 7 day course, with favorable lille score, thus continuing prednisolone for 30 day course. She was also empirically treated for cellulitis of abdomen with CTX for 7 days. SBP was ruled out based on paracentesis studies and CT A/P. Patient has received 2 paracentesis during hospitalization as above. Course complicated by leaking peritoneal fluid despite pressure packing, and was ostomy bag was placed, patient continued to peak, but spontaneously resolved without further intervention. Patient had ultrasound of abdomen 1/8/22, which did not show a tappable ascitic pocket.   On admission, she was noted to have tachypnea and tachycardia. Her father is positive for COVID, she tested positive on 1/2/22. She is s/p 5 days of remdevisir for covid and was already on steroids for alcoholic hepatitis.  She was also noted to be strongyloides positive, and after discussion with ID, patient will get ivermectin prior to discharge.   For her occasional black stools, case was discussed with GI, and patient is medically managed with protonix. Her black stools resolved, and her H/H has been stable.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Condition aggravated, Exposure to SARS-CoV-2, Faeces discoloured, Haematocrit
Clinical narrative: 33 Y F with a PMHx of severe alcohol use disorder, bulimia, multiple hospital admissions for alcoholic withdrawal & alcohol hepatitis, most recent admission 11/2021 for mallory weiss syndrome and alcohol withdrawal was admitted on 12/31/21 for alcoholic hepatitis and abdominal wall cellulitis. S/p paracentesis x 2 (12/31/21 removed 4L, and 1/2/22 removed 2.4L). Was found to have covid exposure at home, tested positive on 1/2/22.    On admission, her Maddy Discriminant Function 45.1 indicating poor prognosis. She was treated for alcoholic hepatitis with steroids and finished 7 day course, with favorable lille score, thus continuing prednisolone for 30 day course. She was also empirically treated for cellulitis of abdomen with CTX for 7 days. SBP was ruled out based on paracentesis studies and CT A/P. Patient has received 2 paracentesis during hospitalization as above. Course complicated by leaking peritoneal fluid despite pressure packing, and was ostomy bag was placed, patient continued to peak, but spontaneously resolved without further intervention. Patient had ultrasound of abdomen 1/8/22, which did not show a tappable ascitic pocket.   On admission, she was noted to have tachypnea and tachycardia. Her father is positive for COVID, she tested positive on 1/2/22. She is s/p 5 days of remdevisir for covid and was already on steroids for alcoholic hepatitis.  She was also noted to be strongyloides positive, and after discussion with ID, patient will get ivermectin prior to discharge.   For her occasional black stools, case was discussed with GI, and patient is medically managed with protonix. Her black stools resolved, and her H/H has been stable.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin, Hepatitis alcoholic, Intra-abdominal fluid collection, Lung hypoinflation, Mallory-Weiss syndrome
Clinical narrative: 33 Y F with a PMHx of severe alcohol use disorder, bulimia, multiple hospital admissions for alcoholic withdrawal & alcohol hepatitis, most recent admission 11/2021 for mallory weiss syndrome and alcohol withdrawal was admitted on 12/31/21 for alcoholic hepatitis and abdominal wall cellulitis. S/p paracentesis x 2 (12/31/21 removed 4L, and 1/2/22 removed 2.4L). Was found to have covid exposure at home, tested positive on 1/2/22.    On admission, her Maddy Discriminant Function 45.1 indicating poor prognosis. She was treated for alcoholic hepatitis with steroids and finished 7 day course, with favorable lille score, thus continuing prednisolone for 30 day course. She was also empirically treated for cellulitis of abdomen with CTX for 7 days. SBP was ruled out based on paracentesis studies and CT A/P. Patient has received 2 paracentesis during hospitalization as above. Course complicated by leaking peritoneal fluid despite pressure packing, and was ostomy bag was placed, patient continued to peak, but spontaneously resolved without further intervention. Patient had ultrasound of abdomen 1/8/22, which did not show a tappable ascitic pocket.   On admission, she was noted to have tachypnea and tachycardia. Her father is positive for COVID, she tested positive on 1/2/22. She is s/p 5 days of remdevisir for covid and was already on steroids for alcoholic hepatitis.  She was also noted to be strongyloides positive, and after discussion with ID, patient will get ivermectin prior to discharge.   For her occasional black stools, case was discussed with GI, and patient is medically managed with protonix. Her black stools resolved, and her H/H has been stable.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Ostomy bag placement, Paracentesis, Pyrexia, SARS-CoV-2 test positive, Strongyloides test positive
Clinical narrative: 33 Y F with a PMHx of severe alcohol use disorder, bulimia, multiple hospital admissions for alcoholic withdrawal & alcohol hepatitis, most recent admission 11/2021 for mallory weiss syndrome and alcohol withdrawal was admitted on 12/31/21 for alcoholic hepatitis and abdominal wall cellulitis. S/p paracentesis x 2 (12/31/21 removed 4L, and 1/2/22 removed 2.4L). Was found to have covid exposure at home, tested positive on 1/2/22.    On admission, her Maddy Discriminant Function 45.1 indicating poor prognosis. She was treated for alcoholic hepatitis with steroids and finished 7 day course, with favorable lille score, thus continuing prednisolone for 30 day course. She was also empirically treated for cellulitis of abdomen with CTX for 7 days. SBP was ruled out based on paracentesis studies and CT A/P. Patient has received 2 paracentesis during hospitalization as above. Course complicated by leaking peritoneal fluid despite pressure packing, and was ostomy bag was placed, patient continued to peak, but spontaneously resolved without further intervention. Patient had ultrasound of abdomen 1/8/22, which did not show a tappable ascitic pocket.   On admission, she was noted to have tachypnea and tachycardia. Her father is positive for COVID, she tested positive on 1/2/22. She is s/p 5 days of remdevisir for covid and was already on steroids for alcoholic hepatitis.  She was also noted to be strongyloides positive, and after discussion with ID, patient will get ivermectin prior to discharge.   For her occasional black stools, case was discussed with GI, and patient is medically managed with protonix. Her black stools resolved, and her H/H has been stable.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tachypnoea, Ultrasound abdomen
Clinical narrative: 33 Y F with a PMHx of severe alcohol use disorder, bulimia, multiple hospital admissions for alcoholic withdrawal & alcohol hepatitis, most recent admission 11/2021 for mallory weiss syndrome and alcohol withdrawal was admitted on 12/31/21 for alcoholic hepatitis and abdominal wall cellulitis. S/p paracentesis x 2 (12/31/21 removed 4L, and 1/2/22 removed 2.4L). Was found to have covid exposure at home, tested positive on 1/2/22.    On admission, her Maddy Discriminant Function 45.1 indicating poor prognosis. She was treated for alcoholic hepatitis with steroids and finished 7 day course, with favorable lille score, thus continuing prednisolone for 30 day course. She was also empirically treated for cellulitis of abdomen with CTX for 7 days. SBP was ruled out based on paracentesis studies and CT A/P. Patient has received 2 paracentesis during hospitalization as above. Course complicated by leaking peritoneal fluid despite pressure packing, and was ostomy bag was placed, patient continued to peak, but spontaneously resolved without further intervention. Patient had ultrasound of abdomen 1/8/22, which did not show a tappable ascitic pocket.   On admission, she was noted to have tachypnea and tachycardia. Her father is positive for COVID, she tested positive on 1/2/22. She is s/p 5 days of remdevisir for covid and was already on steroids for alcoholic hepatitis.  She was also noted to be strongyloides positive, and after discussion with ID, patient will get ivermectin prior to discharge.   For her occasional black stools, case was discussed with GI, and patient is medically managed with protonix. Her black stools resolved, and her H/H has been stable.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Angina pectoris, Breast pain, Chest discomfort, Chest pain
Clinical narrative: My appointment was set for 1:50pm. After 3 minutes: a quick spirt of dizziness but was sudden. After 5 minutes: chest pain and tightness on the left side of my chest that felt like it was coming from my heart. After 10 minutes: pain from deltoid and across pectoralis muscle groups. After 12 minutes: pain on the left side of my breast - a pressure/heaviness. After 20 minutes: migraine and dry mouth, told the nursing staff about my reactions. 2 hours after shot: nauseous, constant pressure on left breast, along with arm soreness. 2-3 hours after shot: fatigue, nauseous. 3-4 hours after shot: left calf pain, pain in calf is NOT an ongoing medical issue. Over night: still had dry mouth regardless of the amount of water I drank, upset stomach/diarrhea, chills, and fever. Next morning and 3 days after: dry mouth, fatigue, bloody noses (NOT typical), nauseous, soreness, breast tenderness, no appetite, fever, chills, and cloudiness. These symptoms are not common for my person.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Diarrhoea, Discomfort, Dizziness
Clinical narrative: My appointment was set for 1:50pm. After 3 minutes: a quick spirt of dizziness but was sudden. After 5 minutes: chest pain and tightness on the left side of my chest that felt like it was coming from my heart. After 10 minutes: pain from deltoid and across pectoralis muscle groups. After 12 minutes: pain on the left side of my breast - a pressure/heaviness. After 20 minutes: migraine and dry mouth, told the nursing staff about my reactions. 2 hours after shot: nauseous, constant pressure on left breast, along with arm soreness. 2-3 hours after shot: fatigue, nauseous. 3-4 hours after shot: left calf pain, pain in calf is NOT an ongoing medical issue. Over night: still had dry mouth regardless of the amount of water I drank, upset stomach/diarrhea, chills, and fever. Next morning and 3 days after: dry mouth, fatigue, bloody noses (NOT typical), nauseous, soreness, breast tenderness, no appetite, fever, chills, and cloudiness. These symptoms are not common for my person.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Epistaxis, Fatigue, Feeling abnormal, Migraine
Clinical narrative: My appointment was set for 1:50pm. After 3 minutes: a quick spirt of dizziness but was sudden. After 5 minutes: chest pain and tightness on the left side of my chest that felt like it was coming from my heart. After 10 minutes: pain from deltoid and across pectoralis muscle groups. After 12 minutes: pain on the left side of my breast - a pressure/heaviness. After 20 minutes: migraine and dry mouth, told the nursing staff about my reactions. 2 hours after shot: nauseous, constant pressure on left breast, along with arm soreness. 2-3 hours after shot: fatigue, nauseous. 3-4 hours after shot: left calf pain, pain in calf is NOT an ongoing medical issue. Over night: still had dry mouth regardless of the amount of water I drank, upset stomach/diarrhea, chills, and fever. Next morning and 3 days after: dry mouth, fatigue, bloody noses (NOT typical), nauseous, soreness, breast tenderness, no appetite, fever, chills, and cloudiness. These symptoms are not common for my person.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: My appointment was set for 1:50pm. After 3 minutes: a quick spirt of dizziness but was sudden. After 5 minutes: chest pain and tightness on the left side of my chest that felt like it was coming from my heart. After 10 minutes: pain from deltoid and across pectoralis muscle groups. After 12 minutes: pain on the left side of my breast - a pressure/heaviness. After 20 minutes: migraine and dry mouth, told the nursing staff about my reactions. 2 hours after shot: nauseous, constant pressure on left breast, along with arm soreness. 2-3 hours after shot: fatigue, nauseous. 3-4 hours after shot: left calf pain, pain in calf is NOT an ongoing medical issue. Over night: still had dry mouth regardless of the amount of water I drank, upset stomach/diarrhea, chills, and fever. Next morning and 3 days after: dry mouth, fatigue, bloody noses (NOT typical), nauseous, soreness, breast tenderness, no appetite, fever, chills, and cloudiness. These symptoms are not common for my person.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling face
Clinical narrative: Facial swelling, rash  on my neck, shoulders, arms and back
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error. Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis
Clinical narrative: Patient reported that 2 weeks after her second dose of Moderna, she experienced drooping of the face on the left side. Patient reported that she went to the emergency room and they prescribed her benadryl and dexamethasone. Patient reported that symptoms resolved within 24 hours. No permanent damage reported.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Injection site hypoaesthesia, Pain, Pyrexia, Throat irritation
Clinical narrative: Symptoms: vomiting, fever, body aches, fever, sweats, scratchy throat , injection site numb down to elbow
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Symptoms: vomiting, fever, body aches, fever, sweats, scratchy throat , injection site numb down to elbow
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Shoulder injury related to vaccine administration
Clinical narrative: I had shoulder pain in my left shoulder (where the shot was administered) within one day of the shot, and it has continued to this day and has become a very severe, intense pain. My doctor, with whom I had an appointment upon my return, said my continued extreme shoulder pain very likely could have been caused by SIRVA (Shoulder injury related to vaccine administration), because I had no prior issue with my shoulder and had done nothing to injure it, and the pain started within a day of the shot.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error. Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccinator volunteer administered 10 mcg instead of 30 mcg.  FNP called to report. Authorities requests additional dosing.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: covid pediatric vaccine administered without being diluted
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Patient came to see me and stated she had her Pfiser vaccine at her pharmacy on Nov 13 2021 and two days later her knees both started hurted very badly. It lasted a few days, went away and then came back again in December. Now it is January and the pain alternates from right to left knee randomly. I am just reporting what the patient relayed to me. We did not give her this vaccine in our clinic.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: On 1/10/2022, patient did not receive COVID-19 Moderna booster as requested and injected with empty syringe in error. Follow-up done with patient. Received correct COVID-19 Moderna vaccine booster on date entered.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation error
Clinical narrative: Patient received a more potent dose than he should have due to the vaccine not being diluted before use. The patient received a dose of 0.2mL but, again, undiluted. Now, 24 hours later, patient has not had any adverse reactions.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Limb discomfort
Clinical narrative: Pt received immunization in left deltoid and now entire arm feels "heavy".  Per pt it's very hard to move.  She also has severe pain at and surrounding injection site.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Child dose of Pfizer given to a 12-year-old instead of the full adult dose. No adverse effects or symptoms reported.
Age: 29.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect product formulation administered
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse event to report.  Pt. was given incorrect dose-- 0.5mL instead of 0.3mL.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Hangover, Infection
Clinical narrative: ER Triage Note: Patient is a 72 year old MALE presents to local Emergency Department on 01/17/22 18:45. Tetanus status: Last Tdap: Mar 02, 2018. LMP: Chief Complaint: Visit CC: Lac, infected, hangover. Patient is being admitted to local HOSPITAL Family Care Unit. Patient is a 72 year old MALE currently was admitted on JAN 18, 2022 20:00. The patient is being discharged 20-Jan-2022 by onsite Doctor.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Patient received a more potent dose than he should have due to the vaccine not being diluted before use. The patient received a dose of 0.2mL but, again, undiluted. Now, 24 hours later, patient has not had any adverse reactions.
Age: 10.0
Sex: F
Vaccine: MNQ
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine was given too early, a couple of weeks before pt's 11th birthday
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingline in left arm, lasted approximately 5-10 minutes
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Diarrhoea, Fatigue, Headache
Clinical narrative: When I got home I had a severe headache and my back was hurting. I took pain meds but the pain continued for about 3 days off and on. That evening I also started having abdominal pain and diarrhea followed by fatigue. When I got home I had a severe headache and my back was hurting. I took pain meds but the pain continued for about 3 days off and on. That evening I also started having abdominal pain and diarrhea followed by fatigue.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia, Productive cough
Clinical narrative: ER Triage Note   Patient a 27 year old MALE presents to Emergency   Department on 01/25/22 08:53.       Tetanus status: Last Tdap: Oct 05, 2020      LMP:    Chief Complaint: Visit CC: productive cough, hypoxic.  Patient is a 27 year old MALE who is being admitted  to the Hospital. This patient meets inpatient level of care because he  has hypoxia from COVID 19.  Still ongoing
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Nausea, Oxygen therapy, Throat tightness
Clinical narrative: Approximately 15 minutes after vaccination, patient began complaining of chest pain,  throat tightness and nausea.  Patient was administer oxygen to assist with breathing.  Patient's vital signs were stable.  Facility called emergency and patient was transferred to ED for precautionary measures
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: pfizer pediatric covid-19 vaccine administered without being diluted
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria, Erythema, Pruritus, Rash macular, Skin warm
Clinical narrative: Very itchy. Red blotches all over. Sometimes a whole area gets red. At first and now just sometimes the redness is hot.  I have not had a fever.  Now the blotches just appear randomly.  Sometimes they itch, sometimes they don't. Has been on and off but regular since 11 days after the booster. I had no side effects at all after the 1st 2 Moderna doses and handled them very well. I was also fine immediately after the Moderna booster.  Taking a daily Zyrtec seems to help. At first I did not realize it was related to the booster and tried to rule out histamines. I also have a friend who has similar symptoms and found a whole bunch of comments that sound similar to what I am going through at a website regarding chronic spontaneous urticaria after covid 19 vaccine. Not sure that all those people reported it. Some of the red marks I get look like scratches, yet I haven't scratched myself.  They go away quickly or with a half hour.  There have been some very bad itching days and some not so bad.  Sometimes it gets worse later in the evening closer to when I need to take the Zyrtec. Sometimes not.  It was getting a lot better, but I had a very bad itching day this past weekend.  It has gotten better again. Sometimes if I do scratch, that causes it to itch more, get hot, and/or hurt.  Hot water (shower) used to make it flare up, but lately that has resided.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Heavy menstrual bleeding, Menstrual disorder, Ultrasound scan, Vulvovaginal pain
Clinical narrative: Multiple visits with OB for extreme bleeding during menses, and vaginal pain that?s constant, not just during menstrual cycle.  I have had multiple labs done to check that all levels are good. I?ve also had transvaginal and pelvic ultrasound done to insure there was nothing irregular.  All findings were normal. Next course of action is having an endometrial ablation on 2/14/22.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: On 1/10/22 patient did not receive COVID-19 Moderna booster as requested and was injected with empty syringe in error.  Patient was followed up with and received correct COVID-19 Moderna vaccine booster on date entered.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood pressure increased, Heart rate increased, Nausea, Vomiting
Clinical narrative: At approximately 1310 patient returned to vaccine clinic after being discharged. Patient came in reporting an onset of symptoms that included an episode of emesis X1, abdominal pain and nausea 20 min post vaccination. Patient reported  pain level of a 9 from  pain scale of 0 to 10. Upon arrival patient vitals were taken. Refer to chart. Patient was assessed for signs and symptoms of anaphylaxis.  Patient was alert and oriented X4, patient denied shortness of breath  dizziness and lightheadedness. SpO2 at 100% at Room Air.  Doctor, allergist on call was called to report the patient's symptoms. Doctor recommended patient be monitored for worsening symptoms for an additional 30 min. After being monitored for 30 min patient reported a decrease in pain from a 9 to a 3. Although patient pain level decreased patient continued to have elevated BP and HR. Patient was referred to NP on site to be more closely evaluated. Dr. was notified that patient was referred to NP on site  for further evaluation.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Pruritus, Urticaria
Clinical narrative: Extreme itchiness all over body accompanied by hives.  Began approximately 1 week after the booster. No new changes to diet, detergent, no exposure to new pets, or other potential irritants. Itching began on breasts, then armpits, then neck, then back, now moved to legs.  After second dose, arm that I received injection on had a 4cm hive 1 week after injection.