chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Monocyte count increased, Monocyte percentage, Myalgia, Neutrophil count increased, Neutrophil percentage increased
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: PCO2 normal, PO2 decreased, Pain, Pericardial effusion, Platelet count normal
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Polychromasia, Positive airway pressure therapy, Productive cough, Protein total normal, Pulmonary embolism
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary thrombosis, Red blood cell count normal, Red blood cell nucleated morphology, Red cell distribution width normal, Respiratory distress
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tricuspid valve incompetence, Troponin increased, White blood cell count increased
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Cardiovascular insufficiency, Gait disturbance, Mobility decreased
Clinical narrative: I had some stiffness in my left leg couple of weeks after receiving my booster shot; I kind of ignored it and noticed the leg started turning black from discoloration after a couple of days from noticing the stiffness. My husband took me to local Hospital on 12/13/2021 where they performed ultrasound and blood work testing on me; I was there for 5 hours and wasn't discharged until 2am. The doctor informed me I had a severe blood clot in my left leg that damaged the veins and disrupted blood circulation. They prescribed me Eliquis and pain medicine to tolerate sore pain. Since then, I currently attend physical therapy twice a week to try to regain mobility in walking in my left leg.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain, Skin discolouration, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: I had some stiffness in my left leg couple of weeks after receiving my booster shot; I kind of ignored it and noticed the leg started turning black from discoloration after a couple of days from noticing the stiffness. My husband took me to local Hospital on 12/13/2021 where they performed ultrasound and blood work testing on me; I was there for 5 hours and wasn't discharged until 2am. The doctor informed me I had a severe blood clot in my left leg that damaged the veins and disrupted blood circulation. They prescribed me Eliquis and pain medicine to tolerate sore pain. Since then, I currently attend physical therapy twice a week to try to regain mobility in walking in my left leg.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Venous injury
Clinical narrative: I had some stiffness in my left leg couple of weeks after receiving my booster shot; I kind of ignored it and noticed the leg started turning black from discoloration after a couple of days from noticing the stiffness. My husband took me to local Hospital on 12/13/2021 where they performed ultrasound and blood work testing on me; I was there for 5 hours and wasn't discharged until 2am. The doctor informed me I had a severe blood clot in my left leg that damaged the veins and disrupted blood circulation. They prescribed me Eliquis and pain medicine to tolerate sore pain. Since then, I currently attend physical therapy twice a week to try to regain mobility in walking in my left leg.
Age: 25.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Muscle discomfort, Neck pain, Pain in extremity, Screaming
Clinical narrative: Extreme. Pain in arm spreading in to neck resulting in screaming agony. Feeling of ropes wrapped around muscles under skin and gripping and pulling taught. Large red welts forming in areas around right arm but not at the injection site directly
Age: 25.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: Extreme. Pain in arm spreading in to neck resulting in screaming agony. Feeling of ropes wrapped around muscles under skin and gripping and pulling taught. Large red welts forming in areas around right arm but not at the injection site directly
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered BUD
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse advent.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Pediatric dose was not diluted prior to drawing up dose of 0.2 ml into a syringe. Volume of 1.3 ml diluent was also pulled into same syringe and all administered to patient. No report for adverse reaction by patient/caregiver.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient has inadvertently received a pediatric dose instead of an adult dose of the Pfizer COVID 19 vaccine on 1/31 by me. I was scheduled as a clinical lead and spent most part of the day overseeing patients that have completed vaccination and were in the waiting area. Facility introduced a new vaccination log protocol, and I wanted to vaccinate patients in order to be proficient at the new system. Around 1545 vaccinators packed up with the clinical site RN manager encouragement to make sure "no one gets overtime". The vaccine rotating member took all the vaccine syringes I had in the vaccine box, except for the two orange capped ones. It was 1558 when two family members and the guardian arrived at the vaccination station. Patient's brother (10 years of age) was the first to get the vaccine. His weight wasn't taken, so I had to walk to the scale with him, measure and document his weight first. The guardian seemed in a rush and offered to check Patient's weight for me, so they can leave sooner. Additionally, they had an argument amongst them regarding the "do Not Disturb" feature that Patient activated on his guardian's phone. Lastly, Patient looked below normal weight range for his age, so it didn't raise al alarm having a pediatric dose in the vaccination box at my station. The vaccine was administered, no side effects were reported.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Dyspnoea, Hyperhidrosis, Influenza
Clinical narrative: The day after (Sunday, November 28th) the second vaccine (Saturday, November 27th), while I was resting (watching a movie), I had one hour were my heart was racing uncontrollably and I had difficulty breathing/shortness of breath. I also was sweating and clammy, felt like I was going to pass out, and I was very pale in color in my face. On (Wednesday, December 1st this same situation occurred again when I was teaching; this time it lasted 30-40 minutes. I felt very weak after each episode. In addition to these two episodes I also felt flu-ish for 7-10 days. *NOTE: after my first vaccine I felt very sick (flu-ish symptoms) for 7-10 days; more than the typical 3-5 days that is noted.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Palpitations
Clinical narrative: The day after (Sunday, November 28th) the second vaccine (Saturday, November 27th), while I was resting (watching a movie), I had one hour were my heart was racing uncontrollably and I had difficulty breathing/shortness of breath. I also was sweating and clammy, felt like I was going to pass out, and I was very pale in color in my face. On (Wednesday, December 1st this same situation occurred again when I was teaching; this time it lasted 30-40 minutes. I felt very weak after each episode. In addition to these two episodes I also felt flu-ish for 7-10 days. *NOTE: after my first vaccine I felt very sick (flu-ish symptoms) for 7-10 days; more than the typical 3-5 days that is noted.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: admit covid pna
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse advent.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Pediatric dose was not diluted prior to drawing up dose of 0.2 ml into a syringe. Volume of 1.3 ml diluent was also pulled into same syringe and all administered to patient. No report for adverse reaction by patient/caregiver.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chills, Cough
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/4/2021 and 2/25/2021. Presented to ED 1/29/2022 with complaints of increased shortness of breath, cough, chills, fatigue, aches, and diarrhea. Home O2 @2-3L NC. Provided IVF and increased prednisone dose, patient stated feeling better and agrees to discharge. Returned to ED on 1/30/2022 with increased SOB. Admitted for acute hypoxemic resp failure 2/2 Covid PNA. Increasing O2 requirement while on HFNC, and despite aggressive measures she began to desat even while maxed out on O2. She did not wish to be intubated. Expired 2/4/22.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Diarrhoea, Dyspnoea, Fatigue, Oxygen saturation decreased
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/4/2021 and 2/25/2021. Presented to ED 1/29/2022 with complaints of increased shortness of breath, cough, chills, fatigue, aches, and diarrhea. Home O2 @2-3L NC. Provided IVF and increased prednisone dose, patient stated feeling better and agrees to discharge. Returned to ED on 1/30/2022 with increased SOB. Admitted for acute hypoxemic resp failure 2/2 Covid PNA. Increasing O2 requirement while on HFNC, and despite aggressive measures she began to desat even while maxed out on O2. She did not wish to be intubated. Expired 2/4/22.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/4/2021 and 2/25/2021. Presented to ED 1/29/2022 with complaints of increased shortness of breath, cough, chills, fatigue, aches, and diarrhea. Home O2 @2-3L NC. Provided IVF and increased prednisone dose, patient stated feeling better and agrees to discharge. Returned to ED on 1/30/2022 with increased SOB. Admitted for acute hypoxemic resp failure 2/2 Covid PNA. Increasing O2 requirement while on HFNC, and despite aggressive measures she began to desat even while maxed out on O2. She did not wish to be intubated. Expired 2/4/22.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Exposure via skin contact, Incorrect dose administered, Syringe issue
Clinical narrative: while administering the 2nd shingrix  dose  the syringe malfunctioned by leaking from the top, so the patient barely got any in her left deltoid, it ran down her arm.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Condition aggravated, Erythema, Erythema nodosum, Eye pain
Clinical narrative: Three days after the vaccination I felt bad, but I thought that the symptoms were normal, due to the vaccine, until I saw small rashes on my leg and arm, which grew over time. I went to pharmacy where I got the vaccinated and they said "we are sure something had bite you", days later on July 6, 2021 I got to the emergency room because the rashes were bigger, the fever, the body pain, the pain in the eyes and my eyes red, When I arrived they made different types of blood tests, during that time they gave me pain reliever and a saline lock IV. I was discharged home and continued treatment with Doxycycline Hyclate twice a day for 10 days. They told me to make an appointment with a dermatologist and an allergist, the next day I woke up worse, my legs were completely red and in a lot of pain I could not get my legs out of bed, I had an appointment with my Doctor on Thursday June 8, 2021 and I waited to see him, that day I prescribed prednisone 20mg and improve.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Immune system disorder, Mobility decreased, Ocular hyperaemia, Pain
Clinical narrative: Three days after the vaccination I felt bad, but I thought that the symptoms were normal, due to the vaccine, until I saw small rashes on my leg and arm, which grew over time. I went to pharmacy where I got the vaccinated and they said "we are sure something had bite you", days later on July 6, 2021 I got to the emergency room because the rashes were bigger, the fever, the body pain, the pain in the eyes and my eyes red, When I arrived they made different types of blood tests, during that time they gave me pain reliever and a saline lock IV. I was discharged home and continued treatment with Doxycycline Hyclate twice a day for 10 days. They told me to make an appointment with a dermatologist and an allergist, the next day I woke up worse, my legs were completely red and in a lot of pain I could not get my legs out of bed, I had an appointment with my Doctor on Thursday June 8, 2021 and I waited to see him, that day I prescribed prednisone 20mg and improve.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: Three days after the vaccination I felt bad, but I thought that the symptoms were normal, due to the vaccine, until I saw small rashes on my leg and arm, which grew over time. I went to pharmacy where I got the vaccinated and they said "we are sure something had bite you", days later on July 6, 2021 I got to the emergency room because the rashes were bigger, the fever, the body pain, the pain in the eyes and my eyes red, When I arrived they made different types of blood tests, during that time they gave me pain reliever and a saline lock IV. I was discharged home and continued treatment with Doxycycline Hyclate twice a day for 10 days. They told me to make an appointment with a dermatologist and an allergist, the next day I woke up worse, my legs were completely red and in a lot of pain I could not get my legs out of bed, I had an appointment with my Doctor on Thursday June 8, 2021 and I waited to see him, that day I prescribed prednisone 20mg and improve.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: After Vaccine while sitting in waiting area patient passed out, he came to quickly.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein normal, Differential white blood cell count normal, Disturbance in attention, Fatigue, Full blood count normal
Clinical narrative: For the 3 months after the vaccine, I have been extremely fatigued, had difficulty concentrating and ringing in my ears.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: HIV test negative, Laboratory test normal, Thyroid function test normal, Tinnitus, Vitamin B12 normal
Clinical narrative: For the 3 months after the vaccine, I have been extremely fatigued, had difficulty concentrating and ringing in my ears.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Vitamin D
Clinical narrative: For the 3 months after the vaccine, I have been extremely fatigued, had difficulty concentrating and ringing in my ears.
Age: 80.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admit 2/2 covid pna
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd dose; breakthrough case
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received Pfizer COVID-19 vaccine which was beyond the manufacturer recommended use time of 31 days at the refrigerated temperature. Orgainzation has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range which is supported by the above data. No known adverse outcomes.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 1.25
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Erythema, Local reaction
Clinical narrative: Large red local reaction 6x7 cm.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Pediatric dose was not diluted prior to drawing up dose of 0.2 ml into a syringe. Volume of 1.3 ml diluent was also pulled into same syringe and all administered to patient. No report for adverse reaction by patient/caregiver.
Age: 66.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death, Dyspnoea, Positive airway pressure therapy
Clinical narrative: EMS called due to severe dyspnea; O2 sats 68% on RA; O2 sats 78% on NRB; diagnosed with COVID pneumonia; eventually used BiPAP; pt's condition worsened and he was placed in hospice; pt passed away the same day he was admitted to hospice
Age: 91.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: hospitalized for covid pna
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse advent.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered BUD
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient came in for booster dose after receiving primary series of Pfizer. Moderna requested and given in error.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Confusional state, Lethargy, Metabolic encephalopathy
Clinical narrative: Pt has a history of diabetes and cirrhosis and presented to outlying hospital with lethargy and confusion from nursing home.  Pt admitted for COVID-19 pneumonia, acute respiratory failure, and acute metabolic encephalopathy.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy
Clinical narrative: TDap vaccine with latex given in clinic. Follow up phone calls and patient doing good after vaccination. Latex allergy, currently pregnant, estimated date of delivery is 04/28/22.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admitted to hospital, Covid-19 PNA
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Suspected COVID-19, Vaccine breakthrough infection
Clinical narrative: Suspect COVID breakthrough case
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen normal, Computerised tomogram head normal, Computerised tomogram thorax abnormal, Pulmonary embolism
Clinical narrative: pulmonary embolism - life threatening, communicated 50% survival rate
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after full vaccination. Patient was diagnosed with COVID Tylenol Inpatient
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Asymptomatic positive
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Menstrual disorder, Menstruation irregular, Muscle fatigue, Pain
Clinical narrative: After the vaccination I have presented problems in the menstrual cycle, less quantity in the menstrual flow and constant joint pain that radiates towards the extremities as muscular fatigue and tingling, my vaccination was on November 10 and since then I have presented the changes in my body.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: After the vaccination I have presented problems in the menstrual cycle, less quantity in the menstrual flow and constant joint pain that radiates towards the extremities as muscular fatigue and tingling, my vaccination was on November 10 and since then I have presented the changes in my body.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after third vaccine; breakthrough case
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized w/ covid
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I broke out in hives everywhere a few days after receiving the vaccine. Benadryl did not help so I went to the walk in clinic and they narrowed it down to the booster as that was the only thing different. They gave me a script for prednisone which I only took for 2 days as it started getting better after that time. I went back to taking the Benadryl until it cleared up. I had it all over my face and neck which is why I went in.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received Pfizer COVID-19 vaccine which was beyond the manufacturer recommended use time of 31 days at the refrigerated temperature. Organization has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range which is supported by the above data. No known adverse outcomes.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Tinnitus
Clinical narrative: chest pain, ear ringing
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Atrioventricular block, Chest pain, Computerised tomogram abnormal, Heart rate irregular
Clinical narrative: I had chest pain and my heart was beating wrong, I was diagnosed with ASIB , I was prescribed some medication, I have a monitored for a week to check my heart rate to see if I need surgery or if it can be controlled with medication.  I have upcoming appointment 03/01/2022 for a follow up.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Vitamin D
Clinical narrative: I had chest pain and my heart was beating wrong, I was diagnosed with ASIB , I was prescribed some medication, I have a monitored for a week to check my heart rate to see if I need surgery or if it can be controlled with medication.  I have upcoming appointment 03/01/2022 for a follow up.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertensive emergency, Suspected COVID-19, Vaccine breakthrough infection
Clinical narrative: Suspect COVID breakthrough case Hospitalized for hypertensive emergency (not COVID)
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse advent.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature).
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Tylenol In-patient
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: A vial of Moderna was transported from one vaccine event to another and did not use Qualified Container and Packout for the initial vaccine transfer of 10 doses of Moderna. The transport timeframe was 15 mins total.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Continuous hives.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: pt in SNF; pt tested for COVID and was positive on 9/30/21, was asymptomatic at the time and for several days; eventually developed SOB and low O2 levels requiring O2 supplementation via NC; pt passed away in the SNF on 10/5/21
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood urea increased, Chest X-ray abnormal, Cough
Clinical narrative: Acute Renal failure, Creatinine 4.3, BUN 33, hemo dialysis x3 weekly. Pt has been unable to find transportation to dialysis over the last several days. Pt complaints of SOB x3 days with cough. O2 saturation 99-100% on RA, Chest Xrays showing bilateral layering pleural effusions with no significant acute interstitial airspace disease.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pleural effusion
Clinical narrative: Acute Renal failure, Creatinine 4.3, BUN 33, hemo dialysis x3 weekly. Pt has been unable to find transportation to dialysis over the last several days. Pt complaints of SOB x3 days with cough. O2 saturation 99-100% on RA, Chest Xrays showing bilateral layering pleural effusions with no significant acute interstitial airspace disease.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Condition aggravated, Cough, Oropharyngeal pain
Clinical narrative: 1. Throat pain  2. Constant cough - triggered after second dose as well  3. Chest pain
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Cerebrovascular accident, Computerised tomogram, Electrocardiogram, Magnetic resonance imaging
Clinical narrative: Cryptogenic stroke on January 2, 2022.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral normal, Anti-cyclic citrullinated peptide antibody negative, Antinuclear antibody positive, Antithrombin III, Arteriogram carotid normal
Clinical narrative: Cryptogenic stroke on January 2, 2022.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase normal, Blood creatinine normal, Blood glucose normal, Blood lactic acid, Blood potassium normal
Clinical narrative: Cryptogenic stroke on January 2, 2022.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood sodium normal, Blood thyroid stimulating hormone normal, Blood urea normal, Carbon dioxide decreased, Cardiac valve disease
Clinical narrative: Cryptogenic stroke on January 2, 2022.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiolipin antibody negative, Cerebrovascular accident, Chest X-ray normal, Coagulation factor V level normal, Computerised tomogram head abnormal
Clinical narrative: Cryptogenic stroke on January 2, 2022.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Double stranded DNA antibody, Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram normal
Clinical narrative: Cryptogenic stroke on January 2, 2022.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Embolism, Eye pain, Full blood count, Glycosylated haemoglobin, Haematocrit normal
Clinical narrative: Cryptogenic stroke on January 2, 2022.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemochromatosis, Haemoglobin normal, Headache, Hypoaesthesia, Implantable cardiac monitor insertion
Clinical narrative: Cryptogenic stroke on January 2, 2022.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Infarction, Ischaemic cerebral infarction, Lambl's excrescences, Lung opacity, Magnetic resonance imaging head abnormal
Clinical narrative: Cryptogenic stroke on January 2, 2022.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Paraesthesia, Paranasal sinus discomfort, Phonophobia, Photophobia
Clinical narrative: Cryptogenic stroke on January 2, 2022.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count normal, Protein C, Protein S normal, Respiratory viral panel, SARS-CoV-2 test negative
Clinical narrative: Cryptogenic stroke on January 2, 2022.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinus congestion, Vascular injury, Vision blurred, White blood cell count decreased
Clinical narrative: Cryptogenic stroke on January 2, 2022.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, COVID-19, Chest X-ray normal, Cough
Clinical narrative: Documentation shows patient to have received the Pfizer two dose series - 2/25/21 & 3/18/21.  Patient has not received a booster.  Unable to provide the lot numbers for received vaccines.  Unable to obtain information for requested information not included in this report.   Patient presents to ED following a fall from bed to floor.  Patient has been feeling very weak w/ a mild cough.  Attempt to raise out of bed produced dizziness = fall.  New onset a-fib w/ RVR admitting diagnosis.  No other S/S r/t Covid-19 infection.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, SARS-CoV-2 test positive
Clinical narrative: Documentation shows patient to have received the Pfizer two dose series - 2/25/21 & 3/18/21.  Patient has not received a booster.  Unable to provide the lot numbers for received vaccines.  Unable to obtain information for requested information not included in this report.   Patient presents to ED following a fall from bed to floor.  Patient has been feeling very weak w/ a mild cough.  Attempt to raise out of bed produced dizziness = fall.  New onset a-fib w/ RVR admitting diagnosis.  No other S/S r/t Covid-19 infection.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse advent.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received Pfizer COVID-19 vaccine which was beyond the manufacturer recommended use time of 31 days at the refrigerated temperature. Organization has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range which is supported by the above data. No known adverse outcomes.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after full vaccination. Patient was diagnosed with COVID Remdesivir Discharged home
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Systemic: Allergic: Itch Generalized-Medium
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH CASE
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vision blurred
Clinical narrative: A 17 year old female reported feeling blurred vision and dizziness after administration of the vaccine. Evaluation is preformed and S/V is taken. Consultation with Doctor is carried out, which indicates that she be placed on a stretcher and monitored for 30 minutes and her vitals are reassessed. After 30 minutes, the patients vitals are reassessed and she reports having improved her symptoms and feeling well. To which she withdraws from the center under her own feet.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Diarrhoea, Dyspnoea
Clinical narrative: Pt arrives to the ED with shortness of breath and 4 days of diarrhea.  Pt has a history of DM type 2 and obstructive sleep apnea.  Pt was found to have acute hypoxic respiratory failure in the presence of COVID-19.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Dyspnoea, Headache, Nausea
Clinical narrative: Patient reported increased nausea & headaches beginning appx. 2 hours after injection. Condition worsened into fever, joint pain & aches, chest pain & shortness of breathing over the next several days. Fever has abated at time of reporting (8 days post injection), although, aches, pain & shortness of breath remain.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Patient reported increased nausea & headaches beginning appx. 2 hours after injection. Condition worsened into fever, joint pain & aches, chest pain & shortness of breathing over the next several days. Fever has abated at time of reporting (8 days post injection), although, aches, pain & shortness of breath remain.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse advent.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Electrocardiogram ambulatory abnormal
Clinical narrative: Heart flutter over 200 times in 1 monitored week via stick on ekg recorder. Flutter lasts 10 to 20 seconds each.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose was administered past the beyond use date.  Gray cap vial was punctured 28 hours prior to dose being given.  Contacted CDC and Pfizer for more information on stability of vaccine.  Since Pfizer didn't have any data on the stability of the vaccine for this length of time, we deferred to CDC guidelines to repeat dose.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure decreased, Blood test abnormal, Chest pain, Electrocardiogram normal
Clinical narrative: Starting on 12/17 afternoon, I had a pain in my left shoulder and upper chest. It got worse through the evening and moved away from my shoulder and towards the left side of my chest. It hurt to breath. Around 10PM the same day, I went to the ER where they performed a few tests. Bloodwork came back w/ elevated white blood cell count. All other tests were normal. I began feeling feverish so they gave me nitroglycerin. I had an extreme reaction to the nitro. My BP and pulse dropped. They saw I had pericarditis. They gave me pain medications.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate decreased, Hypersensitivity, Painful respiration, Pericarditis, Pyrexia
Clinical narrative: Starting on 12/17 afternoon, I had a pain in my left shoulder and upper chest. It got worse through the evening and moved away from my shoulder and towards the left side of my chest. It hurt to breath. Around 10PM the same day, I went to the ER where they performed a few tests. Bloodwork came back w/ elevated white blood cell count. All other tests were normal. I began feeling feverish so they gave me nitroglycerin. I had an extreme reaction to the nitro. My BP and pulse dropped. They saw I had pericarditis. They gave me pain medications.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, White blood cell count increased
Clinical narrative: Starting on 12/17 afternoon, I had a pain in my left shoulder and upper chest. It got worse through the evening and moved away from my shoulder and towards the left side of my chest. It hurt to breath. Around 10PM the same day, I went to the ER where they performed a few tests. Bloodwork came back w/ elevated white blood cell count. All other tests were normal. I began feeling feverish so they gave me nitroglycerin. I had an extreme reaction to the nitro. My BP and pulse dropped. They saw I had pericarditis. They gave me pain medications.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pallor, Peripheral coldness, Raynaud's phenomenon, Skin discolouration
Clinical narrative: Raynaud phenomenon, right hand, noted about 12 hours after vaccination (overnight), relieved by warming hand in shower. Gradually lessened in intensity and frequency over the course of a week and then stopped with no recurrence over the following year, to date. Received Pfizer as "booster" in November 2021. Photographs available. By Raynaud phenomenon, I mean cold, numb fingertips, appearing pale, while other parts of affected hand appeared purple. No previous history of Raynaud or other vascular, immunological, or inflammatory diseases. I am a physician, but I'm reporting this as a patient.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone, Cardiac stress test, Chest discomfort, Chest pain, Computerised tomogram thorax
Clinical narrative: Increased pain in left arm, increased fatigue, headache, fever 102 F, nasal and chest congestion, malaise, nausea, vomiting, new onset  palpitations, tachycardia, chest pain, chest tightness and increased shortness of breath with any activity and New onset renal insufficiency.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dyspnoea exertional, Echocardiogram, Electrocardiogram, Fatigue
Clinical narrative: Increased pain in left arm, increased fatigue, headache, fever 102 F, nasal and chest congestion, malaise, nausea, vomiting, new onset  palpitations, tachycardia, chest pain, chest tightness and increased shortness of breath with any activity and New onset renal insufficiency.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Glycosylated haemoglobin, Headache, Lipids, Malaise
Clinical narrative: Increased pain in left arm, increased fatigue, headache, fever 102 F, nasal and chest congestion, malaise, nausea, vomiting, new onset  palpitations, tachycardia, chest pain, chest tightness and increased shortness of breath with any activity and New onset renal insufficiency.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Nasal congestion, Nausea, Oestradiol, Pain in extremity
Clinical narrative: Increased pain in left arm, increased fatigue, headache, fever 102 F, nasal and chest congestion, malaise, nausea, vomiting, new onset  palpitations, tachycardia, chest pain, chest tightness and increased shortness of breath with any activity and New onset renal insufficiency.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Pyrexia, Renal failure, Respiratory tract congestion, Sleep study
Clinical narrative: Increased pain in left arm, increased fatigue, headache, fever 102 F, nasal and chest congestion, malaise, nausea, vomiting, new onset  palpitations, tachycardia, chest pain, chest tightness and increased shortness of breath with any activity and New onset renal insufficiency.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Vitamin D, Vomiting
Clinical narrative: Increased pain in left arm, increased fatigue, headache, fever 102 F, nasal and chest congestion, malaise, nausea, vomiting, new onset  palpitations, tachycardia, chest pain, chest tightness and increased shortness of breath with any activity and New onset renal insufficiency.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Clinic Lead did not use Qualified Container and Pack-out for the initial vaccine transfer of 10 doses of Moderna. Moderna was transferred from one site to another site (travel time total 15 min).
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19  Note: Documentation shows that while this was the second shot in the COVID-19 series, it was given 9 months after the first shot. The first shot was also Pfizer.
Age: 12.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Arthralgia, Injected limb mobility decreased, Shoulder injury related to vaccine administration
Clinical narrative: LEFT SHOULDER INJURY RELATED TO VACCINE ADMINISTRATION SUSPECTED.  SYMPTOMS LEFT SHOULDER PAIN AND DECREASED RANDGE OF MOTION OVER THE LAST MONTH.