chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Death, Fatigue, Granulomatosis with polyangiitis, Nasal congestion
Clinical narrative: In  the spring after her vaccination, patient developed increased nasal congestion and sinus pain.  She was seen in the summer of 2021 by both an Allergist and an ENT for what was thought to be worsening allergies. They all missed that she had Wegener's GPA.  She was treated by multiple providers with antibiotics and allergy medication, but she did not have a sinus infection.   She developed a cough and fatigue in September 2021. She was treated with steroids along with a 2nd course of antibiotics,  and then a 3rd antibiotic without any lab testing.  She died on  October 12, 2021 at hospital after having a bronchoscopy.  She was not diagnosed with Wegener's GPA until after she passed.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary mass, Sinus pain
Clinical narrative: In  the spring after her vaccination, patient developed increased nasal congestion and sinus pain.  She was seen in the summer of 2021 by both an Allergist and an ENT for what was thought to be worsening allergies. They all missed that she had Wegener's GPA.  She was treated by multiple providers with antibiotics and allergy medication, but she did not have a sinus infection.   She developed a cough and fatigue in September 2021. She was treated with steroids along with a 2nd course of antibiotics,  and then a 3rd antibiotic without any lab testing.  She died on  October 12, 2021 at hospital after having a bronchoscopy.  She was not diagnosed with Wegener's GPA until after she passed.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccination was drawn from a vial of expired vaccine
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Pt states no known health issue however after receiving the vaccine he had syncope. Pt states he hadn?t eaten the whole day and this happens when he doesn?t eat. Pt was breathing normal but unconscious briefly.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Arrhythmia, Atrial fibrillation, Blood pressure fluctuation, Cardiac stress test
Clinical narrative: After the first dose, I had a fever and a rash at injection site. The rash got to be as big as a grapefruit. It turned into the shape of a heart. I had some nausea as well. Since receiving the vaccine, I keep going into A-fib and have developed a new heart arrhythmia issue that has gotten worse, although I don't remember the name of the condition. I have ended up in the E.R. twice due to elevated heart rate and fluctuating blood pressure. They gave me an I.V. with medication that brought my numbers back to normal. The EMTs also gave me a nitroglycerin tablet for chest pain.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Echocardiogram, Heart rate increased, Injection site rash
Clinical narrative: After the first dose, I had a fever and a rash at injection site. The rash got to be as big as a grapefruit. It turned into the shape of a heart. I had some nausea as well. Since receiving the vaccine, I keep going into A-fib and have developed a new heart arrhythmia issue that has gotten worse, although I don't remember the name of the condition. I have ended up in the E.R. twice due to elevated heart rate and fluctuating blood pressure. They gave me an I.V. with medication that brought my numbers back to normal. The EMTs also gave me a nitroglycerin tablet for chest pain.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: After the first dose, I had a fever and a rash at injection site. The rash got to be as big as a grapefruit. It turned into the shape of a heart. I had some nausea as well. Since receiving the vaccine, I keep going into A-fib and have developed a new heart arrhythmia issue that has gotten worse, although I don't remember the name of the condition. I have ended up in the E.R. twice due to elevated heart rate and fluctuating blood pressure. They gave me an I.V. with medication that brought my numbers back to normal. The EMTs also gave me a nitroglycerin tablet for chest pain.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Chest pain, Fatigue, Injury, Malaise
Clinical narrative: I was feeling sick, I had a low grade fever. By Friday I developed an arm rash and swelling. It started to fade after 3 days. I would also say fatigue, muscle aches, also I had  some achiness in my chest. I also noticed a change where I started to have more orthopedic type injuries. 2 of my fingers started to get an arthritic rhythm-that never happened before until after I received the booster. I've also noticed some hair loss but not sure where that came from.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Myalgia, Pyrexia, Rash, Swelling
Clinical narrative: I was feeling sick, I had a low grade fever. By Friday I developed an arm rash and swelling. It started to fade after 3 days. I would also say fatigue, muscle aches, also I had  some achiness in my chest. I also noticed a change where I started to have more orthopedic type injuries. 2 of my fingers started to get an arthritic rhythm-that never happened before until after I received the booster. I've also noticed some hair loss but not sure where that came from.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site haematoma, Paraesthesia
Clinical narrative: Hematoma at injection site Numbness and paresthesia to extremity of injection site
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Eye swelling, Eyelid function disorder, Immediate post-injection reaction, Nasal congestion
Clinical narrative: Immediately after vaccine I did have nasal congestion. 04/27/2022 eye began to look enlarged and bigger than the other. I went to my primary urgent care the next day who referred me to the eye center. They stated that the lower eye lid was weak and I could not blink my eye like normal. They believed it was a mild case of Bell's Palsy. No labs just a physical examination of my eye. I am still experiencing these issues with my eye, and my doctors have only recommended lubrication of my eye to prevent it from getting dry.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Torticollis
Clinical narrative: Developed spasmodic torticollis approximately 2 weeks after receiving Moderna booster
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Erythema, Nodule, Pain
Clinical narrative: My arm had a bump the size of a softball it turned red & I was in severe pain so  my mom took me to the ER.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Undiluted Purple Cap Pfizer (0.3mL) was administered to patient -
Age: 0.83
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Rotarix vaccine at 10 months old
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccination dose was drawn for an expired vial of vaccine
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Feeling abnormal, Lacrimation increased, Nasopharyngitis
Clinical narrative: I tested started feeling bad on 05/01/2022 and I did at test and get was positive on 05/02/2022. I also did a PCR test with facility. My symptoms are moderate, I have a bad cold, low grade fever 101.1, sore throat, running nose, running eyes, sneezing and chills. I did a at home COVID test and it was positive and then I did a PCR test and I am waiting on the results for it. I have been quarantine for about 3 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I tested started feeling bad on 05/01/2022 and I did at test and get was positive on 05/02/2022. I also did a PCR test with facility. My symptoms are moderate, I have a bad cold, low grade fever 101.1, sore throat, running nose, running eyes, sneezing and chills. I did a at home COVID test and it was positive and then I did a PCR test and I am waiting on the results for it. I have been quarantine for about 3 days.
Age: 56.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered
Clinical narrative: Was given Pediatric dose instead of adult dose.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dysstasia, Gait disturbance, Hypoaesthesia, Infection
Clinical narrative: Woke up 4/1/21 could not move muscles or joints, had severe intense shooting pains in left leg constantly. Prescribed Gabapentin by PCP. Had to increase dosage to 900mg / day to quell pain. 1 week later, started having tingling and numbness in left foot which persists to this day. Started physical therapy which did not help. Then started having intense joint pain in right hip, which persists to this day.  I have been prescribed mobic for pain but still can not move hip.  Was prescribed zanaflex which helps some, but to this day I can still hardly walk.  My joints and muscles are so rigid, even with treatments and meds and physical therapy and stretching exercises my legs will barely move. I cannot walk very far or stand very long without intense pain.  I have the pain whether sitting or standing or lying down.  I have had so many infections, any little sore or scratch gets infected and I have had many different antibiotics prescriptions over the last year.  I never had ANY of these problems before getting the Moderna shot.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle rigidity, Pain, Pain in extremity, Paraesthesia, Scratch
Clinical narrative: Woke up 4/1/21 could not move muscles or joints, had severe intense shooting pains in left leg constantly. Prescribed Gabapentin by PCP. Had to increase dosage to 900mg / day to quell pain. 1 week later, started having tingling and numbness in left foot which persists to this day. Started physical therapy which did not help. Then started having intense joint pain in right hip, which persists to this day.  I have been prescribed mobic for pain but still can not move hip.  Was prescribed zanaflex which helps some, but to this day I can still hardly walk.  My joints and muscles are so rigid, even with treatments and meds and physical therapy and stretching exercises my legs will barely move. I cannot walk very far or stand very long without intense pain.  I have the pain whether sitting or standing or lying down.  I have had so many infections, any little sore or scratch gets infected and I have had many different antibiotics prescriptions over the last year.  I never had ANY of these problems before getting the Moderna shot.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Skin lesion, X-ray
Clinical narrative: Woke up 4/1/21 could not move muscles or joints, had severe intense shooting pains in left leg constantly. Prescribed Gabapentin by PCP. Had to increase dosage to 900mg / day to quell pain. 1 week later, started having tingling and numbness in left foot which persists to this day. Started physical therapy which did not help. Then started having intense joint pain in right hip, which persists to this day.  I have been prescribed mobic for pain but still can not move hip.  Was prescribed zanaflex which helps some, but to this day I can still hardly walk.  My joints and muscles are so rigid, even with treatments and meds and physical therapy and stretching exercises my legs will barely move. I cannot walk very far or stand very long without intense pain.  I have the pain whether sitting or standing or lying down.  I have had so many infections, any little sore or scratch gets infected and I have had many different antibiotics prescriptions over the last year.  I never had ANY of these problems before getting the Moderna shot.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Multiple sclerosis, Muscular weakness, Peroneal nerve palsy, Temperature intolerance
Clinical narrative: more pronounced foot drop/limp, increased frequency and intensity of fatigue and weakness in limbs, tremors in arms and hands, extreme sensitivity to heat.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: more pronounced foot drop/limp, increased frequency and intensity of fatigue and weakness in limbs, tremors in arms and hands, extreme sensitivity to heat.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Incorrect DOB was provided by the guardian at both times of administration of the vaccination
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Medication error - expired vaccine administered.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Impaired work ability, Somnolence
Clinical narrative: I had trouble concentrating and grogginess. I couldn't really do my job. It lasted for a couple weeks.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Aphonia, Cough, Dehydration, Hypoaesthesia, Laboratory test normal
Clinical narrative: arm (left and right) numbness, hand numbness, numbness in face, loss of voice and a bad ough
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: arm (left and right) numbness, hand numbness, numbness in face, loss of voice and a bad ough
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscle spasms
Clinical narrative: 5 days after my vaccine. I had muscles spasm up my spine that was 5 inches long and an inch wide. Then I started getting muscle spasms in my feet, hands, and arms which I still suffer from today. I went to the doctor almost right away because I didn't know what was going on and I could hardly move. She recommended a prescription but I prefer not to take medications and tried to use an over the counter medication. That did not work, so I ended up having to get muscle relaxers for the pain.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Medication error
Clinical narrative: Medication error - expired vaccine administered.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Ear discomfort, Labyrinthitis, SARS-CoV-2 test negative
Clinical narrative: My left ear became clogged like I was under water and I had resulting pressure heads behind my ear.  When I went to see the doctor he gave me antibiotics saying that it may be an inner ear infection, I took the full course and still have minor symptoms.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Pruritus, Purulent discharge, Pustule, Rash
Clinical narrative: The stuff on my ankle after the second dose was very itchy like deer fly bite. It was really red and about four inches up my ankle 6-8 inches around the ankle it was like this on both ankles. It was a mixture of bumps and blistery. It itched so bad that they busted and seeped a clear liquid from itching. It was about 3 weeks before I saw a doctor. The doctor prescribed a topical cream. Will call back with the dates of the dose 2 and dates.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Skin reaction
Clinical narrative: The stuff on my ankle after the second dose was very itchy like deer fly bite. It was really red and about four inches up my ankle 6-8 inches around the ankle it was like this on both ankles. It was a mixture of bumps and blistery. It itched so bad that they busted and seeped a clear liquid from itching. It was about 3 weeks before I saw a doctor. The doctor prescribed a topical cream. Will call back with the dates of the dose 2 and dates.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccination dose was drawn from an expired bottle of vaccine
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Adrenal mass, Anaemia macrocytic, Angiogram pulmonary normal, Arthritis
Clinical narrative: Provider discharge summary "Patient is a 64 yr old female with a past medical history significant for CHF, Type 2 DM, ILD on 2L chronically who presents to the ED with right foot pain and shortness of breath. Patient does have chronic shortness of breath, known with ILD on 2L at home which she does increase to 4-6L when she is in the shower due to exertion. She was found to be COVID positive in the ER. In the ED, the patient was noted to have SpO2 of 95% on 3L NC, shortly later increased to 5L NC with improvement of tachypnea and dyspnea. CXR unrevealing, 3V x-ray of right foot showing significant arthritis with osteophytes and "excrescence at the dorsal head of the talus and subtalar coalition." CBC revealed macrocytic anemia (unchanged from previous), ESR >130, magnesium 1.6. BNP showing 2516 (previous elevation 2444), CRP 7.5, procalcitonin 0.10, D-dimer 650 (previous elevations 1100), though CTPA negative for pulmonary embolism. Patient was admitted for acute on chronic respiratory failure secondary to COVID-19. Patient initially placed on her home oxygen levels while during this inpatient stay, though required increased oxygen support with transition to high flow nasal cannula. Her foot pain likely attributed to an acute gout flare up as her serum uric acid was elevated and symptoms resolved with use of prednisone. She has completed course of remdesivir. She was not given steroids on discharge. Her home Lopressor  was decreased from 50mg to 12.5mg BID during this admission, due to bradycardia. She is to continue her other home medications as prescribed. She is to follow with her PCP. Recommend further workup of incidental adrenal mass per PCP. Patient's oxygen requirements improved and she was transitioned to her home oxygen of 3L. She is medically stable and ready for discharge in the afternoon of January 28, 2022."
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood magnesium normal, Blood uric acid, Bradycardia, Brain natriuretic peptide increased, C-reactive protein increased
Clinical narrative: Provider discharge summary "Patient is a 64 yr old female with a past medical history significant for CHF, Type 2 DM, ILD on 2L chronically who presents to the ED with right foot pain and shortness of breath. Patient does have chronic shortness of breath, known with ILD on 2L at home which she does increase to 4-6L when she is in the shower due to exertion. She was found to be COVID positive in the ER. In the ED, the patient was noted to have SpO2 of 95% on 3L NC, shortly later increased to 5L NC with improvement of tachypnea and dyspnea. CXR unrevealing, 3V x-ray of right foot showing significant arthritis with osteophytes and "excrescence at the dorsal head of the talus and subtalar coalition." CBC revealed macrocytic anemia (unchanged from previous), ESR >130, magnesium 1.6. BNP showing 2516 (previous elevation 2444), CRP 7.5, procalcitonin 0.10, D-dimer 650 (previous elevations 1100), though CTPA negative for pulmonary embolism. Patient was admitted for acute on chronic respiratory failure secondary to COVID-19. Patient initially placed on her home oxygen levels while during this inpatient stay, though required increased oxygen support with transition to high flow nasal cannula. Her foot pain likely attributed to an acute gout flare up as her serum uric acid was elevated and symptoms resolved with use of prednisone. She has completed course of remdesivir. She was not given steroids on discharge. Her home Lopressor  was decreased from 50mg to 12.5mg BID during this admission, due to bradycardia. She is to continue her other home medications as prescribed. She is to follow with her PCP. Recommend further workup of incidental adrenal mass per PCP. Patient's oxygen requirements improved and she was transitioned to her home oxygen of 3L. She is medically stable and ready for discharge in the afternoon of January 28, 2022."
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Condition aggravated, Congenital foot malformation, Dyspnoea
Clinical narrative: Provider discharge summary "Patient is a 64 yr old female with a past medical history significant for CHF, Type 2 DM, ILD on 2L chronically who presents to the ED with right foot pain and shortness of breath. Patient does have chronic shortness of breath, known with ILD on 2L at home which she does increase to 4-6L when she is in the shower due to exertion. She was found to be COVID positive in the ER. In the ED, the patient was noted to have SpO2 of 95% on 3L NC, shortly later increased to 5L NC with improvement of tachypnea and dyspnea. CXR unrevealing, 3V x-ray of right foot showing significant arthritis with osteophytes and "excrescence at the dorsal head of the talus and subtalar coalition." CBC revealed macrocytic anemia (unchanged from previous), ESR >130, magnesium 1.6. BNP showing 2516 (previous elevation 2444), CRP 7.5, procalcitonin 0.10, D-dimer 650 (previous elevations 1100), though CTPA negative for pulmonary embolism. Patient was admitted for acute on chronic respiratory failure secondary to COVID-19. Patient initially placed on her home oxygen levels while during this inpatient stay, though required increased oxygen support with transition to high flow nasal cannula. Her foot pain likely attributed to an acute gout flare up as her serum uric acid was elevated and symptoms resolved with use of prednisone. She has completed course of remdesivir. She was not given steroids on discharge. Her home Lopressor  was decreased from 50mg to 12.5mg BID during this admission, due to bradycardia. She is to continue her other home medications as prescribed. She is to follow with her PCP. Recommend further workup of incidental adrenal mass per PCP. Patient's oxygen requirements improved and she was transitioned to her home oxygen of 3L. She is medically stable and ready for discharge in the afternoon of January 28, 2022."
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Exostosis, Fibrin D dimer, Full blood count abnormal, Gout, Pain in extremity
Clinical narrative: Provider discharge summary "Patient is a 64 yr old female with a past medical history significant for CHF, Type 2 DM, ILD on 2L chronically who presents to the ED with right foot pain and shortness of breath. Patient does have chronic shortness of breath, known with ILD on 2L at home which she does increase to 4-6L when she is in the shower due to exertion. She was found to be COVID positive in the ER. In the ED, the patient was noted to have SpO2 of 95% on 3L NC, shortly later increased to 5L NC with improvement of tachypnea and dyspnea. CXR unrevealing, 3V x-ray of right foot showing significant arthritis with osteophytes and "excrescence at the dorsal head of the talus and subtalar coalition." CBC revealed macrocytic anemia (unchanged from previous), ESR >130, magnesium 1.6. BNP showing 2516 (previous elevation 2444), CRP 7.5, procalcitonin 0.10, D-dimer 650 (previous elevations 1100), though CTPA negative for pulmonary embolism. Patient was admitted for acute on chronic respiratory failure secondary to COVID-19. Patient initially placed on her home oxygen levels while during this inpatient stay, though required increased oxygen support with transition to high flow nasal cannula. Her foot pain likely attributed to an acute gout flare up as her serum uric acid was elevated and symptoms resolved with use of prednisone. She has completed course of remdesivir. She was not given steroids on discharge. Her home Lopressor  was decreased from 50mg to 12.5mg BID during this admission, due to bradycardia. She is to continue her other home medications as prescribed. She is to follow with her PCP. Recommend further workup of incidental adrenal mass per PCP. Patient's oxygen requirements improved and she was transitioned to her home oxygen of 3L. She is medically stable and ready for discharge in the afternoon of January 28, 2022."
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Procalcitonin, Red blood cell sedimentation rate increased, SARS-CoV-2 test positive, Tachypnoea, X-ray limb abnormal
Clinical narrative: Provider discharge summary "Patient is a 64 yr old female with a past medical history significant for CHF, Type 2 DM, ILD on 2L chronically who presents to the ED with right foot pain and shortness of breath. Patient does have chronic shortness of breath, known with ILD on 2L at home which she does increase to 4-6L when she is in the shower due to exertion. She was found to be COVID positive in the ER. In the ED, the patient was noted to have SpO2 of 95% on 3L NC, shortly later increased to 5L NC with improvement of tachypnea and dyspnea. CXR unrevealing, 3V x-ray of right foot showing significant arthritis with osteophytes and "excrescence at the dorsal head of the talus and subtalar coalition." CBC revealed macrocytic anemia (unchanged from previous), ESR >130, magnesium 1.6. BNP showing 2516 (previous elevation 2444), CRP 7.5, procalcitonin 0.10, D-dimer 650 (previous elevations 1100), though CTPA negative for pulmonary embolism. Patient was admitted for acute on chronic respiratory failure secondary to COVID-19. Patient initially placed on her home oxygen levels while during this inpatient stay, though required increased oxygen support with transition to high flow nasal cannula. Her foot pain likely attributed to an acute gout flare up as her serum uric acid was elevated and symptoms resolved with use of prednisone. She has completed course of remdesivir. She was not given steroids on discharge. Her home Lopressor  was decreased from 50mg to 12.5mg BID during this admission, due to bradycardia. She is to continue her other home medications as prescribed. She is to follow with her PCP. Recommend further workup of incidental adrenal mass per PCP. Patient's oxygen requirements improved and she was transitioned to her home oxygen of 3L. She is medically stable and ready for discharge in the afternoon of January 28, 2022."
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Condition aggravated, Dyspnoea, Inflammatory marker increased
Clinical narrative: Provider discharge summary "Patient is a 64 yr old female with a past medical history significant for CHF, Type 2 DM, ILD on 2L chronically who presents to the ED with right foot pain and shortness of breath. Patient does have chronic shortness of breath, known with ILD on 2L at home which she does increase to 4-6L when she is in the shower due to exertion. She was found to be COVID positive in the ER. In the ED, the patient was noted to have SpO2 of 95% on 3L NC, shortly later increased to 5L NC with improvement of tachypnea and dyspnea. CXR unrevealing, 3V x-ray of right foot showing significant arthritis with osteophytes and "excrescence at the dorsal head of the talus and subtalar coalition." CBC revealed macrocytic anemia (unchanged from previous), ESR >130, magnesium 1.6. BNP showing 2516 (previous elevation 2444), CRP 7.5, procalcitonin 0.10, D-dimer 650 (previous elevations 1100), though CTPA negative for pulmonary embolism. Patient was admitted for acute on chronic respiratory failure secondary to COVID-19. Patient initially placed on her home oxygen levels while during this inpatient stay, though required increased oxygen support with transition to high flow nasal cannula. Her foot pain likely attributed to an acute gout flare up as her serum uric acid was elevated and symptoms resolved with use of prednisone. She has completed course of remdesivir. She was not given steroids on discharge. Her home Lopressor  was decreased from 50mg to 12.5mg BID during this admission, due to bradycardia. She is to continue her other home medications as prescribed. She is to follow with her PCP. Recommend further workup of incidental adrenal mass per PCP. Patient's oxygen requirements improved and she was transitioned to her home oxygen of 3L. She is medically stable and ready for discharge in the afternoon of January 28, 2022."
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Positive airway pressure therapy, Procalcitonin increased, Pulmonary hypertension, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Provider discharge summary "Patient is a 64 yr old female with a past medical history significant for CHF, Type 2 DM, ILD on 2L chronically who presents to the ED with right foot pain and shortness of breath. Patient does have chronic shortness of breath, known with ILD on 2L at home which she does increase to 4-6L when she is in the shower due to exertion. She was found to be COVID positive in the ER. In the ED, the patient was noted to have SpO2 of 95% on 3L NC, shortly later increased to 5L NC with improvement of tachypnea and dyspnea. CXR unrevealing, 3V x-ray of right foot showing significant arthritis with osteophytes and "excrescence at the dorsal head of the talus and subtalar coalition." CBC revealed macrocytic anemia (unchanged from previous), ESR >130, magnesium 1.6. BNP showing 2516 (previous elevation 2444), CRP 7.5, procalcitonin 0.10, D-dimer 650 (previous elevations 1100), though CTPA negative for pulmonary embolism. Patient was admitted for acute on chronic respiratory failure secondary to COVID-19. Patient initially placed on her home oxygen levels while during this inpatient stay, though required increased oxygen support with transition to high flow nasal cannula. Her foot pain likely attributed to an acute gout flare up as her serum uric acid was elevated and symptoms resolved with use of prednisone. She has completed course of remdesivir. She was not given steroids on discharge. Her home Lopressor  was decreased from 50mg to 12.5mg BID during this admission, due to bradycardia. She is to continue her other home medications as prescribed. She is to follow with her PCP. Recommend further workup of incidental adrenal mass per PCP. Patient's oxygen requirements improved and she was transitioned to her home oxygen of 3L. She is medically stable and ready for discharge in the afternoon of January 28, 2022."
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Wheezing
Clinical narrative: Provider discharge summary "Patient is a 64 yr old female with a past medical history significant for CHF, Type 2 DM, ILD on 2L chronically who presents to the ED with right foot pain and shortness of breath. Patient does have chronic shortness of breath, known with ILD on 2L at home which she does increase to 4-6L when she is in the shower due to exertion. She was found to be COVID positive in the ER. In the ED, the patient was noted to have SpO2 of 95% on 3L NC, shortly later increased to 5L NC with improvement of tachypnea and dyspnea. CXR unrevealing, 3V x-ray of right foot showing significant arthritis with osteophytes and "excrescence at the dorsal head of the talus and subtalar coalition." CBC revealed macrocytic anemia (unchanged from previous), ESR >130, magnesium 1.6. BNP showing 2516 (previous elevation 2444), CRP 7.5, procalcitonin 0.10, D-dimer 650 (previous elevations 1100), though CTPA negative for pulmonary embolism. Patient was admitted for acute on chronic respiratory failure secondary to COVID-19. Patient initially placed on her home oxygen levels while during this inpatient stay, though required increased oxygen support with transition to high flow nasal cannula. Her foot pain likely attributed to an acute gout flare up as her serum uric acid was elevated and symptoms resolved with use of prednisone. She has completed course of remdesivir. She was not given steroids on discharge. Her home Lopressor  was decreased from 50mg to 12.5mg BID during this admission, due to bradycardia. She is to continue her other home medications as prescribed. She is to follow with her PCP. Recommend further workup of incidental adrenal mass per PCP. Patient's oxygen requirements improved and she was transitioned to her home oxygen of 3L. She is medically stable and ready for discharge in the afternoon of January 28, 2022."
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram neck, Inflammation, Scan with contrast, Synovial cyst, Tinnitus
Clinical narrative: One month after my booster vaccine, I experienced tinnitus and on or around 03/2022 I started to experience an inflamed ganglion to my left side of the neck, carotid area. They did a U/S of the neck and found a ganglion cyst, left side carotid region. I will be undergoing a CT scan of the neck with contrast is pending and I am scheduled to see my PCP on 05/20/2022. My PCP has suggested at this time to not get my 4th vaccine yet. I could not provide my lot number not documented on vaccine card.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal
Clinical narrative: One month after my booster vaccine, I experienced tinnitus and on or around 03/2022 I started to experience an inflamed ganglion to my left side of the neck, carotid area. They did a U/S of the neck and found a ganglion cyst, left side carotid region. I will be undergoing a CT scan of the neck with contrast is pending and I am scheduled to see my PCP on 05/20/2022. My PCP has suggested at this time to not get my 4th vaccine yet. I could not provide my lot number not documented on vaccine card.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Induration, Muscle spasms, Muscle tightness, Muscle twitching
Clinical narrative: Both of my calves became really hard, muscles were tight. Then a day later (5th) I started to get continuous muscle spasms/twitches from my knee down. Waited a week and it didn't subside, I set a Telemedicine appt with my doctor. She asked that I go and get blood work done. I had to go to the Urgent Care while waiting for my bloodwork appt because of the pain. When I went and got my bloodwork, it came back normal. My Vitamin D was low so my doctor asked that I take Vitamin D and Calcium. Twitches continued. Doctor thinks that the vx could have triggered an underlying condition. Doctor asked that I go for an Ultrasound to check for blood clots, nothing unordinary was found. Recommended that I wear compression socks.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler normal, Vitamin D decreased
Clinical narrative: Both of my calves became really hard, muscles were tight. Then a day later (5th) I started to get continuous muscle spasms/twitches from my knee down. Waited a week and it didn't subside, I set a Telemedicine appt with my doctor. She asked that I go and get blood work done. I had to go to the Urgent Care while waiting for my bloodwork appt because of the pain. When I went and got my bloodwork, it came back normal. My Vitamin D was low so my doctor asked that I take Vitamin D and Calcium. Twitches continued. Doctor thinks that the vx could have triggered an underlying condition. Doctor asked that I go for an Ultrasound to check for blood clots, nothing unordinary was found. Recommended that I wear compression socks.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac monitoring abnormal, Dry eye, Myocarditis, Palpitations
Clinical narrative: myocarditis, palpitations, arrhythmia, ventricular tachycardia, periorbital edema, keratoconjunctivitis sicca
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Periorbital oedema, Schirmer's test abnormal, Ventricular tachycardia
Clinical narrative: myocarditis, palpitations, arrhythmia, ventricular tachycardia, periorbital edema, keratoconjunctivitis sicca
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Medication error - expired vaccine administered.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Decreased appetite, Lethargy, Pain
Clinical narrative: Very lethargic, no appetite of energy, fever, cough, restlessness, and body aches
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Restlessness
Clinical narrative: Very lethargic, no appetite of energy, fever, cough, restlessness, and body aches
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Medication error - expired vaccine administered.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Muscle spasms, Pyrexia
Clinical narrative: After my first dose, I started having spasms in my calves. Doctor decided that it was some kind of inflammatory response. It was never diagnosed as to why. After this dose, was hoping that it would subside but didn't, and had a fever for 36 hours. Calf spasms finally subsided about 6 months later.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Electrocardiogram, Exposure during pregnancy
Clinical narrative: COVID breakthrough. I first noticed a sore throat and fatigue. Then the following day or so I was tested for travel purposes and tested positive, I just got back into the country today. I started having a really bad runny nose, coughing, fatigue, headaches, muscle aches. I had to go to the emergency room yesterday because my doctor was worried I might have a had a blood clot but I did not. I also have had shortness of breath, pain in my lungs from coughing and brain fog. My due date for delivery is July 3, 2022.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Myalgia, Oropharyngeal pain
Clinical narrative: COVID breakthrough. I first noticed a sore throat and fatigue. Then the following day or so I was tested for travel purposes and tested positive, I just got back into the country today. I started having a really bad runny nose, coughing, fatigue, headaches, muscle aches. I had to go to the emergency room yesterday because my doctor was worried I might have a had a blood clot but I did not. I also have had shortness of breath, pain in my lungs from coughing and brain fog. My due date for delivery is July 3, 2022.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary pain, Rhinorrhoea, SARS-CoV-2 test positive, Ultrasound foetal, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough. I first noticed a sore throat and fatigue. Then the following day or so I was tested for travel purposes and tested positive, I just got back into the country today. I started having a really bad runny nose, coughing, fatigue, headaches, muscle aches. I had to go to the emergency room yesterday because my doctor was worried I might have a had a blood clot but I did not. I also have had shortness of breath, pain in my lungs from coughing and brain fog. My due date for delivery is July 3, 2022.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: COVID breakthrough. I first noticed a sore throat and fatigue. Then the following day or so I was tested for travel purposes and tested positive, I just got back into the country today. I started having a really bad runny nose, coughing, fatigue, headaches, muscle aches. I had to go to the emergency room yesterday because my doctor was worried I might have a had a blood clot but I did not. I also have had shortness of breath, pain in my lungs from coughing and brain fog. My due date for delivery is July 3, 2022.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccination dose was administered from an expired vial of vaccine
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration, No adverse event, Wrong product administered
Clinical narrative: Hepatitis A given earlier than supposed to in place of Hepatitis B vaccine . No adverse reaction known
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Bone pain, Dizziness, Nausea, Pain in extremity, Vision blurred
Clinical narrative: Pt felt nausea, dizziness, blurry vision, bone pain in arms and legs.  We gave pt some water and had her lay down for 30 minutes.  Pt felt symptoms improved and pt was feeling better
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Arthralgia, Injection site pain, Injection site swelling
Clinical narrative: The patient received Prevnar 20 on 4/22/22. The next day the patient started to experience right arm pain at injection site and swelling. The pain travelled to her right shoulder and then to her left hip. She sought treatment (don't know exact date) at a urgent care clinic. She states that she received a Toradol injection. A few days later she returned to the clinic and received oral meds--toradol, flexeril, and decadron.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Contusion, Hyperaesthesia, Pain
Clinical narrative: woke up on saturday with slight abdominal ache, below navel, and sporatic sharp pains like gas. this lasted all day but stayed not too unbearable and the sharp pains subsided.  The next day my lower abdomen felt like my intestines were inflamed, sore to the touch and any movement hurt like I was bruised.  There was no diarrhea, no constipation , no flatulence. I am a vegan and eat basicly the same foods all the time and have no issues with my digestion, ever.  The only thing different was that I had my booster. It has gotten a little less sore daily and today I feel pretty good but still have tenderness if I push on that area or if I pull my muscles in tight.  Just thought it was odd, and worry about getting another booster because it wasn't pleasant
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: woke up on saturday with slight abdominal ache, below navel, and sporatic sharp pains like gas. this lasted all day but stayed not too unbearable and the sharp pains subsided.  The next day my lower abdomen felt like my intestines were inflamed, sore to the touch and any movement hurt like I was bruised.  There was no diarrhea, no constipation , no flatulence. I am a vegan and eat basicly the same foods all the time and have no issues with my digestion, ever.  The only thing different was that I had my booster. It has gotten a little less sore daily and today I feel pretty good but still have tenderness if I push on that area or if I pull my muscles in tight.  Just thought it was odd, and worry about getting another booster because it wasn't pleasant
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acupuncture, Blood test normal, Borrelia test negative, Fatigue, Somnolence
Clinical narrative: It started the next day of getting the vaccine and I was extremely fatigue and I would sleep for the entire day. This was every day. Am not a person that sleep a lot. I am a very high energy person. I couldn't stay awake. It has been going on for a month. I just thought it was just a reaction. So I said, to let it run its course. But about 3 weeks later, it was still happening. I went to my doctor and she suggest Acupuncture and it went on for about two month. Each session was for about 45-50 mins. As it went on I start noticing that it was helping. I went for about three months and then I didn't need it anymore. The Acupuncture really help.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test normal
Clinical narrative: It started the next day of getting the vaccine and I was extremely fatigue and I would sleep for the entire day. This was every day. Am not a person that sleep a lot. I am a very high energy person. I couldn't stay awake. It has been going on for a month. I just thought it was just a reaction. So I said, to let it run its course. But about 3 weeks later, it was still happening. I went to my doctor and she suggest Acupuncture and it went on for about two month. Each session was for about 45-50 mins. As it went on I start noticing that it was helping. I went for about three months and then I didn't need it anymore. The Acupuncture really help.
Age: 11.0
Sex: M
Vaccine: HPV9, MENB, MNQ, TDAP
Symptoms: Neurological examination abnormal, Presyncope, Seizure
Clinical narrative: vasovagal response, seizure lasting 15 seconds approx. vitals were taken, Neuro assessment all within normal limits
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Asthenia, COVID-19, Fatigue, Hypersomnia
Clinical narrative: Got COVID -I felt extremely fatigue, with sinus, I developed a cold and a fever. I was weak. I slept 16 hours a day. The day before I lost my sense of taste. I developed numbness on my mouth. On my feet, hand and my face. And inside my mouth. I had to see a Neurologist.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Magnetic resonance imaging head normal, Nasopharyngitis, Pyrexia
Clinical narrative: Got COVID -I felt extremely fatigue, with sinus, I developed a cold and a fever. I was weak. I slept 16 hours a day. The day before I lost my sense of taste. I developed numbness on my mouth. On my feet, hand and my face. And inside my mouth. I had to see a Neurologist.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder
Clinical narrative: Got COVID -I felt extremely fatigue, with sinus, I developed a cold and a fever. I was weak. I slept 16 hours a day. The day before I lost my sense of taste. I developed numbness on my mouth. On my feet, hand and my face. And inside my mouth. I had to see a Neurologist.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Walking aid user, X-ray limb normal
Clinical narrative: About 9 days after receiving Moderna booster, I developed severe pain in my right knee.  Pain was so severe that I could barely walk and needed a cane for assistance.  On 12/26, I went to Orthopedics Urgent Care.  They x-rayed and it no skeletal issues were observed.  They provided a shot of Cortisone and advised to treat with rest and cold.   The Cortisone shot seemed to work for a period of 4-5 weeks and then a severe relapse occured.  I requested and was granted PT services.  The services did not resolve the issue.  I was seen again by doctor and another shot of cortisone was provided.  This dose didn't provide much relief.  I continued PT to limited effect.  As of today - May 4th 2022 the pain in my knee persists.  Note that there was NO physical trauma or injury to cause this injury.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Bipolar disorder, Completed suicide, Malaise, Marital problem
Clinical narrative: Client diagnosed with COVID Jan 2021 Vaccinated with Jannsen 4/3/2021 Lost his mother May 2021 Diagnosed with bipolar depression and schizophenia June 2021 Separated from wife of 42 years September 2021 72 hour hold at a psychiatric facility in November 2021 Suicide by hanging November 2021 - wife believes he sustained organic changes to the brain after the COVID infection in January that ultimately resulted in his demise.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Schizophrenia, Stress
Clinical narrative: Client diagnosed with COVID Jan 2021 Vaccinated with Jannsen 4/3/2021 Lost his mother May 2021 Diagnosed with bipolar depression and schizophenia June 2021 Separated from wife of 42 years September 2021 72 hour hold at a psychiatric facility in November 2021 Suicide by hanging November 2021 - wife believes he sustained organic changes to the brain after the COVID infection in January that ultimately resulted in his demise.
Age: 41.0
Sex: F
Vaccine: PNC20
Symptoms: Nodule, Vomiting
Clinical narrative: PATIENT VOMITED 3 TIMES OVERNIGHT AFTER SHOT AND HAS KNOT ON HER ARM
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: I contracted COVID19 4/25/2022 with symptoms of congestion, cough, sore throat for a couple of hours, fever, and my symptoms resolved on 4/29/2022 with no lingering symptoms. I was prescribed Paxlovid 4/26/2022.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I contracted COVID19 4/25/2022 with symptoms of congestion, cough, sore throat for a couple of hours, fever, and my symptoms resolved on 4/29/2022 with no lingering symptoms. I was prescribed Paxlovid 4/26/2022.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Medication error
Clinical narrative: Medication error - expired vaccine administered.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient came in for for an appointment with the provider and for 3rd dose of covid vaccine today. Patient was given a 12+ pfizer vaccine at 3:00pm by MA that was expired due to it being drawn up on 5/3 at 0750.  This was dose #3 for patient. Patient was observed for 20 minutes by RN for any side effects. Mom informed by RN of any possible reactions and of vaccine given. No distress/side effects noted in patient when discharged. RN and Dr. notified.