chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Urticarial vasculitis
Clinical narrative: The day after my 2nd dose, I developed pain in my ankles, shins, and calves. Very painful to move and just a general not feeling well. I did have the normal fever/headache etc. that people get after the shot and that cleared up but on this day later, the fever came back. Low fever, very tired.  Day 2 after the 2nd dose, I woke up in the night with horrible pain in throughout my legs, my left forearm, and areas of my face and neck. These areas were painful to the touch too. By late morning on day 2, I developed a big red mark on my left forearm, my fever went to 103.7 and after Tylenol only went down to 102.9. I decided to go to urgent care. My whole lower body, left arm, face and neck was extremely painful. They sent me to E.R. More red marks appeared in those painful areas on my legs, face, and neck. I was given Benadryl and steroids at the hospital. They did not work. Eventually they sent me home. The 3rd day after the 2nd dose, the pain went to my upper back and both my arms, hips, but pain started to subside a little in my legs. Fever was off and on and low. I went to the doctor to get something for the pain. He prescribed tramadol. That and tylenol did help some. Later on the 3rd day, my fever was back up to 102.7, my wrist and neck swelled. More red spots appeared on my face. Over the next few days, most of the red spots turned a bluish color but didn't feel like bruising. My fever was off and on and high or low for a total of a week from the night of the 2nd dose. The pain was there for a week and was slightly there after a week. I saw an allergist a few months later to talk about it. He diagnosed it as urticarial vasculitis. He doesn't believe it was an allergic reaction, but an autoimmune response to the 2nd dose. He thinks it's because of my autoimmune hepatitis. But, although the meds I take for the autoimmune hepatitis is also treatment for urticarial vasculitis, I still had this problem.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Pt was given first shot of Pfizer Covid 19 shot. Pt was instructed to stay 15 minutes for observation, After 10 minutes, pt had a seizure that lasted approximately 10 seconds. 911 was called . Pt was evaluated and taken to hospital and was discharged the same day. Follow up was done the next day via phone call. Pt stated she was fine
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received second dose of flu shot at 3 weeks instead of 4 weeks. No adverse reaction noted per mother
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Arthralgia, Contusion, Haemorrhage
Clinical narrative: Hair loss started about three weeks after second dose of Moderna vaccine (March 2021) and continued into summer. Lost about 1/4 of hair all over head. Regrowth was noticed in August. Joint pain started about the same time and last about 4 weeks. Also spontaneous bruise/bleeding on hands, legs, back, eye- no trauma associated. I have been referred to a hematologist but cannot get in until April. Did not associate symptoms with vaccine until my brother recently had a reaction to the booster and realized that my symptoms fit the same approximate time line (three weeks after).
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Headache, Injection site pain, Product preparation issue
Clinical narrative: Full vial of undiluted Pfizer vaccine was administered to patient. On 1/20/2022, called mother of patient, to inform of incident. Phone call was placed by Clinic Operations. MOM expressed son had a sore injection site but does not know if it has gotten better. Patient is in school and mother will follow up with him. MOM stated that son expressed having chest pains and is curious to know if that is related to this.   Contact information will be given to Chief Clinical Officer, for a call back. MOM was informed that due to this being sons second covid vaccine nothing needs to be done and he can get her booster in 5 months.   Dr. called mother on 1/20/2022. Mother said that son's chest was hurting on 1/18/2022, a few hours after the shot.   Then his head was hurting on 1/19/2022.  He felt better after eating pizza and slept.  Mom texted him at school today and he responded that he was fine.   That his symptoms have resolved.  Mom concerned still as he is a child.  Dr. discussed rare SE of myocarditis post vaccine.  He recommended to watch for return of chest pain or SOB and to go to ED for that. Offered to see his PCP tomorrow for evaluation.  Scheduled at 10:30am tomorrow, 1/21/2022, to check exam, evaluation for chest pain, cardiac exam, as a precaution/for reassurance.      1/21/2022- Patient missed his appointment.  According to mother he had finals at school.  He's okay.  No pain, no fever.  no SOB.  He's totally fine.   Advised mom to call if anything comes up or any questions. Follow up call was placed by Dr.
Age: 61.0
Sex: F
Vaccine: COVID19, FLUR4
Symptoms: Blood test, Computerised tomogram, Death, Endoscopy, Feeding disorder
Clinical narrative: Patient was unable to eat within 2 weeks of the second Covid-19 shot. Her nausea got worse and worse until she went back into the doctor on 12/1 and it was found that she has many large cysts surrounding her pancreas.  Patient made several appointments with some having to schedule months out due to availability.  Died 1/13/22.
Age: 61.0
Sex: F
Vaccine: COVID19, FLUR4
Symptoms: Nausea, Pancreatic cyst
Clinical narrative: Patient was unable to eat within 2 weeks of the second Covid-19 shot. Her nausea got worse and worse until she went back into the doctor on 12/1 and it was found that she has many large cysts surrounding her pancreas.  Patient made several appointments with some having to schedule months out due to availability.  Died 1/13/22.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Diarrhoea, Erythema, Fatigue, Headache
Clinical narrative: Fever,Headache ,Body Aches , Tired, Arm hard  ,Itchy and EVERY RED, Chills, Diarrhea  ringing in right ear became much worse( louder) . Have an issue with Tinnitus but now is worse. 7 days later ( today) still have pain in right arm with redness, headache Diarrhea,  some Body Aches.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Induration, Pain, Pain in extremity, Pruritus, Pyrexia
Clinical narrative: Fever,Headache ,Body Aches , Tired, Arm hard  ,Itchy and EVERY RED, Chills, Diarrhea  ringing in right ear became much worse( louder) . Have an issue with Tinnitus but now is worse. 7 days later ( today) still have pain in right arm with redness, headache Diarrhea,  some Body Aches.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Tinnitus
Clinical narrative: Fever,Headache ,Body Aches , Tired, Arm hard  ,Itchy and EVERY RED, Chills, Diarrhea  ringing in right ear became much worse( louder) . Have an issue with Tinnitus but now is worse. 7 days later ( today) still have pain in right arm with redness, headache Diarrhea,  some Body Aches.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Neck pain
Clinical narrative: Chest pain and left neck pain while jogging. Sharp chest pain when laying down.
Age: 41.0
Sex: M
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: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram, Electrocardiogram ambulatory, Palpitations
Clinical narrative: I had an episode March and 3 weeks ago. I would be sitting down and my heart beat would race very fast. My heart would race to about 100 BPM. I have to wear heart monitor for 28 days.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Fatigue, Muscle spasms, Pain in extremity
Clinical narrative: The patient presented to the clinic the day after vaccination with mom with c/o sore arm, hand/leg cramps/ fatigue, and states that she feels like her "heart may be fluttering" some.
Age: 65.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 48.0
Sex: M
Vaccine: COVID19, FLU4, HEPAB, TDAP
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary, Anticoagulation drug level above therapeutic, Blood creatinine normal, Blood culture negative, COVID-19
Clinical narrative: Patient is a 62 y.o. male with PMH of a-fib, CAD s/p CABG, mechanical aortic and mitral valve replacements on warfarin, renal transplant x2 (most recently '18), DM1, pancreatic transplant, adrenal insufficiency, OSA on CPAP and remote hx of DVT who presents in transfer from hospital where he has been admitted with covid since 1/17. His symptoms started on 1/14 per outside H&P with chest congestion, rhinorrhea and cough. He originally presented there on 1/17 due to dehydration from <24h of vomiting. At that time was mildly hypoxic requiring 2L O2 NC.  He was treated with IVF, 2 days of remdesivir and dexamethasone. There was a question of UTI so he received ceftriaxone x3 days, but UCx grew mixed flora an it was stopped. BCx were negative.     He had been doing well enough that they were considering discharge on home O2, but then during the last 24 hours his respiratory failure worsened to the point of requiring high flow oxygen, and then bipap was started last night due to increased WOB. He received tocilizumab yesterday. Attempts were made to transfer to the transplant center, but they were full with a waiting list. Therefore, he was transferred here while awaiting bed. Of note, his creatinine has been stable throughout the stay at hospital and his INRs have been therapeutic and supratherapeutic. Because of that, CTA for PE was felt to be low yield. He did receive stress dose steroids for a period of time after he had increased abdominal symptoms. At this time he is on 6mg dex bid at direction of transplant center. His other immunosuppressants are being held.   Upon arrival here, he states he feels fatigued and has a minimally productive cough, but otherwise feels ok. Denies chest pain, presyncope, orthopnea, leg swelling, abdominal pain, current n/v. We attempted to wean him off Bipap to HF mask 100% 70L and he desaturated to 85%, so we put him back on CPAP of 10, at 80% FiO2 with O2 sat of 96%.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Culture urine positive, Dehydration, Dyspnoea, Fatigue
Clinical narrative: Patient is a 62 y.o. male with PMH of a-fib, CAD s/p CABG, mechanical aortic and mitral valve replacements on warfarin, renal transplant x2 (most recently '18), DM1, pancreatic transplant, adrenal insufficiency, OSA on CPAP and remote hx of DVT who presents in transfer from hospital where he has been admitted with covid since 1/17. His symptoms started on 1/14 per outside H&P with chest congestion, rhinorrhea and cough. He originally presented there on 1/17 due to dehydration from <24h of vomiting. At that time was mildly hypoxic requiring 2L O2 NC.  He was treated with IVF, 2 days of remdesivir and dexamethasone. There was a question of UTI so he received ceftriaxone x3 days, but UCx grew mixed flora an it was stopped. BCx were negative.     He had been doing well enough that they were considering discharge on home O2, but then during the last 24 hours his respiratory failure worsened to the point of requiring high flow oxygen, and then bipap was started last night due to increased WOB. He received tocilizumab yesterday. Attempts were made to transfer to the transplant center, but they were full with a waiting list. Therefore, he was transferred here while awaiting bed. Of note, his creatinine has been stable throughout the stay at hospital and his INRs have been therapeutic and supratherapeutic. Because of that, CTA for PE was felt to be low yield. He did receive stress dose steroids for a period of time after he had increased abdominal symptoms. At this time he is on 6mg dex bid at direction of transplant center. His other immunosuppressants are being held.   Upon arrival here, he states he feels fatigued and has a minimally productive cough, but otherwise feels ok. Denies chest pain, presyncope, orthopnea, leg swelling, abdominal pain, current n/v. We attempted to wean him off Bipap to HF mask 100% 70L and he desaturated to 85%, so we put him back on CPAP of 10, at 80% FiO2 with O2 sat of 96%.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Gastrointestinal disorder, Hypoxia, International normalised ratio, Oxygen saturation decreased, Positive airway pressure therapy
Clinical narrative: Patient is a 62 y.o. male with PMH of a-fib, CAD s/p CABG, mechanical aortic and mitral valve replacements on warfarin, renal transplant x2 (most recently '18), DM1, pancreatic transplant, adrenal insufficiency, OSA on CPAP and remote hx of DVT who presents in transfer from hospital where he has been admitted with covid since 1/17. His symptoms started on 1/14 per outside H&P with chest congestion, rhinorrhea and cough. He originally presented there on 1/17 due to dehydration from <24h of vomiting. At that time was mildly hypoxic requiring 2L O2 NC.  He was treated with IVF, 2 days of remdesivir and dexamethasone. There was a question of UTI so he received ceftriaxone x3 days, but UCx grew mixed flora an it was stopped. BCx were negative.     He had been doing well enough that they were considering discharge on home O2, but then during the last 24 hours his respiratory failure worsened to the point of requiring high flow oxygen, and then bipap was started last night due to increased WOB. He received tocilizumab yesterday. Attempts were made to transfer to the transplant center, but they were full with a waiting list. Therefore, he was transferred here while awaiting bed. Of note, his creatinine has been stable throughout the stay at hospital and his INRs have been therapeutic and supratherapeutic. Because of that, CTA for PE was felt to be low yield. He did receive stress dose steroids for a period of time after he had increased abdominal symptoms. At this time he is on 6mg dex bid at direction of transplant center. His other immunosuppressants are being held.   Upon arrival here, he states he feels fatigued and has a minimally productive cough, but otherwise feels ok. Denies chest pain, presyncope, orthopnea, leg swelling, abdominal pain, current n/v. We attempted to wean him off Bipap to HF mask 100% 70L and he desaturated to 85%, so we put him back on CPAP of 10, at 80% FiO2 with O2 sat of 96%.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Productive cough, Respiratory failure, Respiratory tract congestion, Rhinorrhoea, Vomiting
Clinical narrative: Patient is a 62 y.o. male with PMH of a-fib, CAD s/p CABG, mechanical aortic and mitral valve replacements on warfarin, renal transplant x2 (most recently '18), DM1, pancreatic transplant, adrenal insufficiency, OSA on CPAP and remote hx of DVT who presents in transfer from hospital where he has been admitted with covid since 1/17. His symptoms started on 1/14 per outside H&P with chest congestion, rhinorrhea and cough. He originally presented there on 1/17 due to dehydration from <24h of vomiting. At that time was mildly hypoxic requiring 2L O2 NC.  He was treated with IVF, 2 days of remdesivir and dexamethasone. There was a question of UTI so he received ceftriaxone x3 days, but UCx grew mixed flora an it was stopped. BCx were negative.     He had been doing well enough that they were considering discharge on home O2, but then during the last 24 hours his respiratory failure worsened to the point of requiring high flow oxygen, and then bipap was started last night due to increased WOB. He received tocilizumab yesterday. Attempts were made to transfer to the transplant center, but they were full with a waiting list. Therefore, he was transferred here while awaiting bed. Of note, his creatinine has been stable throughout the stay at hospital and his INRs have been therapeutic and supratherapeutic. Because of that, CTA for PE was felt to be low yield. He did receive stress dose steroids for a period of time after he had increased abdominal symptoms. At this time he is on 6mg dex bid at direction of transplant center. His other immunosuppressants are being held.   Upon arrival here, he states he feels fatigued and has a minimally productive cough, but otherwise feels ok. Denies chest pain, presyncope, orthopnea, leg swelling, abdominal pain, current n/v. We attempted to wean him off Bipap to HF mask 100% 70L and he desaturated to 85%, so we put him back on CPAP of 10, at 80% FiO2 with O2 sat of 96%.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Cyst, Lymphadenopathy, Ultrasound scan
Clinical narrative: extremely swollen axilla nodes that have remained consistently swollen and painful.   US shows benign cysts in L axillary nodes
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Headache, Tinnitus
Clinical narrative: increased joint pain, instability, headache, ringing in the ears
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was to get booster and was given 0.5ml instead of 0.25 ml dose. The patient did not note any side effects.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis reactive, Aspiration joint, Inflammation, Joint injection
Clinical narrative: Pain to neck, left side of jaw, bilateral knees.  MRI of knees showing significant edema.  Rheumatoid factor and other labs normal.  Diagnosed with Reactive arthritis.  Treatment thus far has included NSAIDs, flexeril, multiple rounds of prednisone, lidocaine injections in both knees, sulfasalazine for 6 months, physical therapy x 1 month, about to start on Enbrel.  Only relief thus far has been from prednisone.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Neck pain, Oedema peripheral, Pain in jaw, Rheumatoid factor negative
Clinical narrative: Pain to neck, left side of jaw, bilateral knees.  MRI of knees showing significant edema.  Rheumatoid factor and other labs normal.  Diagnosed with Reactive arthritis.  Treatment thus far has included NSAIDs, flexeril, multiple rounds of prednisone, lidocaine injections in both knees, sulfasalazine for 6 months, physical therapy x 1 month, about to start on Enbrel.  Only relief thus far has been from prednisone.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal X-ray normal, Synovial cyst, Ultrasound scan abnormal, X-ray normal
Clinical narrative: Pain to neck, left side of jaw, bilateral knees.  MRI of knees showing significant edema.  Rheumatoid factor and other labs normal.  Diagnosed with Reactive arthritis.  Treatment thus far has included NSAIDs, flexeril, multiple rounds of prednisone, lidocaine injections in both knees, sulfasalazine for 6 months, physical therapy x 1 month, about to start on Enbrel.  Only relief thus far has been from prednisone.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood pressure abnormal, COVID-19 pneumonia, Chest X-ray abnormal, Condition aggravated
Clinical narrative: Hospital Course This is a 60M with PMHx of DM on Dialysis MWF, HTN who was admitted to AHSJH-E for Covid 19 pneumonia. In the ED, Patient was hypertensive.  CXR Patchy alveolar opacities are present bilaterally, right greater than left. He was initially on room air, but then became hypoxic. ID was consulted and patient was started on decadron. His onset of symptoms was too late for remdesivir therapy. He was weaned down to room. Patient is an ESRD patient on dialysis and was seen by Nephrology and recevied his usual scheduled dialysis while in the hospital. His blood pressure was initially very uncontrolled since he was in the ER. His home medications were resumed and amlodipine was started and increased to 10mg with noted improvement to his BP of 160/170 on the day of discharge which was acceptable per Nephrology. Patient had a scheduled outpatient fistulogram and was still here in the hospital and underwent the procedure on day of discharge with noted success. He was placed on plavix and aspirin by vascular surgeon. Patient had no complaints on day of discharge and remained medically stable. All other chronic conditions remained stable and no further interventions warranted.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fistulogram, Hypertension, Hypoxia, Lung opacity
Clinical narrative: Hospital Course This is a 60M with PMHx of DM on Dialysis MWF, HTN who was admitted to AHSJH-E for Covid 19 pneumonia. In the ED, Patient was hypertensive.  CXR Patchy alveolar opacities are present bilaterally, right greater than left. He was initially on room air, but then became hypoxic. ID was consulted and patient was started on decadron. His onset of symptoms was too late for remdesivir therapy. He was weaned down to room. Patient is an ESRD patient on dialysis and was seen by Nephrology and recevied his usual scheduled dialysis while in the hospital. His blood pressure was initially very uncontrolled since he was in the ER. His home medications were resumed and amlodipine was started and increased to 10mg with noted improvement to his BP of 160/170 on the day of discharge which was acceptable per Nephrology. Patient had a scheduled outpatient fistulogram and was still here in the hospital and underwent the procedure on day of discharge with noted success. He was placed on plavix and aspirin by vascular surgeon. Patient had no complaints on day of discharge and remained medically stable. All other chronic conditions remained stable and no further interventions warranted.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Rash, Skin test negative, Swelling face, Urticaria
Clinical narrative: I had swollen face and lips. I also had body rashes, hives, and welts. I took Benadryl at the time for the symptoms. I fell asleep after that. I didn't take any medication after that for the swollen face and lips because I had to wear mask I knew that would cover it. Symptoms have been reoccurring so throughout the months so I've been seeking medical attention to rule out the point besides the shot.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Staff, reds in puncture area. Patient evaluated clear lungs at scultation, in the observation area it began with itching and wheals on the left forearm, patient does not present refractions or effort to breathe. Doctor was consulted who ordered 50 mg BENADRYL IM patient after 10 min indicates that she feels better. After 30 minutes, the patient was reassessed, she does not present much itching and indicates that she feels well. Doctor is consulted and discharged.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomyopathy acute, Catheterisation cardiac abnormal, Chest pain, Coronary artery disease, Drug hypersensitivity
Clinical narrative: The patient presented with acute chest pain approximately 4 weeks after Pfizer dose #2.  She was found to have an acute cardiomyopathy with EF 30-35%.  Cath showed non-occlusive CAD.  At the time, the diagnosis was "broken heart syndrome" related to passing of her brother.  But it occurred to me that this could have been a vaccine adverse event based on other information that has come out since then.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Ejection fraction decreased, Electrocardiogram, Stress cardiomyopathy
Clinical narrative: The patient presented with acute chest pain approximately 4 weeks after Pfizer dose #2.  She was found to have an acute cardiomyopathy with EF 30-35%.  Cath showed non-occlusive CAD.  At the time, the diagnosis was "broken heart syndrome" related to passing of her brother.  But it occurred to me that this could have been a vaccine adverse event based on other information that has come out since then.
Age: 61.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Positive COVID-19
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse events were observed. Patient received a time expired dose.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Immune thrombocytopenia, Platelet count decreased
Clinical narrative: Patient developed ITP.  The diagnosis was made a few months later, but she had been bruising for a few weeks in advance. She is now treated by an oncologist and doing well.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Administered Booster Dose 22 Days Early Due to reading a written 2nd dose date as 08/30/21 in place of 09/30/21
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Positive COVID-19
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered Beyond Use Date.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Fatigue, Headache
Clinical narrative: Inflammation in joint all over body, head ache and fatigued.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID vaccine given past thaw expiration date.
Age: 13.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Mental status changes, SARS-CoV-2 antibody test, SARS-CoV-2 test negative
Clinical narrative: WEAKNESS .  HPI  PT WAS FOUND HAVING CHANGE IN MENTAL STATUS AT DAY CARE CENTER
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: WEAKNESS .  HPI  PT WAS FOUND HAVING CHANGE IN MENTAL STATUS AT DAY CARE CENTER
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 200 mcg of vaccine instead of 100 mcg Patient was notified and advised to contact our office with ant adverse reactions
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Positive COVID-19
Age: 64.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID vaccine given past thaw expiration date.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, COVID-19, Death, Encephalopathy, Fluid intake reduced
Clinical narrative: family placed pt in hospice due to altered mental state and new onset of aphasia; acute encephalopathy; not eating or drinking; hospice doctor and doctor that signed the death certificate listed COVID with long term complications as a comorbidity and condition leading to death; pt died in the hospice facility
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Mental status changes, Multimorbidity
Clinical narrative: family placed pt in hospice due to altered mental state and new onset of aphasia; acute encephalopathy; not eating or drinking; hospice doctor and doctor that signed the death certificate listed COVID with long term complications as a comorbidity and condition leading to death; pt died in the hospice facility
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Biopsy breast, Breast cancer female
Clinical narrative: Breast Cancer left breast
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID-19 listed as secondary condition
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Positive COVID-19
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse events. Patient received a time expired dose.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was received Moderna vaccination and was given 1 ml instead of 0.5 ml dose. The patient did not note any side effects at the visit or before departing the clinic.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: B-cell lymphoma, Fatigue, Pyrexia
Clinical narrative: The day after 2nd dose I had fever and fatigue. Fatigue resolved slightly, but by June I was far more fatigued than usual. Was diagnosed with large B cell lymphoma this fall. Just finished R-CHOPs treatment.  I was advised to report this association. Have no idea whether they are related.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: COVID vaccine given past thaw expiration date.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test positive, Blood test normal, Discomfort, Erythema, Hypersensitivity
Clinical narrative: Very sore arm beginning night of booster injection. Next day left flank became itchy. About a day later right flank became itchy. Thought it was dry winter skin. Over next few days redness with intermittent itching developed. Then a red, angry, bumpy measle type rash appeared on both sides. Then thought it was shingles. Went to General Practioner Friday 2/4/22.  He diagnosed as possible contact dermatitis. Prescribed course of Prednisone and Cortosteroid topical cream. Monday 2/7 rash was no better and extremely uncomfortable and itchy. I have not changed any lotions soaps etc. I have never had a rash like this in my life. Called my dermatologist Dr and was able to get in that day. She diagnosed as allergic reaction to something.! Continue with Prednisone and changed topical to stronger one called Clobetasol. It is now a little over 2 weeks and I still have the rash on both sides. It might seem to be getting a bit better. Follow up with dermatologist in 3 weeks.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Rash, Rash erythematous, Rash morbilliform
Clinical narrative: Very sore arm beginning night of booster injection. Next day left flank became itchy. About a day later right flank became itchy. Thought it was dry winter skin. Over next few days redness with intermittent itching developed. Then a red, angry, bumpy measle type rash appeared on both sides. Then thought it was shingles. Went to General Practioner Friday 2/4/22.  He diagnosed as possible contact dermatitis. Prescribed course of Prednisone and Cortosteroid topical cream. Monday 2/7 rash was no better and extremely uncomfortable and itchy. I have not changed any lotions soaps etc. I have never had a rash like this in my life. Called my dermatologist Dr and was able to get in that day. She diagnosed as allergic reaction to something.! Continue with Prednisone and changed topical to stronger one called Clobetasol. It is now a little over 2 weeks and I still have the rash on both sides. It might seem to be getting a bit better. Follow up with dermatologist in 3 weeks.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Very sore arm beginning night of booster injection. Next day left flank became itchy. About a day later right flank became itchy. Thought it was dry winter skin. Over next few days redness with intermittent itching developed. Then a red, angry, bumpy measle type rash appeared on both sides. Then thought it was shingles. Went to General Practioner Friday 2/4/22.  He diagnosed as possible contact dermatitis. Prescribed course of Prednisone and Cortosteroid topical cream. Monday 2/7 rash was no better and extremely uncomfortable and itchy. I have not changed any lotions soaps etc. I have never had a rash like this in my life. Called my dermatologist Dr and was able to get in that day. She diagnosed as allergic reaction to something.! Continue with Prednisone and changed topical to stronger one called Clobetasol. It is now a little over 2 weeks and I still have the rash on both sides. It might seem to be getting a bit better. Follow up with dermatologist in 3 weeks.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Benign neoplasm of thyroid gland, Computerised tomogram abnormal, Diagnostic aspiration, Injection site nodule, Nodule
Clinical narrative: That day had the sore arm, then 4 days later got a big knot where the vx was given. Following week ( 01/21/2022)/ is when she noticed the nodule on her throat. Called Dr that morning and was advised to get a Thyroid ultrasound, results: Prominent left thyroid nodule was 3.5 cm was dominating left lobe. Then had a CT scan with contrast to further confirm diagnosis and to see if it was pressing into her voice box. Said both tests finding were moderately suspicious and ordered fine needle aspiration biopsy. Results: A benign Focular nodule and it was categorized Bethesda category. Then had me follow up with an Endocrinologist, but is having to wait until 3/1/2022.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Thyroid mass, Ultrasound thyroid abnormal
Clinical narrative: That day had the sore arm, then 4 days later got a big knot where the vx was given. Following week ( 01/21/2022)/ is when she noticed the nodule on her throat. Called Dr that morning and was advised to get a Thyroid ultrasound, results: Prominent left thyroid nodule was 3.5 cm was dominating left lobe. Then had a CT scan with contrast to further confirm diagnosis and to see if it was pressing into her voice box. Said both tests finding were moderately suspicious and ordered fine needle aspiration biopsy. Results: A benign Focular nodule and it was categorized Bethesda category. Then had me follow up with an Endocrinologist, but is having to wait until 3/1/2022.
Age: 27.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Chills, Fatigue, Feeling hot, Nausea, Pain
Clinical narrative: Started with aches and exhaustion around 10:30/11, progressed to a Fever for about 6 hours, chills for about 2 hours at 2:30am, followed by an hour of intense feelings of heat; Nausea for about 3 hours during chills, vomiting; all between 12am and 5:30am.
Age: 27.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pyrexia, Vomiting
Clinical narrative: Started with aches and exhaustion around 10:30/11, progressed to a Fever for about 6 hours, chills for about 2 hours at 2:30am, followed by an hour of intense feelings of heat; Nausea for about 3 hours during chills, vomiting; all between 12am and 5:30am.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was to get booster and was given 0.5ml instead of 0.25 ml dose. The patient did not note any side effects.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: *No adverse event noted  Medication Error: Too little diluent 1.3ml (pediatric dose) diluent mixed with adult Pfizer Covid vaccine. Patient contacted and informed of error. She was advised to contact office if any concerns arise. None noted at time of call.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Angiogram pulmonary normal, Anticoagulant therapy, Asthenia, Atrial fibrillation
Clinical narrative: Hospital Course Covid pneumonitis with hypoxia-much improved, oxygenating well off oxygen for several days cxr no acute pulmonary process, CTA showed no PE and no acute disease in the chest. IV azithromycin has been stopped 2 days now. s/p iv solumedrol x 1 day, now on po prednisone 60mg from 12/30/21 to 1/3/2022, prn albuterol neb tessalon prn cough. Steroid, albuterol inhaler, tessalon prescribed upon discharge.  continue incentive spirometry, pulmonology and ID inputs appreciated. currently no indication for remdesivir. encourage ambulation as tolerated Elevate ddimer likely due to infection-vq scan showed low probability for PE, CTA negative for PE, Bilateral LE's venous doppler showed no dvt's. on eliquis for anticoagulation Chestpain-pleurisy related EKG with aflutter rvr, tele paroxysmal afib-now in nsr, cardiology increased eliquis, will monitor  Acute kidney injury due to volume contract, poor po intake-resolved. encourage po intake. monitor labs, resume acei/arb/nsaids cautiously Nausea-resolved, zofran given for antiemetic prn and zofran is prescribed upon discharge Generalized weakness and physical deconditioning with history of lumbar stenosis and radiculopathy status post L2-S1 fusion-PT/OT following, up as tolerated History of recurrent DVT and IVC filter. on Eliquis. Bilateral LE's venous doppler showed no dvt's Hypertension-bp stable, continue amlodipinne, continue lopressor. hold ace/arb for now as he's recovering from aki BPH-continue on proscar Kidney Stones. Monitor for recurrence. Hyperlipidemia. continue on lipitor. GERD-iv famotidine, change to po pantoprazole upon discharge Elevated fasting blood sugar. Monitor Hx R TKA.  Dispo: cleared by all to go home. Follow up in 2 weeks with Dr. and with specialists per requests
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, COVID-19 pneumonia, Cardiac telemetry abnormal, Chest X-ray normal, Chest pain
Clinical narrative: Hospital Course Covid pneumonitis with hypoxia-much improved, oxygenating well off oxygen for several days cxr no acute pulmonary process, CTA showed no PE and no acute disease in the chest. IV azithromycin has been stopped 2 days now. s/p iv solumedrol x 1 day, now on po prednisone 60mg from 12/30/21 to 1/3/2022, prn albuterol neb tessalon prn cough. Steroid, albuterol inhaler, tessalon prescribed upon discharge.  continue incentive spirometry, pulmonology and ID inputs appreciated. currently no indication for remdesivir. encourage ambulation as tolerated Elevate ddimer likely due to infection-vq scan showed low probability for PE, CTA negative for PE, Bilateral LE's venous doppler showed no dvt's. on eliquis for anticoagulation Chestpain-pleurisy related EKG with aflutter rvr, tele paroxysmal afib-now in nsr, cardiology increased eliquis, will monitor  Acute kidney injury due to volume contract, poor po intake-resolved. encourage po intake. monitor labs, resume acei/arb/nsaids cautiously Nausea-resolved, zofran given for antiemetic prn and zofran is prescribed upon discharge Generalized weakness and physical deconditioning with history of lumbar stenosis and radiculopathy status post L2-S1 fusion-PT/OT following, up as tolerated History of recurrent DVT and IVC filter. on Eliquis. Bilateral LE's venous doppler showed no dvt's Hypertension-bp stable, continue amlodipinne, continue lopressor. hold ace/arb for now as he's recovering from aki BPH-continue on proscar Kidney Stones. Monitor for recurrence. Hyperlipidemia. continue on lipitor. GERD-iv famotidine, change to po pantoprazole upon discharge Elevated fasting blood sugar. Monitor Hx R TKA.  Dispo: cleared by all to go home. Follow up in 2 weeks with Dr. and with specialists per requests
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Electrocardiogram abnormal, Fibrin D dimer increased, Hypophagia, Hypoxia
Clinical narrative: Hospital Course Covid pneumonitis with hypoxia-much improved, oxygenating well off oxygen for several days cxr no acute pulmonary process, CTA showed no PE and no acute disease in the chest. IV azithromycin has been stopped 2 days now. s/p iv solumedrol x 1 day, now on po prednisone 60mg from 12/30/21 to 1/3/2022, prn albuterol neb tessalon prn cough. Steroid, albuterol inhaler, tessalon prescribed upon discharge.  continue incentive spirometry, pulmonology and ID inputs appreciated. currently no indication for remdesivir. encourage ambulation as tolerated Elevate ddimer likely due to infection-vq scan showed low probability for PE, CTA negative for PE, Bilateral LE's venous doppler showed no dvt's. on eliquis for anticoagulation Chestpain-pleurisy related EKG with aflutter rvr, tele paroxysmal afib-now in nsr, cardiology increased eliquis, will monitor  Acute kidney injury due to volume contract, poor po intake-resolved. encourage po intake. monitor labs, resume acei/arb/nsaids cautiously Nausea-resolved, zofran given for antiemetic prn and zofran is prescribed upon discharge Generalized weakness and physical deconditioning with history of lumbar stenosis and radiculopathy status post L2-S1 fusion-PT/OT following, up as tolerated History of recurrent DVT and IVC filter. on Eliquis. Bilateral LE's venous doppler showed no dvt's Hypertension-bp stable, continue amlodipinne, continue lopressor. hold ace/arb for now as he's recovering from aki BPH-continue on proscar Kidney Stones. Monitor for recurrence. Hyperlipidemia. continue on lipitor. GERD-iv famotidine, change to po pantoprazole upon discharge Elevated fasting blood sugar. Monitor Hx R TKA.  Dispo: cleared by all to go home. Follow up in 2 weeks with Dr. and with specialists per requests
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Infection, Nausea, Physical deconditioning, Pleurisy, Ultrasound Doppler normal
Clinical narrative: Hospital Course Covid pneumonitis with hypoxia-much improved, oxygenating well off oxygen for several days cxr no acute pulmonary process, CTA showed no PE and no acute disease in the chest. IV azithromycin has been stopped 2 days now. s/p iv solumedrol x 1 day, now on po prednisone 60mg from 12/30/21 to 1/3/2022, prn albuterol neb tessalon prn cough. Steroid, albuterol inhaler, tessalon prescribed upon discharge.  continue incentive spirometry, pulmonology and ID inputs appreciated. currently no indication for remdesivir. encourage ambulation as tolerated Elevate ddimer likely due to infection-vq scan showed low probability for PE, CTA negative for PE, Bilateral LE's venous doppler showed no dvt's. on eliquis for anticoagulation Chestpain-pleurisy related EKG with aflutter rvr, tele paroxysmal afib-now in nsr, cardiology increased eliquis, will monitor  Acute kidney injury due to volume contract, poor po intake-resolved. encourage po intake. monitor labs, resume acei/arb/nsaids cautiously Nausea-resolved, zofran given for antiemetic prn and zofran is prescribed upon discharge Generalized weakness and physical deconditioning with history of lumbar stenosis and radiculopathy status post L2-S1 fusion-PT/OT following, up as tolerated History of recurrent DVT and IVC filter. on Eliquis. Bilateral LE's venous doppler showed no dvt's Hypertension-bp stable, continue amlodipinne, continue lopressor. hold ace/arb for now as he's recovering from aki BPH-continue on proscar Kidney Stones. Monitor for recurrence. Hyperlipidemia. continue on lipitor. GERD-iv famotidine, change to po pantoprazole upon discharge Elevated fasting blood sugar. Monitor Hx R TKA.  Dispo: cleared by all to go home. Follow up in 2 weeks with Dr. and with specialists per requests
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Ventilation/perfusion scan
Clinical narrative: Hospital Course Covid pneumonitis with hypoxia-much improved, oxygenating well off oxygen for several days cxr no acute pulmonary process, CTA showed no PE and no acute disease in the chest. IV azithromycin has been stopped 2 days now. s/p iv solumedrol x 1 day, now on po prednisone 60mg from 12/30/21 to 1/3/2022, prn albuterol neb tessalon prn cough. Steroid, albuterol inhaler, tessalon prescribed upon discharge.  continue incentive spirometry, pulmonology and ID inputs appreciated. currently no indication for remdesivir. encourage ambulation as tolerated Elevate ddimer likely due to infection-vq scan showed low probability for PE, CTA negative for PE, Bilateral LE's venous doppler showed no dvt's. on eliquis for anticoagulation Chestpain-pleurisy related EKG with aflutter rvr, tele paroxysmal afib-now in nsr, cardiology increased eliquis, will monitor  Acute kidney injury due to volume contract, poor po intake-resolved. encourage po intake. monitor labs, resume acei/arb/nsaids cautiously Nausea-resolved, zofran given for antiemetic prn and zofran is prescribed upon discharge Generalized weakness and physical deconditioning with history of lumbar stenosis and radiculopathy status post L2-S1 fusion-PT/OT following, up as tolerated History of recurrent DVT and IVC filter. on Eliquis. Bilateral LE's venous doppler showed no dvt's Hypertension-bp stable, continue amlodipinne, continue lopressor. hold ace/arb for now as he's recovering from aki BPH-continue on proscar Kidney Stones. Monitor for recurrence. Hyperlipidemia. continue on lipitor. GERD-iv famotidine, change to po pantoprazole upon discharge Elevated fasting blood sugar. Monitor Hx R TKA.  Dispo: cleared by all to go home. Follow up in 2 weeks with Dr. and with specialists per requests
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Dyspnoea, Urticaria
Clinical narrative: I got my booster shot last 1/10/2022. Couple days after. I developed SOB that comes and goes. Alongside with generalized urticaria that also comes and goes. I already saw a doctor did X-Ray and it was normal, increase my anti histamine twice a day but still experiencing SOB and urticaria.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Headache and Tinnitus
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cerebral infarction, Gastrostomy tube site complication, Hemiparesis, SARS-CoV-2 test negative
Clinical narrative: 57 y/o F w/ PMh of significant for CVA s/p L hemiplegia, CHrEF, recurrent DVTs/PE who was recently admitted for leaking PEG tube, got it replaced and was discharged back to care center. The patient was doing much better, getting much more oriented tolerating tube feedings oxygen saturations had been normal and not requiring much oxygen. Unfortunately patient contracted coronavirus at the rehabilitation center from the other resident. Patient did qualify for the monoclonal antibody
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 57 y/o F w/ PMh of significant for CVA s/p L hemiplegia, CHrEF, recurrent DVTs/PE who was recently admitted for leaking PEG tube, got it replaced and was discharged back to care center. The patient was doing much better, getting much more oriented tolerating tube feedings oxygen saturations had been normal and not requiring much oxygen. Unfortunately patient contracted coronavirus at the rehabilitation center from the other resident. Patient did qualify for the monoclonal antibody
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Prolonged period, lasted 5 months non stop. Had to be put on multiple birth controls at once to correct issue
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Blister rupture, Injection site erythema, Injection site induration, Injection site reaction, Injection site scab
Clinical narrative: The day after the vaccine, patient experienced a local site reaction that eventually turned looking like a severe burn, patient stated that the skin blstered and the spot lost the first layer of skin and was draining a clear liquid. The spot scabbed over and is currently healing and pink.  It has a hard spot the size of a nickel still. Patient has been cleaning with soap and water and using Neosporin to help heal.  Patient did not want to visit a doctor regarding the reaction.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site vesicles, Local reaction, Skin exfoliation
Clinical narrative: The day after the vaccine, patient experienced a local site reaction that eventually turned looking like a severe burn, patient stated that the skin blstered and the spot lost the first layer of skin and was draining a clear liquid. The spot scabbed over and is currently healing and pink.  It has a hard spot the size of a nickel still. Patient has been cleaning with soap and water and using Neosporin to help heal.  Patient did not want to visit a doctor regarding the reaction.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitilization