chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest X-ray normal, Chest discomfort, Chest pain, Dizziness
Clinical narrative: Within 40 mins I started feeling dizzy and light headed with brain fog as well as numbness from my knees to feet. Then within 4 hours I started getting numbness from my elbows to hands as well and in this time frame I developed chest heaviness, SOB, stabbing chest pains and facial flushing. The numbness is on and off all day long every day for the last 7 days as well as the flushing of the face. I have not had any relief from the chest pain/tightness/SOB/stabbing pains/pounding of the heart since I received the vaccine. 3 days after the vaccine i did have an episode of heart fluttering..   On Tuesday 11-16-21 I did make an appointment to see my PCP for today 11-19-2021 at 2pm to discuss my symptoms. I had waited a few days thinking my symptoms would resolve but they have not and the chest/heart issues are getting worse.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Fibrin D dimer normal, Flushing, Hypoaesthesia
Clinical narrative: Within 40 mins I started feeling dizzy and light headed with brain fog as well as numbness from my knees to feet. Then within 4 hours I started getting numbness from my elbows to hands as well and in this time frame I developed chest heaviness, SOB, stabbing chest pains and facial flushing. The numbness is on and off all day long every day for the last 7 days as well as the flushing of the face. I have not had any relief from the chest pain/tightness/SOB/stabbing pains/pounding of the heart since I received the vaccine. 3 days after the vaccine i did have an episode of heart fluttering..   On Tuesday 11-16-21 I did make an appointment to see my PCP for today 11-19-2021 at 2pm to discuss my symptoms. I had waited a few days thinking my symptoms would resolve but they have not and the chest/heart issues are getting worse.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Within 40 mins I started feeling dizzy and light headed with brain fog as well as numbness from my knees to feet. Then within 4 hours I started getting numbness from my elbows to hands as well and in this time frame I developed chest heaviness, SOB, stabbing chest pains and facial flushing. The numbness is on and off all day long every day for the last 7 days as well as the flushing of the face. I have not had any relief from the chest pain/tightness/SOB/stabbing pains/pounding of the heart since I received the vaccine. 3 days after the vaccine i did have an episode of heart fluttering..   On Tuesday 11-16-21 I did make an appointment to see my PCP for today 11-19-2021 at 2pm to discuss my symptoms. I had waited a few days thinking my symptoms would resolve but they have not and the chest/heart issues are getting worse.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Appendicitis, Condition aggravated, Food allergy
Clinical narrative: anaphylaxis; treated with epinephrine, benadryl, steroids.  Prior anaphylaxis to foods previously  not reacted to after first series of COVID vaccine as well as subsequent appendicitis noted
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal mass, Abdominal pain, Abdominal tenderness, COVID-19, Chest wall mass
Clinical narrative: CHIEF COMPLAINT:   pt reports a productive cough starting last night and "i have a big bump on my chest", points to right side chest. feels SOB. hx of COPD and CHF.   HISTORY OF PRESENT ILLNESS:     Patient is a 75-year-old male who presents emergency department with complaints of cough and abdominal pain.  He states last night he started to develop a cough that was productive of thick sputum.  He denies shortness of breath, chest pain.  He denies any fever, chills.  He also noticed last night that he was starting to experience of abdominal pain.  He states that he felt a lump in his abdomen that is tender to touch.  He denies nausea, vomiting, diarrhea.  He states he did have colon surgery about 20 years ago he does not recall his surgeon.  He has not had any issues with his bowels since his surgery.  He admits to history of diabetes, hypertension.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Productive cough, SARS-CoV-2 test positive, Sputum abnormal
Clinical narrative: CHIEF COMPLAINT:   pt reports a productive cough starting last night and "i have a big bump on my chest", points to right side chest. feels SOB. hx of COPD and CHF.   HISTORY OF PRESENT ILLNESS:     Patient is a 75-year-old male who presents emergency department with complaints of cough and abdominal pain.  He states last night he started to develop a cough that was productive of thick sputum.  He denies shortness of breath, chest pain.  He denies any fever, chills.  He also noticed last night that he was starting to experience of abdominal pain.  He states that he felt a lump in his abdomen that is tender to touch.  He denies nausea, vomiting, diarrhea.  He states he did have colon surgery about 20 years ago he does not recall his surgeon.  He has not had any issues with his bowels since his surgery.  He admits to history of diabetes, hypertension.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Pain in arm at site of injection; Body aches; Chills; Feverish; Stomach pain; Headache; TIRED!
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Pain in arm at site of injection; Body aches; Chills; Feverish; Stomach pain; Headache; TIRED!
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus: continuous and ongoing high pitched ringing in ears for 10 months straight. Has not subsided.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received an expired dose of Pfizer covid vaccine.  Vaccine expired on 10/21/21.  Nurse in clinic was confused over the expiration date, which had been extended to November 30th, if frozen.  She did not understand the 30 day expiration once refrigerated.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Colonoscopy abnormal, Diarrhoea, Diverticulum
Clinical narrative: I received the shot and came home. I started feeling different later that night. The next morning my arm was swollen really bad. It looked like I had half a football in my arm. I then started getting sick. I had an upset stomach and diarrhea. The diarrhea was horrendous. I was going 12-20 times. On the 3rd day, I was still having diarrhea and severe abdominal pain. It was horrible. I went to the doctor and had a colonoscopy done. The doctor did detect a diverticulosis but nothing else. A diagnosis was never found. The diarrhea lasted about 3 months. I took Pepto-Bismol, OTC anti diarrheal medication. I was prescribed hyoscyamine .125mg tabs by the doctor. to prevent the spasming from happening. It did help some with the pain. I was also put on antibiotics. Nothing seemed to help the diarrhea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Frequent bowel movements, Gastrointestinal pain, Malaise, Pain
Clinical narrative: I received the shot and came home. I started feeling different later that night. The next morning my arm was swollen really bad. It looked like I had half a football in my arm. I then started getting sick. I had an upset stomach and diarrhea. The diarrhea was horrendous. I was going 12-20 times. On the 3rd day, I was still having diarrhea and severe abdominal pain. It was horrible. I went to the doctor and had a colonoscopy done. The doctor did detect a diverticulosis but nothing else. A diagnosis was never found. The diarrhea lasted about 3 months. I took Pepto-Bismol, OTC anti diarrheal medication. I was prescribed hyoscyamine .125mg tabs by the doctor. to prevent the spasming from happening. It did help some with the pain. I was also put on antibiotics. Nothing seemed to help the diarrhea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: I received the shot and came home. I started feeling different later that night. The next morning my arm was swollen really bad. It looked like I had half a football in my arm. I then started getting sick. I had an upset stomach and diarrhea. The diarrhea was horrendous. I was going 12-20 times. On the 3rd day, I was still having diarrhea and severe abdominal pain. It was horrible. I went to the doctor and had a colonoscopy done. The doctor did detect a diverticulosis but nothing else. A diagnosis was never found. The diarrhea lasted about 3 months. I took Pepto-Bismol, OTC anti diarrheal medication. I was prescribed hyoscyamine .125mg tabs by the doctor. to prevent the spasming from happening. It did help some with the pain. I was also put on antibiotics. Nothing seemed to help the diarrhea.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: Patient had bruising down the vaccinated arm about 6 hours after vaccination.  36 hours after vaccination he had bruising down the other arm.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: The nurse stated she reconstituted the 5 to 11-year-old Pfizer COVID-19 vaccine with 1.8mL of 0.9% of normal saline instead of 1.3mL.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness
Clinical narrative: Patient experienced dizziness and an elevated blood pressure of 155/100. He started experiencing symptoms during the mandatory 15-minute waiting period in the immunization clinic. A provider called for patient management. Manual BP retaken: 148/100. Doctor recommend blood pressure monitoring, severe ER precautions and a follow-up appointment booked.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: Nausea, chills and high fever for approximately 12 hours
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis requested.  Full vaccine efficacy not shown.  Recommended that patient receive an additional vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Excessive Vaginal Bleeding
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Heart rate increased, Injection site pain, Malaise
Clinical narrative: Rapid heart beat, shortness of breath, soreness at injection site, general feeling of malaise, fatigue (lasted several days, gradually resolved on its own)
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Physician ordered and booster shot for patient, but a full dose was given.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Vasovagal syncope
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date. Moderna analysis requested. Full vaccine efficacy not shown. Recommended that patient receive an additional vaccine.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue
Clinical narrative: Weakness and Fatigue
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Mobility decreased, Pain in extremity, Rotator cuff syndrome
Clinical narrative: Loss of range of motion due to pain in upper arm and right arm because I was injected in both my left and right shoulder area. It was the Pfizer vac. My second injection was 3/23/2021. I?ve been doing physical therapy for months   With no significant results. I had 2 cortisone injections in each arm but pain persists. I?ve had mri ?s done where the right arm shows a partial tear but the left arm which is just as painful as the right shows no tear.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Adrenal mass, Ageusia, Angiogram, Angiogram pulmonary abnormal, Anosmia
Clinical narrative: Inpatient - 4 days 11/14-11/18/21 Patient is a woman with past medical history significant for acute PE July 2021 currently  morbid obesity, OSA on CPAP presenting with progressive shortness of breath.  Patient states that over the past 3 days, she has experienced increasing shortness of breath.  Patient also has persistent dry cough, intermittent fevers, body aches, diarrhea as well as nausea vomiting.  Patient has also lost her sense of taste and smell.  Patient has also had a poor appetite and has lost around 10 lb.  In the emergency department, T-max 38.2°.  Heart rate 113. O2 sat was 90% on room air with respiratory rate around 20. Lab showed a sodium 113, blood glucose 335 and the rest of her CMP was within normal limits.  Complete blood count unremarkable.  D-dimer elevated at 670. CT angiogram performed but read is pending at the time of this note.  COVID-19 PCR was positive.  Patient was given a dose of Decadron and transfer the hospitalist service.  During the hospitalization initially was on empiric antibiotic of ceftriaxone, azithromycin as well as dexamethasone, antibiotics were discontinued as there was low clinical concern of bacterial pneumonia, her dexamethasone was discontinued because her oxygen requirement improved she was satting 100% on room air.  Otherwise hospital course was mostly unremarkable, shortness of breath improved, doing well discharge home today in stable condition, recommended getting COVID booster shot in next 3-4 weeks, instruction discussed in detail with patient she verbalized understanding.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atelectasis, Blood glucose increased, Blood sodium decreased, COVID-19
Clinical narrative: Inpatient - 4 days 11/14-11/18/21 Patient is a woman with past medical history significant for acute PE July 2021 currently  morbid obesity, OSA on CPAP presenting with progressive shortness of breath.  Patient states that over the past 3 days, she has experienced increasing shortness of breath.  Patient also has persistent dry cough, intermittent fevers, body aches, diarrhea as well as nausea vomiting.  Patient has also lost her sense of taste and smell.  Patient has also had a poor appetite and has lost around 10 lb.  In the emergency department, T-max 38.2°.  Heart rate 113. O2 sat was 90% on room air with respiratory rate around 20. Lab showed a sodium 113, blood glucose 335 and the rest of her CMP was within normal limits.  Complete blood count unremarkable.  D-dimer elevated at 670. CT angiogram performed but read is pending at the time of this note.  COVID-19 PCR was positive.  Patient was given a dose of Decadron and transfer the hospitalist service.  During the hospitalization initially was on empiric antibiotic of ceftriaxone, azithromycin as well as dexamethasone, antibiotics were discontinued as there was low clinical concern of bacterial pneumonia, her dexamethasone was discontinued because her oxygen requirement improved she was satting 100% on room air.  Otherwise hospital course was mostly unremarkable, shortness of breath improved, doing well discharge home today in stable condition, recommended getting COVID booster shot in next 3-4 weeks, instruction discussed in detail with patient she verbalized understanding.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: Inpatient - 4 days 11/14-11/18/21 Patient is a woman with past medical history significant for acute PE July 2021 currently  morbid obesity, OSA on CPAP presenting with progressive shortness of breath.  Patient states that over the past 3 days, she has experienced increasing shortness of breath.  Patient also has persistent dry cough, intermittent fevers, body aches, diarrhea as well as nausea vomiting.  Patient has also lost her sense of taste and smell.  Patient has also had a poor appetite and has lost around 10 lb.  In the emergency department, T-max 38.2°.  Heart rate 113. O2 sat was 90% on room air with respiratory rate around 20. Lab showed a sodium 113, blood glucose 335 and the rest of her CMP was within normal limits.  Complete blood count unremarkable.  D-dimer elevated at 670. CT angiogram performed but read is pending at the time of this note.  COVID-19 PCR was positive.  Patient was given a dose of Decadron and transfer the hospitalist service.  During the hospitalization initially was on empiric antibiotic of ceftriaxone, azithromycin as well as dexamethasone, antibiotics were discontinued as there was low clinical concern of bacterial pneumonia, her dexamethasone was discontinued because her oxygen requirement improved she was satting 100% on room air.  Otherwise hospital course was mostly unremarkable, shortness of breath improved, doing well discharge home today in stable condition, recommended getting COVID booster shot in next 3-4 weeks, instruction discussed in detail with patient she verbalized understanding.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Full blood count normal, Hepatic steatosis, Intervertebral disc degeneration, Lung opacity
Clinical narrative: Inpatient - 4 days 11/14-11/18/21 Patient is a woman with past medical history significant for acute PE July 2021 currently  morbid obesity, OSA on CPAP presenting with progressive shortness of breath.  Patient states that over the past 3 days, she has experienced increasing shortness of breath.  Patient also has persistent dry cough, intermittent fevers, body aches, diarrhea as well as nausea vomiting.  Patient has also lost her sense of taste and smell.  Patient has also had a poor appetite and has lost around 10 lb.  In the emergency department, T-max 38.2°.  Heart rate 113. O2 sat was 90% on room air with respiratory rate around 20. Lab showed a sodium 113, blood glucose 335 and the rest of her CMP was within normal limits.  Complete blood count unremarkable.  D-dimer elevated at 670. CT angiogram performed but read is pending at the time of this note.  COVID-19 PCR was positive.  Patient was given a dose of Decadron and transfer the hospitalist service.  During the hospitalization initially was on empiric antibiotic of ceftriaxone, azithromycin as well as dexamethasone, antibiotics were discontinued as there was low clinical concern of bacterial pneumonia, her dexamethasone was discontinued because her oxygen requirement improved she was satting 100% on room air.  Otherwise hospital course was mostly unremarkable, shortness of breath improved, doing well discharge home today in stable condition, recommended getting COVID booster shot in next 3-4 weeks, instruction discussed in detail with patient she verbalized understanding.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Metabolic function test normal, Nausea, Pain, Pneumonia
Clinical narrative: Inpatient - 4 days 11/14-11/18/21 Patient is a woman with past medical history significant for acute PE July 2021 currently  morbid obesity, OSA on CPAP presenting with progressive shortness of breath.  Patient states that over the past 3 days, she has experienced increasing shortness of breath.  Patient also has persistent dry cough, intermittent fevers, body aches, diarrhea as well as nausea vomiting.  Patient has also lost her sense of taste and smell.  Patient has also had a poor appetite and has lost around 10 lb.  In the emergency department, T-max 38.2°.  Heart rate 113. O2 sat was 90% on room air with respiratory rate around 20. Lab showed a sodium 113, blood glucose 335 and the rest of her CMP was within normal limits.  Complete blood count unremarkable.  D-dimer elevated at 670. CT angiogram performed but read is pending at the time of this note.  COVID-19 PCR was positive.  Patient was given a dose of Decadron and transfer the hospitalist service.  During the hospitalization initially was on empiric antibiotic of ceftriaxone, azithromycin as well as dexamethasone, antibiotics were discontinued as there was low clinical concern of bacterial pneumonia, her dexamethasone was discontinued because her oxygen requirement improved she was satting 100% on room air.  Otherwise hospital course was mostly unremarkable, shortness of breath improved, doing well discharge home today in stable condition, recommended getting COVID booster shot in next 3-4 weeks, instruction discussed in detail with patient she verbalized understanding.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Pyrexia, SARS-CoV-2 test positive, Scan with contrast, Small airways disease
Clinical narrative: Inpatient - 4 days 11/14-11/18/21 Patient is a woman with past medical history significant for acute PE July 2021 currently  morbid obesity, OSA on CPAP presenting with progressive shortness of breath.  Patient states that over the past 3 days, she has experienced increasing shortness of breath.  Patient also has persistent dry cough, intermittent fevers, body aches, diarrhea as well as nausea vomiting.  Patient has also lost her sense of taste and smell.  Patient has also had a poor appetite and has lost around 10 lb.  In the emergency department, T-max 38.2°.  Heart rate 113. O2 sat was 90% on room air with respiratory rate around 20. Lab showed a sodium 113, blood glucose 335 and the rest of her CMP was within normal limits.  Complete blood count unremarkable.  D-dimer elevated at 670. CT angiogram performed but read is pending at the time of this note.  COVID-19 PCR was positive.  Patient was given a dose of Decadron and transfer the hospitalist service.  During the hospitalization initially was on empiric antibiotic of ceftriaxone, azithromycin as well as dexamethasone, antibiotics were discontinued as there was low clinical concern of bacterial pneumonia, her dexamethasone was discontinued because her oxygen requirement improved she was satting 100% on room air.  Otherwise hospital course was mostly unremarkable, shortness of breath improved, doing well discharge home today in stable condition, recommended getting COVID booster shot in next 3-4 weeks, instruction discussed in detail with patient she verbalized understanding.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, Weight decreased
Clinical narrative: Inpatient - 4 days 11/14-11/18/21 Patient is a woman with past medical history significant for acute PE July 2021 currently  morbid obesity, OSA on CPAP presenting with progressive shortness of breath.  Patient states that over the past 3 days, she has experienced increasing shortness of breath.  Patient also has persistent dry cough, intermittent fevers, body aches, diarrhea as well as nausea vomiting.  Patient has also lost her sense of taste and smell.  Patient has also had a poor appetite and has lost around 10 lb.  In the emergency department, T-max 38.2°.  Heart rate 113. O2 sat was 90% on room air with respiratory rate around 20. Lab showed a sodium 113, blood glucose 335 and the rest of her CMP was within normal limits.  Complete blood count unremarkable.  D-dimer elevated at 670. CT angiogram performed but read is pending at the time of this note.  COVID-19 PCR was positive.  Patient was given a dose of Decadron and transfer the hospitalist service.  During the hospitalization initially was on empiric antibiotic of ceftriaxone, azithromycin as well as dexamethasone, antibiotics were discontinued as there was low clinical concern of bacterial pneumonia, her dexamethasone was discontinued because her oxygen requirement improved she was satting 100% on room air.  Otherwise hospital course was mostly unremarkable, shortness of breath improved, doing well discharge home today in stable condition, recommended getting COVID booster shot in next 3-4 weeks, instruction discussed in detail with patient she verbalized understanding.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis requested.  Full vaccine efficacy not shown.  Recommended that patient receive an additional vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Hypertension
Clinical narrative: Patient started having dizziness at 1459. Took her back to an exam room and did vitals. Patient was hypertensive and admits to taking her BP meds this morning. She denies any shortness of breath, hives, chest pain, or chest tightness. Monitored patient for x2 rounds of vitals and patient remains hypertensive. Nurse STAT called at 1518. She is evaluated by RN and she is transferred to the urgent care for further evaluation. No medications administered. Patient took benadryl 20 min prior to her vaccine.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received an expired dose of Pfizer COVID-19 vaccine. Vaccine expired on 10/21/2021.  Nurse in clinic confused over the expiration date, which extended to November 30th (if frozen).  She did not understand the 30-day expiration once refrigerated.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vaccine positive rechallenge
Clinical narrative: Hives since 4/30/2021 first vaccine 3/16/21 and second 4/6/21
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis requested.  Full vaccine efficacy not shown.  Recommended that patient receive an additional vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyskinesia, Hypoaesthesia, Muscular weakness, Pain in extremity, Paraesthesia
Clinical narrative: On 3/11/21 I received my first COVID 19 vaccine and second 4/2/21 both shots were given on my right arm. From that night I am sleeping with my arm on a pillow. On my second shot I did inform the nurse of right arm pain but decided to keep the pain on one arm.  I was still having excursing pulling pain running up my arm would feel lifeless, numb, tingle, and weakness in arm; it feels like I did not have control of my arm. To calm the feeling in my arm I would have to wrap or sleep with a heating pad. Also, every morning I would wrap my arm with my heat pad before starting my day. By July the swelling went away but I could not take the pain and sensation anymore I contacted my primary doctor?s office who sent me to Urgent Care immediately. After being access I was sent to Ultrasound study to rule out Blood Clot. None found. As of today, I am still having pain and sensation in arm. The pain is not intense like a few months ago, however the sensation of pain running up my arm and feeling lifeless, numb, tingle, and weakness in arm is still present. I am still sleeping with my arm on a pillow and applying heat to make my arm feel better every day.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sensory disturbance, Ultrasound scan normal
Clinical narrative: On 3/11/21 I received my first COVID 19 vaccine and second 4/2/21 both shots were given on my right arm. From that night I am sleeping with my arm on a pillow. On my second shot I did inform the nurse of right arm pain but decided to keep the pain on one arm.  I was still having excursing pulling pain running up my arm would feel lifeless, numb, tingle, and weakness in arm; it feels like I did not have control of my arm. To calm the feeling in my arm I would have to wrap or sleep with a heating pad. Also, every morning I would wrap my arm with my heat pad before starting my day. By July the swelling went away but I could not take the pain and sensation anymore I contacted my primary doctor?s office who sent me to Urgent Care immediately. After being access I was sent to Ultrasound study to rule out Blood Clot. None found. As of today, I am still having pain and sensation in arm. The pain is not intense like a few months ago, however the sensation of pain running up my arm and feeling lifeless, numb, tingle, and weakness in arm is still present. I am still sleeping with my arm on a pillow and applying heat to make my arm feel better every day.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: The nurse stated she reconstituted the 5 to 11-year-old Pfizer COVID-19 vaccine with 1.8mL of 0.9% of normal saline instead of 1.3mL.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond-use-date. Moderna analysis requested. Full vaccine efficacy not shown. Recommended patient receive an additional vaccine.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Underdose
Clinical narrative: Second dose administered 7 days after first dose.  Patient did not receive full dose, but unable to quantify amount administered.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Productive cough, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: BIBA from home for "wet" cough, respiratory distress as per family. Pt with hx of stroke with R sided deficits.   HISTORY OF PRESENT ILLNESS:     66yo F PMhx of CVA with R sided deficits, GERD, DM, COPD, diabetic neuropathy, HLD, HTN, hypokalemia, leg edema, mood swings, RLS, slurred speech presents for cough. Per report pt having cough. Unknown duration, modifying factors, symptom severity. Pt is very poor historian and given prior stroke very slurred speech and communication difficulty.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchogram abnormal, COVID-19, Cardiomegaly, Chest X-ray abnormal, Cough
Clinical narrative: Pt had first Pfizer Covid vaccine on 01/08/2021 Lot: EL140. Pt reported that symptoms of fever and cough began on 08/07/2021. On 08/09/2021, pt went to ER and tested positive for Covid. Called the office on 08/11/2021 to report Covid symptoms; advised to call hospital and arrange for Monoclonal Antibody Therapy. Also, to return to ER if symptoms worsen. Coroner's office was called on 08/12/2021 per friend after well check by PD. Explained to clerk at  Coroner's Office what VAERS Reporting entails.  Clerk was unsure and asked that clinic submit report. Autopsy Report signed on 11/03/2021 Findings: 1. Complications of Covid-19 infection A. Positive NP swab for covid B. Several day history of fever. 2. Diabetes mellitus and kidney failure
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Interstitial lung disease, Lung consolidation, Pneumonia, Pulmonary hilar enlargement, Pyrexia
Clinical narrative: Pt had first Pfizer Covid vaccine on 01/08/2021 Lot: EL140. Pt reported that symptoms of fever and cough began on 08/07/2021. On 08/09/2021, pt went to ER and tested positive for Covid. Called the office on 08/11/2021 to report Covid symptoms; advised to call hospital and arrange for Monoclonal Antibody Therapy. Also, to return to ER if symptoms worsen. Coroner's office was called on 08/12/2021 per friend after well check by PD. Explained to clerk at  Coroner's Office what VAERS Reporting entails.  Clerk was unsure and asked that clinic submit report. Autopsy Report signed on 11/03/2021 Findings: 1. Complications of Covid-19 infection A. Positive NP swab for covid B. Several day history of fever. 2. Diabetes mellitus and kidney failure
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt had first Pfizer Covid vaccine on 01/08/2021 Lot: EL140. Pt reported that symptoms of fever and cough began on 08/07/2021. On 08/09/2021, pt went to ER and tested positive for Covid. Called the office on 08/11/2021 to report Covid symptoms; advised to call hospital and arrange for Monoclonal Antibody Therapy. Also, to return to ER if symptoms worsen. Coroner's office was called on 08/12/2021 per friend after well check by PD. Explained to clerk at  Coroner's Office what VAERS Reporting entails.  Clerk was unsure and asked that clinic submit report. Autopsy Report signed on 11/03/2021 Findings: 1. Complications of Covid-19 infection A. Positive NP swab for covid B. Several day history of fever. 2. Diabetes mellitus and kidney failure
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis requested.  Full vaccine efficacy not shown.  Recommended that patient receive an additional vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count normal, Full blood count normal, Metabolic function test normal, Pruritus, Red blood cell sedimentation rate normal
Clinical narrative: On Monday, 11/8, I developed hives on my arms, which have continued and expanded. I am now covered head-to-toe in hives. It is has continued to get worse. treated with over the counter cortisone cream Monday 11/15, primary care visit, with resulting prednisone treated--4 days at 40 mg--hives are continuing, although less itchy
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: On Monday, 11/8, I developed hives on my arms, which have continued and expanded. I am now covered head-to-toe in hives. It is has continued to get worse. treated with over the counter cortisone cream Monday 11/15, primary care visit, with resulting prednisone treated--4 days at 40 mg--hives are continuing, although less itchy
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient reported redness, swelling to left arm where covid vaccine was given.  Area measured approximately 3.5x2.0cm.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Mobility decreased
Clinical narrative: Blinding Headache. Chills, low grade Fever.  Joint pain and body aches. Severe Fatigue. Severe pain in left wrist.  Unable to move left wrist or use fingers for 5 days. Pain subsiding now. Can use hand.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Blinding Headache. Chills, low grade Fever.  Joint pain and body aches. Severe Fatigue. Severe pain in left wrist.  Unable to move left wrist or use fingers for 5 days. Pain subsiding now. Can use hand.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond-use-date. Moderna analysis requested. Full vaccine efficacy not shown. Recommended patient receive an additional vaccine.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Back pain, COVID-19, Nausea, Pain
Clinical narrative: The patient is a 67-year-old white male who presents to the emergency department with a chief complaint of abdominal pain.  He complains of pain in the left upper quadrant that has been present for the last 2 days.  The pain was initially intermittent but is now constant.  The pain radiates to the back on the left side.  Of note, the pain initially started as pain in the left mid back.  He denies exacerbating and relieving factors.  He admits to nausea and near emesis but no actual vomiting.  He denies diarrhea and bloody stools.  He denies dysuria and hematuria.  He has no history of kidney stones.  He denies chest pain and difficulty breathing.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The patient is a 67-year-old white male who presents to the emergency department with a chief complaint of abdominal pain.  He complains of pain in the left upper quadrant that has been present for the last 2 days.  The pain was initially intermittent but is now constant.  The pain radiates to the back on the left side.  Of note, the pain initially started as pain in the left mid back.  He denies exacerbating and relieving factors.  He admits to nausea and near emesis but no actual vomiting.  He denies diarrhea and bloody stools.  He denies dysuria and hematuria.  He has no history of kidney stones.  He denies chest pain and difficulty breathing.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Incontinence, Lethargy, Pyrexia, Unresponsive to stimuli
Clinical narrative: Fever of 103, Mental Confusion and unresponsiveness, Incontinence, extreme lethargy
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis requested.  Full vaccine efficacy not shown.  Recommended that patient receive an additional vaccine.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Headache, Pain
Clinical narrative: Started getting headaches. It hurts to sit and stand. Headaches have lasted and been continuous. Feels like head is going to explode. Tightness in chest. Went to the doctor.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Costochondritis, Electrocardiogram PR segment depression, Electrocardiogram ST segment elevation, Pericarditis
Clinical narrative: About 36 or so hours after receiving the second dose of the COVID-19 Pfizer vaccine (vaccine given 8/14/21), 14 year old male patient awoke from sleep around 1am on 8/16/21 complaining of substernal chest pain that was 8/10 in severity without any associated shortness of breath, lightheadedness, palpitations, syncope, or other symptoms. The pain improved to 3/10 with Tylenol prior to presenting to the emergency department.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Troponin normal
Clinical narrative: About 36 or so hours after receiving the second dose of the COVID-19 Pfizer vaccine (vaccine given 8/14/21), 14 year old male patient awoke from sleep around 1am on 8/16/21 complaining of substernal chest pain that was 8/10 in severity without any associated shortness of breath, lightheadedness, palpitations, syncope, or other symptoms. The pain improved to 3/10 with Tylenol prior to presenting to the emergency department.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Globulin abnormal, Lymphocyte count increased, Platelet count increased
Clinical narrative: My doctor's office told me to go to urgent care for chest tightening /pain. At urgent care my white blood cells, platelets and lympocytes all tested abnormally high. I am an extremely healthy person with no health conditions and my "numbers" from all my blood tests in the past are consistently stellar. I have the readings of several years on record. Most recent blood work (prior to incident) was done in Feb. 2021. I still have chest pain.  Urgent care told me I had to go to the emergency room. They did additional tests. Those tests did look better except for my globulin which was out of the healhty range (very slightly). It has never been out of range. I was allowed to go home after 6 hours of hospital/urgent care testing. I still have chest pain.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: My doctor's office told me to go to urgent care for chest tightening /pain. At urgent care my white blood cells, platelets and lympocytes all tested abnormally high. I am an extremely healthy person with no health conditions and my "numbers" from all my blood tests in the past are consistently stellar. I have the readings of several years on record. Most recent blood work (prior to incident) was done in Feb. 2021. I still have chest pain.  Urgent care told me I had to go to the emergency room. They did additional tests. Those tests did look better except for my globulin which was out of the healhty range (very slightly). It has never been out of range. I was allowed to go home after 6 hours of hospital/urgent care testing. I still have chest pain.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient came to our facility October 18th and already had 1st dose administered on 8/13/2021. Overdue for his second dose, he was scheduled as soon as possible with some others who were receiving their 1st dose. When the others were scheduled for their 2nd dose, his name was inadvertently added to the list and a third dose administered. Our medical director notified. No problems noted.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Stored beyond use date.  Moderna analysis requested.  Full vaccine efficacy not shown.  Recommended that patient receive an additional vaccine.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adenovirus test, Angiogram pulmonary abnormal, Blood culture negative, Bordetella test negative
Clinical narrative: Patient discharged- 2 day hospital inpatient 11/14-11/16/21 HOSPITAL COURSE: Patient is an 81-year-old male who was admitted on 11/14/2021 for acute on chronic hypoxic respiratory failure secondary to bacterial pneumonia and chronic obstructive pulmonary disease exacerbation.   Chronic obstructive pulmonary disease exacerbation Patient was initiated on Solu-Medrol 60 mg q.6, weaned to 40 mg and tomorrow will start prednisone 40 mg daily to then transition back to his baseline 12.5 mg on 11/19.  Continue home inhalers and DuoNebs.   Pneumonia Treated initially with Zosyn, vancomycin, and azithromycin.  I spoke with patient's pulmonologist Dr. who recommended transitioning to Cipro again for 2 week course.  We attempted to get sputum culture but even with Mucinex and saline nebulizers we were unable to get this.  There was no growth to blood cultures.  Patient's baseline O2 requirements are 2 L with activity and sleeping he has been requiring 2 L 247 while here.  Patient feels very ready to leave will have pulmonology and PCP work with him to wean back to his baseline.   COVID-19 positive test Patient's rapid was positive for COVID-19 however thought to be false positive with the late showed a due to COVID-19 infection in September 30th.  Film array was obtained and was negative for any virus.   PT/OT evaluated patient in are recommending home health.  Care Management assisting with this.  Patient's vitals are stable, he subjectively feels well.  Pulmonology team will follow-up in a couple days, patient will see Dr., Cardiology on 11/19.  With a safe discharge plan patient is medically clear for discharge.   CONSULTS / RECOMMENDATION: Pulmonology:  Cipro for 2 weeks, waiting on steroids, they will follow up closely.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchiectasis, COVID-19, Cardiomegaly, Chest X-ray abnormal, Chlamydia test negative
Clinical narrative: Patient discharged- 2 day hospital inpatient 11/14-11/16/21 HOSPITAL COURSE: Patient is an 81-year-old male who was admitted on 11/14/2021 for acute on chronic hypoxic respiratory failure secondary to bacterial pneumonia and chronic obstructive pulmonary disease exacerbation.   Chronic obstructive pulmonary disease exacerbation Patient was initiated on Solu-Medrol 60 mg q.6, weaned to 40 mg and tomorrow will start prednisone 40 mg daily to then transition back to his baseline 12.5 mg on 11/19.  Continue home inhalers and DuoNebs.   Pneumonia Treated initially with Zosyn, vancomycin, and azithromycin.  I spoke with patient's pulmonologist Dr. who recommended transitioning to Cipro again for 2 week course.  We attempted to get sputum culture but even with Mucinex and saline nebulizers we were unable to get this.  There was no growth to blood cultures.  Patient's baseline O2 requirements are 2 L with activity and sleeping he has been requiring 2 L 247 while here.  Patient feels very ready to leave will have pulmonology and PCP work with him to wean back to his baseline.   COVID-19 positive test Patient's rapid was positive for COVID-19 however thought to be false positive with the late showed a due to COVID-19 infection in September 30th.  Film array was obtained and was negative for any virus.   PT/OT evaluated patient in are recommending home health.  Care Management assisting with this.  Patient's vitals are stable, he subjectively feels well.  Pulmonology team will follow-up in a couple days, patient will see Dr., Cardiology on 11/19.  With a safe discharge plan patient is medically clear for discharge.   CONSULTS / RECOMMENDATION: Pulmonology:  Cipro for 2 weeks, waiting on steroids, they will follow up closely.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal, Condition aggravated, Coronavirus test negative, Dyspnoea
Clinical narrative: Patient discharged- 2 day hospital inpatient 11/14-11/16/21 HOSPITAL COURSE: Patient is an 81-year-old male who was admitted on 11/14/2021 for acute on chronic hypoxic respiratory failure secondary to bacterial pneumonia and chronic obstructive pulmonary disease exacerbation.   Chronic obstructive pulmonary disease exacerbation Patient was initiated on Solu-Medrol 60 mg q.6, weaned to 40 mg and tomorrow will start prednisone 40 mg daily to then transition back to his baseline 12.5 mg on 11/19.  Continue home inhalers and DuoNebs.   Pneumonia Treated initially with Zosyn, vancomycin, and azithromycin.  I spoke with patient's pulmonologist Dr. who recommended transitioning to Cipro again for 2 week course.  We attempted to get sputum culture but even with Mucinex and saline nebulizers we were unable to get this.  There was no growth to blood cultures.  Patient's baseline O2 requirements are 2 L with activity and sleeping he has been requiring 2 L 247 while here.  Patient feels very ready to leave will have pulmonology and PCP work with him to wean back to his baseline.   COVID-19 positive test Patient's rapid was positive for COVID-19 however thought to be false positive with the late showed a due to COVID-19 infection in September 30th.  Film array was obtained and was negative for any virus.   PT/OT evaluated patient in are recommending home health.  Care Management assisting with this.  Patient's vitals are stable, he subjectively feels well.  Pulmonology team will follow-up in a couple days, patient will see Dr., Cardiology on 11/19.  With a safe discharge plan patient is medically clear for discharge.   CONSULTS / RECOMMENDATION: Pulmonology:  Cipro for 2 weeks, waiting on steroids, they will follow up closely.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Enterovirus test negative, Human metapneumovirus test, Human rhinovirus test, Hypoxia, Influenza A virus test negative
Clinical narrative: Patient discharged- 2 day hospital inpatient 11/14-11/16/21 HOSPITAL COURSE: Patient is an 81-year-old male who was admitted on 11/14/2021 for acute on chronic hypoxic respiratory failure secondary to bacterial pneumonia and chronic obstructive pulmonary disease exacerbation.   Chronic obstructive pulmonary disease exacerbation Patient was initiated on Solu-Medrol 60 mg q.6, weaned to 40 mg and tomorrow will start prednisone 40 mg daily to then transition back to his baseline 12.5 mg on 11/19.  Continue home inhalers and DuoNebs.   Pneumonia Treated initially with Zosyn, vancomycin, and azithromycin.  I spoke with patient's pulmonologist Dr. who recommended transitioning to Cipro again for 2 week course.  We attempted to get sputum culture but even with Mucinex and saline nebulizers we were unable to get this.  There was no growth to blood cultures.  Patient's baseline O2 requirements are 2 L with activity and sleeping he has been requiring 2 L 247 while here.  Patient feels very ready to leave will have pulmonology and PCP work with him to wean back to his baseline.   COVID-19 positive test Patient's rapid was positive for COVID-19 however thought to be false positive with the late showed a due to COVID-19 infection in September 30th.  Film array was obtained and was negative for any virus.   PT/OT evaluated patient in are recommending home health.  Care Management assisting with this.  Patient's vitals are stable, he subjectively feels well.  Pulmonology team will follow-up in a couple days, patient will see Dr., Cardiology on 11/19.  With a safe discharge plan patient is medically clear for discharge.   CONSULTS / RECOMMENDATION: Pulmonology:  Cipro for 2 weeks, waiting on steroids, they will follow up closely.