chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling hot, Intensive care, Shock
Clinical narrative: woke up and right arm felt like it was on fire, went to the ER and blood pressure was 68/40 she went into shock in IUC
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure decreased, Cardiac disorder, Hypotension, Intensive care, Renal failure
Clinical narrative: woke up and right arm felt like it was on fire, went to the ER and blood pressure was 68/40 she went into shock in IUC
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or ACIP guidance.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Palpitations, Swelling face
Clinical narrative: Patient went home and about 45 minutes later got a swollen face, red/hot face, headache and racing heart. She tried calling doctor, who was not in. She called us the next day. She's still experiencing symptoms other than the racing heart. Informed her to talk to her doctor and advised seeking medication attention, especially if heart racing or breathing issues occur.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood test abnormal, Burning sensation, Chills, Exercise tolerance decreased
Clinical narrative: Next morning after 2nd shot, extreme body pain and headache.   This lasted 4 days.  Took arthritis strength Tylenol and hydrocodone to stop the pain and let me rest. I have been feeling very sick since the 2nd shot to this day, August 11th.  I do not see an end to this body pain, headache, weakness, tired, chills,  lots of chills and the hot burning hot.  No one can explain why I have been sick for 3 months.  I know my blood tests show a very elevated B12 which is unusual because it usually borders lower. All I know is ever since that shot, I'm just sick all the time, putting blankets on and off, in pain because of chills. No other logical reason.   Only reason I took the shot was to get back and forth to another state.   Otherwise,  I figured it was going to kill me if I took the shot.  Having trouble exercising and surfing now.  THANKS A LOT!
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeling hot, Headache, Illness, Pain
Clinical narrative: Next morning after 2nd shot, extreme body pain and headache.   This lasted 4 days.  Took arthritis strength Tylenol and hydrocodone to stop the pain and let me rest. I have been feeling very sick since the 2nd shot to this day, August 11th.  I do not see an end to this body pain, headache, weakness, tired, chills,  lots of chills and the hot burning hot.  No one can explain why I have been sick for 3 months.  I know my blood tests show a very elevated B12 which is unusual because it usually borders lower. All I know is ever since that shot, I'm just sick all the time, putting blankets on and off, in pain because of chills. No other logical reason.   Only reason I took the shot was to get back and forth to another state.   Otherwise,  I figured it was going to kill me if I took the shot.  Having trouble exercising and surfing now.  THANKS A LOT!
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitamin B12 increased
Clinical narrative: Next morning after 2nd shot, extreme body pain and headache.   This lasted 4 days.  Took arthritis strength Tylenol and hydrocodone to stop the pain and let me rest. I have been feeling very sick since the 2nd shot to this day, August 11th.  I do not see an end to this body pain, headache, weakness, tired, chills,  lots of chills and the hot burning hot.  No one can explain why I have been sick for 3 months.  I know my blood tests show a very elevated B12 which is unusual because it usually borders lower. All I know is ever since that shot, I'm just sick all the time, putting blankets on and off, in pain because of chills. No other logical reason.   Only reason I took the shot was to get back and forth to another state.   Otherwise,  I figured it was going to kill me if I took the shot.  Having trouble exercising and surfing now.  THANKS A LOT!
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Due to error in name spelling in state immunization registry, we did not find the clients information in the system indicating he already received 2 prior doses of the Pfizer vaccine in April and May. This was his 3rd dose of the COVID-19 vaccine and a different one than he originally received.  Called to verify information and after some questioning, patient knew was he was doing and thought a booster was fine. He had no adverse effects from his 3rd dose and feels just fine per his report.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: CSF glucose normal, CSF protein increased, CSF white blood cell count increased, Computerised tomogram, Cryptococcus test
Clinical narrative: pt with acute onset of AMS, unable to form words or sentences- last 1.5 hours then resolved  nl CT scan, MRI brain, LP abnormal with leukocytosis, lymphocytic predominance
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Enterovirus test negative, Escherichia test negative, Haemophilus test, Herpes simplex test negative, Leukocytosis
Clinical narrative: pt with acute onset of AMS, unable to form words or sentences- last 1.5 hours then resolved  nl CT scan, MRI brain, LP abnormal with leukocytosis, lymphocytic predominance
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Listeria test, Lumbar puncture abnormal, Magnetic resonance imaging head, Mental status changes, Neisseria test
Clinical narrative: pt with acute onset of AMS, unable to form words or sentences- last 1.5 hours then resolved  nl CT scan, MRI brain, LP abnormal with leukocytosis, lymphocytic predominance
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Polymerase chain reaction, Speech disorder, Streptococcus test negative, Varicella virus test negative, Viral test negative
Clinical narrative: pt with acute onset of AMS, unable to form words or sentences- last 1.5 hours then resolved  nl CT scan, MRI brain, LP abnormal with leukocytosis, lymphocytic predominance
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Amnesia, Aphasia, Computerised tomogram head, Confusional state, Headache
Clinical narrative: pt with acute onset of AMS, unable to form words or sentences- last 1.5 hours then resolved  nl CT scan, MRI brain, LP abnormal with leukocytosis, lymphocytic predominance
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lumbar puncture abnormal, Lymphocytosis, Magnetic resonance imaging head, Migraine, Neurological symptom
Clinical narrative: pt with acute onset of AMS, unable to form words or sentences- last 1.5 hours then resolved  nl CT scan, MRI brain, LP abnormal with leukocytosis, lymphocytic predominance
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pleocytosis
Clinical narrative: pt with acute onset of AMS, unable to form words or sentences- last 1.5 hours then resolved  nl CT scan, MRI brain, LP abnormal with leukocytosis, lymphocytic predominance
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or guidance.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Nausea, Pallor, Vomiting
Clinical narrative: Patient received J&J vaccine. Within a few mins, patient was pale, weak, nauseous, and vomiting.  Patient was brought back to the exam room to lay down, evaluated by the physician, given water, and was monitored while resting for approximately 30 mins. Vitals were stable.  Patient was alert & oriented. Pt regained facial coloring, stopped vomiting, and felt better after some rest. Pt left the office ambulatory in stable condition.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Cardiac imaging procedure abnormal, Catheterisation cardiac normal, Ejection fraction decreased, Hypoxic-ischaemic encephalopathy
Clinical narrative: The pt was immunized and within a number of hours he sustained a VFib cardiac arrest and was transported to  Hospital .  He had a negative heart cath, he survived a prolonged cardiac arrest with some anoxic encephalopathy.  MRI of his heart reveals an EF of approximately 39% and an area of myocarditis measuring 14X30mm.  Study was done 5 days post arrest on 8/9/2021
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Ventricular fibrillation
Clinical narrative: The pt was immunized and within a number of hours he sustained a VFib cardiac arrest and was transported to  Hospital .  He had a negative heart cath, he survived a prolonged cardiac arrest with some anoxic encephalopathy.  MRI of his heart reveals an EF of approximately 39% and an area of myocarditis measuring 14X30mm.  Study was done 5 days post arrest on 8/9/2021
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Nasal mucosal blistering, Pain
Clinical narrative: Headaches, body aches, fever, facial numbness, blisters in my nose, fatigue.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headaches, body aches, fever, facial numbness, blisters in my nose, fatigue.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: BODY RASH
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: Pt came into the store on 8/11/21 reporting a reaction to her second dose of her covid vaccine. She did not have a reaction on her first dose nor after the 15-20 minute wait period after the shot on 8/10/21.  She had a swollen upper lip and believes it is due to the vaccine. We recommended her Benadryl to help with the swelling and advised her to see a doctor to make sure if it was due to the vaccine or if it was something else.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Echocardiogram normal, Electrocardiogram, Palpitations
Clinical narrative: 16y with acute Chest pain, shortness of breath and palpitations with brief syncope while playing basketball. Troponin elevated to 731 and quickly began to downtrend. EKG and Echo wnl, no evidence of myopericarditis. Event began 6 days after dose 1. Required overnight hospitalization for evaluation. Troponins downtrending without intervention. Patient discharged home
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Troponin increased
Clinical narrative: 16y with acute Chest pain, shortness of breath and palpitations with brief syncope while playing basketball. Troponin elevated to 731 and quickly began to downtrend. EKG and Echo wnl, no evidence of myopericarditis. Event began 6 days after dose 1. Required overnight hospitalization for evaluation. Troponins downtrending without intervention. Patient discharged home
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Dermatitis
Clinical narrative: Dermatitis and Vesicular Lesions on Forehead/Face
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Joint swelling, Pain in extremity, Paraesthesia
Clinical narrative: elbow swelled up,entire arm feels like its being sliced with razor blade, knees fingers tingling, cant drive
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Vasovagal episode for a few seconds. Took vitals but was WNL. Patient lied down on a mat and felt fine after. AOx4.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or Agency guidance.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered expired dose.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Swelling face, Swelling of eyelid, Urticaria
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 08/02/2021, started experiencing symptoms 08/05/2021 of rash, itching, hives, and swelling of the face/eyelids. ER visit 08/05/2021 prescribed Prednisone, Benadryl, and Famotidine.  Symptoms subsiding.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: sore throat, cough, fever. went to urgent care, received antibiotics, got better within 1 week
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Cyanosis, Hyperhidrosis, Nausea, Pallor, Unresponsive to stimuli
Clinical narrative: Became diaphoretic, unresponsive for 20 seconds twice, nauseated, pale, cyanotic on forehead and fingertips.  Pt was slid to floor and elevated legs, cold compress to head and chest.  BP  90/50 pulse 76 after 5 minutes at 10 minutes BP 108/70, Pulse 78, Respirations were unlabored.  Pt talking stating feeling better at 13 minutes, at 20 minutes sat pt up and feeling better, redness coming back in cheeks, not dizzy,  talking,  BP at 25 minutes was 100/70.  Sat pt in a chair until 30 minutes past, stated he was fine to walk out with mom and brother.  Mom stated pt has a hx of passing out when getting shots after I had given the shot.
Age: 27.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or guidance.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Asthenia, COVID-19, Constipation, Hemiparesis
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Moderna vaccine (2nd dose in series) on 03/11/21. Patient was hospitalized from 07/26/21 - 08/06/21. Below is copied from discharge summary:   HOSPITAL COURSE  71-year-old wheelchair-bound man with a significant history of diabetes, hypertension, obesity, spinal cord injury status post ACDF on 11/19 with chronic right-sided weakness is presented for chief complaint of weakness. He was fully vaccinated prior to arrival. Did not require supplemental oxygen. Required inpatient stay for generalized weakness due to acute viral infection. Worked with PT and OT. Recommended short term rehab however patient refused STR placement. Ordered for home health care with home health PT and OT. Constipation was resolved with lactulose 20 g TID. Abdominal pain resolved with bowel movement. COVID therapy included only zinc and pepcid. Continued patient's home antihypertensive regimen. Stable condition at discharge home
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Infection, SARS-CoV-2 test positive, Viral infection, Wheelchair user
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Moderna vaccine (2nd dose in series) on 03/11/21. Patient was hospitalized from 07/26/21 - 08/06/21. Below is copied from discharge summary:   HOSPITAL COURSE  71-year-old wheelchair-bound man with a significant history of diabetes, hypertension, obesity, spinal cord injury status post ACDF on 11/19 with chronic right-sided weakness is presented for chief complaint of weakness. He was fully vaccinated prior to arrival. Did not require supplemental oxygen. Required inpatient stay for generalized weakness due to acute viral infection. Worked with PT and OT. Recommended short term rehab however patient refused STR placement. Ordered for home health care with home health PT and OT. Constipation was resolved with lactulose 20 g TID. Abdominal pain resolved with bowel movement. COVID therapy included only zinc and pepcid. Continued patient's home antihypertensive regimen. Stable condition at discharge home
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood urine present, Chills, Cough, Headache
Clinical narrative: One week after receiving the Moderna vaccination I developed: Headache, chills, low grade temperature, nasal congestion, cough, sore throat (felt like I was swallowing razor blades), blood in urine, nausea/vomiting, generalized weakness, tachycardia Went to physician office twice & tested negative for COVID both times. Also tested negative for flu and strep throat. Was given an antibiotic , some mouth gargle, and Zofran. Symptoms subsided after 2 weeks.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Nasal congestion, Oropharyngeal pain
Clinical narrative: One week after receiving the Moderna vaccination I developed: Headache, chills, low grade temperature, nasal congestion, cough, sore throat (felt like I was swallowing razor blades), blood in urine, nausea/vomiting, generalized weakness, tachycardia Went to physician office twice & tested negative for COVID both times. Also tested negative for flu and strep throat. Was given an antibiotic , some mouth gargle, and Zofran. Symptoms subsided after 2 weeks.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Tachyarrhythmia
Clinical narrative: One week after receiving the Moderna vaccination I developed: Headache, chills, low grade temperature, nasal congestion, cough, sore throat (felt like I was swallowing razor blades), blood in urine, nausea/vomiting, generalized weakness, tachycardia Went to physician office twice & tested negative for COVID both times. Also tested negative for flu and strep throat. Was given an antibiotic , some mouth gargle, and Zofran. Symptoms subsided after 2 weeks.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Headache
Clinical narrative: Patient felt dizzy, headache, dizzy, chest pain after 2nd Pfizer COVID vaccination. Referred to Urgent Care for further evaluation.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Imaging procedure, Laboratory test, Myalgia
Clinical narrative: recurrent fever tmax 100.5, myalgias and chills, usually occuring at night in a cyclic fashion every 3 weeks.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: recurrent fever tmax 100.5, myalgias and chills, usually occuring at night in a cyclic fashion every 3 weeks.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or Agency guidance.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine remained in the freezer past the recommended guidelines (14 days). Once discovered, Pfizer was contacted but did not have stability data to support acceptability of the product greater than 31 days in the freezer. All patients that were administered vaccine past 31 days were contacted and given an option to be re-vaccinated based on their doctor'S recommendation or guidance.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart plantations started occurring, often keeping me awake until 2am. The palpitations also irregularly occurred during the day until mid-june (1 month).
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No adverse event occurred - patient requested vaccine, denying any previous Covid-19 vaccine injections.  We were notified by County Health Dept on 8/10/2021 that patient had previously received a Janssen vaccination elsewhere, thus requiring VAERS form
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Neuralgia, Pain in extremity
Clinical narrative: increased joint pain as well as nerve pain in arms/hands   legs, knees and feet
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash morbilliform, Rash papular
Clinical narrative: Sunday after vaccination developed a raised rash on her chest. It lasted two days and cleared up on its own. Sounds like a morbilliform rash. No heat, swelling, pain on rash. No reaction at site of injection
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Antibody test negative, Aphonia, Arthralgia
Clinical narrative: It started on July 20th with hip pain and a head ache, which happened when I had Covid the first time, then I felt ok for a couple of days and then on 07/27/2021 I developed a congestion, body aches, fever, and fatigue. I also lost my taste and smell. So I went to get a PCR test on 07/29/2021 and it came back positive on 07/30/2021. I continued to have congestion until 08/04/2021. Yesterday 08/10/2021 I started coughing. I lost my voice from the 07/27 to the 07/30. I was tested for antibodies after vaccination and I did not have any. But I got tested on 08/02/2021 and I was positive for IGG.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Pain, Polymerase chain reaction positive
Clinical narrative: It started on July 20th with hip pain and a head ache, which happened when I had Covid the first time, then I felt ok for a couple of days and then on 07/27/2021 I developed a congestion, body aches, fever, and fatigue. I also lost my taste and smell. So I went to get a PCR test on 07/29/2021 and it came back positive on 07/30/2021. I continued to have congestion until 08/04/2021. Yesterday 08/10/2021 I started coughing. I lost my voice from the 07/27 to the 07/30. I was tested for antibodies after vaccination and I did not have any. But I got tested on 08/02/2021 and I was positive for IGG.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 antibody test
Clinical narrative: It started on July 20th with hip pain and a head ache, which happened when I had Covid the first time, then I felt ok for a couple of days and then on 07/27/2021 I developed a congestion, body aches, fever, and fatigue. I also lost my taste and smell. So I went to get a PCR test on 07/29/2021 and it came back positive on 07/30/2021. I continued to have congestion until 08/04/2021. Yesterday 08/10/2021 I started coughing. I lost my voice from the 07/27 to the 07/30. I was tested for antibodies after vaccination and I did not have any. But I got tested on 08/02/2021 and I was positive for IGG.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus - ringing in the ears.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic arteriosclerosis, Atelectasis, Blood creatinine increased, Blood glucose increased, C-reactive protein increased
Clinical narrative: 69y/o F Hospital Course and Significant Findings: # COVID PNEUMONIA Symptom onset on 7/26 - 7/27. Patient reported dizziness, fatigue, SOB, cough, with a few episodes of diarrhea. She brought herself to the hospital and was found to be COVID positive on 8/4. Patient reports receiving 2/2 vaccination (last in March 2021). Patient was given one dose of 6mg decadron which was not continued due to stable respiratory status and poorly controlled blood sugars. Received 5x doses of remdesivir (8/5-8/9). Patient continues to sat ~95% on room air, however reports some SOB on ambulation. Patient showed clinical improvement but CRP trended upwards to 13 prompting further monitoring. CRP decreased to 12.6 on 8/10 and she continued to show clinical improvement, saturating well on room air. D-dimer also trending down on day of discharge (0.67 -- > 0.6). Patient discharged with oxygen PRN. Told to self-isolate 20 days since symptom onset (until 8/14).    #DM2 Hgb A1C 10 on 7/31/21. Patient says she has been adhering to insulin regimen at home and has not missed injections but reports frequent blood glucose measurements in the 200-300s range. Throughout hospitalization, patient blood glucose was elevated so regimen escalated to insulin sliding scale, with 2u insulin before each meal, and 15u NPH bid. Discharged on home regimen.   Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID Pneumonia
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Diabetes mellitus inadequate control
Clinical narrative: 69y/o F Hospital Course and Significant Findings: # COVID PNEUMONIA Symptom onset on 7/26 - 7/27. Patient reported dizziness, fatigue, SOB, cough, with a few episodes of diarrhea. She brought herself to the hospital and was found to be COVID positive on 8/4. Patient reports receiving 2/2 vaccination (last in March 2021). Patient was given one dose of 6mg decadron which was not continued due to stable respiratory status and poorly controlled blood sugars. Received 5x doses of remdesivir (8/5-8/9). Patient continues to sat ~95% on room air, however reports some SOB on ambulation. Patient showed clinical improvement but CRP trended upwards to 13 prompting further monitoring. CRP decreased to 12.6 on 8/10 and she continued to show clinical improvement, saturating well on room air. D-dimer also trending down on day of discharge (0.67 -- > 0.6). Patient discharged with oxygen PRN. Told to self-isolate 20 days since symptom onset (until 8/14).    #DM2 Hgb A1C 10 on 7/31/21. Patient says she has been adhering to insulin regimen at home and has not missed injections but reports frequent blood glucose measurements in the 200-300s range. Throughout hospitalization, patient blood glucose was elevated so regimen escalated to insulin sliding scale, with 2u insulin before each meal, and 15u NPH bid. Discharged on home regimen.   Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID Pneumonia
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Dyspnoea, Fatigue, Fibrin D dimer increased
Clinical narrative: 69y/o F Hospital Course and Significant Findings: # COVID PNEUMONIA Symptom onset on 7/26 - 7/27. Patient reported dizziness, fatigue, SOB, cough, with a few episodes of diarrhea. She brought herself to the hospital and was found to be COVID positive on 8/4. Patient reports receiving 2/2 vaccination (last in March 2021). Patient was given one dose of 6mg decadron which was not continued due to stable respiratory status and poorly controlled blood sugars. Received 5x doses of remdesivir (8/5-8/9). Patient continues to sat ~95% on room air, however reports some SOB on ambulation. Patient showed clinical improvement but CRP trended upwards to 13 prompting further monitoring. CRP decreased to 12.6 on 8/10 and she continued to show clinical improvement, saturating well on room air. D-dimer also trending down on day of discharge (0.67 -- > 0.6). Patient discharged with oxygen PRN. Told to self-isolate 20 days since symptom onset (until 8/14).    #DM2 Hgb A1C 10 on 7/31/21. Patient says she has been adhering to insulin regimen at home and has not missed injections but reports frequent blood glucose measurements in the 200-300s range. Throughout hospitalization, patient blood glucose was elevated so regimen escalated to insulin sliding scale, with 2u insulin before each meal, and 15u NPH bid. Discharged on home regimen.   Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID Pneumonia
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin increased, Insulin therapy, Lung infiltration, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: 69y/o F Hospital Course and Significant Findings: # COVID PNEUMONIA Symptom onset on 7/26 - 7/27. Patient reported dizziness, fatigue, SOB, cough, with a few episodes of diarrhea. She brought herself to the hospital and was found to be COVID positive on 8/4. Patient reports receiving 2/2 vaccination (last in March 2021). Patient was given one dose of 6mg decadron which was not continued due to stable respiratory status and poorly controlled blood sugars. Received 5x doses of remdesivir (8/5-8/9). Patient continues to sat ~95% on room air, however reports some SOB on ambulation. Patient showed clinical improvement but CRP trended upwards to 13 prompting further monitoring. CRP decreased to 12.6 on 8/10 and she continued to show clinical improvement, saturating well on room air. D-dimer also trending down on day of discharge (0.67 -- > 0.6). Patient discharged with oxygen PRN. Told to self-isolate 20 days since symptom onset (until 8/14).    #DM2 Hgb A1C 10 on 7/31/21. Patient says she has been adhering to insulin regimen at home and has not missed injections but reports frequent blood glucose measurements in the 200-300s range. Throughout hospitalization, patient blood glucose was elevated so regimen escalated to insulin sliding scale, with 2u insulin before each meal, and 15u NPH bid. Discharged on home regimen.   Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  COVID Pneumonia
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Loss of consciousness
Clinical narrative: passed out, clamy
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: PATIENT RECEIVED MORE THAN THE RECOMMENDED DOSES OF THE COVID-19 VACCINE. JANSSEN WAS ADMINISTERED ON 4/12/2021 AND PFIZER WAS ADMINISTERED ON 4/15/2021 AND 5/6/2021. OUTCOME, SYMPTOMS, AND TREATMENT UNKNOWN.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Post-acute COVID-19 syndrome, Pruritus, Skin papilloma
Clinical narrative: On or about day 10, COVID arm appeared as well as the appearance of a wart on the inside of my R foot near the ankle. (At age 5, I?d had a plantar wart removed from the bottom of the same foot.) I know that I was not in an environment to pick up anything as I live with my elderly father and am meticulous about what I do and where I go. It began with the same type of insistent itching as COVID arm.   COVID arm disappeared around day day 17 post 1st injection. I am still dealing with the remnants of the wart. The wart has been treated with Cantharidin first followed by Imiquimod cream, which I am still currently using. So far, it has been nearly 3 mos of treatment.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: pt is admitted to the hospital with covid 19 symptoms post vaccination.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor
Clinical narrative: pt became dizzy, nausea, pale pallor, and diaphoretic
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: There were no reported adverse signs or symptoms. The vaccine that was administered was expired by 10 days (7/31/21).
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Immediate post-injection reaction, Loss of consciousness, Malaise, Pallor
Clinical narrative: Immunizing technician came out of the vaccination room to inform me (pharmacist) that patient stated he was not feeling well right after the vaccine.  As we walked to the room, we heard a falling sound and came rushing. Patient was on the floor, sitting with Dad on his side. Dad stated he fell. Patient was conscious and alert but looked pale. He sat on the floor for 5 minutes then moved to a chair with Dad's help.  He passed out again about 5 minutes later for only a few seconds. Dad stated patient usually had these reactions after blood drawn. Patient was alert and oriented after 30 minutes observation. They stayed for more than an hour before leaving the pharmacy.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine given was expired. This vaccine was drawn up yesterday 8/10/21 morning and the vaccine was given more than 24 hours after it was reconstituted.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated on 1/05/2021 and 1/26/2021 with Pfizer vaccine. He then  became symptomatic on 8/09 and tested positive for COVID-19 on 8/10
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Auscultation, Chest discomfort, Dizziness, Erythema, Feeling abnormal
Clinical narrative: Approximately 25 minutes after administration, patient reported itching all over, lightheadedness, and "feeling bad".  This progressed to include chest tightness.  Rapid response was activated.  VS were taken.  PE was performed and notable for lip swelling, diffuse skin redness, and diaphoresis.  Lungs were CTAB.  One dose of Epi 0.3 mg IM was given with improvement in symptoms within 2 minutes.  VS repeated with improvement.  Rapid response team arrived and patient was transferred to in-house ER.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Lip swelling, Pruritus
Clinical narrative: Approximately 25 minutes after administration, patient reported itching all over, lightheadedness, and "feeling bad".  This progressed to include chest tightness.  Rapid response was activated.  VS were taken.  PE was performed and notable for lip swelling, diffuse skin redness, and diaphoresis.  Lungs were CTAB.  One dose of Epi 0.3 mg IM was given with improvement in symptoms within 2 minutes.  VS repeated with improvement.  Rapid response team arrived and patient was transferred to in-house ER.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Blood pressure decreased, Blood pressure measurement, Eye swelling, Lip swelling
Clinical narrative: Approximately 25 minutes after administration, patient reported itching all over, lightheadedness, and "feeling bad".  This progressed to include chest tightness.  Rapid response was activated.  VS were taken.  PE was performed and notable for lip swelling, diffuse skin redness, and diaphoresis.  Lungs were CTAB.  One dose of Epi 0.3 mg IM was given with improvement in symptoms within 2 minutes.  VS repeated with improvement.  Rapid response team arrived and patient was transferred to in-house ER.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations
Clinical narrative: Approximately 25 minutes after administration, patient reported itching all over, lightheadedness, and "feeling bad".  This progressed to include chest tightness.  Rapid response was activated.  VS were taken.  PE was performed and notable for lip swelling, diffuse skin redness, and diaphoresis.  Lungs were CTAB.  One dose of Epi 0.3 mg IM was given with improvement in symptoms within 2 minutes.  VS repeated with improvement.  Rapid response team arrived and patient was transferred to in-house ER.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dehydration, Fatigue, Headache, Mobility decreased
Clinical narrative: Fever, dehydration, muscle aches, terrible exhaustion (could not get out of bed), loss of appetite,  headache
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Fever, dehydration, muscle aches, terrible exhaustion (could not get out of bed), loss of appetite,  headache
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Vomiting
Clinical narrative: After receiving the Pfizer vaccine, the patient was vomiting and placed on her side. She also had a seizure about 20 minutes after receiving the vaccine the vaccine.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Blood test abnormal, Dyspnoea, Dyspnoea exertional, Vaccination complication
Clinical narrative: shortness of breath progressively over the course of 3 1/2 months getting worse to the point at which the patient could not walk more than 10 feet without being winded and needing to sit down.  Was hospitalized due to the shortness of breath which got worse two times in the hospital and was treated with steroids, breathing treatments every 4 hours, antibiotics and heparin. Patient was in the hospital for 7 days and released on oral steroids for 6 weeks.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Pt reported itching sensation 1 hour after getting her injection.  The itching sensation is on her chest (front and back), arms, hands and both legs.  Pt called her PCP and left a message to his nurse.  PCP will return her call.  Pt stated she will take Benadryl at home.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Nausea
Clinical narrative: A couple minutes after the vaccine injection, patient complained of nausea and dizziness. She then proceeded to tell pharmacy staff that she has difficulty breathing and feels like she is going to black out. Pharmacist administered Epipen to patient and called 911.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Impaired driving ability, Vaccine positive rechallenge
Clinical narrative: Patient got vaccine around 10:06AM reporting minor dizziness regarding to the 1st dose. Around 5 minutes into the next wait period, patient was found sitting on the floor eating snacks. When asked why, patient states that she felt very dizziness to the point of not being able to drive home during the wait period. Patient did report similar conditions after giving blood and not eating (patient reports not eating anything prior to vaccination). Possibly this adverse event could be just the patient not eating, but I'm reporting it just in case.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PATIENT HAS SUBSEQUENT SWELLING, REDNESS, PAIN ACROSS THE DELTOID OF INJECTION ARM (RIGHT) THAT WRAPPED AROUND ARM. THIS LASTED FOR APPROXIMATELY A WEEK BEFORE SUBSIDING.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: *Patient scheduled by facility for 1 dose COVID vaccine.*Client give Moderna dose on 07-16-21.*Later review showed that client had received Janssen vaccine on 06/10/2021.*Inadvertent dose
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Feeling abnormal, Hyperhidrosis, Pallor
Clinical narrative: 11:23- Pt father approached RN to check on his daughter. Pt reports blurred vision, feeling dizzy, and feels "everything closing in." RN identifies pallor and diaphoresis and calls for NP and EMT over radio. POD leader and RN assist to lay the patient to the ground with lower extremities elevated on the chair. 11:24-NP and EMT arrive at the scene. NP assesses pt medical h/x, medications, previous meals, current symptoms, menstrual cycle, etc. Pt denies SOB, chest pain, nausea. Pt reports blurry vision and light headedness. Presents with a flat affect. Mental health staff are informed and arrive at scene to speak to father. B/P- 102/62, O2- 94, P- 99. Pt is still on the floor. (Present staff: NP, 2 EMT, POD leader, 3 Observation RNs, safety officer, mental health employees, father. ) 11:30 - diaphoresis and blurry vision is resolved. 11:36- pt is assisted to a sitting position on the floor and denies any abnormal symptoms. BP- 11/3, P- 95, O2- 94%. Pt is warm to touch. Team continues to monitor and pt continues to drink gatorade.  11:41- pt is assisted to chair denies abnormal symptoms. BP- 107/62, P- 98, O2- 98%. NP plans to discharge patient if she continues to feel well.  11:54- NP assesses pt and she reports feeling lightheaded. Pt is assisted to a lying position on the floor with feet elevated on the chair.  BP- 106/64. NP notifies team to contact 911 for further assessment.  11:57- Blood glucose reading 137. 12: 10 EMTS arrive and NP endorsed pt care to EMTs, other EMTs assessing and taking report.  12:15- pt is assisted to a sitting position BP- 113/68, P- 94, patient is advised to seek further assessment in the ED 12:24- patient signs AMA form
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: 11:23- Pt father approached RN to check on his daughter. Pt reports blurred vision, feeling dizzy, and feels "everything closing in." RN identifies pallor and diaphoresis and calls for NP and EMT over radio. POD leader and RN assist to lay the patient to the ground with lower extremities elevated on the chair. 11:24-NP and EMT arrive at the scene. NP assesses pt medical h/x, medications, previous meals, current symptoms, menstrual cycle, etc. Pt denies SOB, chest pain, nausea. Pt reports blurry vision and light headedness. Presents with a flat affect. Mental health staff are informed and arrive at scene to speak to father. B/P- 102/62, O2- 94, P- 99. Pt is still on the floor. (Present staff: NP, 2 EMT, POD leader, 3 Observation RNs, safety officer, mental health employees, father. ) 11:30 - diaphoresis and blurry vision is resolved. 11:36- pt is assisted to a sitting position on the floor and denies any abnormal symptoms. BP- 11/3, P- 95, O2- 94%. Pt is warm to touch. Team continues to monitor and pt continues to drink gatorade.  11:41- pt is assisted to chair denies abnormal symptoms. BP- 107/62, P- 98, O2- 98%. NP plans to discharge patient if she continues to feel well.  11:54- NP assesses pt and she reports feeling lightheaded. Pt is assisted to a lying position on the floor with feet elevated on the chair.  BP- 106/64. NP notifies team to contact 911 for further assessment.  11:57- Blood glucose reading 137. 12: 10 EMTS arrive and NP endorsed pt care to EMTs, other EMTs assessing and taking report.  12:15- pt is assisted to a sitting position BP- 113/68, P- 94, patient is advised to seek further assessment in the ED 12:24- patient signs AMA form
Age: 11.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient was accidentally given Trumenba instead of Tdap. She is under the age recommendation for administration of Trumenba to a health individual - though it is approved to be given as young as age 10 for those with risk factors.
Age: 72.0
Sex: M
Vaccine: UNK
Symptoms: Extra dose administered
Clinical narrative: Pateint came in to COVID vaccine clinic requesting a COVID vaccine. He prefered Moderna. He filled out the paperwork. I asked him some questions to verify. I gave the Moderna shot to Right Deltoid. After Patient left following his 15 minute wait, I was putting his vaccine information into CIIS. Upon putting the information in he had already had his 2 doses of Moderna. I immediately called the patient who stated "Yes, we knew we already had the 2 doses but felt we needed a third. "Spoke to him about it not being FDA approved and not needed as he had completed the series. He stated he knew it was wrong to lie but did it anyway. Informed him that a report w would be filled and side effects after a 3 dose were unknown and to contact his PCP or 911 for adverse reactions. He again apologized for lying.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient had a covid vaccine today at 1:45 pm and it was discovered at 4:45pm that the vaccine given was expired. It was reconstituted yesterday 8/10/2021 at 9:50 am.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Blood test, Computerised tomogram abdomen, Culture, Diarrhoea
Clinical narrative: Severe diareah Weight loss Stomache cramps
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: Severe diareah Weight loss Stomache cramps
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Polymenorrhoea
Clinical narrative: After my second shot, my menstrual cycle shortened to 18 days, from start of cycle to the beginning of the next cycle. My periods were  heavier and much more painful than they had been. This lasted for 3 months (4 cycles). This past cycle seems to have returned back to relatively normal.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: CSF cell count, Herpes zoster, Illness, Lumbar puncture abnormal, Malaise
Clinical narrative: Minor illnesses several times after 2nd vaccine then developed shingles mid July 2021 (3 months after 2nd shot). Shingles quickly turned into viral meningitis with varicella zoster virus by PCR found in spinal tap. Staff were concerned about immune system as is very unusual for a healthy person with normal immune system to develop meningitis with varicella zoster virus. Someone also noted though that they had another case of it just a few weeks prior.  It may not have been related to covid vaccine but it seemed worth reporting in case there is a link.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Meningitis viral, Multipathogen PCR test positive, Neisseria test positive, Varicella virus test positive, Varicella zoster virus infection
Clinical narrative: Minor illnesses several times after 2nd vaccine then developed shingles mid July 2021 (3 months after 2nd shot). Shingles quickly turned into viral meningitis with varicella zoster virus by PCR found in spinal tap. Staff were concerned about immune system as is very unusual for a healthy person with normal immune system to develop meningitis with varicella zoster virus. Someone also noted though that they had another case of it just a few weeks prior.  It may not have been related to covid vaccine but it seemed worth reporting in case there is a link.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Nephrolithiasis, Pain
Clinical narrative: I had a kidney stone. I had pain and had to go to the ER on July 7th. This is the first time I have ever had a kidney stone.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administration error
Clinical narrative: ADMINISTRATION ERROR : Previously 11/30/2020 received DTaP +IPV, Re-administered 08/10/2021. No noted symptoms.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Headache, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: On July 1 2021, I had a headache, dry cough, low energy and fever of 101.7.  On, July 4th I went to the urgent care because my fever got up to 102, 4 days with the fever. At the urgent care I was given a covid test that was negative. My lungs were clear. I was diagnosed with an acute upper respiratory infection. I took OTC Mucinex and was prescribed a prednisone pack and something for my cough. The cough lasted 3-4 weeks.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Upper respiratory tract infection
Clinical narrative: On July 1 2021, I had a headache, dry cough, low energy and fever of 101.7.  On, July 4th I went to the urgent care because my fever got up to 102, 4 days with the fever. At the urgent care I was given a covid test that was negative. My lungs were clear. I was diagnosed with an acute upper respiratory infection. I took OTC Mucinex and was prescribed a prednisone pack and something for my cough. The cough lasted 3-4 weeks.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: PATIENT RECEIVED MORE THAN THE RECOMMENDED DOSES OF COVID-19 VACCINE. PFIZER WAS ADMINISTERED 1/15/2021, THEN THE MODERNA SERIES WAS ADMINISTERED ON 4/24/2021 AND 5/22/2021.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient scheduled by facility for 1 dose COVID vaccine.*Client give Moderna dose on 07-16-21.*Later review showed that client had received Jansenn vaccine on 06/10/2021.*Inadvertant dose
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deafness, Petechiae, Platelet count decreased, Tinnitus
Clinical narrative: tinnitus both ears, hearing loss, petechiae all over skin,  lowered platelet counts after vaccination