chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Chest X-ray normal, Chest pain, Chills
Clinical narrative: Patient is fully vaccinated.  COVID + on 12/9/2021.  ED visit on 12/16/2021.  Covid + on 12/9/21, c/o "cough and sore throat that is not getting better" Presents 12/16 to ED with shorness of breath.  Has continued sore throat and chills since that time. She was recently on antibiotics for an ear infection. Has hx of COPD. Has been taking Tylenol and OTC flu/cold medications at home. In addition, reports mild chest pain and epigastric abdominal pain.BP 135/72  | Pulse 90  | Temp 98.6 °F (37 °C) (Oral)  | Resp 16  | Ht 160 cm (5' 3")  | Wt 63.5 kg (140 lb)  | LMP  (LMP Unknown)  | SpO2 97%  | BMI 24.80 kg/m² No hypoxia or signs of respiratory distress. CXR was negative for acute processes. Laboratory studies obtained were unremarkable. Troponin negative. Discharged
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Laboratory test normal, Oropharyngeal pain, Troponin normal
Clinical narrative: Patient is fully vaccinated.  COVID + on 12/9/2021.  ED visit on 12/16/2021.  Covid + on 12/9/21, c/o "cough and sore throat that is not getting better" Presents 12/16 to ED with shorness of breath.  Has continued sore throat and chills since that time. She was recently on antibiotics for an ear infection. Has hx of COPD. Has been taking Tylenol and OTC flu/cold medications at home. In addition, reports mild chest pain and epigastric abdominal pain.BP 135/72  | Pulse 90  | Temp 98.6 °F (37 °C) (Oral)  | Resp 16  | Ht 160 cm (5' 3")  | Wt 63.5 kg (140 lb)  | LMP  (LMP Unknown)  | SpO2 97%  | BMI 24.80 kg/m² No hypoxia or signs of respiratory distress. CXR was negative for acute processes. Laboratory studies obtained were unremarkable. Troponin negative. Discharged
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Ammonia normal, Aspartate aminotransferase increased, Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone decreased
Clinical narrative: Syncope: Source of Information: Patient and Available medical record. History of Present Illness:  Patient is a 86 y.o. male with the past medical history of advanced dementia who presented from group home facility for complaints of syncopal episode. On examination patient is alert not in distress however not answering any questions which appears to be his baseline he does have advanced dementia obeying few commands. Per EMS sheet patient was found sitting on barstool per group home staff, patient appeared to be passed out approximately for 2-3 minutes. Limited history available secondary to patient's status. ED course 158/98, heart rate 103, respiration 18, SPO2 96% on room air, ammonia level-28, TSH-1.19, ETOH-none 10, troponin-I is 0.01, sodium-142, potassium-4.2, GFR-57, BUN/creatinine 20/1.30, lipase-192, Covid-19 positive, AST-74, AST-39, no leukocytosis, CT brain without any acute process.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea nitrogen/creatinine ratio, COVID-19, Computerised tomogram head normal, Glomerular filtration rate normal, Lipase increased
Clinical narrative: Syncope: Source of Information: Patient and Available medical record. History of Present Illness:  Patient is a 86 y.o. male with the past medical history of advanced dementia who presented from group home facility for complaints of syncopal episode. On examination patient is alert not in distress however not answering any questions which appears to be his baseline he does have advanced dementia obeying few commands. Per EMS sheet patient was found sitting on barstool per group home staff, patient appeared to be passed out approximately for 2-3 minutes. Limited history available secondary to patient's status. ED course 158/98, heart rate 103, respiration 18, SPO2 96% on room air, ammonia level-28, TSH-1.19, ETOH-none 10, troponin-I is 0.01, sodium-142, potassium-4.2, GFR-57, BUN/creatinine 20/1.30, lipase-192, Covid-19 positive, AST-74, AST-39, no leukocytosis, CT brain without any acute process.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, SARS-CoV-2 test positive, Syncope, Troponin I normal, Unresponsive to stimuli
Clinical narrative: Syncope: Source of Information: Patient and Available medical record. History of Present Illness:  Patient is a 86 y.o. male with the past medical history of advanced dementia who presented from group home facility for complaints of syncopal episode. On examination patient is alert not in distress however not answering any questions which appears to be his baseline he does have advanced dementia obeying few commands. Per EMS sheet patient was found sitting on barstool per group home staff, patient appeared to be passed out approximately for 2-3 minutes. Limited history available secondary to patient's status. ED course 158/98, heart rate 103, respiration 18, SPO2 96% on room air, ammonia level-28, TSH-1.19, ETOH-none 10, troponin-I is 0.01, sodium-142, potassium-4.2, GFR-57, BUN/creatinine 20/1.30, lipase-192, Covid-19 positive, AST-74, AST-39, no leukocytosis, CT brain without any acute process.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus started within 6 days post vaccine and has persisted 24x7 with some intermittent worsening. Has impacted on my work (I'm a nurse practitioner/therapist, and personal daily life. Never had any symptoms prior to this.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Loss of personal independence in daily activities, Tinnitus
Clinical narrative: Tinnitus started within 6 days post vaccine and has persisted 24x7 with some intermittent worsening. Has impacted on my work (I'm a nurse practitioner/therapist, and personal daily life. Never had any symptoms prior to this.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid19 infection in fully vaccinated patient
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Vaccine positive rechallenge
Clinical narrative: Swollen lymph node under arm pit on left vaccinated arm, received vaccination on 12/29/21, still swollen on 01/21/2022
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination complication
Clinical narrative: Hospitalized Due to Covid 19 vaccine reaction Hospitalized at hospital
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Diarrhoea
Clinical narrative: COUGH, FEVER, LOSS OF TASTE/SMELL, BODY ACHES, VOMITING, DIARRHEA
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: COUGH, FEVER, LOSS OF TASTE/SMELL, BODY ACHES, VOMITING, DIARRHEA
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered was expired as of 1/20/2022
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I had a sore arm for a few days. That is it.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria, Discomfort, Pruritus, Swelling
Clinical narrative: Chronic spontaneous urticaria. About eight days after my booster dose, I developed a full body rash. Splotchy, raised hives covered the front of my hips, across my torso, chest, and back, and down my arms. My face was also very sensitive, and would develop hives if touched.  The hives were incredibly itchy. I took 10mg loratadine on the second day after symptom onset to relieve the itching. It slightly reduced the itching and relieved some of the swelling and hives. I continued to take 10mg loratadine every 24 hours to manage the discomfort. If I waited even two hours after the 24, the itching would again become extremely uncomfortable. After perhaps 10 days of severe symptoms, the rash began to fade. Now, hives can be easily triggered on my arms, torso, back, and face. Gently rub the skin, and a hive will form without fail in a minute or two. I continue to take loratadine daily, which helps reduce the size and itchiness of the hives, but has not relieved my symptoms entirely.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic arteriosclerosis, Asthenia, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: Discharged. 79yo man with a history of parkinsons, CKDIII, HTN and anemia here with covid infection, weakness and intractable diarrhea. He was given fluids and admitted to observation. He did well with imodium and diarrhea stopped. PT/OT worked with the patient and stated home with assist. Hospital set him up with care for HHC. He was discharged to home in stable and improved condition.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Influenza A virus test negative, Influenza virus test negative, Lung disorder, Lung opacity
Clinical narrative: Discharged. 79yo man with a history of parkinsons, CKDIII, HTN and anemia here with covid infection, weakness and intractable diarrhea. He was given fluids and admitted to observation. He did well with imodium and diarrhea stopped. PT/OT worked with the patient and stated home with assist. Hospital set him up with care for HHC. He was discharged to home in stable and improved condition.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Discharged. 79yo man with a history of parkinsons, CKDIII, HTN and anemia here with covid infection, weakness and intractable diarrhea. He was given fluids and admitted to observation. He did well with imodium and diarrhea stopped. PT/OT worked with the patient and stated home with assist. Hospital set him up with care for HHC. He was discharged to home in stable and improved condition.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin, Rash erythematous, Rash papular, Skin burning sensation, Skin exfoliation
Clinical narrative: This was a booster shot. Received first 2 shots in spring of 2020. This shot made me break out into a deep red, raised rash from my chin  down to my bottom. The red rash was worse this time than the first (also reported to VAERS). My skin was on fire and hurt to the touch. When it finally started clearing up Thursday night into Friday my skin was peeling! I slept uncontrollably for 48 hours, at time feeling like I was paralyzed. This is the second time I have had this reaction. I will never get another booster.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: This was a booster shot. Received first 2 shots in spring of 2020. This shot made me break out into a deep red, raised rash from my chin  down to my bottom. The red rash was worse this time than the first (also reported to VAERS). My skin was on fire and hurt to the touch. When it finally started clearing up Thursday night into Friday my skin was peeling! I slept uncontrollably for 48 hours, at time feeling like I was paralyzed. This is the second time I have had this reaction. I will never get another booster.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Breast tenderness, Burning sensation, Erythema, Fatigue, Induration
Clinical narrative: Extreme swelling of right upper arm from top of arm to elbow- extending to right breast tenderness.  Upper arm swelling fees hard and hot.  Skin dark red over area and resembles a sunburn.   Localized pain and burning.  Overall generalized fatigue and malaise.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Malaise, Pain, Peripheral swelling, Skin warm
Clinical narrative: Extreme swelling of right upper arm from top of arm to elbow- extending to right breast tenderness.  Upper arm swelling fees hard and hot.  Skin dark red over area and resembles a sunburn.   Localized pain and burning.  Overall generalized fatigue and malaise.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Sunburn
Clinical narrative: Extreme swelling of right upper arm from top of arm to elbow- extending to right breast tenderness.  Upper arm swelling fees hard and hot.  Skin dark red over area and resembles a sunburn.   Localized pain and burning.  Overall generalized fatigue and malaise.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccination complication
Clinical narrative: Hospitalized Due to Covid 19 vaccine reaction Hospitalized at facility
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Computerised tomogram head normal, Cough, Dizziness
Clinical narrative: This is a 67y.o. male with significant past medical history of HTN, DM, ESRD on hemodialysis, BPH, nonischemic cardiomyopathy, MI, TIA, S/P AICD that presented to the hospital with chief complaint of syncope. Patient reportedly completed his HD session at his dialysis center when he suddenly loss consciousness. EMS was called and upon their arrival he was awake and conversing. Upon ED evaluation he reports feeling unwell. He states the past couple of days he has had intermittent dizziness, palpitations, non productive cough, nausea, and vomiting. He denies any fever, chills, chest pain, abdominal pain, constipation, or diarrhea.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. COVID positive. CT head negative for acute process. CXR negative for acute process. He has been admitted for further evaluation and management with consultation in place to nephrology and cardiology.    Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Malaise, Nausea, Palpitations, SARS-CoV-2 test positive
Clinical narrative: This is a 67y.o. male with significant past medical history of HTN, DM, ESRD on hemodialysis, BPH, nonischemic cardiomyopathy, MI, TIA, S/P AICD that presented to the hospital with chief complaint of syncope. Patient reportedly completed his HD session at his dialysis center when he suddenly loss consciousness. EMS was called and upon their arrival he was awake and conversing. Upon ED evaluation he reports feeling unwell. He states the past couple of days he has had intermittent dizziness, palpitations, non productive cough, nausea, and vomiting. He denies any fever, chills, chest pain, abdominal pain, constipation, or diarrhea.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. COVID positive. CT head negative for acute process. CXR negative for acute process. He has been admitted for further evaluation and management with consultation in place to nephrology and cardiology.    Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: This is a 67y.o. male with significant past medical history of HTN, DM, ESRD on hemodialysis, BPH, nonischemic cardiomyopathy, MI, TIA, S/P AICD that presented to the hospital with chief complaint of syncope. Patient reportedly completed his HD session at his dialysis center when he suddenly loss consciousness. EMS was called and upon their arrival he was awake and conversing. Upon ED evaluation he reports feeling unwell. He states the past couple of days he has had intermittent dizziness, palpitations, non productive cough, nausea, and vomiting. He denies any fever, chills, chest pain, abdominal pain, constipation, or diarrhea.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. COVID positive. CT head negative for acute process. CXR negative for acute process. He has been admitted for further evaluation and management with consultation in place to nephrology and cardiology.    Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 78.0
Sex: F
Vaccine: UNK
Symptoms: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Sore throat, Fever, severe congestion head and chest, cough
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes
Clinical narrative: Patient and family disclosed at the most recent appointment, Jan. 18th, that the patient had significant altered mental status lasting 1-2 weeks after each dose of the vaccine. This included the initial dose, second dose, and most recent, booster dose, in Dec. 2021.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Impaired work ability, Myalgia, Pneumonitis, Pyrexia
Clinical narrative: Immediate day after effects:   Fever up to 101 degrees, lungs felt inflamed and inflated, severe muscle aches, could not get out of bed in morning, had to call in sick  Long term continuing after effects:     Lungs get that same inflamed heavy feeling every few days for a few hours
Age: 68.0
Sex: M
Vaccine: FLUA4
Symptoms: Arthralgia, Pain, Pain in extremity, Pain in jaw, Polymyalgia rheumatica
Clinical narrative: Patient came in and talked to pharmacist 12/22/21 saying he had an adverse reaction and was going to discuss further with provider. Today he came in and told me provider diagnosed him with PMR, Polymyalgia rheumatica. 12 hours after the vaccine he said he had pain starting from his jaw all the way down his body, resulting with him walking with a cane. Patient also stated he had Covid vaccine 2 weeks before in opposite arm, which was painful. After the flu shot he started having pain at the injection site of the Covid vaccine. At present time patient states he is having residual shoulder pain in both arms.
Age: 68.0
Sex: M
Vaccine: FLUA4
Symptoms: Walking aid user
Clinical narrative: Patient came in and talked to pharmacist 12/22/21 saying he had an adverse reaction and was going to discuss further with provider. Today he came in and told me provider diagnosed him with PMR, Polymyalgia rheumatica. 12 hours after the vaccine he said he had pain starting from his jaw all the way down his body, resulting with him walking with a cane. Patient also stated he had Covid vaccine 2 weeks before in opposite arm, which was painful. After the flu shot he started having pain at the injection site of the Covid vaccine. At present time patient states he is having residual shoulder pain in both arms.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Minor patient received Moderna Vaccine instead of Pfizer
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site reaction, Injection site swelling, Rash
Clinical narrative: I remember it started out like a reaction at injection site and it just grew bigger and bigger until it was the size of a grapefruit was blood red was on my left arm. It started lacey rash across arm and legs on both side. My doctor had me take Benadryl every 4 hours for two weeks. After that I started taking Claritin so I could go back to work. The doctor referred me to an allergist who refused to see me and I have that in writing. I followed up with the doctor daily with telehealth or email. This reaction went on for like a month March-April. Also, he had me do Benadryl 2 days before my 2nd dose since this happened with my 1st every 4 hours but I still had reaction.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion
Age: 8.0
Sex: M
Vaccine: HEPA, IPV, TDAP
Symptoms: Balance disorder, Hyperhidrosis, Pallor, Presyncope
Clinical narrative: Patient had vasovagal response to vaccine administration about 3 minutes after vaccines given. He appeared pale, sweaty and was unsteady on feet. He was laid down on an exam table with his legs elevated, and cold wet towels were placed on his forehead and neck. His vital signs were taken and were low initially before measures were taken. Vital signs were stable after about 10 minutes after intervention. He was monitored for 30min and stable enough to leave the clinic.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient was given the incorrect dose 0.25mL instead of 0.3 mL
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was given undiluted vaccine Comirnaty (0.1 mL) due to error on LPN for dilution and administration.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive covid test and covid symptoms
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was given undiluted vaccine Comirnaty (0.1 mL) due to error on LPN for dilution and administration.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: anaphylaxis
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Malaise, Nausea, Pallor, Vision blurred
Clinical narrative: Patient received the booster dose of Pfizer COVID vaccine (lot FJ6369) at approximately 1100. At 1109, RN approached patient and asked how he felt. Patient reported not feeling well. PHN approached. RN and PHN assisted patient in transferring to zero-gravity chair and placed supine. Patient given water and cookies. Patient reported symptoms to include blurry vision, sweating, and nausea. PHN noted pallor. At 1112, vital signs: respirations 18, blood pressure 110/62, O2 100%, pulse 80. Patient reported not eating or drinking anything that day. Patient reported no allergies, medical condition includes asthma, medication includes albuterol rescue inhaler. Patient reported no prior history of similar reaction. PHN educated on remaining onsite for 30min from time of reporting symptoms, to follow up with provider, and ER precautions. PHN offered Benadryl but patient declined. At 1125, vital signs: blood pressure 116/70, respirations 16, O2 97%, pulse 86. Patient reported symptoms had resolved, PHN assisted patient to seated position, patient continued to report no symptoms. At 1139, vital signs: blood pressure 118/74, respirations 16, pulse 80, O2 99%. At 1130, Patient stood up, monitored by PHN, continued to report no symptoms. Patient reported his wife was in the car and would drive him home. Patient left walking with steady gait at 1142.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Client presented his vaccination card the showed the second dose of a Pfizer primary series being administered on 9/19/2021. Client presented for booster a month early but received a booster of Janssen due to a clerical error of only counting 4 rather than 5 months out from the second dose of the primary series.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Histamine intolerance, Urticaria
Clinical narrative: Significant hives and histamine response lasting 8 days
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was given undiluted vaccine Comirnaty (0.1 mL) due to error on LPN for dilution and administration.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Dysarthria, Electroencephalogram, Magnetic resonance imaging, Tremor
Clinical narrative: I started to have uncontrollable seizure like tremors only on the left side of my face with slurred  speak.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was given undiluted vaccine Comirnaty (0.1 mL) due to error on LPN for dilution and administration.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Arteriosclerosis coronary artery, Arthralgia, Asthenia, Bacterial test
Clinical narrative: Still hospitalized. This is a 75-year-old  immunocompromised female with a PMH of breast cancer on tamoxifen, HFpEF, IDDM2, HTN, GERD, and ESRD who presented to the  ER 1/11/22 with a CC of generalized weakness x 1 week and a positive home COVID test.  CXR showed mild bilateral patchy opacities.  Pt was given Tylenol, Decadron, 500 mL IVF bolus and transferred to facility for hospital admission. On interview, telephone interpreter was utilized throughout.  Pt states she has been progressively weak with shortness of breath, cough, fever and chills x 1 week.  she states she was too weak to get up and ambulate with her walker as she typically would.  She states she fell and hurt her right knee trying to walk up steps yesterday.  She states she was started on hemodialysis approximately 2 weeks ago.  She states she cannot recall the name of her nephrologist or cardiologist.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, COVID-19, Cardiomegaly, Chest X-ray abnormal, Chills
Clinical narrative: Still hospitalized. This is a 75-year-old  immunocompromised female with a PMH of breast cancer on tamoxifen, HFpEF, IDDM2, HTN, GERD, and ESRD who presented to the  ER 1/11/22 with a CC of generalized weakness x 1 week and a positive home COVID test.  CXR showed mild bilateral patchy opacities.  Pt was given Tylenol, Decadron, 500 mL IVF bolus and transferred to facility for hospital admission. On interview, telephone interpreter was utilized throughout.  Pt states she has been progressively weak with shortness of breath, cough, fever and chills x 1 week.  she states she was too weak to get up and ambulate with her walker as she typically would.  She states she fell and hurt her right knee trying to walk up steps yesterday.  She states she was started on hemodialysis approximately 2 weeks ago.  She states she cannot recall the name of her nephrologist or cardiologist.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cholecystectomy, Condition aggravated, Cough, Dyspnoea, Fall
Clinical narrative: Still hospitalized. This is a 75-year-old  immunocompromised female with a PMH of breast cancer on tamoxifen, HFpEF, IDDM2, HTN, GERD, and ESRD who presented to the  ER 1/11/22 with a CC of generalized weakness x 1 week and a positive home COVID test.  CXR showed mild bilateral patchy opacities.  Pt was given Tylenol, Decadron, 500 mL IVF bolus and transferred to facility for hospital admission. On interview, telephone interpreter was utilized throughout.  Pt states she has been progressively weak with shortness of breath, cough, fever and chills x 1 week.  she states she was too weak to get up and ambulate with her walker as she typically would.  She states she fell and hurt her right knee trying to walk up steps yesterday.  She states she was started on hemodialysis approximately 2 weeks ago.  She states she cannot recall the name of her nephrologist or cardiologist.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Goitre, Gram stain positive, Haemodialysis, Joint injury, Lung consolidation
Clinical narrative: Still hospitalized. This is a 75-year-old  immunocompromised female with a PMH of breast cancer on tamoxifen, HFpEF, IDDM2, HTN, GERD, and ESRD who presented to the  ER 1/11/22 with a CC of generalized weakness x 1 week and a positive home COVID test.  CXR showed mild bilateral patchy opacities.  Pt was given Tylenol, Decadron, 500 mL IVF bolus and transferred to facility for hospital admission. On interview, telephone interpreter was utilized throughout.  Pt states she has been progressively weak with shortness of breath, cough, fever and chills x 1 week.  she states she was too weak to get up and ambulate with her walker as she typically would.  She states she fell and hurt her right knee trying to walk up steps yesterday.  She states she was started on hemodialysis approximately 2 weeks ago.  She states she cannot recall the name of her nephrologist or cardiologist.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lung disorder, Lung opacity, Lymphadenopathy mediastinal, Pseudomonas test, Pyrexia
Clinical narrative: Still hospitalized. This is a 75-year-old  immunocompromised female with a PMH of breast cancer on tamoxifen, HFpEF, IDDM2, HTN, GERD, and ESRD who presented to the  ER 1/11/22 with a CC of generalized weakness x 1 week and a positive home COVID test.  CXR showed mild bilateral patchy opacities.  Pt was given Tylenol, Decadron, 500 mL IVF bolus and transferred to facility for hospital admission. On interview, telephone interpreter was utilized throughout.  Pt states she has been progressively weak with shortness of breath, cough, fever and chills x 1 week.  she states she was too weak to get up and ambulate with her walker as she typically would.  She states she fell and hurt her right knee trying to walk up steps yesterday.  She states she was started on hemodialysis approximately 2 weeks ago.  She states she cannot recall the name of her nephrologist or cardiologist.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Scan with contrast abnormal, Sputum culture, Staphylococcus test negative
Clinical narrative: Still hospitalized. This is a 75-year-old  immunocompromised female with a PMH of breast cancer on tamoxifen, HFpEF, IDDM2, HTN, GERD, and ESRD who presented to the  ER 1/11/22 with a CC of generalized weakness x 1 week and a positive home COVID test.  CXR showed mild bilateral patchy opacities.  Pt was given Tylenol, Decadron, 500 mL IVF bolus and transferred to facility for hospital admission. On interview, telephone interpreter was utilized throughout.  Pt states she has been progressively weak with shortness of breath, cough, fever and chills x 1 week.  she states she was too weak to get up and ambulate with her walker as she typically would.  She states she fell and hurt her right knee trying to walk up steps yesterday.  She states she was started on hemodialysis approximately 2 weeks ago.  She states she cannot recall the name of her nephrologist or cardiologist.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid calcification, Vascular device user
Clinical narrative: Still hospitalized. This is a 75-year-old  immunocompromised female with a PMH of breast cancer on tamoxifen, HFpEF, IDDM2, HTN, GERD, and ESRD who presented to the  ER 1/11/22 with a CC of generalized weakness x 1 week and a positive home COVID test.  CXR showed mild bilateral patchy opacities.  Pt was given Tylenol, Decadron, 500 mL IVF bolus and transferred to facility for hospital admission. On interview, telephone interpreter was utilized throughout.  Pt states she has been progressively weak with shortness of breath, cough, fever and chills x 1 week.  she states she was too weak to get up and ambulate with her walker as she typically would.  She states she fell and hurt her right knee trying to walk up steps yesterday.  She states she was started on hemodialysis approximately 2 weeks ago.  She states she cannot recall the name of her nephrologist or cardiologist.
Age: 62.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Back pain, Breast pain, Fatigue, Restlessness, Sneezing
Clinical narrative: About 2-3 days after, I just started sneezing intermittently. And it wasn't that big of a thing. I was a little tired and thought it would go away. All of a sudden when I went to bed that night I couldn't get comfortable so I thought I would lay on my other side. And When I pushed myself up to wake up the next day, it was this searing pain under my breast more towards the side. The upper-mid rib cage on the side, not towards the heart. And that's how I've been ever since. I called my doctor because I was supposed to get an MRI of my lumbar and I mentioned that my upper back was hurting from upper back wrapping around to the side. And they said they would look at it. The only thing that really helps is taking a warm bath. Feels like a muscle pull. Still hasn't gone away. And I'm also still sneezing, but the sneezing doesn't bother me. I know it's not a cold, but the sneezing bothers me under my rib.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Cough, Headache, Lymphadenopathy, Pain in extremity
Clinical narrative: On 1/7/2022, patient noted a lump where the collarbone and neck meet at left side.  She had booster shot in her left arm.  The area was sore to touch. on 1/6/2022 she was sick with a temp of 99.1, congestion, headache and nasal cough.  She had been taking Ibuprofen 200mg x 2 daily with some relief noted.  She was advised to apply a cool compress to the area of the lump and contact her physician.  On 1/10/2022, the lump had decreased in size.  She spoke with her physician and continue to apply the cool compress to area and take Ibuprofen medicine as needed.  On 1/22/2022 the area had cleared and improved.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: On 1/7/2022, patient noted a lump where the collarbone and neck meet at left side.  She had booster shot in her left arm.  The area was sore to touch. on 1/6/2022 she was sick with a temp of 99.1, congestion, headache and nasal cough.  She had been taking Ibuprofen 200mg x 2 daily with some relief noted.  She was advised to apply a cool compress to the area of the lump and contact her physician.  On 1/10/2022, the lump had decreased in size.  She spoke with her physician and continue to apply the cool compress to area and take Ibuprofen medicine as needed.  On 1/22/2022 the area had cleared and improved.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient was given 0.25ml instead of 3 ml booster vaccine .
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was given undiluted vaccine Comirnaty (0.1 mL) due to error on LPN for dilution and administration.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Her Throat Was Sore. She Had A Cough & Fatigue & She Had A Runny Nose So I Called And Made Her Appt At Dr. On 1/19/2022 & She Was Given Covid-19 Test, It Was Negative & Then On The 20th I Administered Covid-19 Test & It Was Positive.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Her Throat Was Sore. She Had A Cough & Fatigue & She Had A Runny Nose So I Called And Made Her Appt At Dr. On 1/19/2022 & She Was Given Covid-19 Test, It Was Negative & Then On The 20th I Administered Covid-19 Test & It Was Positive.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient was given the incorrect dose 0.25mL instead of 0.3 mL
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose was given early- 14 days after the 1st dose. Based on local and CDC guidelines we will re-dose patient 21 days after the early 2nd dose was given.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Pruritus, Urticaria
Clinical narrative: Patient started to get HIVES and severe itching the day after vaccine. Her hives did not go away until January 5, 2022.  She is still occasionally itching, a couple times a day. Patient took Benadryl and Prednisone for about 12 days but experienced adverse events for from the steroids and stopped therapy.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Patient states that after receiving the 3rd dose of Moderna 01/04/2022, started experiencing symptoms 01/05/2022 of headaches, muscle aches, joint aches, fatigue, pain on the left side/injection site, and redness/feverish at the injection site. No noted Primary visit/communications. Joint pain still continuing as a symptom.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Myalgia
Clinical narrative: Patient states that after receiving the 3rd dose of Moderna 01/04/2022, started experiencing symptoms 01/05/2022 of headaches, muscle aches, joint aches, fatigue, pain on the left side/injection site, and redness/feverish at the injection site. No noted Primary visit/communications. Joint pain still continuing as a symptom.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac imaging procedure abnormal, Chest pain, Computerised tomogram coronary artery normal, Echocardiogram normal, Myocarditis
Clinical narrative: Patient presented with chest pain, left arm pain, troponin elevation within 20 hours of vaccination.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Subendocardial ischaemia, Troponin increased
Clinical narrative: Patient presented with chest pain, left arm pain, troponin elevation within 20 hours of vaccination.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Euphoric mood, Pain, Pain in extremity, Skin warm
Clinical narrative: I felt like I was high and I was warm. I was having shooting pain in my appendages. I also had pain in my left side. I called the nurse care line and was advised to put ice on my lymph node and take some Tylenol. I was also advised to monitor my heart rate due to being extremely. It resolved itself after about 6 hours.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Tic
Clinical narrative: Child has developed new onset tic
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Pruritus
Clinical narrative: Itching rash above her waistline. Started to decrease in about an hour. Taking benadryl to ease symptoms.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: PATIENT RECEIVED AN EXTRA BOOSTER.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 1/20/22 Telephone call:  Symptomatic date: 1/20/22. Current symptoms: fever, fatigue and body aches.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient was given the incorrect dose 0.25mL instead of 0.3 mL.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Animal scratch, Anion gap, Atrial fibrillation
Clinical narrative: Patient still hospitalized. Patient is a 69 y.o. female with past medical history significant for chronic hypoxic respiratory failure on 3.5 L of oxygen in the outpatient setting, type 2 diabetes mellitus, paroxysmal atrial fibrillation, chronic diastolic congestive heart failure, obstructive sleep apnea, presenting to the emergency department as a transfer from the Hospital with chief complaint of altered mental status.  Patient reportedly was hiding under a bed and refused to come out until EMS arrived which is unusual for her.  At a local Hospital Emergency Department, patient was diagnosed with COVID-19 pneumonia, acute renal failure, hyperkalemia, and acute on chronic hypoxic respiratory failure.  Initial labs at the Hospital:  Potassium 6.1, sodium bicarbonate 34, anion gap 8, BUN 29, creatinine 1.55, glucose 203, alkaline phosphatase 120, albumin level 3.4, troponin 19, hemoglobin 10, hematocrit 32.8.  COVID-19 PCR positive.  Repeat BMP with potassium of 5.5, bicarb 32, BUN 28, creatinine 1.44, GFR 46, glucose 209, troponin 17. CT scan of the head showed no acute intracranial process.  One view chest x-ray consistent with COVID pneumonia.  At the Hospital Emergency Department, patient was treated for hyperkalemia with albuterol solution, sodium bicarb, IV Lasix, and Kayexalate.  Patient also received a L of normal saline for clinically appearing dehydrated.  Patient was subsequently transferred to another Hospital for further management.   Upon examination, patient is evaluated at bedside.  Patient reports that she has had a cough for about 3 days with productive sputum and reports mild shortness of breath with activity.  Patient reports intermittent headaches.  Patient states that she started having diarrhea yesterday.  States she has had decreased appetite and has been eating once a day. Patient denies any chills or fevers, no nausea or vomiting, patient does report a sore throat, patient denies any chest pain or abdominal pain.  No leg swelling.  Patient reports chronic skin changes to her bilateral lower extremities and states that she has some scabs on her left lower extremity from a dog scratching her leg.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial flutter, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bicarbonate increased, Blood creatinine increased
Clinical narrative: Patient still hospitalized. Patient is a 69 y.o. female with past medical history significant for chronic hypoxic respiratory failure on 3.5 L of oxygen in the outpatient setting, type 2 diabetes mellitus, paroxysmal atrial fibrillation, chronic diastolic congestive heart failure, obstructive sleep apnea, presenting to the emergency department as a transfer from the Hospital with chief complaint of altered mental status.  Patient reportedly was hiding under a bed and refused to come out until EMS arrived which is unusual for her.  At a local Hospital Emergency Department, patient was diagnosed with COVID-19 pneumonia, acute renal failure, hyperkalemia, and acute on chronic hypoxic respiratory failure.  Initial labs at the Hospital:  Potassium 6.1, sodium bicarbonate 34, anion gap 8, BUN 29, creatinine 1.55, glucose 203, alkaline phosphatase 120, albumin level 3.4, troponin 19, hemoglobin 10, hematocrit 32.8.  COVID-19 PCR positive.  Repeat BMP with potassium of 5.5, bicarb 32, BUN 28, creatinine 1.44, GFR 46, glucose 209, troponin 17. CT scan of the head showed no acute intracranial process.  One view chest x-ray consistent with COVID pneumonia.  At the Hospital Emergency Department, patient was treated for hyperkalemia with albuterol solution, sodium bicarb, IV Lasix, and Kayexalate.  Patient also received a L of normal saline for clinically appearing dehydrated.  Patient was subsequently transferred to another Hospital for further management.   Upon examination, patient is evaluated at bedside.  Patient reports that she has had a cough for about 3 days with productive sputum and reports mild shortness of breath with activity.  Patient reports intermittent headaches.  Patient states that she started having diarrhea yesterday.  States she has had decreased appetite and has been eating once a day. Patient denies any chills or fevers, no nausea or vomiting, patient does report a sore throat, patient denies any chest pain or abdominal pain.  No leg swelling.  Patient reports chronic skin changes to her bilateral lower extremities and states that she has some scabs on her left lower extremity from a dog scratching her leg.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood potassium increased, Blood urea increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient still hospitalized. Patient is a 69 y.o. female with past medical history significant for chronic hypoxic respiratory failure on 3.5 L of oxygen in the outpatient setting, type 2 diabetes mellitus, paroxysmal atrial fibrillation, chronic diastolic congestive heart failure, obstructive sleep apnea, presenting to the emergency department as a transfer from the Hospital with chief complaint of altered mental status.  Patient reportedly was hiding under a bed and refused to come out until EMS arrived which is unusual for her.  At a local Hospital Emergency Department, patient was diagnosed with COVID-19 pneumonia, acute renal failure, hyperkalemia, and acute on chronic hypoxic respiratory failure.  Initial labs at the Hospital:  Potassium 6.1, sodium bicarbonate 34, anion gap 8, BUN 29, creatinine 1.55, glucose 203, alkaline phosphatase 120, albumin level 3.4, troponin 19, hemoglobin 10, hematocrit 32.8.  COVID-19 PCR positive.  Repeat BMP with potassium of 5.5, bicarb 32, BUN 28, creatinine 1.44, GFR 46, glucose 209, troponin 17. CT scan of the head showed no acute intracranial process.  One view chest x-ray consistent with COVID pneumonia.  At the Hospital Emergency Department, patient was treated for hyperkalemia with albuterol solution, sodium bicarb, IV Lasix, and Kayexalate.  Patient also received a L of normal saline for clinically appearing dehydrated.  Patient was subsequently transferred to another Hospital for further management.   Upon examination, patient is evaluated at bedside.  Patient reports that she has had a cough for about 3 days with productive sputum and reports mild shortness of breath with activity.  Patient reports intermittent headaches.  Patient states that she started having diarrhea yesterday.  States she has had decreased appetite and has been eating once a day. Patient denies any chills or fevers, no nausea or vomiting, patient does report a sore throat, patient denies any chest pain or abdominal pain.  No leg swelling.  Patient reports chronic skin changes to her bilateral lower extremities and states that she has some scabs on her left lower extremity from a dog scratching her leg.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chronic respiratory failure, Computerised tomogram head normal, Condition aggravated, Decreased appetite
Clinical narrative: Patient still hospitalized. Patient is a 69 y.o. female with past medical history significant for chronic hypoxic respiratory failure on 3.5 L of oxygen in the outpatient setting, type 2 diabetes mellitus, paroxysmal atrial fibrillation, chronic diastolic congestive heart failure, obstructive sleep apnea, presenting to the emergency department as a transfer from the Hospital with chief complaint of altered mental status.  Patient reportedly was hiding under a bed and refused to come out until EMS arrived which is unusual for her.  At a local Hospital Emergency Department, patient was diagnosed with COVID-19 pneumonia, acute renal failure, hyperkalemia, and acute on chronic hypoxic respiratory failure.  Initial labs at the Hospital:  Potassium 6.1, sodium bicarbonate 34, anion gap 8, BUN 29, creatinine 1.55, glucose 203, alkaline phosphatase 120, albumin level 3.4, troponin 19, hemoglobin 10, hematocrit 32.8.  COVID-19 PCR positive.  Repeat BMP with potassium of 5.5, bicarb 32, BUN 28, creatinine 1.44, GFR 46, glucose 209, troponin 17. CT scan of the head showed no acute intracranial process.  One view chest x-ray consistent with COVID pneumonia.  At the Hospital Emergency Department, patient was treated for hyperkalemia with albuterol solution, sodium bicarb, IV Lasix, and Kayexalate.  Patient also received a L of normal saline for clinically appearing dehydrated.  Patient was subsequently transferred to another Hospital for further management.   Upon examination, patient is evaluated at bedside.  Patient reports that she has had a cough for about 3 days with productive sputum and reports mild shortness of breath with activity.  Patient reports intermittent headaches.  Patient states that she started having diarrhea yesterday.  States she has had decreased appetite and has been eating once a day. Patient denies any chills or fevers, no nausea or vomiting, patient does report a sore throat, patient denies any chest pain or abdominal pain.  No leg swelling.  Patient reports chronic skin changes to her bilateral lower extremities and states that she has some scabs on her left lower extremity from a dog scratching her leg.