chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT DID NOT MEET AGE REQUIREMENT TO RECEIVE MODERNA VACCINE.  WHEN PATIENT PRESENTED FOR DOSE TWO OF COVID VACCINE SERIES, THE PATIENT RECEIVED APPROPRIATE BRAND BASED ON AGE (PFIZER LOT#EWO162). NO ADVERSE REACTIONS OR SIDE EFFECTS REPORTED BY PATIENT.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness unilateral, Dizziness, Laboratory test
Clinical narrative: On the day of dose 1 it was 45 mins after I had moderate dizziness. Lasted for 2 weeks . It is possible that I have lost some hearing in my left ear.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Abdominal pain upper, Chills, Fatigue, Feeling cold, Headache
Clinical narrative: 7/27/21 ? Approx. 3:30pm Patient received his Tdap and his Meningococcal conjugate MCV4 shots. He reported the 2nd one hurt which was the Tdap.   7/27/21 ? Approx. 10pm Complained of his arm hurting bad. Site was hard and red. Took 2 Tylenol before bed.  7/28/21 ? Approx. 3am Woke up and was shivering in his legs and felt cold. Said he had a horrible headache and his arm was super sore. Leg shivering continued off and on for about 30 minutes. We went to go downstairs to get a bucket because he said his stomach hurt (his normal sign for vomiting). He felt like his legs were weak while walking downstairs. He vomited once. He wrapped up in a blanket and was sitting on a chair. I checked his pulse ox several times over the next 30 minutes. His oxygen levels were between 95-99 and heart rate was between 120-135. His legs began to shiver worse. We were debating to take him to the ER so I went to get a change of clothes. When I came downstairs he had stopped shivering. Oxygen levels were down in the 90?s we decided to see how it would go for the next hour. Still complaining of a headache.  - Approx. 6am Vomit/Dry heaved. Felt cold so put on a hoodie but was not shivering. Complaining of a headache around both temples and the top of his head. Ate a handful of goldfish. Gave 1 Tylenol for pain.  - Approx. 8am Vomited/Dry heaved. Complained of headache. Had him lay down to nap. Called Facility to report symptoms and see if he needed to be seen or just monitored. Pulse ox in the 90?s for both.  - 11am Facility called back. Thinking it is a strong immune reaction to the shots. Monitor symptoms. Should continue to get better, but if any changes or worsening of symptoms call them for him to be seen. Continuing to have a headache. Gave 1 Motrin. Pulse ox 93/98. - 1:30pm Pulse ox in the 93/98. Still having a headache. Gave 1 Tylenol. - 9pm Still having a headache and chills and feeling really tired and lethargic. Arm was still sore, hard and red at injection site. Pulse ox 96/99. Gave 1 Motrin.  7/29/21 8:30am Complaining of a sore arm and headache. Gave 1 Motrin. - 11am Feeling better, still had a sore arm. - 5pm Just a sore arm. Injection site is still hard but redness has become slightly pink. All other symptoms have gone away.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Lethargy, Muscular weakness
Clinical narrative: 7/27/21 ? Approx. 3:30pm Patient received his Tdap and his Meningococcal conjugate MCV4 shots. He reported the 2nd one hurt which was the Tdap.   7/27/21 ? Approx. 10pm Complained of his arm hurting bad. Site was hard and red. Took 2 Tylenol before bed.  7/28/21 ? Approx. 3am Woke up and was shivering in his legs and felt cold. Said he had a horrible headache and his arm was super sore. Leg shivering continued off and on for about 30 minutes. We went to go downstairs to get a bucket because he said his stomach hurt (his normal sign for vomiting). He felt like his legs were weak while walking downstairs. He vomited once. He wrapped up in a blanket and was sitting on a chair. I checked his pulse ox several times over the next 30 minutes. His oxygen levels were between 95-99 and heart rate was between 120-135. His legs began to shiver worse. We were debating to take him to the ER so I went to get a change of clothes. When I came downstairs he had stopped shivering. Oxygen levels were down in the 90?s we decided to see how it would go for the next hour. Still complaining of a headache.  - Approx. 6am Vomit/Dry heaved. Felt cold so put on a hoodie but was not shivering. Complaining of a headache around both temples and the top of his head. Ate a handful of goldfish. Gave 1 Tylenol for pain.  - Approx. 8am Vomited/Dry heaved. Complained of headache. Had him lay down to nap. Called Facility to report symptoms and see if he needed to be seen or just monitored. Pulse ox in the 90?s for both.  - 11am Facility called back. Thinking it is a strong immune reaction to the shots. Monitor symptoms. Should continue to get better, but if any changes or worsening of symptoms call them for him to be seen. Continuing to have a headache. Gave 1 Motrin. Pulse ox 93/98. - 1:30pm Pulse ox in the 93/98. Still having a headache. Gave 1 Tylenol. - 9pm Still having a headache and chills and feeling really tired and lethargic. Arm was still sore, hard and red at injection site. Pulse ox 96/99. Gave 1 Motrin.  7/29/21 8:30am Complaining of a sore arm and headache. Gave 1 Motrin. - 11am Feeling better, still had a sore arm. - 5pm Just a sore arm. Injection site is still hard but redness has become slightly pink. All other symptoms have gone away.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Retching, Vomiting
Clinical narrative: 7/27/21 ? Approx. 3:30pm Patient received his Tdap and his Meningococcal conjugate MCV4 shots. He reported the 2nd one hurt which was the Tdap.   7/27/21 ? Approx. 10pm Complained of his arm hurting bad. Site was hard and red. Took 2 Tylenol before bed.  7/28/21 ? Approx. 3am Woke up and was shivering in his legs and felt cold. Said he had a horrible headache and his arm was super sore. Leg shivering continued off and on for about 30 minutes. We went to go downstairs to get a bucket because he said his stomach hurt (his normal sign for vomiting). He felt like his legs were weak while walking downstairs. He vomited once. He wrapped up in a blanket and was sitting on a chair. I checked his pulse ox several times over the next 30 minutes. His oxygen levels were between 95-99 and heart rate was between 120-135. His legs began to shiver worse. We were debating to take him to the ER so I went to get a change of clothes. When I came downstairs he had stopped shivering. Oxygen levels were down in the 90?s we decided to see how it would go for the next hour. Still complaining of a headache.  - Approx. 6am Vomit/Dry heaved. Felt cold so put on a hoodie but was not shivering. Complaining of a headache around both temples and the top of his head. Ate a handful of goldfish. Gave 1 Tylenol for pain.  - Approx. 8am Vomited/Dry heaved. Complained of headache. Had him lay down to nap. Called Facility to report symptoms and see if he needed to be seen or just monitored. Pulse ox in the 90?s for both.  - 11am Facility called back. Thinking it is a strong immune reaction to the shots. Monitor symptoms. Should continue to get better, but if any changes or worsening of symptoms call them for him to be seen. Continuing to have a headache. Gave 1 Motrin. Pulse ox 93/98. - 1:30pm Pulse ox in the 93/98. Still having a headache. Gave 1 Tylenol. - 9pm Still having a headache and chills and feeling really tired and lethargic. Arm was still sore, hard and red at injection site. Pulse ox 96/99. Gave 1 Motrin.  7/29/21 8:30am Complaining of a sore arm and headache. Gave 1 Motrin. - 11am Feeling better, still had a sore arm. - 5pm Just a sore arm. Injection site is still hard but redness has become slightly pink. All other symptoms have gone away.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthru COVID infection
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid 8/5/21
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: PMH includes hx of severe preeclampsia in the 3rd trimester of pregnancy (2015) and latent TB infection (s/p treatment). 22mins post vaccination pt c/o difficulty breathing.  Pt was given 25mg PO Benadryl @10:26am.  Vitals: @10:23 BP 124/83, HR 86, RR 20, SPO2 100% -- > @10:30 124/83, 76, 15, 100% -- > @10:45 124/86, 84, 18, 100%.  Pt stable and released from vaccination site.  Recommended that the pt f/u w/ their healthcare provider, f/u instructions provided.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: SARS-COV19 Infection. Cough Congestion,Runny Nose, Fever,Loss of Taste, loss of Smell, Headache,Sore Throat, Fatigue, Chills,Muscle Aches
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: SARS-COV19 Infection. Cough Congestion,Runny Nose, Fever,Loss of Taste, loss of Smell, Headache,Sore Throat, Fatigue, Chills,Muscle Aches
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: SARS-COV19 Infection. Cough Congestion,Runny Nose, Fever,Loss of Taste, loss of Smell, Headache,Sore Throat, Fatigue, Chills,Muscle Aches
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 37  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Diarrhoea, Headache, Lacrimation increased, Muscle spasms
Clinical narrative: Cramps in the ribs, diarrhea, watery eyes, nausea, headache, chest pain.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Nausea
Clinical narrative: Cramps in the ribs, diarrhea, watery eyes, nausea, headache, chest pain.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 37  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 38  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea
Clinical narrative: Patient received the second dose of COVID shot and passed out about 5 minutes following administration. Patient regained consciousness within 30 seconds and then felt nauseous. Paramedics were called but patient refused to be taken to ER via ambulance. Checked in with patient's husband that afternoon and he said she was feeling fine.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered a patient received a vaccination held at refrigeration temperature for 38 days. Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Hypoaesthesia, Injection site pain, Migraine, Myalgia
Clinical narrative: The day after receiving the vaccine I experienced nausea.  Following 2 days or so extreme muscle pain at injection site.  Roughly 8 days after vaccine I experienced extreme migraines, muscle pain, numbness, etc.  I felt like I was having a stroke.  Slowly symptoms have gotten better however I still experience muscle pain/weakness.  I have not gone to the doctors for these symptoms as they have slowly gotten better however it is concerning that I was completely normal and then following the vaccine I have had all of this muscle pain/weakness/numbness.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: The day after receiving the vaccine I experienced nausea.  Following 2 days or so extreme muscle pain at injection site.  Roughly 8 days after vaccine I experienced extreme migraines, muscle pain, numbness, etc.  I felt like I was having a stroke.  Slowly symptoms have gotten better however I still experience muscle pain/weakness.  I have not gone to the doctors for these symptoms as they have slowly gotten better however it is concerning that I was completely normal and then following the vaccine I have had all of this muscle pain/weakness/numbness.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Joint swelling, Pain in extremity, Peripheral swelling
Clinical narrative: Latent RA became active and I have ongoing pain, swelling and hand issues a month or so after second Pfizer shot
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid arthritis
Clinical narrative: Latent RA became active and I have ongoing pain, swelling and hand issues a month or so after second Pfizer shot
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: the patient received the wrong COVID 19 vaccine. He should have received a 2nd dose of Pfizer but received a Moderna.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram spine, Magnetic resonance imaging spinal, Pain, Pain in extremity
Clinical narrative: Around 4/12/2021 I began I started realizing my left leg was throbbing, but I was linking it to my torn hip muscle, my doctor stated it could have been from my back.  The pain was unbearable so I went to the ER on 4/30/2021, they did an ultra sound and found that I had a blood clot in my leg which was causing the pain.  I was admitted over night at the Hospital and went home on 5/1/2021.  I went to my PCP for follow up and again  I went for a follow up ultra sound last week and it showed that I still  have the blood clot.  I was given Eliquis.  The pain that was in my leg is gone, but I continue to have swelling and a tingling sensation in my leg.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral swelling, Scan with contrast, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Around 4/12/2021 I began I started realizing my left leg was throbbing, but I was linking it to my torn hip muscle, my doctor stated it could have been from my back.  The pain was unbearable so I went to the ER on 4/30/2021, they did an ultra sound and found that I had a blood clot in my leg which was causing the pain.  I was admitted over night at the Hospital and went home on 5/1/2021.  I went to my PCP for follow up and again  I went for a follow up ultra sound last week and it showed that I still  have the blood clot.  I was given Eliquis.  The pain that was in my leg is gone, but I continue to have swelling and a tingling sensation in my leg.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: contracted Covid
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Diarrhoea, Dyspnoea
Clinical narrative: 90yo M hx COPD, pulmonary fibrosis with chronic hypoxic respiratory failure on O2 4L NC cont, prednisone dep 10mg daily, GERD, OA, HLD, BPH, aortic stenosis,, otherwise active (ambulates without walker, learned to ski at age 65) with previous exposure to COVID19 on 7/7/2021 (son in law also admitted to hospital currently with COVID19), who presented to hospital with fever, cough, sob, diarrhea on 7/19/2021 and had SARSCOV2 nasopharyngeal swab positive at that time but was tolerating his home O2 need at 4L NC and opted to be discharged to home  presented back to hospital today (7/24/2021) with worsening shortness of breath and hypoxia into 70s despite 4L NC while at rest occurring last evening. Patient required 12L High flow nasal NC respiratory support. Patient complete a 5 day course of Remdesivir and a 10 day course of Decadron. Patient was able to be discharge a week after admission on his baseline O2 requirements.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Hypoxia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 90yo M hx COPD, pulmonary fibrosis with chronic hypoxic respiratory failure on O2 4L NC cont, prednisone dep 10mg daily, GERD, OA, HLD, BPH, aortic stenosis,, otherwise active (ambulates without walker, learned to ski at age 65) with previous exposure to COVID19 on 7/7/2021 (son in law also admitted to hospital currently with COVID19), who presented to hospital with fever, cough, sob, diarrhea on 7/19/2021 and had SARSCOV2 nasopharyngeal swab positive at that time but was tolerating his home O2 need at 4L NC and opted to be discharged to home  presented back to hospital today (7/24/2021) with worsening shortness of breath and hypoxia into 70s despite 4L NC while at rest occurring last evening. Patient required 12L High flow nasal NC respiratory support. Patient complete a 5 day course of Remdesivir and a 10 day course of Decadron. Patient was able to be discharge a week after admission on his baseline O2 requirements.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 38  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Fall, Flushing, Headache, Hyperhidrosis
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Medium, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Conciousness regained immediately upon lower extremity elevation. Fell from seated, left temporal contusion. Applied ice, notified EMT/firefighter father. No PCP, directed to nearby Urgent Care, notified urgent care of his arrival. Will follow up further
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope, Unresponsive to stimuli, Visual impairment
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Medium, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Conciousness regained immediately upon lower extremity elevation. Fell from seated, left temporal contusion. Applied ice, notified EMT/firefighter father. No PCP, directed to nearby Urgent Care, notified urgent care of his arrival. Will follow up further
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 38  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Hyperacusis, Menstruation irregular
Clinical narrative: Unusual menstrual bleeding, hypersensitivity to sound, significant increase in neuropathy
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Burning sensation
Clinical narrative: Blisters on hand, Burn blister, felt like skin was on fire.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 38  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Atypical haemolytic uraemic syndrome, Bell's palsy, Blood lactate dehydrogenase increased, Chest discomfort, Chest pain
Clinical narrative: 32 y.o. female with no significant PMH presenting with chest pain, lightheadedness, dyspnea on exertion..   Patient reports that a month ago she started experiencing a headache around the time of her first COVID vaccination (~7/11/21). She then visited her doctor Wednesday 07/28. She was started on fioricet for headache treatment. She got her last dose of the vaccination, Sunday 08/01, and on Monday (8/2/21) started to experience facial numbness, left arm and hand numbness.   She went to hospital and was diagnosed with Bell's Palsy and started on prednisone. The next day she started to have chest pain. She described the chest pain as a pressure, as if someone was sitting on her chest, substernal in location without any radiation or alleviating/exacerbating factors. The chest pain persisted over the next two days which prompted her to come to the ER on 8/5/21.   In addition to the chest pain she endorses significant lightheadedness. She stated that it happens whenever she gets up to move, example going to the bathroom). No syncopal events. She denies any nausea, vomiting, melena, BRBPR, or hematemesis. She is on her menstrual cycle currently and says that she is not having heavier vaginal bleeding. Also having shortness of breath which is mild at rest but also worsened with exertion. Lastly did started to notice spontaneous bruising on her arms over the past two weeks without clear trauma.   Denies fevers, chills, dysuria, urinary urgency, cough, abdominal pain, diarrhea, rashes.   She is undergoing diagnosis with a presumptive diagnosis of Microangiopathic hemolytic anemia likely 2/2 to TTP, with PLASMIC score of 6.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Contusion, Dizziness, Dyspnoea, Dyspnoea exertional
Clinical narrative: 32 y.o. female with no significant PMH presenting with chest pain, lightheadedness, dyspnea on exertion..   Patient reports that a month ago she started experiencing a headache around the time of her first COVID vaccination (~7/11/21). She then visited her doctor Wednesday 07/28. She was started on fioricet for headache treatment. She got her last dose of the vaccination, Sunday 08/01, and on Monday (8/2/21) started to experience facial numbness, left arm and hand numbness.   She went to hospital and was diagnosed with Bell's Palsy and started on prednisone. The next day she started to have chest pain. She described the chest pain as a pressure, as if someone was sitting on her chest, substernal in location without any radiation or alleviating/exacerbating factors. The chest pain persisted over the next two days which prompted her to come to the ER on 8/5/21.   In addition to the chest pain she endorses significant lightheadedness. She stated that it happens whenever she gets up to move, example going to the bathroom). No syncopal events. She denies any nausea, vomiting, melena, BRBPR, or hematemesis. She is on her menstrual cycle currently and says that she is not having heavier vaginal bleeding. Also having shortness of breath which is mild at rest but also worsened with exertion. Lastly did started to notice spontaneous bruising on her arms over the past two weeks without clear trauma.   Denies fevers, chills, dysuria, urinary urgency, cough, abdominal pain, diarrhea, rashes.   She is undergoing diagnosis with a presumptive diagnosis of Microangiopathic hemolytic anemia likely 2/2 to TTP, with PLASMIC score of 6.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count abnormal, Haptoglobin decreased, Headache, Hypoaesthesia, Intensive care
Clinical narrative: 32 y.o. female with no significant PMH presenting with chest pain, lightheadedness, dyspnea on exertion..   Patient reports that a month ago she started experiencing a headache around the time of her first COVID vaccination (~7/11/21). She then visited her doctor Wednesday 07/28. She was started on fioricet for headache treatment. She got her last dose of the vaccination, Sunday 08/01, and on Monday (8/2/21) started to experience facial numbness, left arm and hand numbness.   She went to hospital and was diagnosed with Bell's Palsy and started on prednisone. The next day she started to have chest pain. She described the chest pain as a pressure, as if someone was sitting on her chest, substernal in location without any radiation or alleviating/exacerbating factors. The chest pain persisted over the next two days which prompted her to come to the ER on 8/5/21.   In addition to the chest pain she endorses significant lightheadedness. She stated that it happens whenever she gets up to move, example going to the bathroom). No syncopal events. She denies any nausea, vomiting, melena, BRBPR, or hematemesis. She is on her menstrual cycle currently and says that she is not having heavier vaginal bleeding. Also having shortness of breath which is mild at rest but also worsened with exertion. Lastly did started to notice spontaneous bruising on her arms over the past two weeks without clear trauma.   Denies fevers, chills, dysuria, urinary urgency, cough, abdominal pain, diarrhea, rashes.   She is undergoing diagnosis with a presumptive diagnosis of Microangiopathic hemolytic anemia likely 2/2 to TTP, with PLASMIC score of 6.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Microangiopathic haemolytic anaemia, Plasmapheresis, Platelet count decreased, Thrombotic thrombocytopenic purpura
Clinical narrative: 32 y.o. female with no significant PMH presenting with chest pain, lightheadedness, dyspnea on exertion..   Patient reports that a month ago she started experiencing a headache around the time of her first COVID vaccination (~7/11/21). She then visited her doctor Wednesday 07/28. She was started on fioricet for headache treatment. She got her last dose of the vaccination, Sunday 08/01, and on Monday (8/2/21) started to experience facial numbness, left arm and hand numbness.   She went to hospital and was diagnosed with Bell's Palsy and started on prednisone. The next day she started to have chest pain. She described the chest pain as a pressure, as if someone was sitting on her chest, substernal in location without any radiation or alleviating/exacerbating factors. The chest pain persisted over the next two days which prompted her to come to the ER on 8/5/21.   In addition to the chest pain she endorses significant lightheadedness. She stated that it happens whenever she gets up to move, example going to the bathroom). No syncopal events. She denies any nausea, vomiting, melena, BRBPR, or hematemesis. She is on her menstrual cycle currently and says that she is not having heavier vaginal bleeding. Also having shortness of breath which is mild at rest but also worsened with exertion. Lastly did started to notice spontaneous bruising on her arms over the past two weeks without clear trauma.   Denies fevers, chills, dysuria, urinary urgency, cough, abdominal pain, diarrhea, rashes.   She is undergoing diagnosis with a presumptive diagnosis of Microangiopathic hemolytic anemia likely 2/2 to TTP, with PLASMIC score of 6.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 38  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral, Arteriogram carotid, Blood alcohol, Blood magnesium, C-reactive protein
Clinical narrative: Patient developed right eye pain and blurred vision.  Symptoms improved with dexamethasone 10 mg IV x1.  Current working diagnosis is optic neuritis.  Follow up with ophthalmologist is planned.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram head, Differential white blood cell count, Electrocardiogram, Eye pain
Clinical narrative: Patient developed right eye pain and blurred vision.  Symptoms improved with dexamethasone 10 mg IV x1.  Current working diagnosis is optic neuritis.  Follow up with ophthalmologist is planned.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Glomerular filtration rate, Liver function test, Metabolic function test, Optic neuritis
Clinical narrative: Patient developed right eye pain and blurred vision.  Symptoms improved with dexamethasone 10 mg IV x1.  Current working diagnosis is optic neuritis.  Follow up with ophthalmologist is planned.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate, Troponin I, Vision blurred
Clinical narrative: Patient developed right eye pain and blurred vision.  Symptoms improved with dexamethasone 10 mg IV x1.  Current working diagnosis is optic neuritis.  Follow up with ophthalmologist is planned.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 38  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: RASH UP THE RIGHT KNECK TO THE RIGHT SIDE OF FACE AND MOVING TO THE FOREHEAD. BELIEVED TO BE SHINGLE REACTION.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Chest discomfort, Chest pain
Clinical narrative: Arrhythmia (uneven heartbeat), chest pressure,  chest pain
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 38  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Discomfort, Dysarthria, Facial paralysis, Limb discomfort
Clinical narrative: Patient awoke that morning with slurred speech , right side of face drooping, tongue feels tingly, right arm feels heavy. Face felt heavy and when drinking fluid it ran out of her mouth,. Mother took her to Urgent Care and they diagnosed  her with Bell's Palsy.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Paraesthesia oral
Clinical narrative: Patient awoke that morning with slurred speech , right side of face drooping, tongue feels tingly, right arm feels heavy. Face felt heavy and when drinking fluid it ran out of her mouth,. Mother took her to Urgent Care and they diagnosed  her with Bell's Palsy.
Age: 97.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Dysstasia, Fall, SARS-CoV-2 test positive
Clinical narrative: 97-year-old male with a past medical history of CKD 3, PVD, hypertension, diabetes not on medication, CHF, hypertension who is a resident of an assisted living facility. He then felt the room was spinning he returned back to his bed and sat down on the edge of the bed and slid off and fell to the floor and could not get up.  He did not hit his head and he did not have any loss of consciousness.  Chest x-ray showed no acute abnormality. Found to be COVID + , but did not have any respiratory symptoms. Required 1.5L for a few hours (saturation was 98% so I question if he even needed it). He was given Decadron x 10 days.
Age: 97.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vertigo
Clinical narrative: 97-year-old male with a past medical history of CKD 3, PVD, hypertension, diabetes not on medication, CHF, hypertension who is a resident of an assisted living facility. He then felt the room was spinning he returned back to his bed and sat down on the edge of the bed and slid off and fell to the floor and could not get up.  He did not hit his head and he did not have any loss of consciousness.  Chest x-ray showed no acute abnormality. Found to be COVID + , but did not have any respiratory symptoms. Required 1.5L for a few hours (saturation was 98% so I question if he even needed it). He was given Decadron x 10 days.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered a patient received a vaccination held at refrigeration temperature for 38 days. Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Syncope, Tinnitus, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Tinnitus-Mild
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 38  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Appetite disorder, COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Direct admit from free standing ED for positive COVID test,  fatigue, decreased PO intake.  SpO2 91% on room air
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood lactic acid increased, COVID-19, Chest X-ray, Dehydration
Clinical narrative: Direct admit from free standing ED for positive COVID test,  fatigue, decreased PO intake.  SpO2 91% on room air
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Hypophagia, Lactic acidosis, Magnetic resonance imaging head normal, SARS-CoV-2 test positive
Clinical narrative: Direct admit from free standing ED for positive COVID test,  fatigue, decreased PO intake.  SpO2 91% on room air
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Speech disorder, Urine analysis
Clinical narrative: Direct admit from free standing ED for positive COVID test,  fatigue, decreased PO intake.  SpO2 91% on room air
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 38  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was inadvertently given Pfizer dose #2 seven day early.  Dose #1 was administered 7/16/21 and dose #2 on 7/30/21.  Patient waited in observation for the recommended 15 minutes; no adverse events reported.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Lethargy
Clinical narrative: 12 y/o presents for covid vaccine(pfizer dose 1) accommanied by 18 y/o brother with verbal consent from parent  patient, after receiving the Pfizer injection seemed to be in no apparent distress upon standing from the exam bed she demonstarted no synptoms of dizzinesxs or being light headed in observation area after 15 minutes of receiving the vaccine we noticed she appeared to be sleepiung but when aroused she seemed ome what larthagic and complained of a headache while observing her gait she appeared to be unsteady   BP was taken at 124/75   Pulse 85    res 16   lungs were clear bilaterally and denies any respiratory distress  no rashes present no flushing or swelling  of the face   denies pruritus   denies swelling of tongue or mouth and no skin rashes noted  because she still seemed some what lethargic and unstaedy with her gait EMS was contacted  and patient was transported to  hospital Mother was called and agreed that patient be screened at ED
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: After being full vaccination with Moderna this patient tested positive for COVID-19 on 8/5/2021.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 38  days.  Appropriate steps were taken to notify and are coordinating efforts to notify patients to repeat vaccination.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Axillary pain, Chills, Diarrhoea, Fatigue
Clinical narrative: Pt. states that after receiving the 1st dose of DTap 08/03/2021. 08/04/2021 started experiencing Migraines, underarm pain, continuing to feel fatigue with loose stool, full body aches, Fever (100.1), chills, 08/06/2021 feels like pins and needles, stomach ache, loose stool continue. Primary visit scheduled for 08/09/2021.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Migraine, Pain, Paraesthesia, Pyrexia
Clinical narrative: Pt. states that after receiving the 1st dose of DTap 08/03/2021. 08/04/2021 started experiencing Migraines, underarm pain, continuing to feel fatigue with loose stool, full body aches, Fever (100.1), chills, 08/06/2021 feels like pins and needles, stomach ache, loose stool continue. Primary visit scheduled for 08/09/2021.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient is currently incarcerated at  Detention center. patient states he needs a covid shot, he is requesting to get J &J. PHN gave covid-19 vaccine. When PHN went back to her facility to chart she noticed patient already recieved a J&J vaccine on 6/4/2021.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: U07.1 - COVID-19
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 38  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Laboratory test, Psoriasis
Clinical narrative: Huge auto immune response creating severe disabling psoriasis
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On internal audit, we discovered that a patient received a vaccination that was not expired but was held at refrigeration temperature for 38  days.  Appropriate steps were taken to notify the state and are coordinating efforts to notify patients to repeat vaccination.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Ear infection, Gout
Clinical narrative: Two things happened at same time: Gout (never had before); A bad ear infection - that was treated with one kind of antibiotic drop and then it was flushed out and then a different drop with an oral Augmentin - which resolved it pretty much in a week. Not treatment for Gout except Ibuprofen.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: After vaccination I had severe soreness in my arm, going down my arm and up to my shoulder.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient received covid 19 vaccine and then proceeded to waiting area for 15 minute watch period. After a few minutes of waiting his companion alerted us that he was fainting and she started to hold him in place. I  then came out to assist in placing him on the floor. Technician also assisted along with companion. We successfully placed him on the floor and within a few seconds he regained consciousness. Called 911 and within 10 minutes or so paramedics arrived to the scene. Paramedics then placed him on stretcher and took him away.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: U07.1 - COVID-19
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Condition aggravated
Clinical narrative: My chronic condition was in remission. I hadn't had symptoms in over 6 years. Shortly after receiving the vaccine, my joint pain became unbearable. Every single joint in my body was affected. I waited 2 weeks before contacting rheumatology. They were able to get me in and they drew blood. My levels were increased. They started me on Plaquenil. I am still using this medication. I have not been able to stop taking it.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Diarrhoea, Migraine, Pain, Pyrexia
Clinical narrative: Hives everywhere. Diarrhea. Fever. Body aches. Chills.  Migraine
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Hives everywhere. Diarrhea. Fever. Body aches. Chills.  Migraine
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Altered visual depth perception, Blood test, Condition aggravated, Magnetic resonance imaging
Clinical narrative: Ramped up tinnitus 24 dB ( +4 above threshold of 20 dBHL) Shrinking sensation (Depth perception?)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ramped up tinnitus 24 dB ( +4 above threshold of 20 dBHL) Shrinking sensation (Depth perception?)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Blood test, Computerised tomogram, Decreased appetite
Clinical narrative: a few weeks after the vacine she developed 'upper resp infection symptoms" lost of taste and smell not tested for covid.  decrease of appetite shortly came and since has not went away.  been hospitalized twice with weight loss issue, white cells are high despite antibotics given orally or iv.  blood pressure issues as now started and also heart rate issues.  had every test under the moon while in patient and nothing is found to cause these problems.  there was not a issue before the vaccine.  she was very active and mobile now she cant stand without her blood pressure dropping danagerously low
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Heart rate abnormal, Hypotension, Respiratory symptom, Weight decreased
Clinical narrative: a few weeks after the vacine she developed 'upper resp infection symptoms" lost of taste and smell not tested for covid.  decrease of appetite shortly came and since has not went away.  been hospitalized twice with weight loss issue, white cells are high despite antibotics given orally or iv.  blood pressure issues as now started and also heart rate issues.  had every test under the moon while in patient and nothing is found to cause these problems.  there was not a issue before the vaccine.  she was very active and mobile now she cant stand without her blood pressure dropping danagerously low
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased, X-ray
Clinical narrative: a few weeks after the vacine she developed 'upper resp infection symptoms" lost of taste and smell not tested for covid.  decrease of appetite shortly came and since has not went away.  been hospitalized twice with weight loss issue, white cells are high despite antibotics given orally or iv.  blood pressure issues as now started and also heart rate issues.  had every test under the moon while in patient and nothing is found to cause these problems.  there was not a issue before the vaccine.  she was very active and mobile now she cant stand without her blood pressure dropping danagerously low
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Dry skin, Hypoaesthesia, Hypotonia, Nausea, Retching
Clinical narrative: Pt administered TDAP/Menactra/HPV administered IM tolerated well. Pt or Mother denied problems or concerns at present time. While I washed my hands upon completion of administration, the pt stood beside my desk and stated she felt like she was going to vomit. I immediately handed the pt the trash can in case vomiting occurred. Pt gagged twice but did not vomit. I applied a cool wet towel to the patients forehead. Pt then states she felt "numb" and went limp. Possibly experiencing a vasovagal syncope episode. Pt was assisted to sitting position by support of myself and her mother. Pt remained conscious and answered questions appropriately when asked by pt's mother and nurse. Mother denies occurrence happening in the past. Pt assisted to lying position on exam table while in nurse's room. B/P at this time 116/68. Pt no longer had flushed appearance and states she feels better. Mother states they did not eat before coming to the clinic and they planned to eat as soon as they left. Pt issued a bottle of water and animal crackers. Tolerated well. Pt alert and oriented. Denies any problems or concerns, stated she feels much better and she did not know why that happened. Pt reassured and informed that syncopic episodes do occur with needle sticks or injections at times. Verb an understanding. Respirations even and unlabored. Instructed to wait 20 mins for observation. Pt waited with mom and nurse. Pt' skin warm and dry to the touch. Respirations even and unlabored. Ambulating with ease. Skin normal appearance for race. Left with mother after observation period. Denies any problems or concerns at present time.
Age: 14.0
Sex: F
Vaccine: TDAP
Symptoms: Skin warm
Clinical narrative: Pt administered TDAP/Menactra/HPV administered IM tolerated well. Pt or Mother denied problems or concerns at present time. While I washed my hands upon completion of administration, the pt stood beside my desk and stated she felt like she was going to vomit. I immediately handed the pt the trash can in case vomiting occurred. Pt gagged twice but did not vomit. I applied a cool wet towel to the patients forehead. Pt then states she felt "numb" and went limp. Possibly experiencing a vasovagal syncope episode. Pt was assisted to sitting position by support of myself and her mother. Pt remained conscious and answered questions appropriately when asked by pt's mother and nurse. Mother denies occurrence happening in the past. Pt assisted to lying position on exam table while in nurse's room. B/P at this time 116/68. Pt no longer had flushed appearance and states she feels better. Mother states they did not eat before coming to the clinic and they planned to eat as soon as they left. Pt issued a bottle of water and animal crackers. Tolerated well. Pt alert and oriented. Denies any problems or concerns, stated she feels much better and she did not know why that happened. Pt reassured and informed that syncopic episodes do occur with needle sticks or injections at times. Verb an understanding. Respirations even and unlabored. Instructed to wait 20 mins for observation. Pt waited with mom and nurse. Pt' skin warm and dry to the touch. Respirations even and unlabored. Ambulating with ease. Skin normal appearance for race. Left with mother after observation period. Denies any problems or concerns at present time.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Hypersensitivity, Myalgia, Pruritus
Clinical narrative: Allergic reaction. Itching. Redness all over and joint/ muscle pain. I have been advised by vaccine provider to just take benedryl .  and contact vaers. Going on 72 hours since received shot
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: U07.1 - COVID-19
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Herpes zoster, Skin lesion
Clinical narrative: Some pain over my lateral left hip like a week later and then next day woke up with visceral lesions and had shingles, the doctor prescribed Valtrex and it went away in 3 days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Fall, Fatigue, Headache
Clinical narrative: Dizziness nausea vomitting headache fatigue falling
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Dizziness nausea vomitting headache fatigue falling
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: U07.1 - COVID-19