chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Lymphadenopathy, Pain
Clinical narrative: Chills, fever, achyness, fatigue, sore arm happened about 18 hours after the shot and lasted through another day and night.  On 1/24/22 I woke up with a swollen arm, red, hot, itchy with rash. On 1/25/21 I developed swollen glands in the right side of neck and throat. No sore throat just pain and swelling in my neck. The itchy red arm is still there today 1/27/22 and also the swollen glands, just not as bothersome.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, Rash pruritic, Skin warm
Clinical narrative: Chills, fever, achyness, fatigue, sore arm happened about 18 hours after the shot and lasted through another day and night.  On 1/24/22 I woke up with a swollen arm, red, hot, itchy with rash. On 1/25/21 I developed swollen glands in the right side of neck and throat. No sore throat just pain and swelling in my neck. The itchy red arm is still there today 1/27/22 and also the swollen glands, just not as bothersome.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia
Clinical narrative: Patient admitted to Hospital on 1/26/22 with COVID pneumoia and acute respiratory failure after 3 doses of Pfizer COVID vaccine on 10/1/21, 2/22/21, and 2/1/21
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Hypoaesthesia, Pruritus, Vaccination complication
Clinical narrative: ICD-10-CM ICD-9-CM   1. COVID-19 vaccine administered  Z23 V04.89   2. Pressure in left side of chest  R07.89 786.59   3. Adverse reaction to COVID-19 vaccine  T50.B95A E949.6     Reassuring evaluation today without any evidence of anaphlactic allergic reaction.  She does admit to a level of anxiety that has been present.  THat being said, even with coaching to calm nerves, doesn't have relief in left sided chest pressure.  Watched for 30 minutes in the office to see if symptoms resolved or worsened while in office.  Resolution of numbness but not of left sided chest pressure and tightness she has been feeling.  Reviewed with patients that I would like to see of getting set of labs and EKG.  Can't do this here.  Given 324 mg ASA to chew.     Called EMS for transport to hospital.   Medication Management: Patient's Medications New Prescriptions   HYDROXYZINE HYDROCHLORIDE (ATARAX) 25 MG TABLET    Take 1 tablet by mouth every 6 hours as needed for Itching. Modified Medications   No medications on file Discontinued Medications   No medications on file
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID after being fully vaccinated.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Developed a rash on neck and arm, it would go away for a few days, then moved to his neck and body. It's continued rotate through his body.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Headache, SARS-CoV-2 test negative
Clinical narrative: 01/18/2022 in the evening began complaining of head ache and stomach or abdominal pains that would not go away,  was steady. Contacted the doctor, since this was an ongoing headache 01/21/2022 had virtual visit with doctor. Verbal observation and talked about Flonase, and eating prunes to monitor and trying methods to elevate symptoms and hydration. Out from school, 3 days returned on 01/25/2022. Pain scale to .5 01/27/2022 ongoing issue headache and abdominal.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Interchange of vaccine products, Pruritus, Rash
Clinical narrative: Itching around mid-section, temperature of 101 degrees F, rash on chest/back/torso.  Took Benadryl & symptoms resolved by 1/27/22
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Feeling hot, Headache
Clinical narrative: sensation of hot,sensation behind eyes, eyes hurt (mild) , mild headache
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest discomfort, Chest pain, Dysphagia
Clinical narrative: I received the vaccine on December 28, 2021. I started to notice symptoms of a red rash / hives spread on my back neck chest area on Sunday, January 9 and I took Claritin. The rash continued to get worse and popping up in random spots on my body even while taking Claritin or Benadryl.  By Tuesday, December 11 I started to have chest pains too. Feeling like squeezing sensation in the middle of my chest behind my breast bone also felt hard to swallow and like something was stuck in my chest. The chest pains continued through Wednesday until it got bad enough to go to the ER early in the morning on Thursday, January 13. At this point I had also noticed the injection site had become red with pus and had a small lump under it that was tender to the touch. Upon my visit they performed an EKG 12 lead imaging test as well as a chest x-ray and some bloodwork which came back normal. They believed it was likely  all the symptoms could be allergic reaction from booster they thought that chest pain may be pericarditis and to treat with 600 mg of ibuprofen every six hours for two days and also acid reflex and to take over-the-counter anti-acid like Tums. For the postulate they started a five day course of antibiotics of 100Mg doxycycline hyclate. For the rash they prescribed 50 mg tablets of prednisone for four days and also instructed to take 10 mg of Zyrtec three times a day and 20 MG of Pepcid as well as Benadryl until it goes away. Chest pain symptoms seem to improve with these regimen however the rashes and hives continued. The prescriptions finished on Monday January 17th. I had an already scheduled appointment on Tuesday the 18th with a dermatologist who noted all the information and instructed to continue using the Zyrtec 2 times a day. By Tuesday night the chest pains returned and continued to become worse and I reached out to the doctor and she prescribed another round of prednisone taper to help with the allergic reaction. I started that on Thursday Jan. 20th and chest symptoms began to improve immediately however rashes still pop up randomly. At this point in time the steroids seem to keep the chest pain at bay however the rashes keep popping up and it seems more now that whatever touches my skin leaves a mark. The steroid prescription will be done on February 1 and I have a follow up doctor appointment on 31 January to review everything.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Influenza virus test negative, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: I received the vaccine on December 28, 2021. I started to notice symptoms of a red rash / hives spread on my back neck chest area on Sunday, January 9 and I took Claritin. The rash continued to get worse and popping up in random spots on my body even while taking Claritin or Benadryl.  By Tuesday, December 11 I started to have chest pains too. Feeling like squeezing sensation in the middle of my chest behind my breast bone also felt hard to swallow and like something was stuck in my chest. The chest pains continued through Wednesday until it got bad enough to go to the ER early in the morning on Thursday, January 13. At this point I had also noticed the injection site had become red with pus and had a small lump under it that was tender to the touch. Upon my visit they performed an EKG 12 lead imaging test as well as a chest x-ray and some bloodwork which came back normal. They believed it was likely  all the symptoms could be allergic reaction from booster they thought that chest pain may be pericarditis and to treat with 600 mg of ibuprofen every six hours for two days and also acid reflex and to take over-the-counter anti-acid like Tums. For the postulate they started a five day course of antibiotics of 100Mg doxycycline hyclate. For the rash they prescribed 50 mg tablets of prednisone for four days and also instructed to take 10 mg of Zyrtec three times a day and 20 MG of Pepcid as well as Benadryl until it goes away. Chest pain symptoms seem to improve with these regimen however the rashes and hives continued. The prescriptions finished on Monday January 17th. I had an already scheduled appointment on Tuesday the 18th with a dermatologist who noted all the information and instructed to continue using the Zyrtec 2 times a day. By Tuesday night the chest pains returned and continued to become worse and I reached out to the doctor and she prescribed another round of prednisone taper to help with the allergic reaction. I started that on Thursday Jan. 20th and chest symptoms began to improve immediately however rashes still pop up randomly. At this point in time the steroids seem to keep the chest pain at bay however the rashes keep popping up and it seems more now that whatever touches my skin leaves a mark. The steroid prescription will be done on February 1 and I have a follow up doctor appointment on 31 January to review everything.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pustule, Rash erythematous, SARS-CoV-2 test negative, Urticaria
Clinical narrative: I received the vaccine on December 28, 2021. I started to notice symptoms of a red rash / hives spread on my back neck chest area on Sunday, January 9 and I took Claritin. The rash continued to get worse and popping up in random spots on my body even while taking Claritin or Benadryl.  By Tuesday, December 11 I started to have chest pains too. Feeling like squeezing sensation in the middle of my chest behind my breast bone also felt hard to swallow and like something was stuck in my chest. The chest pains continued through Wednesday until it got bad enough to go to the ER early in the morning on Thursday, January 13. At this point I had also noticed the injection site had become red with pus and had a small lump under it that was tender to the touch. Upon my visit they performed an EKG 12 lead imaging test as well as a chest x-ray and some bloodwork which came back normal. They believed it was likely  all the symptoms could be allergic reaction from booster they thought that chest pain may be pericarditis and to treat with 600 mg of ibuprofen every six hours for two days and also acid reflex and to take over-the-counter anti-acid like Tums. For the postulate they started a five day course of antibiotics of 100Mg doxycycline hyclate. For the rash they prescribed 50 mg tablets of prednisone for four days and also instructed to take 10 mg of Zyrtec three times a day and 20 MG of Pepcid as well as Benadryl until it goes away. Chest pain symptoms seem to improve with these regimen however the rashes and hives continued. The prescriptions finished on Monday January 17th. I had an already scheduled appointment on Tuesday the 18th with a dermatologist who noted all the information and instructed to continue using the Zyrtec 2 times a day. By Tuesday night the chest pains returned and continued to become worse and I reached out to the doctor and she prescribed another round of prednisone taper to help with the allergic reaction. I started that on Thursday Jan. 20th and chest symptoms began to improve immediately however rashes still pop up randomly. At this point in time the steroids seem to keep the chest pain at bay however the rashes keep popping up and it seems more now that whatever touches my skin leaves a mark. The steroid prescription will be done on February 1 and I have a follow up doctor appointment on 31 January to review everything.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine error/Patient was given Covid orange top 5-11 yr vaccine that was past it's expiration time, vaccine had been drawn up in syringes and left at room temp for 19 hours. Vaccine is only viable for 12 hours at room temp.   Pfizer pharmacist recommended repeat vaccine since there is no data to support vaccine efficacy beyond the 12 hour room temp
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19 pneumonia, Death, Lethargy
Clinical narrative: pt developed COVID symptoms of a severity  which required hospitalization
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Positive airway pressure therapy
Clinical narrative: pt developed COVID symptoms of a severity  which required hospitalization
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Blood test, Discomfort, Faeces discoloured, Gastrointestinal haemorrhage
Clinical narrative: He came to the hospital with a chief complaint of abnormal lab from the rehab.  According to him the hemoglobin this morning was 6.5 when the blood draw was done at the Flagler Health and Rehab.  He was sent to the hospital for further evaluation and treatment for probable GI bleed.  Patient reports that he has been having black tarry stools for the last couple of days.  He denies any significant abdominal pain but does have some discomfort and reports that he is due for his paracentesis.  Denies any fevers, chills or cough.  Has not had alcohol since he has been in the rehab.  Otherwise continues to smoke cigarettes.  Denies any chest pain, shortness of breath, palpitations, burning or painful urination.  Patient admitted for GI bleed.  Was tested for transfer back to Rehab and was found to be COVID positive on 1/20/22.  Patient had been vacccinated with Janssen on 11/2/21.  Pt was asymptomatic and discharged to rehab on 1/21/22.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Laboratory test abnormal, Melaena, SARS-CoV-2 test positive
Clinical narrative: He came to the hospital with a chief complaint of abnormal lab from the rehab.  According to him the hemoglobin this morning was 6.5 when the blood draw was done at the Flagler Health and Rehab.  He was sent to the hospital for further evaluation and treatment for probable GI bleed.  Patient reports that he has been having black tarry stools for the last couple of days.  He denies any significant abdominal pain but does have some discomfort and reports that he is due for his paracentesis.  Denies any fevers, chills or cough.  Has not had alcohol since he has been in the rehab.  Otherwise continues to smoke cigarettes.  Denies any chest pain, shortness of breath, palpitations, burning or painful urination.  Patient admitted for GI bleed.  Was tested for transfer back to Rehab and was found to be COVID positive on 1/20/22.  Patient had been vacccinated with Janssen on 11/2/21.  Pt was asymptomatic and discharged to rehab on 1/21/22.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Patient had 2 seizures approximately 30 minutes apart, the morning following Pfizer COVID19 booster. Not an epileptic. Husband reports the seizures to pharmacy and states she is now feeling well. No seizures since morning of 1/25/22. Husband was urged to call doctor for evaluation.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Erythema nodosum, Pain in extremity, Rash, Red blood cell sedimentation rate
Clinical narrative: leg pain, rash, consistent w/ erythema nodosum
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was administered a dose of Moderna that was at room temperature greater than 12hrs after first puncture. No known adverse events at time of report.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: 01/24/2022 Covid symptoms started with sore throat, body aches, fever, and cough. They are still ongoing and for the past two days I haven't eaten anything and yesterday was the first time I ate something. I tested positive at a Doctor's office on 01/26/2022. My back side where kidney's are are also hurting and that started a few days ago. I haven't made it to the Doctor for that yet.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Patient describes having a local site reaction that swelled to about the size of a softball and feels hot to the touch.   Pharmacist following up with patient to see how she is doing.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt received first dose Pfizer Lot #EW0167 on Aug 5, 2021; received second dose Pfizer Lot #FE3592 on Oct 4, 2021; received third dose Pfizer Lot #FJ6369 on Jan 26, 2022. Provider mistakenly used first dose date to allow for booster (3rd dose). This would be five weeks earlier than recommended by CDC. No adverse effects noted. Patient was told she had received booster early, acknowledged understanding. Patient proceeded to go to work after vaccine administration.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Blood lactic acid, COVID-19, COVID-19 pneumonia
Clinical narrative: 68 y/o woman, current smoker, evidence of emphysema on imaging, vaccinated with no booster, second dose Moderna 3/2021,  HTN, HLD, preDM, recent + COVID, presenting for hypoxemic resp failure due COVID PNA.    Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure - Symptom onset on 12/27. COVID positive on 12/28. Last fever unknown. Her oxygen requirements down to 3L at rest and needed 3L with ambulation to keep O2 around 92% per RN. She has history of smoking and evidence of emphysema on CTA. Ordered home O2. Will refer to oxygen clinic. I will also start her on spiriva. She has no plans to resume smoking. She has completed 5 days of remdesivir and 5 days of decadron. I will prescribe decadron 6 mg daily on discharge to complete a 10 day course. Please consider PFTs when she recovers from covid. She will continue isolation per Regional/Local ID guidance until 1/16/2022. Her admission CTA did not show clear PE, tiny filling defect vs artifact within RLL PA and small pulm nodules up to 7mm in left lower lobe, given smoking history will need repeat low dose non con chest CT in 6 months for follow up.    PREDIABETES/HTN/HLD: on PTA cozaar and lipitor   TOBACCO SMOKER (2/26/2010): per patient she has quit due to covid infection and declined nicotine patch or smoking cessation classes.    HX OF DEPRESSION: PTA zoloft and elavil
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Emphysema, Fibrin D dimer, Imaging procedure abnormal, Laboratory test, Lung disorder
Clinical narrative: 68 y/o woman, current smoker, evidence of emphysema on imaging, vaccinated with no booster, second dose Moderna 3/2021,  HTN, HLD, preDM, recent + COVID, presenting for hypoxemic resp failure due COVID PNA.    Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure - Symptom onset on 12/27. COVID positive on 12/28. Last fever unknown. Her oxygen requirements down to 3L at rest and needed 3L with ambulation to keep O2 around 92% per RN. She has history of smoking and evidence of emphysema on CTA. Ordered home O2. Will refer to oxygen clinic. I will also start her on spiriva. She has no plans to resume smoking. She has completed 5 days of remdesivir and 5 days of decadron. I will prescribe decadron 6 mg daily on discharge to complete a 10 day course. Please consider PFTs when she recovers from covid. She will continue isolation per Regional/Local ID guidance until 1/16/2022. Her admission CTA did not show clear PE, tiny filling defect vs artifact within RLL PA and small pulm nodules up to 7mm in left lower lobe, given smoking history will need repeat low dose non con chest CT in 6 months for follow up.    PREDIABETES/HTN/HLD: on PTA cozaar and lipitor   TOBACCO SMOKER (2/26/2010): per patient she has quit due to covid infection and declined nicotine patch or smoking cessation classes.    HX OF DEPRESSION: PTA zoloft and elavil
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary mass, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 68 y/o woman, current smoker, evidence of emphysema on imaging, vaccinated with no booster, second dose Moderna 3/2021,  HTN, HLD, preDM, recent + COVID, presenting for hypoxemic resp failure due COVID PNA.    Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure - Symptom onset on 12/27. COVID positive on 12/28. Last fever unknown. Her oxygen requirements down to 3L at rest and needed 3L with ambulation to keep O2 around 92% per RN. She has history of smoking and evidence of emphysema on CTA. Ordered home O2. Will refer to oxygen clinic. I will also start her on spiriva. She has no plans to resume smoking. She has completed 5 days of remdesivir and 5 days of decadron. I will prescribe decadron 6 mg daily on discharge to complete a 10 day course. Please consider PFTs when she recovers from covid. She will continue isolation per Regional/Local ID guidance until 1/16/2022. Her admission CTA did not show clear PE, tiny filling defect vs artifact within RLL PA and small pulm nodules up to 7mm in left lower lobe, given smoking history will need repeat low dose non con chest CT in 6 months for follow up.    PREDIABETES/HTN/HLD: on PTA cozaar and lipitor   TOBACCO SMOKER (2/26/2010): per patient she has quit due to covid infection and declined nicotine patch or smoking cessation classes.    HX OF DEPRESSION: PTA zoloft and elavil
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Myalgia, Nausea
Clinical narrative: Severe fatigue, nausea, joint and muscle pain
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 10/19/21
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Joint adhesion, Joint range of motion decreased, Mobility decreased
Clinical narrative: I had a hard time lifting my arm up about a week after receiving my vaccine. I couldn't lift it too high and my shoulder began hurting. It began swelling between my sternum and shoulder blade. The discomfort began too unbearable and I went to see the doctor who prescribed a steroid pill prednisone to try to relieve the swelling and pain. The pill helped reduce the swelling, but the pain is still there until the day. I have permanent damage that left scar tissue in the joints which causes the pain to continue now even speaking. It's been a year and I can't throw with my arm because my right shoulder can't rotate forward.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Swelling
Clinical narrative: I had a hard time lifting my arm up about a week after receiving my vaccine. I couldn't lift it too high and my shoulder began hurting. It began swelling between my sternum and shoulder blade. The discomfort began too unbearable and I went to see the doctor who prescribed a steroid pill prednisone to try to relieve the swelling and pain. The pill helped reduce the swelling, but the pain is still there until the day. I have permanent damage that left scar tissue in the joints which causes the pain to continue now even speaking. It's been a year and I can't throw with my arm because my right shoulder can't rotate forward.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-thyroid antibody, Anti-transglutaminase antibody, Autoimmune thyroiditis, Blood corticotrophin, Blood cortisol
Clinical narrative: The patient has a history of asthma, seasonal allergies who requests causality evaluation for relationship of new onset autoimmune thyroiditis to COVID vaccine receipt. He reports he received Pfizer mRNA 2 doses in January 2021. In July, he was found to have abnormal thyroid function on routine labs and workup demonstrated Auto immune thyroiditis He would like information on possible causality.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Blood thyroid stimulating hormone increased, Cortisol free urine, Fatigue, Laboratory test
Clinical narrative: The patient has a history of asthma, seasonal allergies who requests causality evaluation for relationship of new onset autoimmune thyroiditis to COVID vaccine receipt. He reports he received Pfizer mRNA 2 doses in January 2021. In July, he was found to have abnormal thyroid function on routine labs and workup demonstrated Auto immune thyroiditis He would like information on possible causality.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Thyroid function test abnormal, Thyroxine free, Ultrasound thyroid, Weight increased
Clinical narrative: The patient has a history of asthma, seasonal allergies who requests causality evaluation for relationship of new onset autoimmune thyroiditis to COVID vaccine receipt. He reports he received Pfizer mRNA 2 doses in January 2021. In July, he was found to have abnormal thyroid function on routine labs and workup demonstrated Auto immune thyroiditis He would like information on possible causality.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein, Myocarditis, Pericardial effusion, Pleural effusion, Red blood cell sedimentation rate increased
Clinical narrative: acute myopericarditis which occurred 2 months after  administration of 2nd dose of  Pfizer Covid-19 mrna  vaccine
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Interchange of vaccine products, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Accelerated hypertension, Acute respiratory failure, Asthenia, Blood albumin decreased, Blood chloride decreased
Clinical narrative: Moderna 4/16/21 & 5/14/21 Presented to the ED with weakness and SOB, symptoms started 4 days prior (1/16/22).  Pt has poor oral intake and increasing weakness, generalized body aches - no fevers.  Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis in the setting of COVID-19 pneumonia.  Accelerated hypertension was also noted.  Initial lab work consistent with leukocytosis 11.6, thrombocytosis 526, elevated INR 2.0, hypokalemia 2.9, hypochloremia 97, hyperglycemia 125, hypoalbuminemia of 3.1, and transaminitis.  Initial lactic acid 1.5.  Initial troponin 42.  EKG independently reviewed and consistent with paced rhythm.  Chest x-ray also independently reviewed and consistent with bilateral infiltrates.  Patient tested positive for COVID-19. Patient discharged 1/24/22.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Blood lactic acid decreased, Blood potassium decreased, COVID-19, COVID-19 pneumonia
Clinical narrative: Moderna 4/16/21 & 5/14/21 Presented to the ED with weakness and SOB, symptoms started 4 days prior (1/16/22).  Pt has poor oral intake and increasing weakness, generalized body aches - no fevers.  Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis in the setting of COVID-19 pneumonia.  Accelerated hypertension was also noted.  Initial lab work consistent with leukocytosis 11.6, thrombocytosis 526, elevated INR 2.0, hypokalemia 2.9, hypochloremia 97, hyperglycemia 125, hypoalbuminemia of 3.1, and transaminitis.  Initial lactic acid 1.5.  Initial troponin 42.  EKG independently reviewed and consistent with paced rhythm.  Chest x-ray also independently reviewed and consistent with bilateral infiltrates.  Patient tested positive for COVID-19. Patient discharged 1/24/22.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Electrocardiogram, Hyperglycaemia, Hypoalbuminaemia
Clinical narrative: Moderna 4/16/21 & 5/14/21 Presented to the ED with weakness and SOB, symptoms started 4 days prior (1/16/22).  Pt has poor oral intake and increasing weakness, generalized body aches - no fevers.  Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis in the setting of COVID-19 pneumonia.  Accelerated hypertension was also noted.  Initial lab work consistent with leukocytosis 11.6, thrombocytosis 526, elevated INR 2.0, hypokalemia 2.9, hypochloremia 97, hyperglycemia 125, hypoalbuminemia of 3.1, and transaminitis.  Initial lactic acid 1.5.  Initial troponin 42.  EKG independently reviewed and consistent with paced rhythm.  Chest x-ray also independently reviewed and consistent with bilateral infiltrates.  Patient tested positive for COVID-19. Patient discharged 1/24/22.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypochloraemia, Hypokalaemia, Hypophagia, International normalised ratio increased, Leukocytosis
Clinical narrative: Moderna 4/16/21 & 5/14/21 Presented to the ED with weakness and SOB, symptoms started 4 days prior (1/16/22).  Pt has poor oral intake and increasing weakness, generalized body aches - no fevers.  Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis in the setting of COVID-19 pneumonia.  Accelerated hypertension was also noted.  Initial lab work consistent with leukocytosis 11.6, thrombocytosis 526, elevated INR 2.0, hypokalemia 2.9, hypochloremia 97, hyperglycemia 125, hypoalbuminemia of 3.1, and transaminitis.  Initial lactic acid 1.5.  Initial troponin 42.  EKG independently reviewed and consistent with paced rhythm.  Chest x-ray also independently reviewed and consistent with bilateral infiltrates.  Patient tested positive for COVID-19. Patient discharged 1/24/22.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Pacemaker generated rhythm, Pain, Platelet count increased, SARS-CoV-2 test positive
Clinical narrative: Moderna 4/16/21 & 5/14/21 Presented to the ED with weakness and SOB, symptoms started 4 days prior (1/16/22).  Pt has poor oral intake and increasing weakness, generalized body aches - no fevers.  Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis in the setting of COVID-19 pneumonia.  Accelerated hypertension was also noted.  Initial lab work consistent with leukocytosis 11.6, thrombocytosis 526, elevated INR 2.0, hypokalemia 2.9, hypochloremia 97, hyperglycemia 125, hypoalbuminemia of 3.1, and transaminitis.  Initial lactic acid 1.5.  Initial troponin 42.  EKG independently reviewed and consistent with paced rhythm.  Chest x-ray also independently reviewed and consistent with bilateral infiltrates.  Patient tested positive for COVID-19. Patient discharged 1/24/22.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sepsis, Thrombocytosis, Transaminases increased, Troponin increased, White blood cell count increased
Clinical narrative: Moderna 4/16/21 & 5/14/21 Presented to the ED with weakness and SOB, symptoms started 4 days prior (1/16/22).  Pt has poor oral intake and increasing weakness, generalized body aches - no fevers.  Upon arrival to the emergency department, patient was found to have acute hypoxemic respiratory failure secondary to sepsis in the setting of COVID-19 pneumonia.  Accelerated hypertension was also noted.  Initial lab work consistent with leukocytosis 11.6, thrombocytosis 526, elevated INR 2.0, hypokalemia 2.9, hypochloremia 97, hyperglycemia 125, hypoalbuminemia of 3.1, and transaminitis.  Initial lactic acid 1.5.  Initial troponin 42.  EKG independently reviewed and consistent with paced rhythm.  Chest x-ray also independently reviewed and consistent with bilateral infiltrates.  Patient tested positive for COVID-19. Patient discharged 1/24/22.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Hypoaesthesia, Magnetic resonance imaging, Paraesthesia, Raynaud's phenomenon
Clinical narrative: Raynaud's Phenomenon, numbness and tingling on my entire left side 1 week after my 2nd shot.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Joint lock, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Left Shoulder locking up and inability to bend elbow or put his coat on after the injection.
Age: 82.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Respiratory failure
Clinical narrative: Patient received 3 doses pf Pfizer COVID vaccine on 9/27/21, 3/25/21, and 3/4/21, and was hospitalized on 1/26/22 for resp. failure and COVID infection
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Protocol to dilute Pfizer 5-11yrs old wasn't followed.  vial wasn't not diluted.  no s/s noted after 15 minutes of observation period was over.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Hysterectomy
Clinical narrative: Prolonged menstrual bleeding starting 2 weeks after booster. This lasted 4 months and ended with hysterectomy.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given a dose of Pfizer that was administered past the 12 hour time frame of the vials first puncture. Per Pfizer there is data to support the stability of the vaccine up to 24 hours if stored in 2-8 Celsius which vaccine was.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Thyroid disorder
Clinical narrative: Thyroid
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to complications of COVID-19 infection
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest X-ray normal, Computerised tomogram normal, Echocardiogram normal, Headache
Clinical narrative: Sever Headache started  on Sunday 10/31 following the vaccination and continued for multiple days. I did not think to check my Blood pressure until a doctor checked it on 11/2 and it was 170s/110s. It onto us to rise on 11/2/21  and I went to emergency room for treatment on 11/2 evening and 11/3 evening.  This is now onset acute hypertension. Medication was needed to control and maintain the blood pressure . By three months following the booster I am no longer in medication.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Laboratory test normal
Clinical narrative: Sever Headache started  on Sunday 10/31 following the vaccination and continued for multiple days. I did not think to check my Blood pressure until a doctor checked it on 11/2 and it was 170s/110s. It onto us to rise on 11/2/21  and I went to emergency room for treatment on 11/2 evening and 11/3 evening.  This is now onset acute hypertension. Medication was needed to control and maintain the blood pressure . By three months following the booster I am no longer in medication.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pH normal, Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal, Dyspnoea
Clinical narrative: 88-year-old male,   past with a history of chronic atrial fibrillation on warfarin , presented with a 2-day history of worsening shortness of breath.  The patient's stepdaughter noted his heart rate to be elevated, sats were in the mid 80s.   He has received his COVID vaccination.  in  the emergency room in moderate respiratory distress, hypoxemic, tachycardic.  Chest x-ray revealed probable bilateral pneumonia.  COVID was positive.  The patient was admitted for further monitoring and evaluation.  in ED WBC 15 , INR 11 , BNP 16181, TROP 34 , ABG  PH 7.4, PCO2 29 , PO2 69  given Cardizem ivp in ED  , hr WAS IN 100 , started on metoprolol 25 mg bid  currently 100 % on RA.  Pt vaccinated with Moderna 1/28/21 & 2/25/21. patient discharged from hospital 1/25/22
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Hypoxia, International normalised ratio increased, PCO2 decreased, PO2 decreased
Clinical narrative: 88-year-old male,   past with a history of chronic atrial fibrillation on warfarin , presented with a 2-day history of worsening shortness of breath.  The patient's stepdaughter noted his heart rate to be elevated, sats were in the mid 80s.   He has received his COVID vaccination.  in  the emergency room in moderate respiratory distress, hypoxemic, tachycardic.  Chest x-ray revealed probable bilateral pneumonia.  COVID was positive.  The patient was admitted for further monitoring and evaluation.  in ED WBC 15 , INR 11 , BNP 16181, TROP 34 , ABG  PH 7.4, PCO2 29 , PO2 69  given Cardizem ivp in ED  , hr WAS IN 100 , started on metoprolol 25 mg bid  currently 100 % on RA.  Pt vaccinated with Moderna 1/28/21 & 2/25/21. patient discharged from hospital 1/25/22
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, Respiratory distress, SARS-CoV-2 test positive, Tachycardia, Troponin
Clinical narrative: 88-year-old male,   past with a history of chronic atrial fibrillation on warfarin , presented with a 2-day history of worsening shortness of breath.  The patient's stepdaughter noted his heart rate to be elevated, sats were in the mid 80s.   He has received his COVID vaccination.  in  the emergency room in moderate respiratory distress, hypoxemic, tachycardic.  Chest x-ray revealed probable bilateral pneumonia.  COVID was positive.  The patient was admitted for further monitoring and evaluation.  in ED WBC 15 , INR 11 , BNP 16181, TROP 34 , ABG  PH 7.4, PCO2 29 , PO2 69  given Cardizem ivp in ED  , hr WAS IN 100 , started on metoprolol 25 mg bid  currently 100 % on RA.  Pt vaccinated with Moderna 1/28/21 & 2/25/21. patient discharged from hospital 1/25/22
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: 88-year-old male,   past with a history of chronic atrial fibrillation on warfarin , presented with a 2-day history of worsening shortness of breath.  The patient's stepdaughter noted his heart rate to be elevated, sats were in the mid 80s.   He has received his COVID vaccination.  in  the emergency room in moderate respiratory distress, hypoxemic, tachycardic.  Chest x-ray revealed probable bilateral pneumonia.  COVID was positive.  The patient was admitted for further monitoring and evaluation.  in ED WBC 15 , INR 11 , BNP 16181, TROP 34 , ABG  PH 7.4, PCO2 29 , PO2 69  given Cardizem ivp in ED  , hr WAS IN 100 , started on metoprolol 25 mg bid  currently 100 % on RA.  Pt vaccinated with Moderna 1/28/21 & 2/25/21. patient discharged from hospital 1/25/22
Age: 79.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Protocol to dilute Pfizer 5-11yrs old wasn't followed.  Vial wasn't not diluted.  no s/s noted after 15 minutes of observation period was over.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure, Postictal state, Seizure
Clinical narrative: 15 minutes after receiving her booster shot, the patient had a tonic-clonic seizure outside in our parking lot.  After the seizure, it took the patient about 15 minutes to come out of the post-ictal state.  Caregivers said they are going to take her back to the group home and call her epilepsy doctor.
Age: 82.0
Sex: U
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 10/23/21
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram, Tinnitus
Clinical narrative: Bilateral tinnitus
Age: 51.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Influenza like illness, Pain, Rash
Clinical narrative: Feeling sore on that day of my vaccination the 13th of February 2021. I thought I was developing flu or like symptoms. That was on the evening of 13th of February 2021. The 15th my husband saw a weird rash on my back. The pain was an 8 out 10 on the rash site It was wrapping around the left side of my body and moving to the front of my body. On the 26th February 2021. I went to Urgent Care, and I was diagnosed with Shingles.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Headache, Hyperhidrosis, Lymph node pain
Clinical narrative: headache, chills, sweats, aches, generally felt horrible - this lasted two days  lingering - swollen and sore gland in armpit
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: headache, chills, sweats, aches, generally felt horrible - this lasted two days  lingering - swollen and sore gland in armpit
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: fainted a few minutes after vaccine administration
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Dyspnoea, Fatigue
Clinical narrative: hospitalized for weakness/fatigue/shortness of breath
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Protocol to dilute Pfizer 5-11yrs old wasn't followed.  Vial wasn't not diluted.  no s/s noted after 15 minutes of observation period was over.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Culture urine, Gait disturbance, Lumbar puncture, Neck pain
Clinical narrative: The patient has been having fevers up to 103 degrees, has trouble walking , neck pain. The symptoms were bad  enough to require hospitalization. Now his kidney function has decreased so he has not been released from the hospital.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Renal impairment, Ultrasound scan
Clinical narrative: The patient has been having fevers up to 103 degrees, has trouble walking , neck pain. The symptoms were bad  enough to require hospitalization. Now his kidney function has decreased so he has not been released from the hospital.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The patient received the vaccine that was later found to be involved in a temperature excursion. The manufacturer was contacted and gave additional  temp stability data but excursion fell outside of this. CDC was also contacted and advised to repeat dose since manufacturer unable to give recommendation. The excursion occurred in a refrigerator unit that went in and out of range for a total of 39 hours with max temp 8.54 Celsius. Patient will be contacted to reschedule the vaccine.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: I ached a little bit & had a fever I took Tylenol & rested & it lasted about a week.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Cerebrovascular accident, Facial paresis, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ED for left-sided facial weakness which started the day before time of presentation.  He denies headache, fever, chills, night sweats, chest pain, shortness of breath, palpitations, syncope, or other symptoms.  The patient has a history of hypertension for which he is on amlodipine.  He has a prior history of prostate cancer diagnosed in 2010 and a prior history of breast cancer diagnosed in 2004.  He has a right inguinal hernia, but he decided not to pursue treatment at this point. Patient admitted for CVA, upon testing for SNF placement pt came back COVID + on 1/21/22.  Pt remained asymptomatic until d/c on 1/24/22. Pt vaccinated with Janssen on  6/18/21.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.5ml instead of 0.25ml, no reaction noted and no complaints letter was sent to patient informing of dosage given
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Onset of symptoms 1/16/22
Age: 66.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 19.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Chest discomfort, Dizziness, Electrocardiogram, Musculoskeletal stiffness, Nausea
Clinical narrative: 09:20 Patient walked up to observation station with monitor at side stating she felt lightheaded. Patient received Pfizer vaccine at 09:09 and felt symptoms around 09:12. Patient walked to gurney and placed in trendeleburg position. During RN assessment  patient reports symptoms began with moderate chest tightness radiating to left shoulder, nausea followed by lightheaded. States she's had chest tightness with anxiety in the past. Patient alert oriented x4 talking in full sentences with no respiratory distress, wheezing, stridor, lungs clear to auscultation. She denies intraoral swelling, itching and no visible rash. Vitals: BP 96/61, Pulse 86, RR 20 99% on room air, Temp 96.6. 09:22 Patient states mild chest tightness with no lightheadedness. Sat up on gurney. Vitals: BP106/53, Pulse 71, 100% on room air. 09:30 Patient reports chest tightness/lightheadedness/nausea resolved. 09:37 Dr. consulted and advised can order EKG if patient is worried. Patient agrees to EKG today when she leaves vaccine clinic. Advised to call 911 or go to Ed if necessary for reoccurring chest tightness/lightheadedness or worse symptoms or follow up with primary MD. 09:40 Patient states she feels fine and states ready to go. Her friend sitting at side and will take her to get EKG. 09:56 Vaccine adverse reaction form given and walked out with RN at side. Patient passed the walk test.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Individual received a second dose of J&J (1/17/2022) 12 days after she received her first dose of J&J (1/5/2022).  Individual used different last names for both shots but used same address, phone number, date of birth and first name of mother.  She was called and confirmed that she received both shots.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Condition aggravated, Dyspnoea, Exposure during pregnancy
Clinical narrative: Pregnant-- 22 weeks 1 day EDD- 6/1/2022 Patient walked into Covid Observation Area after reporting heart palpitations and mild chest tightness 14 minutes after receiving Pfizer Booster. States she had Moderna for first 2 doses, developed fever of 103.4 after each dose, improved with Tylenol, lasted for a day and a half. States she wanted to try Pfizer today because of fever with Moderna. Patient states she also experienced more severe heart palpitations after first 2 doses of Moderna. Reports heart palpitations today not as prominent, and chest tightness lasted for a few seconds. Denies chest pain, has normal shortness of breath due to 22 weeks pregnancy. Patient states she ate breakfast this morning.    9:20 am- VS: BP 145/65, HR 82, RR 20, 02 SATs 99%RA   9:24 am-VS: BP 122/67, HR 86, RR 20, 02 SATs 99%RA   9:38 am- VS-BP 133/69 (lying), HR 88, RR 22, 02 SATs 99% RA- States chest tightness resolved, breathing in a little deeper and faster, palpitations lessening but still present.   9:49 am- Call placed to on call physician informed of patient symptoms above. No risk factors or cardiac conditions noted per MD chart review. States symptoms likely vagal response or stress response. Dr. offered to order EKG for patient to establish baseline as she has never had an EKG. Also stated if patient declines EKG and no other symptoms such as lightheadedness, ok for patient to be discharged home and follow up with her primary care provider for any concerning symptoms.   Patient declined EKG at this time, Dr. informed.   9:53 am- VS- BP 142/77 (sitting), HR 94, RR 20, 02 SATs 98%RA   9:54 am- VS- BP 127/74 (standing) HR 83, RR 20, 02 SATs 98%- Denies lightheadedness or dizziness with position changes. States she feels anxious because she wanted to wait until after she delivered baby to get the booster but had to get it sooner due to job requirements.    9:58 am- Patient discharged home in stable condition. Advised to follow up with primary care provider if symptoms persist. Also advised to seek emergent care for any worsening symptoms such as chest tightness, chest pain or shortness of breath. Patient verbalized understanding.