chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria chronic
Clinical narrative: Chronic Urticaria (Hives)  Have to take 5 different allergy medications (Allegra in the morning; Zyrtec, Pepcid, and Singular in the evening and when hives are extreme had to take prednisone to try to control the daily hives.  Have been hospitalized several times when the hives could not be controlled.  Was given epinephrine when hospital visit was necessary.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Eye swelling
Clinical narrative: eye swelling and worsening eczema on her hands- patient says she has eczema at baseline but does not have eye swelling
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose, Hypoglycaemia
Clinical narrative: Severe hypoglycemia episode. It started about 4 hours after the vaccine. I did two rounds of basquimi glucagon at home, one round in ambulance and two rounds of Dextrose 50 in hospital er.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Reported a pink, non-raised rash to the left side of his neck, left arm, and hand.  He took Benadryl and his rash lessened by the end of his shift.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, Electrocardiogram abnormal, Heart rate irregular, Palpitations
Clinical narrative: Started having random heart racing, pounding and not beating properly. Now on medicine for AFib and have to see cardiologist.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dyspnoea, Hypoxia, Pain
Clinical narrative: Pt has a history of diabetes, CKD, obstructive sleep apnea, and uses cocaine.  For the past 4 days before admission he had fever, generalized body aches, decreased appetite, cough, and shortness of breath.  Pt was found to be hypoxic on room air.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Pt has a history of diabetes, CKD, obstructive sleep apnea, and uses cocaine.  For the past 4 days before admission he had fever, generalized body aches, decreased appetite, cough, and shortness of breath.  Pt was found to be hypoxic on room air.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Periarthritis
Clinical narrative: Patient experienced frozen shoulder symptoms within hours of receiving vaccine.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This report is due to administration of expired vaccination. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer, due to lack of stability data, it was advised to revaccinate the patient.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse effect patient under 18
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, No adverse event, Wrong technique in product usage process
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is due to administration of expired vaccination. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Heavy menstrual bleeding, Intermenstrual bleeding, Menstruation delayed
Clinical narrative: Exhausted all the time just simple everyday things makes me short of breath and tired. Started the day after getting the vaccine.  My period has been messed up. I was 7 days late I spotted for half a day and now it?s the heaviest it?s ever been.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Exhausted all the time just simple everyday things makes me short of breath and tired. Started the day after getting the vaccine.  My period has been messed up. I was 7 days late I spotted for half a day and now it?s the heaviest it?s ever been.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: Chills, Fever, aches and pains all over, Injection site pain, Pain the left breast.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse event under 18
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This report is due to administration of expired vaccination. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hyperhidrosis, Loss of consciousness, Myalgia
Clinical narrative: Client received vaccine at 10:42am and was sitting in clinic to be observed for 15 minutes. Client asked nurse to come over because he was feeling lightheaded and was sweaty. RN noticed client was very pale and diaphoretic. Client began to pass out and RN assisted him to the floor. Clients legs were elevated on a chair, cold washcloth placed on his head, and pillow placed under his head. Client opened his eyes about to 10-15 seconds later. Clients heart rate was 62 and blood pressure 80/52 . Offered client some juice and crackers and had him to continue to lay down until he started feeling better.  After 15 minutes rechecked blood pressure 120/80 assisted client to sitting position then gradually helped him to stand and helped him sit in chair. Client ate two peanut butter crackers and had some juice, Client was observed for another 15 minutes. stated he was feeling better and was ready to go home. Nurse walked him to the door. Client called when he made it home and stated he was feeling better and was going to eat some lunch.  Another RN called Client on 12/7/2021 at 9:30am to check on him. Client stated he had some muscle aches, soreness and chills but he had that with his two first COVID shots. Client s tated he made an appointment with his doctoor on 12/13/2021 to follow up.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pallor
Clinical narrative: Client received vaccine at 10:42am and was sitting in clinic to be observed for 15 minutes. Client asked nurse to come over because he was feeling lightheaded and was sweaty. RN noticed client was very pale and diaphoretic. Client began to pass out and RN assisted him to the floor. Clients legs were elevated on a chair, cold washcloth placed on his head, and pillow placed under his head. Client opened his eyes about to 10-15 seconds later. Clients heart rate was 62 and blood pressure 80/52 . Offered client some juice and crackers and had him to continue to lay down until he started feeling better.  After 15 minutes rechecked blood pressure 120/80 assisted client to sitting position then gradually helped him to stand and helped him sit in chair. Client ate two peanut butter crackers and had some juice, Client was observed for another 15 minutes. stated he was feeling better and was ready to go home. Nurse walked him to the door. Client called when he made it home and stated he was feeling better and was going to eat some lunch.  Another RN called Client on 12/7/2021 at 9:30am to check on him. Client stated he had some muscle aches, soreness and chills but he had that with his two first COVID shots. Client s tated he made an appointment with his doctoor on 12/13/2021 to follow up.
Age: 5.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PT RECEIVED A BOOSTER DOSE PRIOR TO APPROVAL FOR AGE GROUP. PT IS NOT SHOWING ANY S/S OF ADVERSE EFFECTS.  FACILITY NURSE DENIES ANY FEVER OR COMPLAINTS FROM PATIENT
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This report is due to administration of expired vaccination. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is due to administration of expired vaccination. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Conjunctival haemorrhage, Skin discolouration
Clinical narrative: Awoke on day 2 with a complete subconjunctival hemorrhage of right eye.  No white showing at all.  Deep, dark red, almost black in color
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia
Clinical narrative: Left shoulder pain still right after vaccine that is still occurring two weeks later.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Illness, Influenza like illness, Mobility decreased
Clinical narrative: I got very fatigue and my arm was very swollen and I could not move it all. I feel asleep and when I woke up I couldn't lift my head or the neck. I had a headache and I had a flu as well. I was sick for three days and fourth days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Vaccination site movement impairment
Clinical narrative: I got very fatigue and my arm was very swollen and I could not move it all. I feel asleep and when I woke up I couldn't lift my head or the neck. I had a headache and I had a flu as well. I was sick for three days and fourth days.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Infection
Clinical narrative: Fully vaccinated with booster on 11/5/21.  COVID breakthrough infection with inpatient hospital stay on general medical unit.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is due to administration of expired vaccination. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Asthma, Chest discomfort, Chills
Clinical narrative: Moderate persistent asthma presents today with 3 day history of fever-101.3 oral temp, chills, diarrhea, body aches, headache, sore throat, productive cough, loss of taste, loss of smell, diarrhea, sinus congestion, nasal congestion, chest congestion, chest tightness. starting 12/3/21
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Diarrhoea, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: Moderate persistent asthma presents today with 3 day history of fever-101.3 oral temp, chills, diarrhea, body aches, headache, sore throat, productive cough, loss of taste, loss of smell, diarrhea, sinus congestion, nasal congestion, chest congestion, chest tightness. starting 12/3/21
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Productive cough, Pyrexia, Respiratory tract congestion, Sinus congestion
Clinical narrative: Moderate persistent asthma presents today with 3 day history of fever-101.3 oral temp, chills, diarrhea, body aches, headache, sore throat, productive cough, loss of taste, loss of smell, diarrhea, sinus congestion, nasal congestion, chest congestion, chest tightness. starting 12/3/21
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Product storage error
Clinical narrative: Child received an inactivated dose of Polio vaccine that had been stored for 27 minutes above safe temperature storage range.  Polio vaccine was being stored in a punctured multi-dose vial.  The vaccinating nurse was unaware of storage problem that had occurred one day prior on  4/1/2019.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Condition aggravated, Feeling hot, Injection site erythema, Injection site swelling
Clinical narrative: Patient received a 3rd full dose of Moderna due to hx of breast cancer. Patient has no hx of adverse reactions in the past with other doses or vaccines. Patient administered vaccine at 9am in her right deltoid, IM. Patient goes to her office and returns 15-20 min later with cc that she is hot, itchy and has vomited a few times. Patient presented with red blotches on her neck face and bilateral ears. Injection site is red, swollen and warm to the touch. Nurse on site administered EPI in patients right thigh per protocol at 930am. EMT is called to come to site since EPI was administered. Patients vitals are checked before and after EPI. Patients BP is elevated but does have hx of HTN and takes meds for it. Patient leaves site where clinic is being held by ambulance for further observation.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pruritus, Rash macular, Vomiting
Clinical narrative: Patient received a 3rd full dose of Moderna due to hx of breast cancer. Patient has no hx of adverse reactions in the past with other doses or vaccines. Patient administered vaccine at 9am in her right deltoid, IM. Patient goes to her office and returns 15-20 min later with cc that she is hot, itchy and has vomited a few times. Patient presented with red blotches on her neck face and bilateral ears. Injection site is red, swollen and warm to the touch. Nurse on site administered EPI in patients right thigh per protocol at 930am. EMT is called to come to site since EPI was administered. Patients vitals are checked before and after EPI. Patients BP is elevated but does have hx of HTN and takes meds for it. Patient leaves site where clinic is being held by ambulance for further observation.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: This report is due to administration of expired vaccination. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Rash, Swelling face, Vision blurred
Clinical narrative: PATIENT REPORTED RASH, BLURRED VISION, MAJOR MIGRAINE, AND FACIAL SWELLING.  REPORTED TO WALK-IN CLINIC WHO RECOMMENDED AN ER VISIT FOR EVALUATION/MANAGEMENT OF SEVERE MIGRAINE.  IN THE ER, SHE WAS TREATED WITH PROCHLORPERAZINE, BENADRYL, AND TORADOL.  HEADACHE RESOLVED AND PATIENT WAS DISCHARGED HOME.
Age: 9.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the agency, due to lack of stability data, it was advised to revaccinate the patient.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: This report is due to administration of expired vaccination. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Feeling abnormal, Unresponsive to stimuli
Clinical narrative: patient was unresponsive and dazed approximately 8 minutes post pfizer booster vaccine
Age: 7.0
Sex: U
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9% NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9% NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is due to administration of expired vaccination. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: This report is due to administration of expired vaccination. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain, Dyspnoea, Headache, Pain in extremity
Clinical narrative: After I got the vaccine I felt fine, I was able to go out that night. Then Saturday I woke up I had headache and fever. I was drinking lots of fluid and taking Tylenol. My headache was still pounding. Saturday evening I noticed pain traveling up to my armpit. The Sunday I woke up with a huge lump the size of an orange was painful and warm to touch and my chest started hurting so I went to ER, I noticed I was making more of an effort to breathe. The ER doctor just felt like it was related to booster let it run its course, the swelling should go down within 10 days.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Physical examination, Pyrexia, Skin warm
Clinical narrative: After I got the vaccine I felt fine, I was able to go out that night. Then Saturday I woke up I had headache and fever. I was drinking lots of fluid and taking Tylenol. My headache was still pounding. Saturday evening I noticed pain traveling up to my armpit. The Sunday I woke up with a huge lump the size of an orange was painful and warm to touch and my chest started hurting so I went to ER, I noticed I was making more of an effort to breathe. The ER doctor just felt like it was related to booster let it run its course, the swelling should go down within 10 days.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is due to administration of expired vaccination. Patient was given a vaccine that had a BUD of 12/1/21. The vaccine itself expires on 1-29-22, but due to being in the refrigerator from 11/1/21, it expired on 12/1/21 and this was missed.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Nothing occurred to child, child was give 0.1 ml of Pfizer
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood loss anaemia, COVID-19, Delivery, Exposure during pregnancy, SARS-CoV-2 test positive
Clinical narrative: 12/4/21 Admitted to labor and delivery, tested positive for COVID   12/6/21 Her postpartum course has been unremarkable, with good ambulation, oral intake and voiding.  By mom was meeting all post partum milestones and will be discharged home.  We have reviewed our usual discharge instructions (see orders).  Discharge meds will include Ibuprofen, FeSO4 and colace3 and she will resume her usual home medications. It was recommended due to acute blood loss anemia patient continue oral iron supplements for two weeks or until instructed to discontinue by primary OB provider She will see her primary OB provider in the office in 2 weeks.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Depression, Mental disorder, Panic attack, Urinary tract infection
Clinical narrative: couple weeks after being vaccinated, ive noticed my mental state is different. depression had kicked in 5x worse than before. experiencing anxiety/ panic attacks which i didnt seem to deal with before. i became positive with h plyori about 2 months after ended with a horrible uti experience  that i never dealt with before. i have been taking magnesuim OTC med to help with anxiety but i have felt a difference in my health ever since the vaccination
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Guillain-Barre syndrome, Lumbar puncture abnormal, Muscular weakness
Clinical narrative: Bilateral leg weakness. progression of weakness occurred, and lumbar puncture was performed, Diagnosis of Guillain Barre
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Dizziness, Dysphagia, Headache, Hypoaesthesia oral
Clinical narrative: 52 year old female who upon receiving her first dose of Pfizer vaccine, had a severe adverse reaction.    Before receiving the vaccination, all screening questions were reviewed with the client, when asked about any allergies, per client she mentioned that she did have some allergies to several medications (Percocet) and certain foods, which she avoided. When asked about severity, she said that she had itchiness, hives, and some swelling, but never required the use of an epinephrine pen. The client stated that she was anxious but otherwise in good health and that the only medications she was currently taking were steroids.    The client received the vaccine at 7:10 PM, because of her history of allergic reactions, she was asked to wait 30 minutes in the observation area. As the client was about to leave, she began to feel unwell, and ?felt dizzy? with ?the worse headache of her life?. She was moved from the observation area to a chair in the lobby. A set of vitals were taken by RN.    7:50 PM VS HR 70s, oxygen sat 99%, BP 180/119   At this time the client is AO and complaining of numbness in her lips and that her throat felt a little itchy. Upon exam, her lips appeared swollen. Throat and lungs were clear. 25 mg of Benadryl (lot# ADF032) was administered by RN and EMS was called. Client stated that it was difficult for her to swallow and that her headache was worsening. Client asked if she was on any medications for her blood pressure, which she stated she was on Amlodipine but that she was using it as recommended.    8:20 PM Client was complaining of worsening swelling, upon examination, swelling appeared to increase in the lips and throat. Stridor was noted upon auscultation, oxygen sat noted to be in the 80s. Client is lethargic and states that her ?legs feel weak.? Epinephrine pen (Lot # G210504X) 0.3 mg administered into the left thigh of the client. Fire Department arrived, client placed on oxygen via non-rebreather. EMS arrive shortly after and patient is moved to stretcher and per EMS is taken to the closest hospital (local) for further monitoring. Repeat VS at this time: HR 80, oxygen sat 100%, BP 225/109
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Malaise, Muscular weakness, Pharyngeal swelling, Stridor
Clinical narrative: 52 year old female who upon receiving her first dose of Pfizer vaccine, had a severe adverse reaction.    Before receiving the vaccination, all screening questions were reviewed with the client, when asked about any allergies, per client she mentioned that she did have some allergies to several medications (Percocet) and certain foods, which she avoided. When asked about severity, she said that she had itchiness, hives, and some swelling, but never required the use of an epinephrine pen. The client stated that she was anxious but otherwise in good health and that the only medications she was currently taking were steroids.    The client received the vaccine at 7:10 PM, because of her history of allergic reactions, she was asked to wait 30 minutes in the observation area. As the client was about to leave, she began to feel unwell, and ?felt dizzy? with ?the worse headache of her life?. She was moved from the observation area to a chair in the lobby. A set of vitals were taken by RN.    7:50 PM VS HR 70s, oxygen sat 99%, BP 180/119   At this time the client is AO and complaining of numbness in her lips and that her throat felt a little itchy. Upon exam, her lips appeared swollen. Throat and lungs were clear. 25 mg of Benadryl (lot# ADF032) was administered by RN and EMS was called. Client stated that it was difficult for her to swallow and that her headache was worsening. Client asked if she was on any medications for her blood pressure, which she stated she was on Amlodipine but that she was using it as recommended.    8:20 PM Client was complaining of worsening swelling, upon examination, swelling appeared to increase in the lips and throat. Stridor was noted upon auscultation, oxygen sat noted to be in the 80s. Client is lethargic and states that her ?legs feel weak.? Epinephrine pen (Lot # G210504X) 0.3 mg administered into the left thigh of the client. Fire Department arrived, client placed on oxygen via non-rebreather. EMS arrive shortly after and patient is moved to stretcher and per EMS is taken to the closest hospital (local) for further monitoring. Repeat VS at this time: HR 80, oxygen sat 100%, BP 225/109
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: 52 year old female who upon receiving her first dose of Pfizer vaccine, had a severe adverse reaction.    Before receiving the vaccination, all screening questions were reviewed with the client, when asked about any allergies, per client she mentioned that she did have some allergies to several medications (Percocet) and certain foods, which she avoided. When asked about severity, she said that she had itchiness, hives, and some swelling, but never required the use of an epinephrine pen. The client stated that she was anxious but otherwise in good health and that the only medications she was currently taking were steroids.    The client received the vaccine at 7:10 PM, because of her history of allergic reactions, she was asked to wait 30 minutes in the observation area. As the client was about to leave, she began to feel unwell, and ?felt dizzy? with ?the worse headache of her life?. She was moved from the observation area to a chair in the lobby. A set of vitals were taken by RN.    7:50 PM VS HR 70s, oxygen sat 99%, BP 180/119   At this time the client is AO and complaining of numbness in her lips and that her throat felt a little itchy. Upon exam, her lips appeared swollen. Throat and lungs were clear. 25 mg of Benadryl (lot# ADF032) was administered by RN and EMS was called. Client stated that it was difficult for her to swallow and that her headache was worsening. Client asked if she was on any medications for her blood pressure, which she stated she was on Amlodipine but that she was using it as recommended.    8:20 PM Client was complaining of worsening swelling, upon examination, swelling appeared to increase in the lips and throat. Stridor was noted upon auscultation, oxygen sat noted to be in the 80s. Client is lethargic and states that her ?legs feel weak.? Epinephrine pen (Lot # G210504X) 0.3 mg administered into the left thigh of the client. Fire Department arrived, client placed on oxygen via non-rebreather. EMS arrive shortly after and patient is moved to stretcher and per EMS is taken to the closest hospital (local) for further monitoring. Repeat VS at this time: HR 80, oxygen sat 100%, BP 225/109
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Incorrect vaccine administered, parent informed. No adverse events at this time.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cerebral atrophy, Cerebral small vessel ischaemic disease, Cognitive test
Clinical narrative: Hospitalized 11/26/2021; COVID-19 positive 11/26/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA-C Admission Date: 11/26/2021 Discharge Date: 12/01/2021   DISCHARGE DIAGNOSES 1. COVID-19 2. Dementia 3. Diabetes   DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 92 y.o. male who presented via EMS due to increasing weakness and being unable to get out of his chair to use the bathroom. He was COVID positive on admission. Wife was also sick with COVID. He was not hypoxic throughout his stay. He worked with PT/OT. At baseline strength upon discharge.    Upon admission, he had apparent impaired memory. Wife noted increasing memory loss over the past few years. MRI brain showed mild atrophy and white matter small vessel ischemic changes. MocA of 8/30, BCRS 24/35, MIS 0/15, Cog-Log 9/30. Patient with no legal guardian, paperwork started and wife has hearing date for guardianship. Although patient recognized that his wife and daughter would make his medical decisions if he were unable, he would not sign for that. Family and patient felt strongly that he would do best at home. Patient to receive home health services and private duty nursing at home.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dementia, Diabetes mellitus, Magnetic resonance imaging head abnormal, Memory impairment
Clinical narrative: Hospitalized 11/26/2021; COVID-19 positive 11/26/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA-C Admission Date: 11/26/2021 Discharge Date: 12/01/2021   DISCHARGE DIAGNOSES 1. COVID-19 2. Dementia 3. Diabetes   DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 92 y.o. male who presented via EMS due to increasing weakness and being unable to get out of his chair to use the bathroom. He was COVID positive on admission. Wife was also sick with COVID. He was not hypoxic throughout his stay. He worked with PT/OT. At baseline strength upon discharge.    Upon admission, he had apparent impaired memory. Wife noted increasing memory loss over the past few years. MRI brain showed mild atrophy and white matter small vessel ischemic changes. MocA of 8/30, BCRS 24/35, MIS 0/15, Cog-Log 9/30. Patient with no legal guardian, paperwork started and wife has hearing date for guardianship. Although patient recognized that his wife and daughter would make his medical decisions if he were unable, he would not sign for that. Family and patient felt strongly that he would do best at home. Patient to receive home health services and private duty nursing at home.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Montreal cognitive assessment, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 11/26/2021; COVID-19 positive 11/26/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA-C Admission Date: 11/26/2021 Discharge Date: 12/01/2021   DISCHARGE DIAGNOSES 1. COVID-19 2. Dementia 3. Diabetes   DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 92 y.o. male who presented via EMS due to increasing weakness and being unable to get out of his chair to use the bathroom. He was COVID positive on admission. Wife was also sick with COVID. He was not hypoxic throughout his stay. He worked with PT/OT. At baseline strength upon discharge.    Upon admission, he had apparent impaired memory. Wife noted increasing memory loss over the past few years. MRI brain showed mild atrophy and white matter small vessel ischemic changes. MocA of 8/30, BCRS 24/35, MIS 0/15, Cog-Log 9/30. Patient with no legal guardian, paperwork started and wife has hearing date for guardianship. Although patient recognized that his wife and daughter would make his medical decisions if he were unable, he would not sign for that. Family and patient felt strongly that he would do best at home. Patient to receive home health services and private duty nursing at home.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen lymph node under the right arm  (tenderness and pain in armpit) Resolved after two days Managed pain with Advil
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Limb discomfort
Clinical narrative: Client is a 10 year old boy who developed right arm and chest discomfort.  He received his second dose on 12/6/21 but his mom mentioned he was a little more anxious today.  Mom mentioned she gave him a xanax prior to vaccinating.  Vitals Hr: 100 O2: 96 R:20 BP: 130/86
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Nothing occurred to child, child was give 0.1 ml of Pfizer
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: 17 year old received Booster of Pfizer
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus, Syncope
Clinical narrative: Rapid onset sob and faintness, itching
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Back pain, Coeliac disease, Condition aggravated
Clinical narrative: After the vaccine, headache, fatigue and low grade fever. Celiac flare up on sat 27Nov2021 at 10:30am, I started severe bloating and stomach, started having nerve pain, cramping. Nausea and later diarrhea, all lasted about 4 days. I felt better the 1 Dec2021 it happened again and much more severe. Saw the doctor 12/6/2021. She said that it was a allergic response to celiac disease. Feeling about 70 percent better and still bloating and indigestion and bloating and on and off diarrhea. This flare up happened only for the booster and not 1st and 2nd dose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspepsia, Extra dose administered, Fatigue, Headache
Clinical narrative: After the vaccine, headache, fatigue and low grade fever. Celiac flare up on sat 27Nov2021 at 10:30am, I started severe bloating and stomach, started having nerve pain, cramping. Nausea and later diarrhea, all lasted about 4 days. I felt better the 1 Dec2021 it happened again and much more severe. Saw the doctor 12/6/2021. She said that it was a allergic response to celiac disease. Feeling about 70 percent better and still bloating and indigestion and bloating and on and off diarrhea. This flare up happened only for the booster and not 1st and 2nd dose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Nausea, Neuralgia
Clinical narrative: After the vaccine, headache, fatigue and low grade fever. Celiac flare up on sat 27Nov2021 at 10:30am, I started severe bloating and stomach, started having nerve pain, cramping. Nausea and later diarrhea, all lasted about 4 days. I felt better the 1 Dec2021 it happened again and much more severe. Saw the doctor 12/6/2021. She said that it was a allergic response to celiac disease. Feeling about 70 percent better and still bloating and indigestion and bloating and on and off diarrhea. This flare up happened only for the booster and not 1st and 2nd dose.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Immediate post-injection reaction, Malaise, Menstruation irregular
Clinical narrative: When I got it Immediately started feeling sick and 2 days later my period started again even though I just had it. I bled heavy for 2 weeks and then it did not come back for 4 months and then it came back.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Cold sweat, Dyspnoea, Fatigue, Headache
Clinical narrative: For 48 hours after the second shot, I was extremely fatigued, running a high fever, cold sweats, major headache and chest pains.  I have been experiencing random heart palpitations and shortness of breath.  My family doctor encouraged me to report this.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: For 48 hours after the second shot, I was extremely fatigued, running a high fever, cold sweats, major headache and chest pains.  I have been experiencing random heart palpitations and shortness of breath.  My family doctor encouraged me to report this.
Age: 7.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: vomiting, fever, nausea >48 hours
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue
Clinical narrative: I am experiencing join pain and fatigue.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient presented with swelling  and pain of left arm/deltoid. Was treated with Ciprofloxacin 500 mg tablets. Told to follow up if pain or symptoms persist. If worsening, instructed to go to nearest emergency room.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Nothing occurred to child, child was give 0.1 ml of Pfizer
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received booster dose of vaccine and was not eligible for dose due to age. Patient is only 16 years old
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Breathing Problem      SOB only with exertion.      HPI Patientis a 53y.o. female Presents to the emergency department for evaluation of shortness of breath and chest tightness. Patient reports that starting 2 days ago she has had some dyspnea with exertion as well as chest tightness. She denies any symptoms at rest. Denies any fevers or chills, no loss of taste or smell, no chest pain. No diarrhea. She is fully vaccinated for covid-19. She does report recent travel.   Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for chest tightness and shortness of breath. Negative for cough.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for difficulty urinating.  Musculoskeletal: Negative for arthralgias and myalgias.  Skin: Negative for rash.  Neurological: Negative for weakness and numbness.  Psychiatric/Behavioral: Negative for confusion.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity, Syringe issue
Clinical narrative: Flu injection was administered into arm and syringe would not plunge. Because there was a lot of resistance, nurse pulled back out syringe & needle. Nurse obtained new needle & syringe and offered to administer the vaccine in the other arm. Patient declined the other arm and gave approval to try again same arm.  A new vaccine was obtained & administered in the same arm. Patient returned the next day, complaining about pain in her arm and decreased range of motion. Upon observation, the pokes were observed to be possibly too high. She was trying Ibuprofen and ice.  When the pain did not improve, she sought medical care outside the facility. The treatments and outcome of the situation are not known to this nurse.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: developed sx including congested cough, nasal drainage, increased fatigue- tested positive for COVID on Abbott ID Now molecular test
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: developed sx including congested cough, nasal drainage, increased fatigue- tested positive for COVID on Abbott ID Now molecular test
Age: 66.0
Sex: M
Vaccine: UNK
Symptoms: Chronic obstructive pulmonary disease, Fatigue, Heart rate decreased, Oxygen saturation decreased
Clinical narrative: low pulse, low oxygen level  BP 165/55 extreme fatigue   has copd symptoms
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Alcohol abuse, Alcohol poisoning, Alcohol withdrawal syndrome, Blood alcohol increased
Clinical narrative: Hospitalized 11/29/2021; COVID-19 positive 11/29/2021; fully vaccinated.  BRIEF OVERVIEW: Discharge Provider: PCP Primary Care Provider: None Physician, MD Admission Date: 11/29/2021 Discharge Date: Dec 2, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Suicidal thoughts [R45.851] Alcoholic intoxication without complication (HCC) [F10.920] Alcohol abuse with withdrawal (HCC) [F10.139] COVID-19 [U07.1] Nausea & vomiting [R11.2] HOSPITAL COURSE: 38-year-old male with a past medical history significant for alcohol abuse as well as history of alcohol withdrawal who presented to the ER due to concern for impending alcohol withdrawal and desire to undergo detox. In the emergency department the patient was found have a positive Breathalyzer test and have a positive serum ethanol level.  As he was slightly tachycardic he was given lorazepam per his request.  He had also reported at that time of some abdominal discomfort that had started earlier in the day and he also had a cough and complained of some shortness of breath despite being on room air.  Patient's lab testing was remarkable for mildly elevated liver enzymes as well as a positive COVID-19 PCR test.  Patient was thought to warrant admission to the hospital for observation. The patient was quickly discontinued from benzodiazepines as he had no overt signs of alcohol withdrawal.  He remained on room air throughout his hospital course.  Discussing with the patient, he stated that he was quite concerned about his nausea which he states he has had for some time he normally takes famotidine and Zofran at home.  His abdominal exam was benign and imaging in the form of CT of the abdomen pelvis was obtained which showed no acute pathology.  Patient's labs remained stable with a particularly stable hemoglobin.  At this point, getting nausea was uncertain but upon evaluating the patient throughout the day, he notably had spent the majority of his time sleeping and did not have any issues with nausea until he was woken up. After informing the patient that he appears to be medically stable for discharge from the hospital, he became quite concerned about his disposition plan as he stated that he was homeless and had no place to go.  Help ensure a stable/safe discharge plan, medical social work was involved and the patient was able to be discharged to a facility where he could stay in isolation due to his COVID-19 status.  He was continued on famotidine and Zofran involved discharge from the hospital 12/2.