chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Empyema, Fluid intake restriction, Haemoptysis, Hypercapnia, Hyperhidrosis
Clinical narrative: Hospitalized;  COVID-19 positive;  Fully vaccinated (J&J x1 dose);  started Pfizer series (only 1 dose prior to J&J);  no booster Discharge Provider: MD Primary Care Provider at Discharge:  DO  Admission Date: 2/16/2022 Discharge Date: 2/23/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic respiratory failure with hypercapnia (HCC) [J96.22] HOSPITAL COURSE: Patient is a 67 y.o. male with medical history of stroke without residual deficit suspected possible TIA, cardiomyopathy, heart failure with both systolic and diastolic component, chronic obstructive pulmonary disease, gout, morbid obesity, and is currently in AFib with RVR  presents today with from home with bleeding in his left ear.  He states he felt something wet in his ear and his home healthcare nurse sent him to the hospital.  Ear was inspected and there was just a small excoriation.  When probed deeper, patient stated that he has been progressively worse lung function and difficult time standing to even do self-care.  While speaking to the emergency room physician, he lost peripheral view in the left side.  Stated that this has happened to him the past and resolved.  Consulted Neuro.  Hospital group accepted patient for TIA workup and acute on chronic respiratory failure with hypercapnia in the setting of COVID-19 positive,  acute on chronic heart failure, and a flutter with RVR. Reports that while in the ER, the patient lost left-sided peripheral visual field leaving him with an and NIHSS score of 1. Upon assessment, he had no deficit in vision.  He stated this has happened to him multiple times in the past and quickly resolved.  Working diagnosis, possible TIA in the setting of a history of a CVA without residual effects.  MRI imaging unobtainable related to severe Orthopnea and body habitus.  Carotid Dopplers were performed which did not reveal any significant stenosis.  Follow-up CT scan was negative as was  CTA head and neck.  Neuro felt he may have had a TIA.  Echocardiogram showed reduced ejection fraction.  He was diuresed with intravenous Lasix and made steady improvement.  Oxygen was able to be weaned down to 2 L which is his baseline. His renal function improved. Regarding his COVID he was treated with steroids; he was outside the window for treatment with remdesivir.  It was felt his respiratory symptoms were more likely related to COPD and CHF exacerbations.  It was felt that he needed aggressive diuresis.  Lasix was increased and fluid restriction increase to augment diuresis.  His edema steadily improved and his respiratory function also improved. Patient was discharged home on oral Lasix 40 mg 2 times a day increase from his home dose in stable condition after adequate diuresis.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypophagia, Hypoxia, Impaired self-care, Infection, Infectious pleural effusion
Clinical narrative: Hospitalized;  COVID-19 positive;  Fully vaccinated (J&J x1 dose);  started Pfizer series (only 1 dose prior to J&J);  no booster Discharge Provider: MD Primary Care Provider at Discharge:  DO  Admission Date: 2/16/2022 Discharge Date: 2/23/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic respiratory failure with hypercapnia (HCC) [J96.22] HOSPITAL COURSE: Patient is a 67 y.o. male with medical history of stroke without residual deficit suspected possible TIA, cardiomyopathy, heart failure with both systolic and diastolic component, chronic obstructive pulmonary disease, gout, morbid obesity, and is currently in AFib with RVR  presents today with from home with bleeding in his left ear.  He states he felt something wet in his ear and his home healthcare nurse sent him to the hospital.  Ear was inspected and there was just a small excoriation.  When probed deeper, patient stated that he has been progressively worse lung function and difficult time standing to even do self-care.  While speaking to the emergency room physician, he lost peripheral view in the left side.  Stated that this has happened to him the past and resolved.  Consulted Neuro.  Hospital group accepted patient for TIA workup and acute on chronic respiratory failure with hypercapnia in the setting of COVID-19 positive,  acute on chronic heart failure, and a flutter with RVR. Reports that while in the ER, the patient lost left-sided peripheral visual field leaving him with an and NIHSS score of 1. Upon assessment, he had no deficit in vision.  He stated this has happened to him multiple times in the past and quickly resolved.  Working diagnosis, possible TIA in the setting of a history of a CVA without residual effects.  MRI imaging unobtainable related to severe Orthopnea and body habitus.  Carotid Dopplers were performed which did not reveal any significant stenosis.  Follow-up CT scan was negative as was  CTA head and neck.  Neuro felt he may have had a TIA.  Echocardiogram showed reduced ejection fraction.  He was diuresed with intravenous Lasix and made steady improvement.  Oxygen was able to be weaned down to 2 L which is his baseline. His renal function improved. Regarding his COVID he was treated with steroids; he was outside the window for treatment with remdesivir.  It was felt his respiratory symptoms were more likely related to COPD and CHF exacerbations.  It was felt that he needed aggressive diuresis.  Lasix was increased and fluid restriction increase to augment diuresis.  His edema steadily improved and his respiratory function also improved. Patient was discharged home on oral Lasix 40 mg 2 times a day increase from his home dose in stable condition after adequate diuresis.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, Lung disorder, N-terminal prohormone brain natriuretic peptide increased, NIH stroke scale, Oedema
Clinical narrative: Hospitalized;  COVID-19 positive;  Fully vaccinated (J&J x1 dose);  started Pfizer series (only 1 dose prior to J&J);  no booster Discharge Provider: MD Primary Care Provider at Discharge:  DO  Admission Date: 2/16/2022 Discharge Date: 2/23/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic respiratory failure with hypercapnia (HCC) [J96.22] HOSPITAL COURSE: Patient is a 67 y.o. male with medical history of stroke without residual deficit suspected possible TIA, cardiomyopathy, heart failure with both systolic and diastolic component, chronic obstructive pulmonary disease, gout, morbid obesity, and is currently in AFib with RVR  presents today with from home with bleeding in his left ear.  He states he felt something wet in his ear and his home healthcare nurse sent him to the hospital.  Ear was inspected and there was just a small excoriation.  When probed deeper, patient stated that he has been progressively worse lung function and difficult time standing to even do self-care.  While speaking to the emergency room physician, he lost peripheral view in the left side.  Stated that this has happened to him the past and resolved.  Consulted Neuro.  Hospital group accepted patient for TIA workup and acute on chronic respiratory failure with hypercapnia in the setting of COVID-19 positive,  acute on chronic heart failure, and a flutter with RVR. Reports that while in the ER, the patient lost left-sided peripheral visual field leaving him with an and NIHSS score of 1. Upon assessment, he had no deficit in vision.  He stated this has happened to him multiple times in the past and quickly resolved.  Working diagnosis, possible TIA in the setting of a history of a CVA without residual effects.  MRI imaging unobtainable related to severe Orthopnea and body habitus.  Carotid Dopplers were performed which did not reveal any significant stenosis.  Follow-up CT scan was negative as was  CTA head and neck.  Neuro felt he may have had a TIA.  Echocardiogram showed reduced ejection fraction.  He was diuresed with intravenous Lasix and made steady improvement.  Oxygen was able to be weaned down to 2 L which is his baseline. His renal function improved. Regarding his COVID he was treated with steroids; he was outside the window for treatment with remdesivir.  It was felt his respiratory symptoms were more likely related to COPD and CHF exacerbations.  It was felt that he needed aggressive diuresis.  Lasix was increased and fluid restriction increase to augment diuresis.  His edema steadily improved and his respiratory function also improved. Patient was discharged home on oral Lasix 40 mg 2 times a day increase from his home dose in stable condition after adequate diuresis.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Orthopnoea, Painful respiration, Pickwickian syndrome, Pleural effusion, Positive airway pressure therapy
Clinical narrative: Hospitalized;  COVID-19 positive;  Fully vaccinated (J&J x1 dose);  started Pfizer series (only 1 dose prior to J&J);  no booster Discharge Provider: MD Primary Care Provider at Discharge:  DO  Admission Date: 2/16/2022 Discharge Date: 2/23/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic respiratory failure with hypercapnia (HCC) [J96.22] HOSPITAL COURSE: Patient is a 67 y.o. male with medical history of stroke without residual deficit suspected possible TIA, cardiomyopathy, heart failure with both systolic and diastolic component, chronic obstructive pulmonary disease, gout, morbid obesity, and is currently in AFib with RVR  presents today with from home with bleeding in his left ear.  He states he felt something wet in his ear and his home healthcare nurse sent him to the hospital.  Ear was inspected and there was just a small excoriation.  When probed deeper, patient stated that he has been progressively worse lung function and difficult time standing to even do self-care.  While speaking to the emergency room physician, he lost peripheral view in the left side.  Stated that this has happened to him the past and resolved.  Consulted Neuro.  Hospital group accepted patient for TIA workup and acute on chronic respiratory failure with hypercapnia in the setting of COVID-19 positive,  acute on chronic heart failure, and a flutter with RVR. Reports that while in the ER, the patient lost left-sided peripheral visual field leaving him with an and NIHSS score of 1. Upon assessment, he had no deficit in vision.  He stated this has happened to him multiple times in the past and quickly resolved.  Working diagnosis, possible TIA in the setting of a history of a CVA without residual effects.  MRI imaging unobtainable related to severe Orthopnea and body habitus.  Carotid Dopplers were performed which did not reveal any significant stenosis.  Follow-up CT scan was negative as was  CTA head and neck.  Neuro felt he may have had a TIA.  Echocardiogram showed reduced ejection fraction.  He was diuresed with intravenous Lasix and made steady improvement.  Oxygen was able to be weaned down to 2 L which is his baseline. His renal function improved. Regarding his COVID he was treated with steroids; he was outside the window for treatment with remdesivir.  It was felt his respiratory symptoms were more likely related to COPD and CHF exacerbations.  It was felt that he needed aggressive diuresis.  Lasix was increased and fluid restriction increase to augment diuresis.  His edema steadily improved and his respiratory function also improved. Patient was discharged home on oral Lasix 40 mg 2 times a day increase from his home dose in stable condition after adequate diuresis.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Procedural failure, Productive cough, Pulmonary function test abnormal, Renal impairment, Respiratory acidosis
Clinical narrative: Hospitalized;  COVID-19 positive;  Fully vaccinated (J&J x1 dose);  started Pfizer series (only 1 dose prior to J&J);  no booster Discharge Provider: MD Primary Care Provider at Discharge:  DO  Admission Date: 2/16/2022 Discharge Date: 2/23/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic respiratory failure with hypercapnia (HCC) [J96.22] HOSPITAL COURSE: Patient is a 67 y.o. male with medical history of stroke without residual deficit suspected possible TIA, cardiomyopathy, heart failure with both systolic and diastolic component, chronic obstructive pulmonary disease, gout, morbid obesity, and is currently in AFib with RVR  presents today with from home with bleeding in his left ear.  He states he felt something wet in his ear and his home healthcare nurse sent him to the hospital.  Ear was inspected and there was just a small excoriation.  When probed deeper, patient stated that he has been progressively worse lung function and difficult time standing to even do self-care.  While speaking to the emergency room physician, he lost peripheral view in the left side.  Stated that this has happened to him the past and resolved.  Consulted Neuro.  Hospital group accepted patient for TIA workup and acute on chronic respiratory failure with hypercapnia in the setting of COVID-19 positive,  acute on chronic heart failure, and a flutter with RVR. Reports that while in the ER, the patient lost left-sided peripheral visual field leaving him with an and NIHSS score of 1. Upon assessment, he had no deficit in vision.  He stated this has happened to him multiple times in the past and quickly resolved.  Working diagnosis, possible TIA in the setting of a history of a CVA without residual effects.  MRI imaging unobtainable related to severe Orthopnea and body habitus.  Carotid Dopplers were performed which did not reveal any significant stenosis.  Follow-up CT scan was negative as was  CTA head and neck.  Neuro felt he may have had a TIA.  Echocardiogram showed reduced ejection fraction.  He was diuresed with intravenous Lasix and made steady improvement.  Oxygen was able to be weaned down to 2 L which is his baseline. His renal function improved. Regarding his COVID he was treated with steroids; he was outside the window for treatment with remdesivir.  It was felt his respiratory symptoms were more likely related to COPD and CHF exacerbations.  It was felt that he needed aggressive diuresis.  Lasix was increased and fluid restriction increase to augment diuresis.  His edema steadily improved and his respiratory function also improved. Patient was discharged home on oral Lasix 40 mg 2 times a day increase from his home dose in stable condition after adequate diuresis.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory symptom, SARS-CoV-2 test positive, Scan with contrast abnormal, Skin abrasion, Ultrasound Doppler normal
Clinical narrative: Hospitalized;  COVID-19 positive;  Fully vaccinated (J&J x1 dose);  started Pfizer series (only 1 dose prior to J&J);  no booster Discharge Provider: MD Primary Care Provider at Discharge:  DO  Admission Date: 2/16/2022 Discharge Date: 2/23/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic respiratory failure with hypercapnia (HCC) [J96.22] HOSPITAL COURSE: Patient is a 67 y.o. male with medical history of stroke without residual deficit suspected possible TIA, cardiomyopathy, heart failure with both systolic and diastolic component, chronic obstructive pulmonary disease, gout, morbid obesity, and is currently in AFib with RVR  presents today with from home with bleeding in his left ear.  He states he felt something wet in his ear and his home healthcare nurse sent him to the hospital.  Ear was inspected and there was just a small excoriation.  When probed deeper, patient stated that he has been progressively worse lung function and difficult time standing to even do self-care.  While speaking to the emergency room physician, he lost peripheral view in the left side.  Stated that this has happened to him the past and resolved.  Consulted Neuro.  Hospital group accepted patient for TIA workup and acute on chronic respiratory failure with hypercapnia in the setting of COVID-19 positive,  acute on chronic heart failure, and a flutter with RVR. Reports that while in the ER, the patient lost left-sided peripheral visual field leaving him with an and NIHSS score of 1. Upon assessment, he had no deficit in vision.  He stated this has happened to him multiple times in the past and quickly resolved.  Working diagnosis, possible TIA in the setting of a history of a CVA without residual effects.  MRI imaging unobtainable related to severe Orthopnea and body habitus.  Carotid Dopplers were performed which did not reveal any significant stenosis.  Follow-up CT scan was negative as was  CTA head and neck.  Neuro felt he may have had a TIA.  Echocardiogram showed reduced ejection fraction.  He was diuresed with intravenous Lasix and made steady improvement.  Oxygen was able to be weaned down to 2 L which is his baseline. His renal function improved. Regarding his COVID he was treated with steroids; he was outside the window for treatment with remdesivir.  It was felt his respiratory symptoms were more likely related to COPD and CHF exacerbations.  It was felt that he needed aggressive diuresis.  Lasix was increased and fluid restriction increase to augment diuresis.  His edema steadily improved and his respiratory function also improved. Patient was discharged home on oral Lasix 40 mg 2 times a day increase from his home dose in stable condition after adequate diuresis.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Visual field defect
Clinical narrative: Hospitalized;  COVID-19 positive;  Fully vaccinated (J&J x1 dose);  started Pfizer series (only 1 dose prior to J&J);  no booster Discharge Provider: MD Primary Care Provider at Discharge:  DO  Admission Date: 2/16/2022 Discharge Date: 2/23/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic respiratory failure with hypercapnia (HCC) [J96.22] HOSPITAL COURSE: Patient is a 67 y.o. male with medical history of stroke without residual deficit suspected possible TIA, cardiomyopathy, heart failure with both systolic and diastolic component, chronic obstructive pulmonary disease, gout, morbid obesity, and is currently in AFib with RVR  presents today with from home with bleeding in his left ear.  He states he felt something wet in his ear and his home healthcare nurse sent him to the hospital.  Ear was inspected and there was just a small excoriation.  When probed deeper, patient stated that he has been progressively worse lung function and difficult time standing to even do self-care.  While speaking to the emergency room physician, he lost peripheral view in the left side.  Stated that this has happened to him the past and resolved.  Consulted Neuro.  Hospital group accepted patient for TIA workup and acute on chronic respiratory failure with hypercapnia in the setting of COVID-19 positive,  acute on chronic heart failure, and a flutter with RVR. Reports that while in the ER, the patient lost left-sided peripheral visual field leaving him with an and NIHSS score of 1. Upon assessment, he had no deficit in vision.  He stated this has happened to him multiple times in the past and quickly resolved.  Working diagnosis, possible TIA in the setting of a history of a CVA without residual effects.  MRI imaging unobtainable related to severe Orthopnea and body habitus.  Carotid Dopplers were performed which did not reveal any significant stenosis.  Follow-up CT scan was negative as was  CTA head and neck.  Neuro felt he may have had a TIA.  Echocardiogram showed reduced ejection fraction.  He was diuresed with intravenous Lasix and made steady improvement.  Oxygen was able to be weaned down to 2 L which is his baseline. His renal function improved. Regarding his COVID he was treated with steroids; he was outside the window for treatment with remdesivir.  It was felt his respiratory symptoms were more likely related to COPD and CHF exacerbations.  It was felt that he needed aggressive diuresis.  Lasix was increased and fluid restriction increase to augment diuresis.  His edema steadily improved and his respiratory function also improved. Patient was discharged home on oral Lasix 40 mg 2 times a day increase from his home dose in stable condition after adequate diuresis.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pharmacy error: The Moderna vaccine with lot#003C21A that was sent out on 11/24/21 to our clinic should've the absolute expiration date of 12/17/21 and not 12/24/21
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chronic kidney disease, Condition aggravated, Glomerular filtration rate decreased, SARS-CoV-2 antibody test positive
Clinical narrative: Full DIsclosure: I am a volunteer patient of a specified state program, thus subject to tests required by them x 3 in a 6 month period. I had tests drawn for SARS - CoV-2 (Covid 19 total antibodies) and all three tests were Negative( Jan//April/July 2021). On July 15,2021 Covid -19 Spike Protein antibody test was Positive with quantitative level of 1360 Comment of "OUT of Range in graph.The Reference  Range was <0.8 null. Being a diabetic with CKD, I am being followed periodically n by an endocrinologist and a nephrologist. I had routine labs drawn in June 2021 in preparation for my July appointment with  nephrologist. My June 11,2021, GFR = 23.7. It had plummeted down from a test I had in March 2021,  NOTE ON ITEM 17: Second Shot was also intramuscular( DROP DOWN DOES NOT WORK)  Continuation of Item !8: Adverse Reaction. In June 2021 , My test was reported as Chronic Kidney Disease,Stage IV. In all the 12 years since my diagnosis of CKD,I was always in Stage III- B. A review of prior tests of GFR are as follows :My GFR= 36.7 in March 2021; GFR=36.7 in December 2020; GFR =33.8 in June 2020.. On the follow up visit , the nephrologist recommended: 1. DC Alendronate and RX Prolia 2. Increase po fluids 3. Suggested vegetarian diet 4. Restrict animal protein 5.Repeat test after one month f/U.  Follow labs are as follows: August 02,2021  GFR=29; Sept 21,2021  GFR= 30.8;  December01,2021  GFR =39.2 It took about 6 months and it was a slow rise of my GFR to the levels before I had the primary series of the Covid vaccines 1&2.. Although clinically, I did not feel a significant change, the effects it had on my GFR scared me to risk another Covid  injection especially since there are no significant studies done on this vaccine done on patients with chronic renal disease.Since my baseline levels of GFRs are already in the 30s, I feel I don't have enough leeways to play around with my already damaged kidneys
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pharmacy error: The Moderna vaccine with lot#003C21A that was sent out on 11/24/21 to our clinic should've the absolute expiration date of 12/17/21 and not 12/24/21
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Deep vein thrombosis, Fibrin D dimer increased, Pain in extremity
Clinical narrative: 2 1/2 weeks after my Moderna 3rd dose my left leg started really hurting just below back of the knee and also my big toe on left foot turned purple. The purple went away, but the pain in the back of my leg got worse and so I went to see a cardiologist and they diagnosed me with DVT. It was a very large blood clot. I went on a blood thinner for 3 months (Eliquis) and in January I saw my doctor again. I got a CT scan as well to rule out any other issues, and my blood test showed D-Dimer improving; showed the blood clot getting better. I got off Eliquis and started taking baby aspirin. However, I got a D-Dimer again on February 24, 2022 and the test came back high indicating that I still have the blood clot. I am sure my doctor is going to put me on Eliquis again and I will probably need to take it for life. I have a follow-up with my doctor tomorrow on 03/01/2022. I also wanted to add, that about five days after my 3rd dose I started taking Prednisone for symptoms. Also, I am not sure if this is relevant or not, but they did give me a full dosage of Moderna for the 3rd dose, it wasn't the typical booster dosage.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Skin discolouration, Thrombosis
Clinical narrative: 2 1/2 weeks after my Moderna 3rd dose my left leg started really hurting just below back of the knee and also my big toe on left foot turned purple. The purple went away, but the pain in the back of my leg got worse and so I went to see a cardiologist and they diagnosed me with DVT. It was a very large blood clot. I went on a blood thinner for 3 months (Eliquis) and in January I saw my doctor again. I got a CT scan as well to rule out any other issues, and my blood test showed D-Dimer improving; showed the blood clot getting better. I got off Eliquis and started taking baby aspirin. However, I got a D-Dimer again on February 24, 2022 and the test came back high indicating that I still have the blood clot. I am sure my doctor is going to put me on Eliquis again and I will probably need to take it for life. I have a follow-up with my doctor tomorrow on 03/01/2022. I also wanted to add, that about five days after my 3rd dose I started taking Prednisone for symptoms. Also, I am not sure if this is relevant or not, but they did give me a full dosage of Moderna for the 3rd dose, it wasn't the typical booster dosage.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pharmacy error: The Moderna vaccine with lot#003C21A that was sent out on 11/24/21 to our clinic should've the absolute expiration date of 12/17/21 and not 12/24/21
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt  came in with multiple family members.  Age missed and inadvertently given adult vaccine when based on age should have been pediatric.  No issues at this time as of this submission.  Talked to Dad
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pharmacy error: The Moderna vaccine with lot#003C21A that was sent out on 11/24/21 to our clinic should've the absolute expiration date of 12/17/21 and not 12/24/21
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaemia, Anaemia of chronic disease, Angiogram pulmonary abnormal, Bone cancer, COVID-19
Clinical narrative: Hospitalized;  COVID-19 positive (2.17.22);  Fully vaccinated PLUS booster Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/17/2022 Discharge Date: 2/23/2022 HISTORY OF PRESENT ILLNESS: HPI: Patient is a 60 y.o. male who initially presented to Hospital with acute sudden onset cehst pain and shortness of breath. He was worked up and found to have right sided PTX. CT surgery contacted for patient transfer and mgmt of chest tube. Patient arrived to ED in stable condition. Right chest tube placed at bedside by ED physician prior to my arrival in ED. Tube placement confirmed in correct position.  Patient denies prior episodes of ptx. Denies hx of heart of lung procedures. Reports smoking history but quit 10 years ago. Denies vape or inhaled marijuana use. He reports acute onset shortness of breath prior to arrival. After chest tube placement reports some improvement in breathing. Denies home O2 use, denies formal pulmonary diagnosis.  Patient is a 60 y.o. male  who initially presented to Hospital with acute sudden onset cehst pain and shortness of breath. He was worked up and found to have right sided PTX. CT surgery contacted for patient transfer and mgmt of chest tube. Patient arrived to in stable condition.     Progress Note from 2.23.22: ASSESSMENT / PLAN: 60yM former smoker with secondary spontaneous right pneumothorax. CT evidence of severe emphysematous disease, bullae. S/P bedside chest tube placement by ED physician 2/17. Chest tube placement confirmed on CXR. Patient in stable condition. - Chest tube removed uneventfully  - General diet, HLIV - Multimodal pain control - COVID precautions - Pulmonary hygiene, OOB, encourage ambulation, IS use Dispo: discharge home today
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray, Chest pain, Chest tube insertion, Chest tube removal, Dyspnoea
Clinical narrative: Hospitalized;  COVID-19 positive (2.17.22);  Fully vaccinated PLUS booster Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/17/2022 Discharge Date: 2/23/2022 HISTORY OF PRESENT ILLNESS: HPI: Patient is a 60 y.o. male who initially presented to Hospital with acute sudden onset cehst pain and shortness of breath. He was worked up and found to have right sided PTX. CT surgery contacted for patient transfer and mgmt of chest tube. Patient arrived to ED in stable condition. Right chest tube placed at bedside by ED physician prior to my arrival in ED. Tube placement confirmed in correct position.  Patient denies prior episodes of ptx. Denies hx of heart of lung procedures. Reports smoking history but quit 10 years ago. Denies vape or inhaled marijuana use. He reports acute onset shortness of breath prior to arrival. After chest tube placement reports some improvement in breathing. Denies home O2 use, denies formal pulmonary diagnosis.  Patient is a 60 y.o. male  who initially presented to Hospital with acute sudden onset cehst pain and shortness of breath. He was worked up and found to have right sided PTX. CT surgery contacted for patient transfer and mgmt of chest tube. Patient arrived to in stable condition.     Progress Note from 2.23.22: ASSESSMENT / PLAN: 60yM former smoker with secondary spontaneous right pneumothorax. CT evidence of severe emphysematous disease, bullae. S/P bedside chest tube placement by ED physician 2/17. Chest tube placement confirmed on CXR. Patient in stable condition. - Chest tube removed uneventfully  - General diet, HLIV - Multimodal pain control - COVID precautions - Pulmonary hygiene, OOB, encourage ambulation, IS use Dispo: discharge home today
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Emphysema, Haemoglobin decreased, Immunosuppression, Infection, Inflammation
Clinical narrative: Hospitalized;  COVID-19 positive (2.17.22);  Fully vaccinated PLUS booster Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/17/2022 Discharge Date: 2/23/2022 HISTORY OF PRESENT ILLNESS: HPI: Patient is a 60 y.o. male who initially presented to Hospital with acute sudden onset cehst pain and shortness of breath. He was worked up and found to have right sided PTX. CT surgery contacted for patient transfer and mgmt of chest tube. Patient arrived to ED in stable condition. Right chest tube placed at bedside by ED physician prior to my arrival in ED. Tube placement confirmed in correct position.  Patient denies prior episodes of ptx. Denies hx of heart of lung procedures. Reports smoking history but quit 10 years ago. Denies vape or inhaled marijuana use. He reports acute onset shortness of breath prior to arrival. After chest tube placement reports some improvement in breathing. Denies home O2 use, denies formal pulmonary diagnosis.  Patient is a 60 y.o. male  who initially presented to Hospital with acute sudden onset cehst pain and shortness of breath. He was worked up and found to have right sided PTX. CT surgery contacted for patient transfer and mgmt of chest tube. Patient arrived to in stable condition.     Progress Note from 2.23.22: ASSESSMENT / PLAN: 60yM former smoker with secondary spontaneous right pneumothorax. CT evidence of severe emphysematous disease, bullae. S/P bedside chest tube placement by ED physician 2/17. Chest tube placement confirmed on CXR. Patient in stable condition. - Chest tube removed uneventfully  - General diet, HLIV - Multimodal pain control - COVID precautions - Pulmonary hygiene, OOB, encourage ambulation, IS use Dispo: discharge home today
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pneumothorax, SARS-CoV-2 test positive, Surgery, White blood cell count decreased
Clinical narrative: Hospitalized;  COVID-19 positive (2.17.22);  Fully vaccinated PLUS booster Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/17/2022 Discharge Date: 2/23/2022 HISTORY OF PRESENT ILLNESS: HPI: Patient is a 60 y.o. male who initially presented to Hospital with acute sudden onset cehst pain and shortness of breath. He was worked up and found to have right sided PTX. CT surgery contacted for patient transfer and mgmt of chest tube. Patient arrived to ED in stable condition. Right chest tube placed at bedside by ED physician prior to my arrival in ED. Tube placement confirmed in correct position.  Patient denies prior episodes of ptx. Denies hx of heart of lung procedures. Reports smoking history but quit 10 years ago. Denies vape or inhaled marijuana use. He reports acute onset shortness of breath prior to arrival. After chest tube placement reports some improvement in breathing. Denies home O2 use, denies formal pulmonary diagnosis.  Patient is a 60 y.o. male  who initially presented to Hospital with acute sudden onset cehst pain and shortness of breath. He was worked up and found to have right sided PTX. CT surgery contacted for patient transfer and mgmt of chest tube. Patient arrived to in stable condition.     Progress Note from 2.23.22: ASSESSMENT / PLAN: 60yM former smoker with secondary spontaneous right pneumothorax. CT evidence of severe emphysematous disease, bullae. S/P bedside chest tube placement by ED physician 2/17. Chest tube placement confirmed on CXR. Patient in stable condition. - Chest tube removed uneventfully  - General diet, HLIV - Multimodal pain control - COVID precautions - Pulmonary hygiene, OOB, encourage ambulation, IS use Dispo: discharge home today
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pharmacy error: The Moderna vaccine with lot#003C21A that was sent out on 11/24/21 to our clinic should've the absolute expiration date of 12/17/21 and not 12/24/21
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pharmacy error: The Moderna vaccine with lot#003C21A that was sent out on 11/24/21 to our clinic should've the absolute expiration date of 12/17/21 and not 12/24/21
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tic
Clinical narrative: Patient has had intermittent vocal tics (throat clearing) since age 5.5. It waxed and waned and was not bothersome for her. Approximately 10-12 days after the second dose of the vaccine, she had a sudden onset of a complex motor tic, which has become problematic to the point that she asked for help because she 'cannot stop doing this even though she doesn't want to'. The tic involves facial and large muscle groups and is nearly constant through the day. Parents believe there is a temporal association with the vaccine and the onset of the more severe and disruptive tic.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic shock, Chest discomfort, Dyspnoea, Erythema, Gait inability
Clinical narrative: 11 Days after receiving the Moderna booster on 2/12/22 I woke up with red hives on both of my arms. Went to medical facility, got the usual questions about allergies or any new substances I may have used. Not a single change in my lifestyle except for this booster. Was prescribed Benadryl, but the hives spread all over my body the next morning. I then went on 50 mg of Prednisone a day, which calmed down the hives, but did not help. They then moved to my face, scalp, and honestly all over my entire body. On day 14 after the booster, I went into anaphylactic shock. Feet were swollen to the point where I could not walk, hives were all over my face and chest, heart was beating irregularly, chest was tight, lips were itching, and I was having trouble breathing. I went to the ER, where they gave me a mixture of Benadryl, Famotidine, and Prednisone. Was released after a few hours, but the next day, about an hour before my next dose of meds were due, my hives came back on my face, chest, and neck, and my throat became wheezy and tight again. I have never had an allergic reaction to anything in my life, and now I appear to be having one every 24 hours, even with these meds. The only plausible factor that I can attach this to would be the booster. I was also tested for 18 viral strains in the ER, but all of them were negative.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, Lip pruritus, Peripheral swelling, Throat tightness, Urticaria
Clinical narrative: 11 Days after receiving the Moderna booster on 2/12/22 I woke up with red hives on both of my arms. Went to medical facility, got the usual questions about allergies or any new substances I may have used. Not a single change in my lifestyle except for this booster. Was prescribed Benadryl, but the hives spread all over my body the next morning. I then went on 50 mg of Prednisone a day, which calmed down the hives, but did not help. They then moved to my face, scalp, and honestly all over my entire body. On day 14 after the booster, I went into anaphylactic shock. Feet were swollen to the point where I could not walk, hives were all over my face and chest, heart was beating irregularly, chest was tight, lips were itching, and I was having trouble breathing. I went to the ER, where they gave me a mixture of Benadryl, Famotidine, and Prednisone. Was released after a few hours, but the next day, about an hour before my next dose of meds were due, my hives came back on my face, chest, and neck, and my throat became wheezy and tight again. I have never had an allergic reaction to anything in my life, and now I appear to be having one every 24 hours, even with these meds. The only plausible factor that I can attach this to would be the booster. I was also tested for 18 viral strains in the ER, but all of them were negative.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Viral test negative, Wheezing
Clinical narrative: 11 Days after receiving the Moderna booster on 2/12/22 I woke up with red hives on both of my arms. Went to medical facility, got the usual questions about allergies or any new substances I may have used. Not a single change in my lifestyle except for this booster. Was prescribed Benadryl, but the hives spread all over my body the next morning. I then went on 50 mg of Prednisone a day, which calmed down the hives, but did not help. They then moved to my face, scalp, and honestly all over my entire body. On day 14 after the booster, I went into anaphylactic shock. Feet were swollen to the point where I could not walk, hives were all over my face and chest, heart was beating irregularly, chest was tight, lips were itching, and I was having trouble breathing. I went to the ER, where they gave me a mixture of Benadryl, Famotidine, and Prednisone. Was released after a few hours, but the next day, about an hour before my next dose of meds were due, my hives came back on my face, chest, and neck, and my throat became wheezy and tight again. I have never had an allergic reaction to anything in my life, and now I appear to be having one every 24 hours, even with these meds. The only plausible factor that I can attach this to would be the booster. I was also tested for 18 viral strains in the ER, but all of them were negative.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pharmacy error: The Moderna vaccine with lot#003C21A that was sent out on 11/24/21 to our clinic should've the absolute expiration date of 12/17/21 and not 12/24/21
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Headache, Magnetic resonance imaging, Migraine
Clinical narrative: Migranes and regular headches almost every day
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: I lost taste and smell of some things. It has not gotten any better with time. It has now been almost a year and the loss continues.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pharmacy error: The Moderna vaccine with lot#003C21A that was sent out on 11/24/21 to our clinic should've the absolute expiration date of 12/17/21 and not 12/24/21
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: I went into the pharmacy to receive my 2nd COVID vaccine. I handed the healthcare worker my vaccination card and waited in the designated waiting area. He came out and said I would be getting Pfizer. I remember asking him if that was allowed since my first dose was Moderna. He said yes. he administered the dose in my right arm and signed my vaccination card and I left. This was on 09/24/ 2021. Today, 02/28/22, I went into a pharmacy at a different location and was ready to receive my booster shot. I waited in the designated waiting area, and when it was time to receive the vaccination, she looked at my vaccination card once more and said she had never seen someone come in with two different doses for the first two COVID vaccines. She asked me to wait while she spoke with the pharmacist. She came back and told me that she cannot administer the booster shot because she believes there was a medication error with my first two doses. She advised me to speak with my doctor.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder, Fatigue, Hyperhidrosis, Tremor
Clinical narrative: Within 4 minutes of vaccine administration- (post well care) pt's grandmother was yelling for help from the exam room. Grandma reports patient complained he was dizzy and thought he might pass out but thought it was due to fear of needles. Within a couple seconds of saying  that he started having body shakes and eyes rolled back in his head for about 1-2 seconds. He then snapped out of it according to grandma and started vomiting. Patient's vitals were then checked- within normal for his age and NP performed exam. Diaphoresis noted and some fatigue but was responsive and alert. Ice pack placed to chest, vitals and physical exam completed x2 after that at 15 minute intervals and within normal findings. Patient's mom was at the clinic by then and was able to be sent home with strict instructions regarding ER protocols. Printed information about myocardititis and MIS-C. Instructed patient he may not participate in tennis or any strenuous activity.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Within 4 minutes of vaccine administration- (post well care) pt's grandmother was yelling for help from the exam room. Grandma reports patient complained he was dizzy and thought he might pass out but thought it was due to fear of needles. Within a couple seconds of saying  that he started having body shakes and eyes rolled back in his head for about 1-2 seconds. He then snapped out of it according to grandma and started vomiting. Patient's vitals were then checked- within normal for his age and NP performed exam. Diaphoresis noted and some fatigue but was responsive and alert. Ice pack placed to chest, vitals and physical exam completed x2 after that at 15 minute intervals and within normal findings. Patient's mom was at the clinic by then and was able to be sent home with strict instructions regarding ER protocols. Printed information about myocardititis and MIS-C. Instructed patient he may not participate in tennis or any strenuous activity.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Urticaria
Clinical narrative: Urticaria daily ranging from mild to severe. Now on antihistamines daily which do not eliminate the hives but occasionally minimize the severity. The hives did not start until after the second Moderna vaccine. I have no previous history of urticaria.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Epistaxis, Feeling abnormal, Heart rate increased, Insomnia
Clinical narrative: A day and a half after the booster I started experiencing ringing in both ears that has continued to grow louder as the weeks passed. I suddenly started getting mild bloody noses after I blew my nose every day. Extreme insomia set in. And if I did fall asleep I woke up with a rapid heart beat. I started experiencing anxiety with the constant noise and withdraul from people. I do not feel like the same person any more. All of these symptims are still with me almost 2 months later. I have tried Corticosteroid for the ringing in my ears as well as perscription Corticosteroid ear drops. I have a referral to see an ENT Dr in July. But so far nothing has helped give me any relief.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: A day and a half after the booster I started experiencing ringing in both ears that has continued to grow louder as the weeks passed. I suddenly started getting mild bloody noses after I blew my nose every day. Extreme insomia set in. And if I did fall asleep I woke up with a rapid heart beat. I started experiencing anxiety with the constant noise and withdraul from people. I do not feel like the same person any more. All of these symptims are still with me almost 2 months later. I have tried Corticosteroid for the ringing in my ears as well as perscription Corticosteroid ear drops. I have a referral to see an ENT Dr in July. But so far nothing has helped give me any relief.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Joint range of motion decreased, Neck pain, Pain, Pain in extremity
Clinical narrative: Patient stated she had radiating pain from her arm to her neck and jaw and then down her arm.  Patient stated that she could not move her arm for 2 weeks.  She stated that she went to the doctor's office and he said that the shot was given too high.  The patient did show me a bruise on her left arm that was high on her arm, near the top of her shoulder.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in jaw, Product administered at inappropriate site
Clinical narrative: Patient stated she had radiating pain from her arm to her neck and jaw and then down her arm.  Patient stated that she could not move her arm for 2 weeks.  She stated that she went to the doctor's office and he said that the shot was given too high.  The patient did show me a bruise on her left arm that was high on her arm, near the top of her shoulder.
Age: 1.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Extra dose administered, Pyrexia, Wrong product administered
Clinical narrative: Pt was given an extra dose of Pediarix instead of HepA#2. Pt has low grade fever, no other symptoms or treatments.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Feeling abnormal, Peripheral swelling
Clinical narrative: Brain Fog, Exercise intolerance, increased swelling to R lower leg  since the vaccines
Age: 1.25
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Wrong product administered
Clinical narrative: Incorrect vaccines given to patient.  This error was due to a language barrier and improper double checking/understanding  of patient identifiers.   Follow up by provider at time of incident, a telephone call/discussion later that afternoon and again 2 days latter.  Mother reported no abnormal signs or symptoms.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Inflammation, Injected limb mobility decreased, Mobility decreased, Pain
Clinical narrative: Extreme pain in the shoulder joint and total immobility of the left shoulder. NSAIDs  would not  ease the pain. Required a cortisone shot in the left shoulder joint to relieve pain, inflammation and immobility.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: X-ray limb abnormal
Clinical narrative: Extreme pain in the shoulder joint and total immobility of the left shoulder. NSAIDs  would not  ease the pain. Required a cortisone shot in the left shoulder joint to relieve pain, inflammation and immobility.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Haematology test normal, Heavy menstrual bleeding, Laboratory test normal, Menstruation irregular, Ultrasound pelvis normal
Clinical narrative: First period on 9/11/21. Bled for 2 days. Then 15 days later started her next period. Doesn't remember how many days she bled. Got COVID vaccine dose 1 on 11/13/2021. 11/18/21 - bled for 2 days. 12/15/21 - started with heavy menstrual bleeding  - soaking a pad every 1-2 hours. Have had difficulty getting the bleeding to stop despite high dose OCP.  Evaluated by labs for bleeding disorders - labs normal, hematology evaluated and agreed no sign of underlying bleeding disorder. Normal pelvic ultrasound but with endometrial thickening. Awaiting input from GYN on next steps at this point.   No hospitalization required. Normal vitals. No anemia on labs.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Headache, Insomnia, Pain
Clinical narrative: Headache, Body aches, fever, diarrhea for 3 days no energy and sleepless nights