chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Fibrin D dimer, Glomerular filtration rate, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: 85 Y male with PHMx significant for HTN, DM2, HLD, peripheral neuropathy, PVD, Charcot's arthropathy, prior coccidioidal infection in 2010, E. coli urosepsis 2016, history of right foot MRSA osteomyelitis status post I&D and partial ray amputation, chronic low back pain who presented to the ED on 9/5/2021 after a mechanical fall and increased weakness, found to be Covid positive. In ED, was desatting to 88% on RA so placed on 2 L NC. Pt placed on isolation and started on remdesivir 5 days (9/6-9/10). Pt's covid pneumonia improved during his stay and was able to be weaned to room air without complications. However pt developed Group G strep bacteremia and continued to have leukocytosis and elevated inflammatory markers despite clinical improvement of covid pneumonia so suspected secondary source of infection. Pt started on vanc/ceftriaxone. MRI lumbar spine was done because pt was complaining of acute on chronic low back pain which was significant for T10-L4 spine osteomyelitis. Per discussion w/ ID, recommended continuing ceftriaxone IV for 6 weeks, to finish 10/17. Vanc dc'd. Pt also developed afib so started on pradaxa. Pt was also working with physical therapy but was limited by lower back pain and will need continued physical therapy at SNF. While patient was in hospital he was seen by urology for phimosis and urinary retention for which foley was placed. O/P urology referral sent. Pt safely discharged to SNF.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Immature granulocyte count, Inflammatory marker increased, Leukocytosis, Lymphocyte percentage decreased, Magnetic resonance imaging spinal abnormal
Clinical narrative: 85 Y male with PHMx significant for HTN, DM2, HLD, peripheral neuropathy, PVD, Charcot's arthropathy, prior coccidioidal infection in 2010, E. coli urosepsis 2016, history of right foot MRSA osteomyelitis status post I&D and partial ray amputation, chronic low back pain who presented to the ED on 9/5/2021 after a mechanical fall and increased weakness, found to be Covid positive. In ED, was desatting to 88% on RA so placed on 2 L NC. Pt placed on isolation and started on remdesivir 5 days (9/6-9/10). Pt's covid pneumonia improved during his stay and was able to be weaned to room air without complications. However pt developed Group G strep bacteremia and continued to have leukocytosis and elevated inflammatory markers despite clinical improvement of covid pneumonia so suspected secondary source of infection. Pt started on vanc/ceftriaxone. MRI lumbar spine was done because pt was complaining of acute on chronic low back pain which was significant for T10-L4 spine osteomyelitis. Per discussion w/ ID, recommended continuing ceftriaxone IV for 6 weeks, to finish 10/17. Vanc dc'd. Pt also developed afib so started on pradaxa. Pt was also working with physical therapy but was limited by lower back pain and will need continued physical therapy at SNF. While patient was in hospital he was seen by urology for phimosis and urinary retention for which foley was placed. O/P urology referral sent. Pt safely discharged to SNF.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume normal, Monocyte percentage, Neutrophil percentage increased, Osteomyelitis, Oxygen saturation decreased
Clinical narrative: 85 Y male with PHMx significant for HTN, DM2, HLD, peripheral neuropathy, PVD, Charcot's arthropathy, prior coccidioidal infection in 2010, E. coli urosepsis 2016, history of right foot MRSA osteomyelitis status post I&D and partial ray amputation, chronic low back pain who presented to the ED on 9/5/2021 after a mechanical fall and increased weakness, found to be Covid positive. In ED, was desatting to 88% on RA so placed on 2 L NC. Pt placed on isolation and started on remdesivir 5 days (9/6-9/10). Pt's covid pneumonia improved during his stay and was able to be weaned to room air without complications. However pt developed Group G strep bacteremia and continued to have leukocytosis and elevated inflammatory markers despite clinical improvement of covid pneumonia so suspected secondary source of infection. Pt started on vanc/ceftriaxone. MRI lumbar spine was done because pt was complaining of acute on chronic low back pain which was significant for T10-L4 spine osteomyelitis. Per discussion w/ ID, recommended continuing ceftriaxone IV for 6 weeks, to finish 10/17. Vanc dc'd. Pt also developed afib so started on pradaxa. Pt was also working with physical therapy but was limited by lower back pain and will need continued physical therapy at SNF. While patient was in hospital he was seen by urology for phimosis and urinary retention for which foley was placed. O/P urology referral sent. Pt safely discharged to SNF.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Phimosis, Platelet count normal, Red blood cell count decreased, Red cell distribution width increased, Serum ferritin increased
Clinical narrative: 85 Y male with PHMx significant for HTN, DM2, HLD, peripheral neuropathy, PVD, Charcot's arthropathy, prior coccidioidal infection in 2010, E. coli urosepsis 2016, history of right foot MRSA osteomyelitis status post I&D and partial ray amputation, chronic low back pain who presented to the ED on 9/5/2021 after a mechanical fall and increased weakness, found to be Covid positive. In ED, was desatting to 88% on RA so placed on 2 L NC. Pt placed on isolation and started on remdesivir 5 days (9/6-9/10). Pt's covid pneumonia improved during his stay and was able to be weaned to room air without complications. However pt developed Group G strep bacteremia and continued to have leukocytosis and elevated inflammatory markers despite clinical improvement of covid pneumonia so suspected secondary source of infection. Pt started on vanc/ceftriaxone. MRI lumbar spine was done because pt was complaining of acute on chronic low back pain which was significant for T10-L4 spine osteomyelitis. Per discussion w/ ID, recommended continuing ceftriaxone IV for 6 weeks, to finish 10/17. Vanc dc'd. Pt also developed afib so started on pradaxa. Pt was also working with physical therapy but was limited by lower back pain and will need continued physical therapy at SNF. While patient was in hospital he was seen by urology for phimosis and urinary retention for which foley was placed. O/P urology referral sent. Pt safely discharged to SNF.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary retention, White blood cell count increased
Clinical narrative: 85 Y male with PHMx significant for HTN, DM2, HLD, peripheral neuropathy, PVD, Charcot's arthropathy, prior coccidioidal infection in 2010, E. coli urosepsis 2016, history of right foot MRSA osteomyelitis status post I&D and partial ray amputation, chronic low back pain who presented to the ED on 9/5/2021 after a mechanical fall and increased weakness, found to be Covid positive. In ED, was desatting to 88% on RA so placed on 2 L NC. Pt placed on isolation and started on remdesivir 5 days (9/6-9/10). Pt's covid pneumonia improved during his stay and was able to be weaned to room air without complications. However pt developed Group G strep bacteremia and continued to have leukocytosis and elevated inflammatory markers despite clinical improvement of covid pneumonia so suspected secondary source of infection. Pt started on vanc/ceftriaxone. MRI lumbar spine was done because pt was complaining of acute on chronic low back pain which was significant for T10-L4 spine osteomyelitis. Per discussion w/ ID, recommended continuing ceftriaxone IV for 6 weeks, to finish 10/17. Vanc dc'd. Pt also developed afib so started on pradaxa. Pt was also working with physical therapy but was limited by lower back pain and will need continued physical therapy at SNF. While patient was in hospital he was seen by urology for phimosis and urinary retention for which foley was placed. O/P urology referral sent. Pt safely discharged to SNF.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Onset of paresthesia from the knees down - bilaterally.  Onset 24 hours after receiving the Covid-19 vaccine.  The paresthesia lasted for 2 weeks.  I did not experience any weakness in the lower legs - only paresthesia.  The paresthesia then resolved after 2 weeks and has not recurred.  No other symptoms; only the paresthesia.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Shock, Urticaria
Clinical narrative: FULL BODY HIVES STEROIDS XOLAR IMENO THERAPHY SHOCK EPHY PEN
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Heart rate increased, Nausea, Rhinorrhoea, Tremor
Clinical narrative: Dizziness, nausea, excessive mucus, rapid heartbeat, shaking
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes, Skin papilloma
Clinical narrative: Worst outbreak of cold sores since initial breakout over 40 years. Also, developed a Plantar Wart on foot that will not heal and will need to be surgically removed.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Incorrect vaccine given to patient.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt school would not let him return without a meningococcal vaccination. Meningococcal vaccination given to patient. When patient's report was printed, it showed Pt received meningococcal vaccination 08/11/2020. Per CDC site, patient should get booster between ages 16-18. Mr Krug is 4 months away from 16th birthday.  Pt  was discharged without reaction. Will patient need booster between ages 16-18?
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough - SOB, chest pain
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: Severe and extremely painful sore throat for 7 days, accompanied by no other symptoms.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac telemetry, Dizziness, Nausea, Supraventricular tachycardia, Tachycardia
Clinical narrative: Pt went into SVT, nauseated, tachycardic, dizzy.  Pt also reported after she received her first dose of vaccine in July she had irregular heartbeat and smart watch picked up A-fib.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Dyskinesia, Erythema
Clinical narrative: hands are hard to control, cant screw light bulb, arm dark red,
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Fatigue, SARS-CoV-2 test negative
Clinical narrative: Repeated vomiting and diarrhea Stomach cramps Stomach aches Chills Fatigue  I called the doctor on the phone. They recommended for her to go to Urgent Care. She was given a prescription of Zofran.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Repeated vomiting and diarrhea Stomach cramps Stomach aches Chills Fatigue  I called the doctor on the phone. They recommended for her to go to Urgent Care. She was given a prescription of Zofran.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Vaginal haemorrhage
Clinical narrative: Pt has been bleeding on and off since 6/14/2021. These are normal flows, with menstrual cramps during the first couple of days of bleeding. Pt says she has been taking iron supplements to prevent anemia.   Up until receiving her second Covid vaccine, her periods were regular and considerably less painful; she credits the bioidentical hormones for reducing her period pain.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Impaired work ability, Menstruation irregular, Muscle spasms, Myalgia
Clinical narrative: Upon first vaccine had mild nausea and fatigue. Upon 2nd dose within 3 days had lower back pain that progressed to extreme muscle pain under the right shoulder blade that radiated down to the elbow and wrist. This came with muscle spasms to the area that was relived with chiropractic treatment.  The pain persisted and I continued the chiropractic treatment with no further relief of the pain and missed days of work due to this. I would apply ice and heat to the area and wore a compression brace on my elbow. I went to massage therapy twice that relived the pain successfully. This complaint lasted 6 weeks from the dose of my second COVID 19 vaccination shot. My next mensural cycle was 3 weeks later than expected and lighter with continual bleeding for at least 2 weeks and still on-going at the date of this report.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oligomenorrhoea
Clinical narrative: Upon first vaccine had mild nausea and fatigue. Upon 2nd dose within 3 days had lower back pain that progressed to extreme muscle pain under the right shoulder blade that radiated down to the elbow and wrist. This came with muscle spasms to the area that was relived with chiropractic treatment.  The pain persisted and I continued the chiropractic treatment with no further relief of the pain and missed days of work due to this. I would apply ice and heat to the area and wore a compression brace on my elbow. I went to massage therapy twice that relived the pain successfully. This complaint lasted 6 weeks from the dose of my second COVID 19 vaccination shot. My next mensural cycle was 3 weeks later than expected and lighter with continual bleeding for at least 2 weeks and still on-going at the date of this report.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Myalgia, Myositis
Clinical narrative: I had same symptoms as when I had strain COVID19 in 4/2020; but with vaccine I had more pronounced/higher fevers and worse fatigue/myalgias/myositis. fever to 103.5 lasted until 9/14 when defervesced with RTC tylenol.   chills lasted until 9/15 nausea and vomiting/anorexia lasted until 9/14 treated with zofran myalgias/myositis lasted until 9/17-18 treated with RTC tylenol headache lasted until 9/15 and resolved with tylenol fatigue lasted until 9/15
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: I had same symptoms as when I had strain COVID19 in 4/2020; but with vaccine I had more pronounced/higher fevers and worse fatigue/myalgias/myositis. fever to 103.5 lasted until 9/14 when defervesced with RTC tylenol.   chills lasted until 9/15 nausea and vomiting/anorexia lasted until 9/14 treated with zofran myalgias/myositis lasted until 9/17-18 treated with RTC tylenol headache lasted until 9/15 and resolved with tylenol fatigue lasted until 9/15
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Cough, Electrocardiogram
Clinical narrative: woke up 9 aug2021, coughed all night , different from usual, no temperature. Did covid test and was positive. I coughed and got weaker. Called doctor on Tuesday, got antibiotics, Pt wanted infusions. On wed, I could barely function. Went to ER. Infusion on the 8th of having covid.  Now tested negative and still not well.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, SARS-CoV-2 test positive
Clinical narrative: woke up 9 aug2021, coughed all night , different from usual, no temperature. Did covid test and was positive. I coughed and got weaker. Called doctor on Tuesday, got antibiotics, Pt wanted infusions. On wed, I could barely function. Went to ER. Infusion on the 8th of having covid.  Now tested negative and still not well.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient requested Moderna, Pfizer administered.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Computerised tomogram head abnormal, Condition aggravated, Cough
Clinical narrative: 56 year old female who presents to ER for right sided weakness. Pt states symptoms began about 2 days ago. She noticed numbness/tingling in right hand with weakness that have since gradually worsened. Last night she noticed difficulty talking and numbness/tingling on right side of face. She is having a hard time eating due to not being able to feel her teeth. She states she has an occasional cough after eating/swallowing. She has had occasional headaches over the last 2 days as well which is not new for her but she has not had headaches recently. Pt has a history of MS and is unable to move or feel LEs, cannot move Lt UE. Denies fever, vision changes, sore throat, chest pain, SOB, abdominal pain, N/V, bowel changes, urinary symptoms. Pt is fully vaccinated for COVID, got booster last week. Patient sent to CT for CT of head without contrast, negative for acute findings with nonspecific periventricular white matter changes, recommend MRI for further work-up.  Lab work is within normal limits.  UA is pending.  EKG and initial troponin are negative for ACS.  At this time, I consulted with neurology where the patient states she sees a Dr.  Although Dr. says it has been several years since they have seen her.  Dr. recommended an MRI with contrast to evaluate for new MS lesions and IV steroids.  Plan is to admit the patient acute for IV steroids until she can get an MRI here.  Will empirically treat the patient for an exacerbation of her multiple sclerosis with IV methylprednisolone 1 g daily.  Plan to have a swallow study done due to coughing after eating as well as physical therapy and Occupational Therapy evaluations.  Patient will need close observation for worsening of symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Headache, Hemiparesis, Hypoaesthesia, Hypoaesthesia teeth
Clinical narrative: 56 year old female who presents to ER for right sided weakness. Pt states symptoms began about 2 days ago. She noticed numbness/tingling in right hand with weakness that have since gradually worsened. Last night she noticed difficulty talking and numbness/tingling on right side of face. She is having a hard time eating due to not being able to feel her teeth. She states she has an occasional cough after eating/swallowing. She has had occasional headaches over the last 2 days as well which is not new for her but she has not had headaches recently. Pt has a history of MS and is unable to move or feel LEs, cannot move Lt UE. Denies fever, vision changes, sore throat, chest pain, SOB, abdominal pain, N/V, bowel changes, urinary symptoms. Pt is fully vaccinated for COVID, got booster last week. Patient sent to CT for CT of head without contrast, negative for acute findings with nonspecific periventricular white matter changes, recommend MRI for further work-up.  Lab work is within normal limits.  UA is pending.  EKG and initial troponin are negative for ACS.  At this time, I consulted with neurology where the patient states she sees a Dr.  Although Dr. says it has been several years since they have seen her.  Dr. recommended an MRI with contrast to evaluate for new MS lesions and IV steroids.  Plan is to admit the patient acute for IV steroids until she can get an MRI here.  Will empirically treat the patient for an exacerbation of her multiple sclerosis with IV methylprednisolone 1 g daily.  Plan to have a swallow study done due to coughing after eating as well as physical therapy and Occupational Therapy evaluations.  Patient will need close observation for worsening of symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Magnetic resonance imaging head, Multiple sclerosis relapse, Muscular weakness, Paraesthesia
Clinical narrative: 56 year old female who presents to ER for right sided weakness. Pt states symptoms began about 2 days ago. She noticed numbness/tingling in right hand with weakness that have since gradually worsened. Last night she noticed difficulty talking and numbness/tingling on right side of face. She is having a hard time eating due to not being able to feel her teeth. She states she has an occasional cough after eating/swallowing. She has had occasional headaches over the last 2 days as well which is not new for her but she has not had headaches recently. Pt has a history of MS and is unable to move or feel LEs, cannot move Lt UE. Denies fever, vision changes, sore throat, chest pain, SOB, abdominal pain, N/V, bowel changes, urinary symptoms. Pt is fully vaccinated for COVID, got booster last week. Patient sent to CT for CT of head without contrast, negative for acute findings with nonspecific periventricular white matter changes, recommend MRI for further work-up.  Lab work is within normal limits.  UA is pending.  EKG and initial troponin are negative for ACS.  At this time, I consulted with neurology where the patient states she sees a Dr.  Although Dr. says it has been several years since they have seen her.  Dr. recommended an MRI with contrast to evaluate for new MS lesions and IV steroids.  Plan is to admit the patient acute for IV steroids until she can get an MRI here.  Will empirically treat the patient for an exacerbation of her multiple sclerosis with IV methylprednisolone 1 g daily.  Plan to have a swallow study done due to coughing after eating as well as physical therapy and Occupational Therapy evaluations.  Patient will need close observation for worsening of symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Speech disorder, Troponin normal, Ultrasound Doppler, Urine analysis, White matter lesion
Clinical narrative: 56 year old female who presents to ER for right sided weakness. Pt states symptoms began about 2 days ago. She noticed numbness/tingling in right hand with weakness that have since gradually worsened. Last night she noticed difficulty talking and numbness/tingling on right side of face. She is having a hard time eating due to not being able to feel her teeth. She states she has an occasional cough after eating/swallowing. She has had occasional headaches over the last 2 days as well which is not new for her but she has not had headaches recently. Pt has a history of MS and is unable to move or feel LEs, cannot move Lt UE. Denies fever, vision changes, sore throat, chest pain, SOB, abdominal pain, N/V, bowel changes, urinary symptoms. Pt is fully vaccinated for COVID, got booster last week. Patient sent to CT for CT of head without contrast, negative for acute findings with nonspecific periventricular white matter changes, recommend MRI for further work-up.  Lab work is within normal limits.  UA is pending.  EKG and initial troponin are negative for ACS.  At this time, I consulted with neurology where the patient states she sees a Dr.  Although Dr. says it has been several years since they have seen her.  Dr. recommended an MRI with contrast to evaluate for new MS lesions and IV steroids.  Plan is to admit the patient acute for IV steroids until she can get an MRI here.  Will empirically treat the patient for an exacerbation of her multiple sclerosis with IV methylprednisolone 1 g daily.  Plan to have a swallow study done due to coughing after eating as well as physical therapy and Occupational Therapy evaluations.  Patient will need close observation for worsening of symptoms.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Lip swelling, Pharyngeal swelling
Clinical narrative: within 5mins after shot back of her throat started to feel like they was swelling, numbness on left side of face, lips became swollen
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Blood test, Chest X-ray abnormal, Chest discomfort
Clinical narrative: On 8/28 I  went to bed woke up with a fever 103.4, went and got a covid test. I woke up on Monday 8/30, I couldn't do anything but get up and go to the bathroom and lay back down. I slept 16-20 hours a day. We monitored my oxygen levels. I was trying to get into an infusion center. Finally on 09/03 my private doctor got me into an infusion center. It was monoclonal antibody therapy infusion. I maintained a fever that week. I couldn't keep food down, just lived on water and pedialyte. Saturday morning 9/4 I woke up and felt better and walked outside and came in and felt my lungs were glued together, I could not intake air and my oxygen levels were at 86%. I went to the ER, they immediately gave me a chest xray, put on oxygen, found out I had pneumonia in bottom of both lungs. I was admitted to the hospital and released on 09/10. In the hospital I developed AFIB. They had me on steroids for the pneumonia, and then I was given medication for the AFIB and a blood thinner as well. I am still currently taking medication for the AFIB and blood thinners and being monitored for that for 30 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypersomnia, Inflammatory marker increased, Oxygen saturation decreased, Pneumonia
Clinical narrative: On 8/28 I  went to bed woke up with a fever 103.4, went and got a covid test. I woke up on Monday 8/30, I couldn't do anything but get up and go to the bathroom and lay back down. I slept 16-20 hours a day. We monitored my oxygen levels. I was trying to get into an infusion center. Finally on 09/03 my private doctor got me into an infusion center. It was monoclonal antibody therapy infusion. I maintained a fever that week. I couldn't keep food down, just lived on water and pedialyte. Saturday morning 9/4 I woke up and felt better and walked outside and came in and felt my lungs were glued together, I could not intake air and my oxygen levels were at 86%. I went to the ER, they immediately gave me a chest xray, put on oxygen, found out I had pneumonia in bottom of both lungs. I was admitted to the hospital and released on 09/10. In the hospital I developed AFIB. They had me on steroids for the pneumonia, and then I was given medication for the AFIB and a blood thinner as well. I am still currently taking medication for the AFIB and blood thinners and being monitored for that for 30 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, Somnolence, Vomiting, White blood cell disorder
Clinical narrative: On 8/28 I  went to bed woke up with a fever 103.4, went and got a covid test. I woke up on Monday 8/30, I couldn't do anything but get up and go to the bathroom and lay back down. I slept 16-20 hours a day. We monitored my oxygen levels. I was trying to get into an infusion center. Finally on 09/03 my private doctor got me into an infusion center. It was monoclonal antibody therapy infusion. I maintained a fever that week. I couldn't keep food down, just lived on water and pedialyte. Saturday morning 9/4 I woke up and felt better and walked outside and came in and felt my lungs were glued together, I could not intake air and my oxygen levels were at 86%. I went to the ER, they immediately gave me a chest xray, put on oxygen, found out I had pneumonia in bottom of both lungs. I was admitted to the hospital and released on 09/10. In the hospital I developed AFIB. They had me on steroids for the pneumonia, and then I was given medication for the AFIB and a blood thinner as well. I am still currently taking medication for the AFIB and blood thinners and being monitored for that for 30 days.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: The vaccinator was administering the COVID-19 Pfizer vaccine that was drawn up in a vanishing point needle (VanishPoint Syringe), nurse injected into the left deltoid, pushed on the plunger and the needle malfunctioned. He states that the needle immediately retracted and shot the vaccine onto the skin of the patient. It was determined by the clinical team that >50% of the vaccine was not adminitered into the deltoid. Per CDC guildelines and DOH guidelines, if there is a lower than authorized dose volume administration error due to equipment failure and >50% of the vaccine is not administered or it is unable to be determined how much was administered, then it is recommended to administer the authorized dose in the opposite arm.  For this patient, 0.3 mL of the Pfizer vaccine (Lot #EW0185) was administered into the Right Deltoid. Patient was observed for an additional 30 minutes to an abundance of caution. Patient understoof and agreed with the plan. He attested and agreed with the recommedation.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: Patient indicated anxiety with first dose and requested privacy. Vaccine administered to patient lying on cot. Significant other, accompanied patient and also received vaccine in EMS room. Patient felt slightly light headed which resolved after the 30 minute wait. Escorted to Exit.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Discomfort, Dyspnoea, Electrocardiogram
Clinical narrative: 24 hrs. after Dose 2  on 09/02/2021  had left arm was numb and lymph nodes swollen and  neck stiffness, gave Motrin. Took a week to feel better but the lymph node  has remained consistent.  Three weeks 09/20/2021 Patient awoke with   lymph on left side of body and arm felt discomfort in his left side of neck and body and three weeks still lymph Monday morning sharp pain before 6am could not move and not able to take deep breaths and had EMT come to the house took to  Hospital  and check with heart issue and full ex-ray and major inflammation in his body and hour later he has been feeling better and still not recovered.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lymph node pain, Lymphadenopathy, Musculoskeletal stiffness
Clinical narrative: 24 hrs. after Dose 2  on 09/02/2021  had left arm was numb and lymph nodes swollen and  neck stiffness, gave Motrin. Took a week to feel better but the lymph node  has remained consistent.  Three weeks 09/20/2021 Patient awoke with   lymph on left side of body and arm felt discomfort in his left side of neck and body and three weeks still lymph Monday morning sharp pain before 6am could not move and not able to take deep breaths and had EMT come to the house took to  Hospital  and check with heart issue and full ex-ray and major inflammation in his body and hour later he has been feeling better and still not recovered.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient stated they had not been previously vaccinated for Covid-19 and attested to that on their consent form. After giving the shot and patient left, we were attempting to bill it to insurance and it rejected with a code of "second dose in series not covered" I called and asked him if he for sure had not gotten a covid vaccine in the past and he stated he had not. I said I would get back to him.  I then looked him up on the Immunization Registry and he has gotten 3 Pfizer doses and 1 Moderna vaccine at other locations. I have tried to called him to discuss with him the fact that he should not be seeking further vaccination and has exceeded the recommended doses for covid-19 and he has not returned my call as of 9/23/21 at 5:15 pm.   His covid vaccination history is as follows: Pfizer 1 of 3 3/18/21 Pfizer 2 of 3 4/8/21 Pfizer 3 of 3 8/20/21 Moderna 1 of 1 9/18/21
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine pfizer and moderna
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Heat therapy, Lymphadenopathy, Oedema peripheral
Clinical narrative: AREA UNDER ARM IS RED AND SWOLLEN --APPEARS TO BE SWOLLEN LYMPH NODE  SPOKE TO DR --SHE IS USING HOT COMPRESSES AT THE INJECTION SITE AND LYMPH NODE AREA DR RECOMMENDED NOT GETTING MULTIPLE VACCINES AT THE SAME TIME IN THE FUTURE.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ear ringing, especially in mornings.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, COVID-19, Fatigue
Clinical narrative: It felt like a summer cold. And then I did eventually lose my sense of taste and smell. That was it. It lasted about 12 -14 days. I am back to normal now. I was tired. One day I had a fever of 100.2. I think I took ibuprofen that day. No other treatment. I monitored my temperature and oxygen every day. My oxygen was never abnormal. I have all my energy back. I have my sense of taste and smell back. This was during peach season. I never lost the taste of the peach.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: It felt like a summer cold. And then I did eventually lose my sense of taste and smell. That was it. It lasted about 12 -14 days. I am back to normal now. I was tired. One day I had a fever of 100.2. I think I took ibuprofen that day. No other treatment. I monitored my temperature and oxygen every day. My oxygen was never abnormal. I have all my energy back. I have my sense of taste and smell back. This was during peach season. I never lost the taste of the peach.
Age: 48.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Erythema, Hypersensitivity, Peripheral swelling, Petechiae
Clinical narrative: patient woke up at 3:30 a.m. the next morning with arm red and swollen. went to emergency room where she was diagnosis with petechiae and allergic reaction according to doctor that treated her at emergency room and expected it to be from pfizer covid vaccine since she had never had a reaction to a flu vaccine. patient was given steroids and benadryl
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: severe diarrhea for 12 hours
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy, Product administered to patient of inappropriate age
Clinical narrative: PREGNANT ESTAMATED DUE DATE  01/06/2022  PATIENT IS ALSO UNDER 18 YEARS OLD AT TIME OF VACCINATION
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Eye haemorrhage
Clinical narrative: Within 2 hours after injection, large blood vessel in eye broke.  Lasted about 4 days.  Never had this happen before.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA Pfizer and Moderna
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse responses to vaccine at this time. First vaccine was received on 08/30/21. The second  vaccine was received 09/23/2021 by RN. Currently this person in not exhibiting any adverse effects, no necessary treatment at this time, but will continue to monitor for a positive patient outcome.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Herpes zoster
Clinical narrative: 8/17/2021 Shingles on the right side all over torso back and front and arm. Anti-Viral. It is ongoing and took three weeks to improve.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Swelling face
Clinical narrative: rash all over face/body, leaves and comes back, face swollen
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine pfizer and Moderna
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest pain, Lacrimation increased, Paraesthesia, Skin warm
Clinical narrative: At approximately 1300 client  (DOB: 03/12/1974) received 1st dose COVID Janssen vaccine (lot #1821286) in the R arm. Immediately after receiving the vaccine, the client asked vaccinator if he could sit with her for his observation. He advised the client to sit in the observation area and educated client that he would be directly observed by an RN. he walked client across the room to observation, advised him to sit in the zero gravity chair, provided water, and notified observer, RN that the client was feeling anxious about receiving the vaccine. Client layed back in zero-gravity chair and drank water. At 1306 client reported  to RN that he was feeling slight tingling in his arms and began to get teary eyed. RN took client's vitals at 1307 with BP of 124/80 in L arm laying down, HR 88, O2 99, and RR 18. RN auscultated lung sounds which were clear bilaterally and heart rate which was normal. Lead RN assessed client who presented A&O x4, skin warm and dry, grip strong and equal, and cap refill under two seconds. Lead RN provided ice pack for client's R arm and held ice pack at the site of injection. At 1311 the client reported that he has "severe anxiety" and was contemplating outside the building if he was going to move forward with getting vaccinated for 20 minutes. Client is taking Zoloft 25mg twice daily for anxiety and reported that he took 25mg this morning and ate a bowl of cereal at 0900. Client has NKDA and no chronic health conditions. At 1315 client reported that he has a "fear of needles" and gets" faint with needles". Client also reported a history of vasovagal reactions. At 1316 client reported feeling "chest achiness" on the L side but reported that he experiences this feeling of chest aching on a daily basis as a result of his anxiety. Client denied chest pain, SOB, swelling, and trouble swallowing. At 1316 client vitals were taken by RN with BP of 124/80 laying down on the L arm, HR 84, O2 98, and RR 18. At 1319 client stated that he has "impending doom syndrome". Lead RN educated that client's vitals were all within normal range. Client denied dizziness, chest pain, numbness, trouble swallowing, changes in vision, slurred speech, and shortness of breathe. At 1324 client reported he was "feeling better" and the tingling in his arms was improving. Client denied chest achiness. At 1332 vitals were taken by RN with BP of 110/72 laying down in the L arm, HR 73, O2 98, and RR 16. Client reported that he drove himself to the vaccination site. At 1343 RN educated on covid program, when to follow up with his PCP, and ER Precautions. At 1345 vitals were taken by RN with BP of 110/80 in the L arm laying down, HR 72, O2 98, and RR 16. At 1403 the client stood up and RN assessed an even, symmetrical, and steady gait. Client left the vaccine site at 1404 and drove himself.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: RN observed patient holding head. Patient reporting frontal HA "mild" at this time. Also reporting dizziness. Wheelchair for patient to EMS room for patient to rest on cot. Water provided. Onset of HA approximately  15 minutes into observation. Pt rested - dizziness resolved quickly within a few minutes, Discharged at 1610 after escorting to BR.
Age: 23.0
Sex: F
Vaccine: HPV9
Symptoms: Face injury, Fall, Haemorrhage, Syncope
Clinical narrative: Patient had received 1st dose of the vaccine on the left arm. Ensured no allergies prior to vaccinations. No known issues prior to vaccination. After vaccine, patient was not complaining, alert, and stood up immediately. Waited around with friend for a couple minutes before fainting in front of patients/ staff. She fell forward and hit her chin. Her chin has a cut and was bleeding through her mask.  We called EMS requested help from the paramedics. They came to tend to her and she refused to be taken into the hospital, but will go via her own transportation to get her cut stitched up.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time, Acute respiratory failure, Anticoagulant therapy, Blood fibrinogen, Blood gases
Clinical narrative: obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood lactate dehydrogenase, Blood magnesium, Bradycardia, C-reactive protein, COVID-19
Clinical narrative: obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cardiac arrest, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Death
Clinical narrative: obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia.