chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Pain, Skin warm, Swelling, Tenderness
Clinical narrative: Significant swelling and pain starting at about 24 hours, worsening to time of appt about 48 hours later.  No redness, no fever.  Warm and tender to touch.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 11/30/21 after being fully vaccinated.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Burning sensation, Computerised tomogram abdomen, Dyspepsia, Hepatic cyst
Clinical narrative: She had a huge bruise on her arm after getting the shot. Then she developed a burning sensation inside of her stomach and both legs (very painful). She had an ultrasound on both legs and a CT of the abdomen. No blood clots found. They discovered a cyst on her liver, which she never had before.  At this time she still has pain and a burning sensation in her upper back, stomach and right leg. She is supposed to follow-up with a gastroenterologist for a colonoscopy.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Ultrasound scan
Clinical narrative: She had a huge bruise on her arm after getting the shot. Then she developed a burning sensation inside of her stomach and both legs (very painful). She had an ultrasound on both legs and a CT of the abdomen. No blood clots found. They discovered a cyst on her liver, which she never had before.  At this time she still has pain and a burning sensation in her upper back, stomach and right leg. She is supposed to follow-up with a gastroenterologist for a colonoscopy.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: none
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Airway peak pressure increased, Asthenia, Back pain, Bradycardia
Clinical narrative: Patient received Pfizer vaccine in 8/2021. In 9/2021 she began to have some vague complaints of upper back pain. Patient ultimately diagnosed with epitheliod sarcoma. Parents requested that this information be sent to VAERS in case her cancer was related to Vaccine. Physicians caring for the child do not feel her death or her cancer was related to the covid vaccine. Presented to the local Medical Center on 10/30/21 after having received care closer to home. Pt is a 13 y.o. female with no past medical history who presents with fever, chest pain, and diarrhea. About two weeks PTA, she began complaining of sternal chest pain. She had fatigue and sore throat so was taken to an urgent care where she was negative for strep, flu, and COVID. She was prescribed bromfed. She then progressed to a dry mild that started about 10 days PTA. On Tuesday, 10/26, she was seen at an outside ER and was diagnosed with pneumonia. She was started on azithromycin and augmentin. She has continued to have chest pain, SOB, and fatigue. The day of presentation, she stayed home from school. She developed nonbloody diarrhea, tachycardia, and weakness so she was taken back to the ER for evaluation. Found to have a pericardial friction rub. Admitted to hospitalist service.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac output decreased, Cardiac tamponade, Chemotherapy, Chest pain, Death
Clinical narrative: Patient received Pfizer vaccine in 8/2021. In 9/2021 she began to have some vague complaints of upper back pain. Patient ultimately diagnosed with epitheliod sarcoma. Parents requested that this information be sent to VAERS in case her cancer was related to Vaccine. Physicians caring for the child do not feel her death or her cancer was related to the covid vaccine. Presented to the local Medical Center on 10/30/21 after having received care closer to home. Pt is a 13 y.o. female with no past medical history who presents with fever, chest pain, and diarrhea. About two weeks PTA, she began complaining of sternal chest pain. She had fatigue and sore throat so was taken to an urgent care where she was negative for strep, flu, and COVID. She was prescribed bromfed. She then progressed to a dry mild that started about 10 days PTA. On Tuesday, 10/26, she was seen at an outside ER and was diagnosed with pneumonia. She was started on azithromycin and augmentin. She has continued to have chest pain, SOB, and fatigue. The day of presentation, she stayed home from school. She developed nonbloody diarrhea, tachycardia, and weakness so she was taken back to the ER for evaluation. Found to have a pericardial friction rub. Admitted to hospitalist service.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Debridement, Diarrhoea, Dyspnoea, Endotracheal intubation, Epithelioid sarcoma
Clinical narrative: Patient received Pfizer vaccine in 8/2021. In 9/2021 she began to have some vague complaints of upper back pain. Patient ultimately diagnosed with epitheliod sarcoma. Parents requested that this information be sent to VAERS in case her cancer was related to Vaccine. Physicians caring for the child do not feel her death or her cancer was related to the covid vaccine. Presented to the local Medical Center on 10/30/21 after having received care closer to home. Pt is a 13 y.o. female with no past medical history who presents with fever, chest pain, and diarrhea. About two weeks PTA, she began complaining of sternal chest pain. She had fatigue and sore throat so was taken to an urgent care where she was negative for strep, flu, and COVID. She was prescribed bromfed. She then progressed to a dry mild that started about 10 days PTA. On Tuesday, 10/26, she was seen at an outside ER and was diagnosed with pneumonia. She was started on azithromycin and augmentin. She has continued to have chest pain, SOB, and fatigue. The day of presentation, she stayed home from school. She developed nonbloody diarrhea, tachycardia, and weakness so she was taken back to the ER for evaluation. Found to have a pericardial friction rub. Admitted to hospitalist service.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Exploratory operation, Fatigue, Fluid retention, General symptom, Haemofiltration
Clinical narrative: Patient received Pfizer vaccine in 8/2021. In 9/2021 she began to have some vague complaints of upper back pain. Patient ultimately diagnosed with epitheliod sarcoma. Parents requested that this information be sent to VAERS in case her cancer was related to Vaccine. Physicians caring for the child do not feel her death or her cancer was related to the covid vaccine. Presented to the local Medical Center on 10/30/21 after having received care closer to home. Pt is a 13 y.o. female with no past medical history who presents with fever, chest pain, and diarrhea. About two weeks PTA, she began complaining of sternal chest pain. She had fatigue and sore throat so was taken to an urgent care where she was negative for strep, flu, and COVID. She was prescribed bromfed. She then progressed to a dry mild that started about 10 days PTA. On Tuesday, 10/26, she was seen at an outside ER and was diagnosed with pneumonia. She was started on azithromycin and augmentin. She has continued to have chest pain, SOB, and fatigue. The day of presentation, she stayed home from school. She developed nonbloody diarrhea, tachycardia, and weakness so she was taken back to the ER for evaluation. Found to have a pericardial friction rub. Admitted to hospitalist service.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Influenza virus test negative, Intracardiac mass, Lactic acidosis, Loss of personal independence in daily activities
Clinical narrative: Patient received Pfizer vaccine in 8/2021. In 9/2021 she began to have some vague complaints of upper back pain. Patient ultimately diagnosed with epitheliod sarcoma. Parents requested that this information be sent to VAERS in case her cancer was related to Vaccine. Physicians caring for the child do not feel her death or her cancer was related to the covid vaccine. Presented to the local Medical Center on 10/30/21 after having received care closer to home. Pt is a 13 y.o. female with no past medical history who presents with fever, chest pain, and diarrhea. About two weeks PTA, she began complaining of sternal chest pain. She had fatigue and sore throat so was taken to an urgent care where she was negative for strep, flu, and COVID. She was prescribed bromfed. She then progressed to a dry mild that started about 10 days PTA. On Tuesday, 10/26, she was seen at an outside ER and was diagnosed with pneumonia. She was started on azithromycin and augmentin. She has continued to have chest pain, SOB, and fatigue. The day of presentation, she stayed home from school. She developed nonbloody diarrhea, tachycardia, and weakness so she was taken back to the ER for evaluation. Found to have a pericardial friction rub. Admitted to hospitalist service.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Low lung compliance, Multiple organ dysfunction syndrome, Neoplasm malignant, Oedema, Oropharyngeal pain
Clinical narrative: Patient received Pfizer vaccine in 8/2021. In 9/2021 she began to have some vague complaints of upper back pain. Patient ultimately diagnosed with epitheliod sarcoma. Parents requested that this information be sent to VAERS in case her cancer was related to Vaccine. Physicians caring for the child do not feel her death or her cancer was related to the covid vaccine. Presented to the local Medical Center on 10/30/21 after having received care closer to home. Pt is a 13 y.o. female with no past medical history who presents with fever, chest pain, and diarrhea. About two weeks PTA, she began complaining of sternal chest pain. She had fatigue and sore throat so was taken to an urgent care where she was negative for strep, flu, and COVID. She was prescribed bromfed. She then progressed to a dry mild that started about 10 days PTA. On Tuesday, 10/26, she was seen at an outside ER and was diagnosed with pneumonia. She was started on azithromycin and augmentin. She has continued to have chest pain, SOB, and fatigue. The day of presentation, she stayed home from school. She developed nonbloody diarrhea, tachycardia, and weakness so she was taken back to the ER for evaluation. Found to have a pericardial friction rub. Admitted to hospitalist service.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Pericardial excision, Pericardial rub, Pneumonia, Pulmonary oedema, Pyrexia
Clinical narrative: Patient received Pfizer vaccine in 8/2021. In 9/2021 she began to have some vague complaints of upper back pain. Patient ultimately diagnosed with epitheliod sarcoma. Parents requested that this information be sent to VAERS in case her cancer was related to Vaccine. Physicians caring for the child do not feel her death or her cancer was related to the covid vaccine. Presented to the local Medical Center on 10/30/21 after having received care closer to home. Pt is a 13 y.o. female with no past medical history who presents with fever, chest pain, and diarrhea. About two weeks PTA, she began complaining of sternal chest pain. She had fatigue and sore throat so was taken to an urgent care where she was negative for strep, flu, and COVID. She was prescribed bromfed. She then progressed to a dry mild that started about 10 days PTA. On Tuesday, 10/26, she was seen at an outside ER and was diagnosed with pneumonia. She was started on azithromycin and augmentin. She has continued to have chest pain, SOB, and fatigue. The day of presentation, she stayed home from school. She developed nonbloody diarrhea, tachycardia, and weakness so she was taken back to the ER for evaluation. Found to have a pericardial friction rub. Admitted to hospitalist service.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sedation, Streptococcus test negative, Tachycardia, Tumour excision
Clinical narrative: Patient received Pfizer vaccine in 8/2021. In 9/2021 she began to have some vague complaints of upper back pain. Patient ultimately diagnosed with epitheliod sarcoma. Parents requested that this information be sent to VAERS in case her cancer was related to Vaccine. Physicians caring for the child do not feel her death or her cancer was related to the covid vaccine. Presented to the local Medical Center on 10/30/21 after having received care closer to home. Pt is a 13 y.o. female with no past medical history who presents with fever, chest pain, and diarrhea. About two weeks PTA, she began complaining of sternal chest pain. She had fatigue and sore throat so was taken to an urgent care where she was negative for strep, flu, and COVID. She was prescribed bromfed. She then progressed to a dry mild that started about 10 days PTA. On Tuesday, 10/26, she was seen at an outside ER and was diagnosed with pneumonia. She was started on azithromycin and augmentin. She has continued to have chest pain, SOB, and fatigue. The day of presentation, she stayed home from school. She developed nonbloody diarrhea, tachycardia, and weakness so she was taken back to the ER for evaluation. Found to have a pericardial friction rub. Admitted to hospitalist service.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID POSITIVE POST VACCINATION
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash, Vomiting
Clinical narrative: Pt exp. fever 103, bodyache, rash, and vomiting same day of adm. of Booster.   Treated in Hospital over 6 days w IV hydration and antiemetics.  Discharged from Hospital  11/22/21 PM
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Confusional state, Lung infiltration, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated patient with Parkinsons who admitted through ED with chief complaint of "increased confusion."  Patient tested positive for COVID.  Completed Decadron, Remdesivir.  Chest X-ray with infiltrates which improved over course of stay.  Remained in hospital for 12 days as no available facilities to take COVID positive patient.  Discharged.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dysstasia, Eructation, Vomiting
Clinical narrative: Vomiting, dizziness, weak and couldn't stand up straight. She stated she vomited so much she was dry heaving. She also burp alot.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Injection site reaction, Skin ulcer, Vision blurred
Clinical narrative: Patient reports he had the first dose of the COVID Pfizer vaccine on 6/14/21. On 6/16/21 he woke up with a headache and blurry vision. He reports he had a daily headache for 3.5 months after the vaccine  and he continues to have intermittent headaches (2-4 headaches per week).  Patient reports the headache occurs on the front and sides. For the  first3.5 months after the vaccine nothing relieved the pain. He reports he tried hydrocodone, sumatriptan and extra strength Excedrin for migraines. He reports now the extra strength Excedrin for migraines relieves his intermittent headaches. Prior to the vaccine he would get about 2 headaches per year . Patient reports he also has had a sore at the injection site since he received the vaccine.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Pain in extremity, Thrombosis, Ultrasound scan abnormal
Clinical narrative: On June 13, I spontaneously had a severe pain in my right calf that ended up being a superficial blood clot. I have had clots before but only ever during pregnancy and this was 10.5 months postpartum
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Reported feeling light headed.  Was given juice and crackers.  At 10:40 stated it was worse. Alert and oriented x3. Skin pink warm and dry.  Respirations even and unlabored . Chatting with friends no sign or symptom of distress.  PSo2 99% heart rate 83.  1048 released to school nurse no signs of distress.  School nurse said she would call if any problems.  No report of problem at time of report 2:24pm.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling over vaccine injection site,  traveling up the arm to shoulder.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis, Blood test, Computerised tomogram abdomen abnormal, Urine analysis
Clinical narrative: 5 days after receiving the vaccine I was admitted to the hospital for acute appendicitis and had an emergency appendectomy. I?m unsure if it is related but there may be a connection so I?m reporting the event.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Chest discomfort, Heart rate increased, Inflammation, Pain in extremity
Clinical narrative: sore arm, red rash on arm.  High fever day after vaccination, had very high heart rate resting over 100 for 2 days after vaccination.  Had previously scheduled annual physical on 11/29/2021, that morning had started experiencing tightness in chest, heavy weight on chest.  Not affecting breathing  at all
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: sore arm, red rash on arm.  High fever day after vaccination, had very high heart rate resting over 100 for 2 days after vaccination.  Had previously scheduled annual physical on 11/29/2021, that morning had started experiencing tightness in chest, heavy weight on chest.  Not affecting breathing  at all
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Headache, SARS-CoV-2 test positive
Clinical narrative: Early October my husband had symptoms and tests before me and I thought I was having my normal allergy stuff going on and when it persisted a few days I went and got a test myself and I tested positive. I had a considerably bad headache and my migraine medication wasn't working but it was instantly gone after I got the monoclonal antibody infusion. All my symptoms were gone after the infusion except the smell and taste which is still happening and not back yet. I had positive test for Covid and 2 days later I had the infusion.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Balance disorder, Blood creatinine increased, Blood urea increased, COVID-19
Clinical narrative: Fully vaccinated patient admitted through the ED for increasing weakness.  No classic s/s of COVID.  Chief complaint was loss of balance (which has been ongoing since previous stroke).  Patient tested detected for COVID during routine admission testing.  No respiratory s/s.  Provider discharge note below:  "92 YO year old male with past medical history of pontine CVA, remote CAD s/p CABG, HTN, CKD 3b, GERD  presenting to Hospital with complaint of GLF due to imbalance and generalized weakness. Patient reported a GLF in the bathroom. Patient is using walker at his baseline, however, more dependent on the walker since the pontine stroke on 4/21 that he has more balance issue since then. The patient does not believe he passed out or hit his head, tongue bit or loss bowel or urinary control but much of the imbalance issue. Patient denies chest pain, dizziness, blurry vision, feel warm, nausea, shortness of breath, cough or palpitation at the moment.   In ED, Cr 1.6, BUN 28, UA: 14 RBC, Trop 35-- >32. All other labs are unremarkable, CXR shows Increased bibasilar opacities; CT cervical spine and CT head shows No acute intracranial disease. No acute cervical spine fracture. Multilevel cervical spinal stenosis. Patient was treated with 500 mL NS bolus.    Patient had a hard time hearing without hearing aids. However, answer question appropriately. Patient NAD without any complaints. Patient will be admitted for observation and further evaluation.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Ground level fall - weakness, PT, OT eval.  History of stroke, pontine, 4/21 Uses walker at baseline CT cervical spine and brain shows foraminal stenosis, severe in places.  And chronic ischemic changes.  MRI negative for stroke, but does show hemosiderin deposits from chronic ischemic small-vessel disease verses cerebral amyloid angiopathy - Fall precaution, Strict I&Os - PT, OT recommending rehab,"
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebral amyloid angiopathy, Cerebral small vessel ischaemic disease, Cervical spinal stenosis, Chest X-ray abnormal, Computerised tomogram head abnormal
Clinical narrative: Fully vaccinated patient admitted through the ED for increasing weakness.  No classic s/s of COVID.  Chief complaint was loss of balance (which has been ongoing since previous stroke).  Patient tested detected for COVID during routine admission testing.  No respiratory s/s.  Provider discharge note below:  "92 YO year old male with past medical history of pontine CVA, remote CAD s/p CABG, HTN, CKD 3b, GERD  presenting to Hospital with complaint of GLF due to imbalance and generalized weakness. Patient reported a GLF in the bathroom. Patient is using walker at his baseline, however, more dependent on the walker since the pontine stroke on 4/21 that he has more balance issue since then. The patient does not believe he passed out or hit his head, tongue bit or loss bowel or urinary control but much of the imbalance issue. Patient denies chest pain, dizziness, blurry vision, feel warm, nausea, shortness of breath, cough or palpitation at the moment.   In ED, Cr 1.6, BUN 28, UA: 14 RBC, Trop 35-- >32. All other labs are unremarkable, CXR shows Increased bibasilar opacities; CT cervical spine and CT head shows No acute intracranial disease. No acute cervical spine fracture. Multilevel cervical spinal stenosis. Patient was treated with 500 mL NS bolus.    Patient had a hard time hearing without hearing aids. However, answer question appropriately. Patient NAD without any complaints. Patient will be admitted for observation and further evaluation.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Ground level fall - weakness, PT, OT eval.  History of stroke, pontine, 4/21 Uses walker at baseline CT cervical spine and brain shows foraminal stenosis, severe in places.  And chronic ischemic changes.  MRI negative for stroke, but does show hemosiderin deposits from chronic ischemic small-vessel disease verses cerebral amyloid angiopathy - Fall precaution, Strict I&Os - PT, OT recommending rehab,"
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram spine, Fall, Haemosiderin stain, Laboratory test, Lung opacity
Clinical narrative: Fully vaccinated patient admitted through the ED for increasing weakness.  No classic s/s of COVID.  Chief complaint was loss of balance (which has been ongoing since previous stroke).  Patient tested detected for COVID during routine admission testing.  No respiratory s/s.  Provider discharge note below:  "92 YO year old male with past medical history of pontine CVA, remote CAD s/p CABG, HTN, CKD 3b, GERD  presenting to Hospital with complaint of GLF due to imbalance and generalized weakness. Patient reported a GLF in the bathroom. Patient is using walker at his baseline, however, more dependent on the walker since the pontine stroke on 4/21 that he has more balance issue since then. The patient does not believe he passed out or hit his head, tongue bit or loss bowel or urinary control but much of the imbalance issue. Patient denies chest pain, dizziness, blurry vision, feel warm, nausea, shortness of breath, cough or palpitation at the moment.   In ED, Cr 1.6, BUN 28, UA: 14 RBC, Trop 35-- >32. All other labs are unremarkable, CXR shows Increased bibasilar opacities; CT cervical spine and CT head shows No acute intracranial disease. No acute cervical spine fracture. Multilevel cervical spinal stenosis. Patient was treated with 500 mL NS bolus.    Patient had a hard time hearing without hearing aids. However, answer question appropriately. Patient NAD without any complaints. Patient will be admitted for observation and further evaluation.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Ground level fall - weakness, PT, OT eval.  History of stroke, pontine, 4/21 Uses walker at baseline CT cervical spine and brain shows foraminal stenosis, severe in places.  And chronic ischemic changes.  MRI negative for stroke, but does show hemosiderin deposits from chronic ischemic small-vessel disease verses cerebral amyloid angiopathy - Fall precaution, Strict I&Os - PT, OT recommending rehab,"
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Red blood cells urine positive, SARS-CoV-2 test positive, Troponin, Urine analysis abnormal
Clinical narrative: Fully vaccinated patient admitted through the ED for increasing weakness.  No classic s/s of COVID.  Chief complaint was loss of balance (which has been ongoing since previous stroke).  Patient tested detected for COVID during routine admission testing.  No respiratory s/s.  Provider discharge note below:  "92 YO year old male with past medical history of pontine CVA, remote CAD s/p CABG, HTN, CKD 3b, GERD  presenting to Hospital with complaint of GLF due to imbalance and generalized weakness. Patient reported a GLF in the bathroom. Patient is using walker at his baseline, however, more dependent on the walker since the pontine stroke on 4/21 that he has more balance issue since then. The patient does not believe he passed out or hit his head, tongue bit or loss bowel or urinary control but much of the imbalance issue. Patient denies chest pain, dizziness, blurry vision, feel warm, nausea, shortness of breath, cough or palpitation at the moment.   In ED, Cr 1.6, BUN 28, UA: 14 RBC, Trop 35-- >32. All other labs are unremarkable, CXR shows Increased bibasilar opacities; CT cervical spine and CT head shows No acute intracranial disease. No acute cervical spine fracture. Multilevel cervical spinal stenosis. Patient was treated with 500 mL NS bolus.    Patient had a hard time hearing without hearing aids. However, answer question appropriately. Patient NAD without any complaints. Patient will be admitted for observation and further evaluation.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Ground level fall - weakness, PT, OT eval.  History of stroke, pontine, 4/21 Uses walker at baseline CT cervical spine and brain shows foraminal stenosis, severe in places.  And chronic ischemic changes.  MRI negative for stroke, but does show hemosiderin deposits from chronic ischemic small-vessel disease verses cerebral amyloid angiopathy - Fall precaution, Strict I&Os - PT, OT recommending rehab,"
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vertebral foraminal stenosis
Clinical narrative: Fully vaccinated patient admitted through the ED for increasing weakness.  No classic s/s of COVID.  Chief complaint was loss of balance (which has been ongoing since previous stroke).  Patient tested detected for COVID during routine admission testing.  No respiratory s/s.  Provider discharge note below:  "92 YO year old male with past medical history of pontine CVA, remote CAD s/p CABG, HTN, CKD 3b, GERD  presenting to Hospital with complaint of GLF due to imbalance and generalized weakness. Patient reported a GLF in the bathroom. Patient is using walker at his baseline, however, more dependent on the walker since the pontine stroke on 4/21 that he has more balance issue since then. The patient does not believe he passed out or hit his head, tongue bit or loss bowel or urinary control but much of the imbalance issue. Patient denies chest pain, dizziness, blurry vision, feel warm, nausea, shortness of breath, cough or palpitation at the moment.   In ED, Cr 1.6, BUN 28, UA: 14 RBC, Trop 35-- >32. All other labs are unremarkable, CXR shows Increased bibasilar opacities; CT cervical spine and CT head shows No acute intracranial disease. No acute cervical spine fracture. Multilevel cervical spinal stenosis. Patient was treated with 500 mL NS bolus.    Patient had a hard time hearing without hearing aids. However, answer question appropriately. Patient NAD without any complaints. Patient will be admitted for observation and further evaluation.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Ground level fall - weakness, PT, OT eval.  History of stroke, pontine, 4/21 Uses walker at baseline CT cervical spine and brain shows foraminal stenosis, severe in places.  And chronic ischemic changes.  MRI negative for stroke, but does show hemosiderin deposits from chronic ischemic small-vessel disease verses cerebral amyloid angiopathy - Fall precaution, Strict I&Os - PT, OT recommending rehab,"
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Back pain, Condition aggravated, Pain
Clinical narrative: I have arthritis which normally flares up in one joint at a time every now and again. After I got the third dose of the vaccine, I was achy for a few days after the shot but I started to have joint pain in multiple joints. It feels like it is much worse than normal. I have had a hard time sleeping. Even my toe joints hurt and my back has been very painful. My back, hips and my wrist have been the worst. I was prescribed Celebrex and it has improved over the last three weeks.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: I have arthritis which normally flares up in one joint at a time every now and again. After I got the third dose of the vaccine, I was achy for a few days after the shot but I started to have joint pain in multiple joints. It feels like it is much worse than normal. I have had a hard time sleeping. Even my toe joints hurt and my back has been very painful. My back, hips and my wrist have been the worst. I was prescribed Celebrex and it has improved over the last three weeks.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Dyspnoea, Hyperthyroidism, Palpitations
Clinical narrative: Vaccine was on Wednesday November 10th, on Friday morning I woke up short of breath. By afternoon I was short of breath with severe heart palpitations and went to the emergency room. Bloodwork determined I now have hyperthyroidism, which is I did not have before. Follow-up blood work November 17th confirmed the diagnosis and now waiting to see a specialist.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID POSITIVE POST VACCINATION
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Vaccine positive rechallenge
Clinical narrative: Pt. states that after receiving the 3rd Booster of Phizer 11/16/2021, started experiencing symptoms 11/23/2021 of developing Shingles. (Previously 2nd dose of Phizer 05/13/2021 developed Shingles 05/20/2021). No noted Primary visit/communications.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Immunisation
Clinical narrative: Pt. states that after receiving the 3rd Booster of Phizer 11/16/2021, started experiencing symptoms 11/23/2021 of developing Shingles. (Previously 2nd dose of Phizer 05/13/2021 developed Shingles 05/20/2021). No noted Primary visit/communications.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient too young for vaccine administered- not 18
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Hypertension
Clinical narrative: Patient experienced flushing in the face and complained of feeling very warm. She then asked if she could have some water. Paramedics provided on site vitals where blood pressure was found to be 165/101 on the first account and 163/101 on the second account after a 15 minute additional waiting period. The Patient explained that she regularly has high blood pressure for which she abstains from taking her prescribed medication. Patient was guided to go to the emergency room if her condition did not improve and to follow up immediately with her primary care provider to control her blood pressure.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID POSITIVE POST VACCINATION
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Immediate post-injection reaction
Clinical narrative: I had rapid heartbeat right after the vaccination and it happened for 6 hours. I called the doctor and they didn't give me any medicine or anything.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Oedema mucosal
Clinical narrative: On 12/1/21 --Significant swelling of patient's lips began approximately 16 hours after vaccine administered. Progressed over next 90 minutes, at which time he went to school nurse. Lips were 3 times normal size, apparently from swelling of mucus membranes. No other food, chemical, or environmental exposures experienced. Given diphenhydramine 12.5 mg at 11 am.  Did not seem to progress in the 1-2 hours after that. No tongue or throat swelling or trouble breathing. No urticaria.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient reported the need for a booster. However, the patient had already received a booster a month ago. No adverse signs or symptoms observed.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Red rash all over the face.  The face is sensitive to touch.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID POSITIVE POST VACCINATION
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 11/30/21 after being fully vaccinated.
Age: 3.0
Sex: M
Vaccine: HEP
Symptoms: Autism spectrum disorder, Developmental regression, Dysarthria, Language disorder, Speech disorder
Clinical narrative: In March and April of 2021, we noticed a significant regression in patient's speech. He began to echo and script almost all of the time, and he struggled to answer yes/no questions or articulate simple choices (which he had previously been able to do). This problem persisted until September of 2021 after we removed baker's yeast from his diet. He also has been in speech therapy since May 2021, but his speech therapist has noticed the significant change since removing the yeast. We realized that saccharomyces cerevisiae (baker's yeast) is used in the Hep B vaccine, so we decided to report this adverse event.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 14 yr old patient received lower dose than authorized - received 5-11yr  Comirnaty 0.2ml. in error
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Cough, Fatigue, Influenza A virus test negative
Clinical narrative: Patient developed symptoms of COVID-19, then tested positive starting around 11/16/2021. Symptoms include abdominal pain, nausea, cough, fatigue and low-grade fever.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Influenza virus test negative, Malaise, Nausea, Pyrexia
Clinical narrative: Patient developed symptoms of COVID-19, then tested positive starting around 11/16/2021. Symptoms include abdominal pain, nausea, cough, fatigue and low-grade fever.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient developed symptoms of COVID-19, then tested positive starting around 11/16/2021. Symptoms include abdominal pain, nausea, cough, fatigue and low-grade fever.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site abscess, Injection site swelling, Injection site warmth
Clinical narrative: Exactly  1 week later  arm swollen at injection  site  and it is warm to touch and itchy.   Just happened today 12012021
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure decreased, COVID-19, Cardiac failure, Cardiac failure acute, Cardiac failure congestive
Clinical narrative: Fully vaccinated patient who tested positive for COVID during facility placement testing upon discharge.  Provider discharge note below.  Patient discharged back to facility as symptoms were improved even though positive COVID test was detected as facility currently in outbreak status and is likely source of infection.   "92-year-old female with a past medical history of severe pulmonary hypertension, chronic left knee staph orthopedic hardware infection, squamous cell carcinoma of the scalp and neck on immune treatment who presents with shortness of breath.  Found to be in heart failure exacerbation.  She was treated for CHF, diastolic acute on chronic, Cor Pulmonale with severe Puln HTN - and diuresed well on IV lasix 80mg TID. She sees Dr. and was on demadex 20mg which was increased to 40mg on DC. BP was soft, so her Bblocker dose was reduced. Lungs are clear on Dc and no longer has leg edema. Advised to watch fluid intake, salt intake. "
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Cor pulmonale, Dyspnoea, Left ventricular failure, Oedema peripheral
Clinical narrative: Fully vaccinated patient who tested positive for COVID during facility placement testing upon discharge.  Provider discharge note below.  Patient discharged back to facility as symptoms were improved even though positive COVID test was detected as facility currently in outbreak status and is likely source of infection.   "92-year-old female with a past medical history of severe pulmonary hypertension, chronic left knee staph orthopedic hardware infection, squamous cell carcinoma of the scalp and neck on immune treatment who presents with shortness of breath.  Found to be in heart failure exacerbation.  She was treated for CHF, diastolic acute on chronic, Cor Pulmonale with severe Puln HTN - and diuresed well on IV lasix 80mg TID. She sees Dr. and was on demadex 20mg which was increased to 40mg on DC. BP was soft, so her Bblocker dose was reduced. Lungs are clear on Dc and no longer has leg edema. Advised to watch fluid intake, salt intake. "
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Polyuria, Pulmonary hypertension, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated patient who tested positive for COVID during facility placement testing upon discharge.  Provider discharge note below.  Patient discharged back to facility as symptoms were improved even though positive COVID test was detected as facility currently in outbreak status and is likely source of infection.   "92-year-old female with a past medical history of severe pulmonary hypertension, chronic left knee staph orthopedic hardware infection, squamous cell carcinoma of the scalp and neck on immune treatment who presents with shortness of breath.  Found to be in heart failure exacerbation.  She was treated for CHF, diastolic acute on chronic, Cor Pulmonale with severe Puln HTN - and diuresed well on IV lasix 80mg TID. She sees Dr. and was on demadex 20mg which was increased to 40mg on DC. BP was soft, so her Bblocker dose was reduced. Lungs are clear on Dc and no longer has leg edema. Advised to watch fluid intake, salt intake. "
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Rash
Clinical narrative: After receiving my second shot of moderna, I developed a skin rash 7-9 days after receiving the vaccine. The rash/hives were located on my arms, back, legs, face, and stomach. This lasted for about a month.   After receiving my booster shot, I received the same rash 9 days after receiving the booster. However, this time it felt worse. The rash was found on my arms, feet, legs, back, thighs, ears, around my eyes (almost all over my face), hands, and wrists. The rash is still ongoing.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID POSITIVE  POST VACCINATION
Age: 42.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Cellulitis
Clinical narrative: Cellulitis in both arms
Age: 1.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: No adverse event, Wrong product administered
Clinical narrative: MD ordered Dtap.  Patient was given Pediarix in error. No adverse reaction
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Pericarditis
Clinical narrative: Chest pain focused beneath breast bone. Worsen with exertion like running. At worst it was 6/10 but relieved with rest. No SOB, N/V, no radiation or other symptoms. Reported symptoms to primary care provider who referred him to cardiologist. The cardiologist diagnosed him with pericarditis due to COVID-19 vaccination. Recommended treatment with ibuprofen 800mg TID x 5d. Patient's symptoms resolved after a few days.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID POSITIVE POST VACCINATION
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Lymphadenopathy, Myocarditis
Clinical narrative: Chest tightness - myocarditis - armpit swelling
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cerebrovascular accident, Computerised tomogram, Magnetic resonance imaging
Clinical narrative: Suffer a stroke 2 days after receiving my second shot
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Blood test, Rheumatoid arthritis, Rheumatoid factor increased, X-ray
Clinical narrative: I developed seropositive rheumatoid arthritis in August 2021, diagnosed by Rheumatologist in August 2021.  Taking meds Prednisone, Embrel, and Methotrexate for treatment of RA now.  No family history of RA,  I don't know if this is related to the vaccine or not but no family hx autoimmune disease.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: I have been taking birth control for over 2 years, in that time my menstrual cycle has lessened to practically nothing.  For the past almost year during the inactive pill week I at most would spot a day or two, never enough to even get on a maxi pad, just a little blood when I go to the bathroom and wipe.  My menstrual cycle began on 11/16, earlier than normally would and it was very heavy for four days, then continued light for another 4 days, and I have continued to spot everyday since, which I have NEVER done before in my life while on birth control.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 102.5, 3 hours after vaccine
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: Per the employee, pain in "neck, shoulder, scapula, arm, forearm, hand, pinky, and ring fingers all on left side."
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, Fatigue, Hypophagia
Clinical narrative: Pt has end stage renal disease, but not on dialysis, and IDDM2, and was admitted for COVID pneumonia.  Pt reported shortness of breath, generalized fatigue, and poor PO intake.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: 14 yr old male received a Pfizer 5-11 yr old dose (0.2mL) during a mass vaccine clinic.  No adverse outcomes noted or reported.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood glucose increased, COVID-19, COVID-19 pneumonia, Condition aggravated
Clinical narrative: COVID vaccinated patient admitted for COVID pneumonia who subsequently died.  Provider discharge note:  "84-year-old male with a PMH of COPD (on home O2), CKD stage 4, CAD s/p CABG, Hx of HITT, and DM2 who presented to a local healthcare facility with worsening hypoxia, shortness of breath, and generalized weakness after COVID 19 pneumonia diagnosis on 10/24/2021. He was fully immunized against COVID. On admission he was hemodynamically stable. Images were concerning for a superimposed bacterial pneumonia showing infiltrate in the left lung base and labs were positive for elevated procalcitonin. IV antibiotics were started. He had been on a steroid course from his pervious hospitalization for COVID pneumonia and that course was continued on this admission until 10 day completion. Throughout his hospital course Pt's respiratory status continued to decline despite proper interventions. Repeat imaging showed a right pleural effusion. The patient was diuresed. Pulmonology was consulted and recommended against a thoracentesis as there would be low benefits and high risks involved. His DDimer continued to increase despite receiving apixaban. The patient was transferred to PCU for higher level of care. His blood glucose remained elevated since admissions, despite finishing his course of steroids and he required a insulin drip. On 11/8/21 the insulin drip was discontinued due to low blood sugar levels and which improved with some orange juice. Rapid response was called overnight due to lower O2 levels and patient exhibiting altered mental status. Patient had taken his high flow off and became hypoxic and unresponsive. He was placed on bipap and he improved. Today 11/08/2021 the patient expressed desire to be transitioned to comfort care and his wife was contacted and both agreed to this plan. He remained in his full capacity to make decisions.  The patient was placed on fentaly and orders were adjusted to reflect comfort care measures. His wife was able to make it to the hospital to be by his side, as bipap was removed and he was kept comfortable until he passed. The patient expired on 1047 on 11/08/2021. Cause of death was COVID pneumonia. The family does not wish to pursue an autopsy."