chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Right atrial enlargement, Vomiting
Clinical narrative: 2 days after school mandated Booster shot he began to experience a myriad of symptoms, including HIGH fever, EXCRUTIATNG headache, EXTREME fatigue, lethargic, vomiting upon any exertion, elevated heart rate, chest tightness, chest rash, sore throat, EXTREME body ache. Symptoms continued, relentlessly, 4 days later on 1/23 we went to urgent care, his blood test revealed increased level of d-dimer, and slightly enlarged right atria upon CTA chest.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Dysstasia, Erythema, Sitting disability
Clinical narrative: Abdominal Pain- child is unable to sit forward on his own.  Needs assistance getting in and out of a car. Very faint pink mark on skin in same area.  Pain is just above the belt line.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chills, Computerised tomogram head normal, Contusion
Clinical narrative: I received my third Pfizer covid vaccine on 1/25/22 at 10AM.  I had extreme chills while sleeping that night.  When I got up, I suddenly became very lightheaded and sat down in a chair, putting my head on the table.  I passed out and landed on the tile floor, lacerating my skull, with a pool of blood.   I also injured my L ankle, with swelling and bruising.   I then went to the ED.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Haemorrhage, Joint injury, Joint swelling
Clinical narrative: I received my third Pfizer covid vaccine on 1/25/22 at 10AM.  I had extreme chills while sleeping that night.  When I got up, I suddenly became very lightheaded and sat down in a chair, putting my head on the table.  I passed out and landed on the tile floor, lacerating my skull, with a pool of blood.   I also injured my L ankle, with swelling and bruising.   I then went to the ED.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Skin laceration, Suture insertion
Clinical narrative: I received my third Pfizer covid vaccine on 1/25/22 at 10AM.  I had extreme chills while sleeping that night.  When I got up, I suddenly became very lightheaded and sat down in a chair, putting my head on the table.  I passed out and landed on the tile floor, lacerating my skull, with a pool of blood.   I also injured my L ankle, with swelling and bruising.   I then went to the ED.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria, Swelling, Urticaria
Clinical narrative: Swelling all over body, hives, dermatographism
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Electrocardiogram normal, Fatigue, Headache, Heart rate increased
Clinical narrative: Initially client experienced soreness, fatigue, Temp of 99.4 and some body aches.  Awoke feeling same on 1/27 but then heart palpitations and elevated heart rate (120), as well as elevated blood pressure and headache occurred.  She was at work, which is an urgent care center-evaluated by their providers and had a normal EKG.  Feeling somewhat better later in the day.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations
Clinical narrative: Initially client experienced soreness, fatigue, Temp of 99.4 and some body aches.  Awoke feeling same on 1/27 but then heart palpitations and elevated heart rate (120), as well as elevated blood pressure and headache occurred.  She was at work, which is an urgent care center-evaluated by their providers and had a normal EKG.  Feeling somewhat better later in the day.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Bundle branch block right, Cardiac flutter, Electrocardiogram, Extrasystoles, Hypertension
Clinical narrative: The next day about 12 hours later, I felt fluttering  in the middle of the chest by my heart. My husband is an ENT and he checked my pulse on my wrist as I'm feeling the fluttering in my chest and he stated that he feels my pulse skipping a beat, I went to the hospital 12/07/2021 at 03:14PM and at that time I was referred me to a cardiologist bc I had high blood pressure prior to this. I have an appointment with My PCP tomorrow, I have my EKG results and I'm taking them so we can both go over them together. Since I had the vaccination all of my family members have gotten COVID 2-3 times already. I don't know if anyone else has this but this is insane.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling face
Clinical narrative: a skin rash appear on the face in 10 minutes after getting the vaccine, epipen been used,also the face begin to look buffy
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Back pain, Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: pt states she was short a breath and pain from chest to back, she stated she felt like she is having an panic or anxiety attack, asked if she had medication and she took it and symptoms became worse, she was having an  headache and pain going down left arm, worse SoB, chest pain was getting worse, pt went to hospital to check out . doctor states that it was an vaccine adverse reaction gave her fluids and medication which lowered reaction and felt good to go home
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Headache, Lipase, Metabolic function test
Clinical narrative: pt states she was short a breath and pain from chest to back, she stated she felt like she is having an panic or anxiety attack, asked if she had medication and she took it and symptoms became worse, she was having an  headache and pain going down left arm, worse SoB, chest pain was getting worse, pt went to hospital to check out . doctor states that it was an vaccine adverse reaction gave her fluids and medication which lowered reaction and felt good to go home
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Panic attack, Troponin T, Vaccination complication
Clinical narrative: pt states she was short a breath and pain from chest to back, she stated she felt like she is having an panic or anxiety attack, asked if she had medication and she took it and symptoms became worse, she was having an  headache and pain going down left arm, worse SoB, chest pain was getting worse, pt went to hospital to check out . doctor states that it was an vaccine adverse reaction gave her fluids and medication which lowered reaction and felt good to go home
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: pt states she was short a breath and pain from chest to back, she stated she felt like she is having an panic or anxiety attack, asked if she had medication and she took it and symptoms became worse, she was having an  headache and pain going down left arm, worse SoB, chest pain was getting worse, pt went to hospital to check out . doctor states that it was an vaccine adverse reaction gave her fluids and medication which lowered reaction and felt good to go home
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Extra dose administered
Clinical narrative: Pt admit to hospital with COVID pna s/p 4 doses of Moderna vaccine (1/21/21, 2/9/21, 9/5/21, & 10/5/21). Of note, he had been on prolonged course of prednisone since 8/28/21
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Axillary pain, Lip blister, Lip swelling
Clinical narrative: when i received the first two doses, i didnt encounter any problems beside arm pain on the injection side. However, when i received my booster 3 days ago, i experienced lip swelling/ blisters extreme body aches that prevented me from sleeping and reporting to work. i also felt shooting pain on my entire left arm all the way to my wrist and fingers. Today i feel so weak and joint pain in my knee. Additionally, armpit is extremely painful and i also feel so weak.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain, Sleep disorder
Clinical narrative: when i received the first two doses, i didnt encounter any problems beside arm pain on the injection side. However, when i received my booster 3 days ago, i experienced lip swelling/ blisters extreme body aches that prevented me from sleeping and reporting to work. i also felt shooting pain on my entire left arm all the way to my wrist and fingers. Today i feel so weak and joint pain in my knee. Additionally, armpit is extremely painful and i also feel so weak.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Condition aggravated, Headache, Pain
Clinical narrative: Patient states that her booster dose gave her body aches and a headache.  She also states that she starting have chest pains periodically about 2 weeks before getting her booster but she thinks they have increased in frequency since she got her booster shot and thinks they may be related.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Vertigo
Clinical narrative: patient mentioned she is been going though vertigo effect and light sensitivity
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Migraine, Pyrexia, Sensory disturbance
Clinical narrative: migraine, fever, chills, sensory changes
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal tenderness, COVID-19, Chest X-ray abnormal, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal
Clinical narrative: 1/1/22 Pt is a 82 yr/o female who was brought in by medical personnel after she was found down at her nursing facility   o She was hypotensive at the scene and on route here. o O2 sat 93% on room air. o Patient initially totally unresponsive, would not wake to voice or pain, then eventually started moving around slightly, but does not follow instruction. o Unknown if the patient had been having any symptoms of illness prior to today.    o Reviewing the paperwork sent with her, she does have a history of hypothyroidism, adrenal insufficiency. o On hydralazine for BP. o History also notable for metabolic encephalopathy.    Physical Exam    Appearance: She is well-developed. She is not diaphoretic.     Comments: Thin, chronically ill-appearing.  HENT:     Head: Normocephalic.     Mouth/Throat:     Mouth: Mucous membranes are dry.  Eyes:     General: No scleral icterus.    Conjunctiva/sclera: Conjunctivae normal.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds.     Comments: 93 % RA Abdominal:     General: There is no distension.     Palpations: Abdomen is soft.     Tenderness: There is abdominal tenderness (winces w palpation).  Musculoskeletal:        General: No tenderness. Normal range of motion.     Cervical back: Neck supple.     Comments: Swelling left lower extremity, healed surgical scar with surrounding hyperpigmentation.  Skin:    General: Skin is warm and dry.  Neurological:     Mental Status: She is lethargic.     Comments: Frowning, does not respond to commands, withdraws to pain. No obvious unilateral deficit.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: General physical condition abnormal, Hypotension, Lethargy, Mucosal dryness, Osteoarthritis
Clinical narrative: 1/1/22 Pt is a 82 yr/o female who was brought in by medical personnel after she was found down at her nursing facility   o She was hypotensive at the scene and on route here. o O2 sat 93% on room air. o Patient initially totally unresponsive, would not wake to voice or pain, then eventually started moving around slightly, but does not follow instruction. o Unknown if the patient had been having any symptoms of illness prior to today.    o Reviewing the paperwork sent with her, she does have a history of hypothyroidism, adrenal insufficiency. o On hydralazine for BP. o History also notable for metabolic encephalopathy.    Physical Exam    Appearance: She is well-developed. She is not diaphoretic.     Comments: Thin, chronically ill-appearing.  HENT:     Head: Normocephalic.     Mouth/Throat:     Mouth: Mucous membranes are dry.  Eyes:     General: No scleral icterus.    Conjunctiva/sclera: Conjunctivae normal.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds.     Comments: 93 % RA Abdominal:     General: There is no distension.     Palpations: Abdomen is soft.     Tenderness: There is abdominal tenderness (winces w palpation).  Musculoskeletal:        General: No tenderness. Normal range of motion.     Cervical back: Neck supple.     Comments: Swelling left lower extremity, healed surgical scar with surrounding hyperpigmentation.  Skin:    General: Skin is warm and dry.  Neurological:     Mental Status: She is lethargic.     Comments: Frowning, does not respond to commands, withdraws to pain. No obvious unilateral deficit.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, SARS-CoV-2 test positive, Scar, Skin hyperpigmentation, Unresponsive to stimuli
Clinical narrative: 1/1/22 Pt is a 82 yr/o female who was brought in by medical personnel after she was found down at her nursing facility   o She was hypotensive at the scene and on route here. o O2 sat 93% on room air. o Patient initially totally unresponsive, would not wake to voice or pain, then eventually started moving around slightly, but does not follow instruction. o Unknown if the patient had been having any symptoms of illness prior to today.    o Reviewing the paperwork sent with her, she does have a history of hypothyroidism, adrenal insufficiency. o On hydralazine for BP. o History also notable for metabolic encephalopathy.    Physical Exam    Appearance: She is well-developed. She is not diaphoretic.     Comments: Thin, chronically ill-appearing.  HENT:     Head: Normocephalic.     Mouth/Throat:     Mouth: Mucous membranes are dry.  Eyes:     General: No scleral icterus.    Conjunctiva/sclera: Conjunctivae normal.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds.     Comments: 93 % RA Abdominal:     General: There is no distension.     Palpations: Abdomen is soft.     Tenderness: There is abdominal tenderness (winces w palpation).  Musculoskeletal:        General: No tenderness. Normal range of motion.     Cervical back: Neck supple.     Comments: Swelling left lower extremity, healed surgical scar with surrounding hyperpigmentation.  Skin:    General: Skin is warm and dry.  Neurological:     Mental Status: She is lethargic.     Comments: Frowning, does not respond to commands, withdraws to pain. No obvious unilateral deficit.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient signed up and checked in for Janssen first dose. Vaccinator card has Janssen documented, with Janssen alert card. Vaccinatore gave Pfizer dose after speaking with patient. Incident explained to patient.
Age: 20.0
Sex: F
Vaccine: FLUC4
Symptoms: Petit mal epilepsy, Unresponsive to stimuli, Vomiting
Clinical narrative: Patient answered yes on passing out on consent form.  When questioned, patient stated she frequently hyperventilates and passes out following vaccine. We made the decision to move forward with vaccine with additional monitoring. Upone being vaccinated, patient needed to vomit about 5 minutes after administration. Patient then appeared go into absence seizures every 15 or 20 seconds (aware of surroundings but unable respond to stimuli). Patient stated this had happened before at different times but was the first time after a vaccine. She stated that this stte usually lasted for an hour+ and doctors were trying to determine the cause. The patient was monitored for 30 minutes until her twin sister came and took her home to rest.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: RN alerted lead RN  of a 12 year old male, client, received Pfizer (for 5 through 11 years of age, Lot # FK5127) at 10:50am. Client should have received Pfizer for 12 years of age and older. Lead RN informed mother of client that client will receive Pfizer for 12 years of age and older for second dose per clinical lead RN, mother of client verbalized understanding.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient had registered on the computer for the booster vaccine, checked off the box that stated she had received her 2nd dose  at least 5 months prior.  After the Booster was given she then informed  our PA that it had been 3-4 months since last Covid vaccine. Patient tolerated vaccine well, reported no symptoms.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Fatigue, Feeling abnormal, Impaired work ability
Clinical narrative: 04/07/2021 in the morning,  I started feeling bad at night,  severe muscle aches,  really bad flu-like symptoms, I was extremely nauseated,   weak,  I just wanted to stay in bed. For 4 days, I really did not eat. I only got up to pee. On day 6,  I was sitting up,  I called my doctor. I told her the worse symptom was the nausea. She prescribed me ondansetron odt. I was left with weakness and muscle pain. The 1st night, I vomited and the next day I vomited. once I got rid of the nausea .  I was able to eat a piece of toast. By day 7, I was eating. I  did not feel good for 6 weeks.  By day 10 day and day  11,  I was trying to go back to work with a lighter load, I worked part-time, like 2 or 3 hours a day. That's all I could do. I would come into the house and just collapse. And by day 14, I was doing a full day but feeling pretty terrible.  At the 6 week mark,  I actually felt back to normal.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Mobility decreased, Myalgia, Nausea, Vomiting
Clinical narrative: 04/07/2021 in the morning,  I started feeling bad at night,  severe muscle aches,  really bad flu-like symptoms, I was extremely nauseated,   weak,  I just wanted to stay in bed. For 4 days, I really did not eat. I only got up to pee. On day 6,  I was sitting up,  I called my doctor. I told her the worse symptom was the nausea. She prescribed me ondansetron odt. I was left with weakness and muscle pain. The 1st night, I vomited and the next day I vomited. once I got rid of the nausea .  I was able to eat a piece of toast. By day 7, I was eating. I  did not feel good for 6 weeks.  By day 10 day and day  11,  I was trying to go back to work with a lighter load, I worked part-time, like 2 or 3 hours a day. That's all I could do. I would come into the house and just collapse. And by day 14, I was doing a full day but feeling pretty terrible.  At the 6 week mark,  I actually felt back to normal.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The patient was administered the pediatric Pfizer vaccine without diluting it. At this time, the parent was unable to be reached. However, will try to call until we get a hold of the parent.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: 12 YEARS OLD PATIENT RECEIVED ADULT PFIZER VACCINE
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Eye inflammation, Eye pain, Ocular hyperaemia, Uveitis, Visual impairment
Clinical narrative: Inflammation of the eye, redness, vision impairment, and pain due to uveitis.  Symptoms developed slowly over several weeks until unbearable and treated with prednisolone acetate eye drops.  The symptoms have improved, but have not completely healed.  Vision impairment has continued.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: RN alerted lead RN of a 14 year old male client received Pfizer (for 5 through 11 years of age, Lot # FK5127) at 10:50am. Client should have received Pfizer for 12 years of age and older. Lead RN informed mother of client that client will receive Pfizer for for 12 years of age and older for client's second dose per clinical lead RN, mother of client verbalized understanding.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Feeling abnormal, Headache, Nausea
Clinical narrative: I was having symptoms like I had COVID. Nausea, vomiting, headache, sore throat, diarrhea, stomach ache, fever and body ache. I felt like I got hit by a train. I'm still suffering from these symptoms till today. They lasted for 3 weeks. I went to the ER several times during each week.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Vomiting
Clinical narrative: I was having symptoms like I had COVID. Nausea, vomiting, headache, sore throat, diarrhea, stomach ache, fever and body ache. I felt like I got hit by a train. I'm still suffering from these symptoms till today. They lasted for 3 weeks. I went to the ER several times during each week.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Injection site pain, Interchange of vaccine products, Sluggishness
Clinical narrative: Patient received a Moderna covid-19 vaccine booster.  Patient previously received the J&J one dose vaccine.  Patient stated she was "knocked out"  at 21:30 after having received the vaccine earlier in the day and was unable to "wake up" until the following day at 15:30. She stated that she remained sluggish the rest of the day. She reported feeling fine now and only had a slightly sore arm from the injection at this time.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Patient received dose at 1720. Reported nausea 1740 and went to the bathroom to vomit. Blood pressure112/80 oxygen sat 98%. Patient sat down for observation. Reported feeling dizzy. Felt better after being monitored for 45 minutes. Repeat blood pressure 120/80
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Resident was due for a 2nd dose moderna vaccine (0.5mL) but received the booster dose of (0.25mL)
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: After receiving the third dosage of Moderna in December, I have not had my menstrual cycle. I have never missed a period unless I am pregnant, and I am 100% sure that I am not pregnant at this time.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient is a 9 year old female who should have received the pediatric Pfizer covid vaccine.  The adult Pfizer covid vaccine was incorrectly administered by our immunizing tech in error.  As of writing this, to our knowledge the patient hasn't suffered any type of adverse events.
Age: 21.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Blood potassium, Blood test, Cardiac flutter, Chest X-ray, Chest pain
Clinical narrative: Previous to the symptoms that made me go to the ER I had fever (highest 101.4), severe chills, dizziness, fatigue, etc.  Late night on the 26th (in the early morning) I had severe shortness of breath when laying down/difficulty breathing, sitting up made it better but still not normal level. Heart flutters. Brief chest pain and RIGHT arm pain. This lasted a good 30 minutes (the shortness of breath).  Enough so that I called a nurse line, confirmed I needed to go to the ER, went to the ER.   They did EKG, X-ray, gave me pepcin and salt water fluids, blood tests, COVID test, and eventually a CAT scan.  EKG and X-ray came back fine. Blood work indicated ?possible infection? or pulmonary embolism  so they did a CAT scan. CAT scan came up clear for pulmonary embolism but found something else. I think they said something about lymph nodes and one was labeled as a ?priority? RAD4 or something to double check on.   They discharged me after also referring me to mental health services. However, later that day after sleeping (since I hadn?t slept the entire night) I woke up at 2 AM to find a bump on my lower left back (that has been there previously, been there for years) was now inflamed, sensitive and painful, possibly(?) the source of the detected possible ?infection? they mentioned?
Age: 21.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Chills, Computerised tomogram, Deep vein thrombosis, Differential white blood cell count, Dizziness
Clinical narrative: Previous to the symptoms that made me go to the ER I had fever (highest 101.4), severe chills, dizziness, fatigue, etc.  Late night on the 26th (in the early morning) I had severe shortness of breath when laying down/difficulty breathing, sitting up made it better but still not normal level. Heart flutters. Brief chest pain and RIGHT arm pain. This lasted a good 30 minutes (the shortness of breath).  Enough so that I called a nurse line, confirmed I needed to go to the ER, went to the ER.   They did EKG, X-ray, gave me pepcin and salt water fluids, blood tests, COVID test, and eventually a CAT scan.  EKG and X-ray came back fine. Blood work indicated ?possible infection? or pulmonary embolism  so they did a CAT scan. CAT scan came up clear for pulmonary embolism but found something else. I think they said something about lymph nodes and one was labeled as a ?priority? RAD4 or something to double check on.   They discharged me after also referring me to mental health services. However, later that day after sleeping (since I hadn?t slept the entire night) I woke up at 2 AM to find a bump on my lower left back (that has been there previously, been there for years) was now inflamed, sensitive and painful, possibly(?) the source of the detected possible ?infection? they mentioned?
Age: 21.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Dyspnoea, Electrocardiogram, Fatigue, Fibrin D dimer, Full blood count
Clinical narrative: Previous to the symptoms that made me go to the ER I had fever (highest 101.4), severe chills, dizziness, fatigue, etc.  Late night on the 26th (in the early morning) I had severe shortness of breath when laying down/difficulty breathing, sitting up made it better but still not normal level. Heart flutters. Brief chest pain and RIGHT arm pain. This lasted a good 30 minutes (the shortness of breath).  Enough so that I called a nurse line, confirmed I needed to go to the ER, went to the ER.   They did EKG, X-ray, gave me pepcin and salt water fluids, blood tests, COVID test, and eventually a CAT scan.  EKG and X-ray came back fine. Blood work indicated ?possible infection? or pulmonary embolism  so they did a CAT scan. CAT scan came up clear for pulmonary embolism but found something else. I think they said something about lymph nodes and one was labeled as a ?priority? RAD4 or something to double check on.   They discharged me after also referring me to mental health services. However, later that day after sleeping (since I hadn?t slept the entire night) I woke up at 2 AM to find a bump on my lower left back (that has been there previously, been there for years) was now inflamed, sensitive and painful, possibly(?) the source of the detected possible ?infection? they mentioned?
Age: 21.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Laboratory test, Pain in extremity, Pyrexia, SARS-CoV-2 test negative, Swelling
Clinical narrative: Previous to the symptoms that made me go to the ER I had fever (highest 101.4), severe chills, dizziness, fatigue, etc.  Late night on the 26th (in the early morning) I had severe shortness of breath when laying down/difficulty breathing, sitting up made it better but still not normal level. Heart flutters. Brief chest pain and RIGHT arm pain. This lasted a good 30 minutes (the shortness of breath).  Enough so that I called a nurse line, confirmed I needed to go to the ER, went to the ER.   They did EKG, X-ray, gave me pepcin and salt water fluids, blood tests, COVID test, and eventually a CAT scan.  EKG and X-ray came back fine. Blood work indicated ?possible infection? or pulmonary embolism  so they did a CAT scan. CAT scan came up clear for pulmonary embolism but found something else. I think they said something about lymph nodes and one was labeled as a ?priority? RAD4 or something to double check on.   They discharged me after also referring me to mental health services. However, later that day after sleeping (since I hadn?t slept the entire night) I woke up at 2 AM to find a bump on my lower left back (that has been there previously, been there for years) was now inflamed, sensitive and painful, possibly(?) the source of the detected possible ?infection? they mentioned?
Age: 21.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Troponin I
Clinical narrative: Previous to the symptoms that made me go to the ER I had fever (highest 101.4), severe chills, dizziness, fatigue, etc.  Late night on the 26th (in the early morning) I had severe shortness of breath when laying down/difficulty breathing, sitting up made it better but still not normal level. Heart flutters. Brief chest pain and RIGHT arm pain. This lasted a good 30 minutes (the shortness of breath).  Enough so that I called a nurse line, confirmed I needed to go to the ER, went to the ER.   They did EKG, X-ray, gave me pepcin and salt water fluids, blood tests, COVID test, and eventually a CAT scan.  EKG and X-ray came back fine. Blood work indicated ?possible infection? or pulmonary embolism  so they did a CAT scan. CAT scan came up clear for pulmonary embolism but found something else. I think they said something about lymph nodes and one was labeled as a ?priority? RAD4 or something to double check on.   They discharged me after also referring me to mental health services. However, later that day after sleeping (since I hadn?t slept the entire night) I woke up at 2 AM to find a bump on my lower left back (that has been there previously, been there for years) was now inflamed, sensitive and painful, possibly(?) the source of the detected possible ?infection? they mentioned?
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Chest pain, Erythema, Peripheral swelling, Skin warm
Clinical narrative: patient received vaccines on monday1/24/2022,  patient was fidgeting around and didn't want to get injections, kept moving around even after we explained the importance of holding still. vaccines were given, 1/25/2022  mom stated he was c/o of his left anterior  chest hurting, no redness noted at that time the following day, mom applied vicks vapo rub on his  chest and arm.  on the 26trth they noticed that his are was hot , red and sligtly swollen. Saw provider she advised for them to use cool compresses and rx'd bendadrylo
Age: 16.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Blood glucose normal, Confusional state, Dizziness, Fall, Fatigue
Clinical narrative: Child was given three vaccines. After giving the third vaccine, which was HPV, child felt dizzy and fell forward off the table. Was caught by the medical assistant and fainted to the floor. Regained consciousness after a few seconds and sat up, drank some water. By this time, MD was called (myself and child was on the floor) I had her lie down and elevate legs, she was conversant, not tachycardic. Just confused and tired with a headache. After 5 minutes BP was taken after she sat up, she remained seated for another 5-8 minutes as she was tired with ongoing headache before she recovered fully.
Age: 16.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Haemoglobin normal, Headache, Loss of consciousness, Syncope
Clinical narrative: Child was given three vaccines. After giving the third vaccine, which was HPV, child felt dizzy and fell forward off the table. Was caught by the medical assistant and fainted to the floor. Regained consciousness after a few seconds and sat up, drank some water. By this time, MD was called (myself and child was on the floor) I had her lie down and elevate legs, she was conversant, not tachycardic. Just confused and tired with a headache. After 5 minutes BP was taken after she sat up, she remained seated for another 5-8 minutes as she was tired with ongoing headache before she recovered fully.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Patient received 0.2 mL of undiluted orange cap pediatric Pfizer (30 mcg dose), no reported side effects when they left the clinic
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The patient was administered undiluted vaccine of the Pfizer pediatric covid vaccine. Spoke  with the parent (father) of the patient, informed him about the side effects to watch out for (headache, fever, body aches, chills) and contact doctor if they become concerning.  Per CDC, it is okay to skip the 2nd dose if the side effects are severe with the 1st vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus, Throat irritation
Clinical narrative: Pt reported that her throat itches. Vitals: 136/86, 93, 20, 100%, 98.7F -- > 121/89 -- > 128/77, 81, 20, 100%Lungs clear all quadrants, pt c/o SOB and itchiness around neck.  Denies Chest Pain. Pt given benadryl 50mg PO @18:13. Recommended pt f/u w/ PCP.  Pt stable and released from the vaccination site. Pt followed up w/ PCP the following day.  Records unavailable to this writer.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Electromyogram abnormal, Injection site pain, Magnetic resonance imaging neck, Pain
Clinical narrative: Developed an ache in the left shoulder which started to radiate down the lateral aspect of the upper arm to the elbow involving the left trapezius deltoid and proximal arm to the elbow.  Approximately 1 week later her right arm began to hurt with similar distribution.  Pain was sharp and shooting however at its worst when intensity has flared to its up most there may be a burning character to it as well.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Developed an ache in the left shoulder which started to radiate down the lateral aspect of the upper arm to the elbow involving the left trapezius deltoid and proximal arm to the elbow.  Approximately 1 week later her right arm began to hurt with similar distribution.  Pain was sharp and shooting however at its worst when intensity has flared to its up most there may be a burning character to it as well.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster dose was given 3 months after series completion when should have been given at 5 months.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Accidentally gave Moderna to patient who is 17 years old, while it is not indicated until 18 years of age.  No adverse effects patient well
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood iron, Differential white blood cell count, Erythema, Fatigue
Clinical narrative: Randomized red blood petechiae like spots under skin appearing on abdomen and back, then spreading to chest, arms, legs and neck over next several days.  Severe lower back pain, fatigue, general muscle pain
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Haematocrit normal, Haemoglobin normal, Haemorrhage, Iron binding capacity total
Clinical narrative: Randomized red blood petechiae like spots under skin appearing on abdomen and back, then spreading to chest, arms, legs and neck over next several days.  Severe lower back pain, fatigue, general muscle pain
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased, Mean platelet volume
Clinical narrative: Randomized red blood petechiae like spots under skin appearing on abdomen and back, then spreading to chest, arms, legs and neck over next several days.  Severe lower back pain, fatigue, general muscle pain
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte count normal, Myalgia, Neutrophil count increased, Petechiae, Platelet count normal
Clinical narrative: Randomized red blood petechiae like spots under skin appearing on abdomen and back, then spreading to chest, arms, legs and neck over next several days.  Severe lower back pain, fatigue, general muscle pain
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count decreased, Red cell distribution width normal, Serum ferritin normal, Transferrin saturation, White blood cell count normal
Clinical narrative: Randomized red blood petechiae like spots under skin appearing on abdomen and back, then spreading to chest, arms, legs and neck over next several days.  Severe lower back pain, fatigue, general muscle pain
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Asthenia, Cold sweat, Decreased appetite
Clinical narrative: First day sore arm at injection site. Less painful than previous doses. Felt fine for 2 days with little nausea, decided to go to work overnight shift. During lunch; decreased appetite and bloating, Nausea increased to moderate and severe abdominal pain. Hot and cold sweats but no fever, multiple stools. Debated leaving work early. Managed to make it home after shift, took  Pepto Bismol and gas x and slept more than usual. Decreased appetite until Day 5 returned to work and felt okay but a little weak. Day 6 woke up in the middle of sleep and had severe abdominal pain and nausea. Tried to take Pepto Bismol and gas x with no relief. Debated going to the Emergency room. Could not go to work. Hot shower helped relieve the pain to go back to sleep. Unable to drink water due to nausea. Slept for 14 hours woke up feeling queasy, able to eat a little rice and chicken broth.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Frequent bowel movements, Impaired driving ability, Injection site pain, Nausea, Somnolence
Clinical narrative: First day sore arm at injection site. Less painful than previous doses. Felt fine for 2 days with little nausea, decided to go to work overnight shift. During lunch; decreased appetite and bloating, Nausea increased to moderate and severe abdominal pain. Hot and cold sweats but no fever, multiple stools. Debated leaving work early. Managed to make it home after shift, took  Pepto Bismol and gas x and slept more than usual. Decreased appetite until Day 5 returned to work and felt okay but a little weak. Day 6 woke up in the middle of sleep and had severe abdominal pain and nausea. Tried to take Pepto Bismol and gas x with no relief. Debated going to the Emergency room. Could not go to work. Hot shower helped relieve the pain to go back to sleep. Unable to drink water due to nausea. Slept for 14 hours woke up feeling queasy, able to eat a little rice and chicken broth.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse event known at time of reporting.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Lymphadenopathy
Clinical narrative: Armpit swollen & rash around the injection site
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Allen's test, Anion gap, Aspartate aminotransferase normal, Bacterial test negative
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Basophil count, Basophil percentage decreased, Bilirubin urine, Blood albumin decreased, Blood alkaline phosphatase normal
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood bicarbonate normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine increased
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.