chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Around July of 2021, my shoulder had been hurting prior to that but not a nagging pain, but after I received my shot in the left arm the pain started radiating down through my arm to my thumb. Every night around 2-3 o'clock in the morning, the pains wake me up out my sleep. My whole left arm/shoulder all the way down to my thumb I have pain that is hard to describe. It hurts every night. During the day it doesn't hurt, but every night it hurts around 2-3 o'clock at night. Also, up in my chest by my collar bone is sore to the touch. I contacted my doctor on August of 2021 or, and explained my pain and my doctor told me to contact the other doctor, who is my orthopedic surgeon. I saw my surgeon on Aug 20th, 2021. When I saw my surgeon, he did an X-ray and examined my left arm/shoulder to see what was going on. I cannot find my x-ray results, but it said something about my rotator cuff. I think it was some inflammation in the rotator cuff and doctor gave me some exercises to do to see if it would help with the pain. On September 21, 2021, I went to my PCP and did an EKG, and this EKG differed from my previous EKG test. I am scheduled to take a stress on Oct 5, 2021, for the pain in my chest., with my PCP.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Therapeutic response unexpected
Clinical narrative: pt was in remission 05/10/21 - 08/02/21
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Moderna vaccine given instead of Pfizer for patient's second dose of covid vaccine. Dr notified with only instruction given was to notify patient and inform pt of  no need to repeat dose.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Ejection fraction decreased, Muscular weakness
Clinical narrative: STARTING 2 DAYS AFTER 2ND MODERNA DOSE PATIENT REPORTS HIS LEGS BECAME WEAK AND HE HAS NOT REGAINED ORIGINAL STRENGTH.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid positve unknown contact
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Abdominal pain upper, Appendicectomy, Appendicitis, Blood test
Clinical narrative: 9/17-evening-Chills, severe pain in the lower abdomen, took ibuprofen and rest and it calmed some,  9/18-evening-Severe lower abdominal pain , same treatment, 9/19-evening-Severe lower abdominal pain, same treatment 9/20 -all day pain in upper and lower abdomen worse upon moving, 9/21-all day pain in upper and lower abdomen worse upon moving, went to the doctor at 4 pm, blood work at 4:50, CAT scan of abdomen at 6:15 revealed acute appendicitis, hospitalized  9/22- surgery to remove appendix
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein abnormal, Chills, Computerised tomogram abdomen, Computerised tomogram abdomen abnormal, Full blood count
Clinical narrative: 9/17-evening-Chills, severe pain in the lower abdomen, took ibuprofen and rest and it calmed some,  9/18-evening-Severe lower abdominal pain , same treatment, 9/19-evening-Severe lower abdominal pain, same treatment 9/20 -all day pain in upper and lower abdomen worse upon moving, 9/21-all day pain in upper and lower abdomen worse upon moving, went to the doctor at 4 pm, blood work at 4:50, CAT scan of abdomen at 6:15 revealed acute appendicitis, hospitalized  9/22- surgery to remove appendix
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Pain, Pathology test, SARS-CoV-2 test
Clinical narrative: 9/17-evening-Chills, severe pain in the lower abdomen, took ibuprofen and rest and it calmed some,  9/18-evening-Severe lower abdominal pain , same treatment, 9/19-evening-Severe lower abdominal pain, same treatment 9/20 -all day pain in upper and lower abdomen worse upon moving, 9/21-all day pain in upper and lower abdomen worse upon moving, went to the doctor at 4 pm, blood work at 4:50, CAT scan of abdomen at 6:15 revealed acute appendicitis, hospitalized  9/22- surgery to remove appendix
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Acute febrile neutrophilic dermatosis, Blister, Pain
Clinical narrative: received the vaccine on 8/24/21.   "Sweet Syndrome" symptoms began on 8/28/21, painful blisters/lesions still present today, 9/27/21.   currently taking prednisone taper (40mg daily x 1 week then 20mg daily x 1 week and then 10mg daily x 1 week and zyrtec.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscle spasms, Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: Severe muscle stiffness.  Inability to rotate neck, make a fist, stand for more than two minutes. Back spasms, pain with breathing.  Eeded assistance to rise from bed or sitting position.   Lowgrade temperature and headache,but this was expected. Symptoms lasted approximately 60 hours.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Lip swelling
Clinical narrative: Moderna COVID-19 Vaccine EUA: patient presents to allergy clinic for long-term follow-up after reaction to immunization. Within five minutes of vaccination reported upper lip swelling and numbness. Received oral diphenhydramine and symptoms resolved. Took another dose of oral diphenhydramine six hours later. Patient woke up with lip swelling and facial numbness, went to the emergency department, received IV diphenhydramine with symptom resolution. Patient continued to take oral diphenhydramine for 24 hours and symptoms did not recur.  Received Janssen COVID-19 vaccine booster shot one month later without reaction.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus in the left ear.  Had the last shot on 9.24 and tinnitus developed 9.27....no history etc of health or hearing issues.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Headache, Heart rate increased
Clinical narrative: Had severe headache the night the booster was received with extremely high heart rate. At midnight her smart watch alerted her that her heart rate was over 190 bpm.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patients first dose of Covid vaccine was Pfizer. This nurse mistakenly gave a Moderna vaccine. Patient monitored for required amount of time, no adverse effects noted. MD aware of event as well as supervisor.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood immunoglobulin G, Blood test abnormal, Brain scan normal, Coagulation time, Differential white blood cell count
Clinical narrative: I started having spontaneous bruising and petechiae on my entire body. When the bruises got bigger I went to the ER. I had no other symptoms, felt just completely normal. They did labs and found that I had almost 0 platelets in my blood: 2000! The Immediately admitted me, took me for brain scan, did more labs looking for disease. Both came back normal that first day on Saturday, 9/25. They scheduled me for platelet infusion, steroids, and IgG that evening. Another blood draw and had only raised to 4000. So more platelet infusion, steroids, Sunday went up to 40,000.  Next draw showed dropped back to 29,000. More steroids sunday night, with Blood draw this morning , Platelets up to  35,000.  Dr?s are perplexed as to this sudden drop in platelets to so drastically low . I still feel perfectly fine, NO other symptoms except the excessive bruising/petechiae. I felt this should be reported because this has been shown to be an after effect of several of the vaccinations
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Increased tendency to bruise, Laboratory test normal, Petechiae, Platelet count decreased
Clinical narrative: I started having spontaneous bruising and petechiae on my entire body. When the bruises got bigger I went to the ER. I had no other symptoms, felt just completely normal. They did labs and found that I had almost 0 platelets in my blood: 2000! The Immediately admitted me, took me for brain scan, did more labs looking for disease. Both came back normal that first day on Saturday, 9/25. They scheduled me for platelet infusion, steroids, and IgG that evening. Another blood draw and had only raised to 4000. So more platelet infusion, steroids, Sunday went up to 40,000.  Next draw showed dropped back to 29,000. More steroids sunday night, with Blood draw this morning , Platelets up to  35,000.  Dr?s are perplexed as to this sudden drop in platelets to so drastically low . I still feel perfectly fine, NO other symptoms except the excessive bruising/petechiae. I felt this should be reported because this has been shown to be an after effect of several of the vaccinations
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet transfusion
Clinical narrative: I started having spontaneous bruising and petechiae on my entire body. When the bruises got bigger I went to the ER. I had no other symptoms, felt just completely normal. They did labs and found that I had almost 0 platelets in my blood: 2000! The Immediately admitted me, took me for brain scan, did more labs looking for disease. Both came back normal that first day on Saturday, 9/25. They scheduled me for platelet infusion, steroids, and IgG that evening. Another blood draw and had only raised to 4000. So more platelet infusion, steroids, Sunday went up to 40,000.  Next draw showed dropped back to 29,000. More steroids sunday night, with Blood draw this morning , Platelets up to  35,000.  Dr?s are perplexed as to this sudden drop in platelets to so drastically low . I still feel perfectly fine, NO other symptoms except the excessive bruising/petechiae. I felt this should be reported because this has been shown to be an after effect of several of the vaccinations
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dizziness, Dyspnoea, Hypercoagulation
Clinical narrative: Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Obesity, Obstructive shock, Protein deficiency, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: There was an opened unlabeled vial of Moderna in the fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound Doppler
Clinical narrative: Patient received the first dose of the COVID-19 Moderna vaccine. One week later developed left calf pain. At the time was in a boot for tendonitis. Described pain as new and aggravated by ambulation or pressure.  No alleviating factors.  She was sent by podiatrist for vascular study which was positive for DVT to the left distal popliteal vein and posterior tibial veins. Patient was seen at the ED and prescribed rivaroxaban.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cataract operation, Computerised tomogram, Joint stiffness, Magnetic resonance imaging, Musculoskeletal stiffness
Clinical narrative: I didn't have any immediate symptoms from the vaccine. In June I started to feel stiffness - in my legs - on the top of my thigh. At the joint between thigh and pelvic area. On both sides. I had a doctor visit. I had physical therapy after testing and getting diagnosed with arthritis. I had therapy for 10 visits. That didn't help with the symptoms. I also had an injection - it was a steroid injection and that made it worse. I am on physical therapy again now. I also had a cataract removed. That was removed 2 weeks ago on the right eye. That is recovering okay.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: I didn't have any immediate symptoms from the vaccine. In June I started to feel stiffness - in my legs - on the top of my thigh. At the joint between thigh and pelvic area. On both sides. I had a doctor visit. I had physical therapy after testing and getting diagnosed with arthritis. I had therapy for 10 visits. That didn't help with the symptoms. I also had an injection - it was a steroid injection and that made it worse. I am on physical therapy again now. I also had a cataract removed. That was removed 2 weeks ago on the right eye. That is recovering okay.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dyspepsia, Hyperacusis, Paraesthesia
Clinical narrative: Arm burning  then spread to hands and feet and also stomach . Amplified sounds . Arm pit felt like pins and needles
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Autopsy, Chest X-ray, Hernia, Laboratory test
Clinical narrative: On 06/02/2021 my father started having extreme abdominal pain. He visited er and was sent home with a surgeon follow up in one week. They said he had a hernia However no hernia was noted on autopsy report. He died suddenly on the morning of 6/9/2021 just before surgeon appointment
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sudden death
Clinical narrative: On 06/02/2021 my father started having extreme abdominal pain. He visited er and was sent home with a surgeon follow up in one week. They said he had a hernia However no hernia was noted on autopsy report. He died suddenly on the morning of 6/9/2021 just before surgeon appointment
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID on 9/24/21 after being fully vaccinated.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Mobility decreased, Oropharyngeal pain
Clinical narrative: Fever, soar and itchy arm, joint pains, sore throat, tiredness, unable to get out of bed for 3 days, headache.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Pyrexia
Clinical narrative: Fever, soar and itchy arm, joint pains, sore throat, tiredness, unable to get out of bed for 3 days, headache.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swollen tongue, Throat tightness
Clinical narrative: patient reports full body itching within 10 minutes that got progressively got worse, throat closing, tongue swelling. patient reports she was provided with Benadryl; epinephrine injections twice; and was transported to  ED. EE in ED for 4-5 hours then discharged on prednisone and Benadryl.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Chest pain, Cough, Painful respiration
Clinical narrative: Patient presented with chronic onset chest pain, worsened by breathing and coughing, gave Lipitor, Famocidine, Aspirin, Tylenol, and Discharged.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: There was an opened unlabeled vial of Moderna in the fridge. There had not been any mentions of an open Moderna vial (as when we open each vial we let everyone know . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by an RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis, Chest X-ray, Chest scan, SARS-CoV-2 test
Clinical narrative: SO AFTER TWO MONTHS I CAME DOWN WITH ACUTE BRONCHITIS, I HAD TO TAKE ANTIBIOTICS AND SOME OTHER MEDICINES.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient developed breakthrough COVID-19 requiring hospitalization.
Age: 0.17
Sex: M
Vaccine: FLU4, RV5
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt given 2 fluzone vaccines (same lot #) by mistake at 2mo well child check.  Also given rotateq, but other 2mo vaccines were not given after error was realized.  Pt / mom sat for 30 minutes after injections and no reaction observed.  Mom will monitor for any AE and call immediately should anything be observed.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Dizziness, Fatigue, Headache
Clinical narrative: Joint pains, hip felt broken, high fever, weak, tiredness, headaches, dizziness
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperpyrexia, Musculoskeletal discomfort
Clinical narrative: Joint pains, hip felt broken, high fever, weak, tiredness, headaches, dizziness
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID(+) 9/27/21
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Confusional state, Feeling cold, Headache, Heart rate increased
Clinical narrative: confusion, shivering/freezing feeling, high heart rate, headache
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Mobility decreased, Nausea
Clinical narrative: fever 101, arm so sore could not lift it,  headache, chills, severe fatigue, body aches, nausea that lasted for just over 48 hours
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: fever 101, arm so sore could not lift it,  headache, chills, severe fatigue, body aches, nausea that lasted for just over 48 hours
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Computerised tomogram normal, Dizziness, Electrocardiogram normal, Fall
Clinical narrative: Saturday 6:00 a.m. - tender arm at injection site.  12:00 p.m. felt dizzy for less than a minute and then passed out in the driveway attempting to get into the house.  I hit my face on both the foundation and a retaining wall (corner).  When conscious I got into the house, laid on the couch and couln't move for 7-8 hours.  I was nauseous, cramps in my rib cage and sweating profusely.  My clothes were soaked and the fan was blowing on me.  I was freezing and sweating but unable to move.  I couldn't get the phone on the table 12 inches away.  I was very dizzy and if I moved my eyes everything was spinning.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling of body temperature change, Full blood count normal, Head injury, Heart rate decreased, Hyperhidrosis
Clinical narrative: Saturday 6:00 a.m. - tender arm at injection site.  12:00 p.m. felt dizzy for less than a minute and then passed out in the driveway attempting to get into the house.  I hit my face on both the foundation and a retaining wall (corner).  When conscious I got into the house, laid on the couch and couln't move for 7-8 hours.  I was nauseous, cramps in my rib cage and sweating profusely.  My clothes were soaked and the fan was blowing on me.  I was freezing and sweating but unable to move.  I couldn't get the phone on the table 12 inches away.  I was very dizzy and if I moved my eyes everything was spinning.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Loss of consciousness, Metabolic function test, Mobility decreased, Muscle spasms
Clinical narrative: Saturday 6:00 a.m. - tender arm at injection site.  12:00 p.m. felt dizzy for less than a minute and then passed out in the driveway attempting to get into the house.  I hit my face on both the foundation and a retaining wall (corner).  When conscious I got into the house, laid on the couch and couln't move for 7-8 hours.  I was nauseous, cramps in my rib cage and sweating profusely.  My clothes were soaked and the fan was blowing on me.  I was freezing and sweating but unable to move.  I couldn't get the phone on the table 12 inches away.  I was very dizzy and if I moved my eyes everything was spinning.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Troponin normal, Vertigo
Clinical narrative: Saturday 6:00 a.m. - tender arm at injection site.  12:00 p.m. felt dizzy for less than a minute and then passed out in the driveway attempting to get into the house.  I hit my face on both the foundation and a retaining wall (corner).  When conscious I got into the house, laid on the couch and couln't move for 7-8 hours.  I was nauseous, cramps in my rib cage and sweating profusely.  My clothes were soaked and the fan was blowing on me.  I was freezing and sweating but unable to move.  I couldn't get the phone on the table 12 inches away.  I was very dizzy and if I moved my eyes everything was spinning.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Oligomenorrhoea
Clinical narrative: Extended mensuration - currently for 12 days, normal is 5-6 days and has been for the entire duration since I began menstruating at 12 years old   Start date - 9/16/21 and no end date as of 9/27/21
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus, still there but has decreased some in intensity.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram, Musculoskeletal chest pain, Palpitations, Pericarditis
Clinical narrative: Patient developed palpitations and chest tightness/pressure that worsens with laying down and deep inspiration. EKG consistent with pericarditis.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Nausea
Clinical narrative: Chills Nausea
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Positive for Covid with symptoms:  chills, slight cough, and sore throat.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Pt came home from school with a sore throat, runny nose and mild fever of 99.7 (no illness or symptoms that morning). Fever dissipated that evening and by the following day (24 hours) both sore throat and sniffles had abated. He took a vitamin C orange drink supplement and zinc (as recommended by attending doctor at urgent care facility).
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was administered the vaccine less than 23 days since dose #1. (dose # 09/01/2021).
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: There was an opened unlabeled vial of Moderna in the VFC fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Oropharyngeal pain, Streptococcus test negative, Viral pharyngitis
Clinical narrative: Developed sore throat which was diagnosed as viral pharyngitis
Age: 72.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Laboratory test, Transient ischaemic attack
Clinical narrative: Three (3) unexplained TIA?s on three separate days Hospital ER
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Fatigue
Clinical narrative: Cough, SOB, Nausea, Vomiting, Fatigue.  Treatment was REMDESIVIR, SOLUMEDROL.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pneumonia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Cough, SOB, Nausea, Vomiting, Fatigue.  Treatment was REMDESIVIR, SOLUMEDROL.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Exposure during pregnancy, Headache, Hyperacusis
Clinical narrative: Was 28 week pregnant at time Started with seeing lights in my eyes and being light head a few mins after getting the shot. About 30 mins later I started throwing up, cold sweats and headache(was very sensitive to light or noise) . The symptoms continued for 48 hours.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Photopsia, Vomiting
Clinical narrative: Was 28 week pregnant at time Started with seeing lights in my eyes and being light head a few mins after getting the shot. About 30 mins later I started throwing up, cold sweats and headache(was very sensitive to light or noise) . The symptoms continued for 48 hours.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bicarbonate, Blood creatinine increased, Blood glucose increased, Blood sodium normal, Blood urea increased
Clinical narrative: Hospitalized 9/20/2021; COVID-19 positive 9/16/2021; fully vaccinated  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: The patient is a 82 y.o. male with Hx of DM type 2, prostate cancer, CKD 3, atrial fibrillation on Coumadin, and HTN who presented to ED with complaints of worsening shortness of breath. His symptoms started 9/13 and included shortness of breath, cough, fatigue, and decreased appetite. He developed fever of 101.9 on 9/16 and had a positive COVID-19 test from pharmacy on 9/16. He was vaccinated with the J&J vaccine in 3/21.   In the ED, he was tachypneic and hypoxic at 88% on room air. He was placed on 2L NC with improvement in oxygen saturation. His labs were notable for sodium 130, bicarbonate 19, BUN 22, creatinine 1.18, WBC 14, INR 1.9. Chest x-ray showed bilateral pneumonia.  He received decadron 6 and remdesivir. His O2 requirements initially increased to 6L via nasal cannula, but gradually improved. Per pulm rehab he required 1L at rest and 3.5L with activity on the day of discharge. PT/OT recommended home with assist. The patient's hyponatremia improved. His glucose was elevated while on steroids, but decadron was not continued on discharge and he returned to his home medication regimen.   The patient has been enrolled in the COVID at home program and will have visiting nurse services. I have recommended he have an INR drawn 9/28 and that he follow up with the anticoagulation clinic at DC. The patient was discharged home in stable condition with home O2.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Decreased appetite
Clinical narrative: Hospitalized 9/20/2021; COVID-19 positive 9/16/2021; fully vaccinated  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: The patient is a 82 y.o. male with Hx of DM type 2, prostate cancer, CKD 3, atrial fibrillation on Coumadin, and HTN who presented to ED with complaints of worsening shortness of breath. His symptoms started 9/13 and included shortness of breath, cough, fatigue, and decreased appetite. He developed fever of 101.9 on 9/16 and had a positive COVID-19 test from pharmacy on 9/16. He was vaccinated with the J&J vaccine in 3/21.   In the ED, he was tachypneic and hypoxic at 88% on room air. He was placed on 2L NC with improvement in oxygen saturation. His labs were notable for sodium 130, bicarbonate 19, BUN 22, creatinine 1.18, WBC 14, INR 1.9. Chest x-ray showed bilateral pneumonia.  He received decadron 6 and remdesivir. His O2 requirements initially increased to 6L via nasal cannula, but gradually improved. Per pulm rehab he required 1L at rest and 3.5L with activity on the day of discharge. PT/OT recommended home with assist. The patient's hyponatremia improved. His glucose was elevated while on steroids, but decadron was not continued on discharge and he returned to his home medication regimen.   The patient has been enrolled in the COVID at home program and will have visiting nurse services. I have recommended he have an INR drawn 9/28 and that he follow up with the anticoagulation clinic at DC. The patient was discharged home in stable condition with home O2.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Hyponatraemia, Hypoxia, International normalised ratio decreased
Clinical narrative: Hospitalized 9/20/2021; COVID-19 positive 9/16/2021; fully vaccinated  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: The patient is a 82 y.o. male with Hx of DM type 2, prostate cancer, CKD 3, atrial fibrillation on Coumadin, and HTN who presented to ED with complaints of worsening shortness of breath. His symptoms started 9/13 and included shortness of breath, cough, fatigue, and decreased appetite. He developed fever of 101.9 on 9/16 and had a positive COVID-19 test from pharmacy on 9/16. He was vaccinated with the J&J vaccine in 3/21.   In the ED, he was tachypneic and hypoxic at 88% on room air. He was placed on 2L NC with improvement in oxygen saturation. His labs were notable for sodium 130, bicarbonate 19, BUN 22, creatinine 1.18, WBC 14, INR 1.9. Chest x-ray showed bilateral pneumonia.  He received decadron 6 and remdesivir. His O2 requirements initially increased to 6L via nasal cannula, but gradually improved. Per pulm rehab he required 1L at rest and 3.5L with activity on the day of discharge. PT/OT recommended home with assist. The patient's hyponatremia improved. His glucose was elevated while on steroids, but decadron was not continued on discharge and he returned to his home medication regimen.   The patient has been enrolled in the COVID at home program and will have visiting nurse services. I have recommended he have an INR drawn 9/28 and that he follow up with the anticoagulation clinic at DC. The patient was discharged home in stable condition with home O2.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, SARS-CoV-2 test positive, Tachypnoea, White blood cell count increased
Clinical narrative: Hospitalized 9/20/2021; COVID-19 positive 9/16/2021; fully vaccinated  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: The patient is a 82 y.o. male with Hx of DM type 2, prostate cancer, CKD 3, atrial fibrillation on Coumadin, and HTN who presented to ED with complaints of worsening shortness of breath. His symptoms started 9/13 and included shortness of breath, cough, fatigue, and decreased appetite. He developed fever of 101.9 on 9/16 and had a positive COVID-19 test from pharmacy on 9/16. He was vaccinated with the J&J vaccine in 3/21.   In the ED, he was tachypneic and hypoxic at 88% on room air. He was placed on 2L NC with improvement in oxygen saturation. His labs were notable for sodium 130, bicarbonate 19, BUN 22, creatinine 1.18, WBC 14, INR 1.9. Chest x-ray showed bilateral pneumonia.  He received decadron 6 and remdesivir. His O2 requirements initially increased to 6L via nasal cannula, but gradually improved. Per pulm rehab he required 1L at rest and 3.5L with activity on the day of discharge. PT/OT recommended home with assist. The patient's hyponatremia improved. His glucose was elevated while on steroids, but decadron was not continued on discharge and he returned to his home medication regimen.   The patient has been enrolled in the COVID at home program and will have visiting nurse services. I have recommended he have an INR drawn 9/28 and that he follow up with the anticoagulation clinic at DC. The patient was discharged home in stable condition with home O2.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Contusion, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Fever of 103, body aches, pain, swelling and redness at injection site.  Swollen, painful lymph nodes under the left (injection site) arm.  Also many bruises all over legs and thighs.  All symptoms lasted 4 days.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Fever of 103, body aches, pain, swelling and redness at injection site.  Swollen, painful lymph nodes under the left (injection site) arm.  Also many bruises all over legs and thighs.  All symptoms lasted 4 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chills, Discomfort, Swollen tongue, Throat irritation
Clinical narrative: Patient complained of chills, throat itching and discomfort at 10:11 am, able to speak normally. Vital signs initiated, covered with sweater, advised deep breathing as patient was anxious. At 10:25 am Noted mild swelling on left lateral tongue with normal vital signs. Benadryl intramuscular administered, dose confirmed by two register nurses and the head leads.   checked vital signs within normal limits, patient stated feeling better, symptoms swelling and itchiness resolved. 11:20 am Patients stated feeling better, vital within normal limit, verbalized no more throat or tongue discomfort. Discharged with company of a friend to home. Advised to go to ER in case symptoms come back or breathing difficulties.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Fall, Nausea, Pain
Clinical narrative: Breakthrough COVID-19 case with symptom onset 9/5/2021: Fever, Aches, Nausea/Vomiting. Hospitalized 9/5/2021 following fall down the stairs. 911 was called as Pt was unresponsive and taken from home address in record to Hosp where she was admitted for possible heart attack. Chest xray was clear.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Unresponsive to stimuli, Vaccine breakthrough infection, Vomiting
Clinical narrative: Breakthrough COVID-19 case with symptom onset 9/5/2021: Fever, Aches, Nausea/Vomiting. Hospitalized 9/5/2021 following fall down the stairs. 911 was called as Pt was unresponsive and taken from home address in record to Hosp where she was admitted for possible heart attack. Chest xray was clear.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive household contact
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Infection
Clinical narrative: Patient developed breakthrough COVID-19 requiring hospitalization
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Tinnitus, Urticaria
Clinical narrative: Severe itching of hands, then hives and itching on arms, legs, areas with friction like clothing seams, tight clothing, pressure again skin. Dermatagraphia was a problem. Treated with anti-histamines. Symptoms calmed down and then worsened 8 days after the second dose of the vaccine, exactly like the first dose. Continued anti-histamines for about a month.   Itching and hives flare up at times and go away. I take an anti-histamine 2-3x a month to control these flare ups.   I had absolutely no problem of this kind before the vaccination.   Tinnitus also developed during this time and continues.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: My arm was sore the next day.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Nasal congestion, Pyrexia
Clinical narrative: PT came in with stuffy nose, weakness and low grade fever; Gave her Vitamin C, Zinc, Pantaprazol; Tylenol;  PT is discharged
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: 6-8 weeks pregnant Benadryl and prednisone
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Blood creatinine increased, Blood pressure decreased, COVID-19
Clinical narrative: Chief Complaint  pt illness since 8/10, covid + fatigue, lightheaded, cough, shortness of breath, fever, chills, BA, HA, loss of taste or smell. nausea, recieved monoclonal antibodies last week. O2 sat 88% History of Present Illness: patient is a 68-year-old man with a history of CAD (s/p CABG), RA, hypertension, and DMII who presented to the ED with worsening shortness of breath in the setting of COVID-19 infection.   The patient developed fatigue and URI symptoms around 8/11. He tested positive for COVID on 8/11. He was able to be arranged to have monoclonal antibody treatment on 8/12.  Patient reports that since his monoclonal antibody treatment that he has continued to have ongoing fatigue.  He  has also had ongoing cough, fever,  and body aches.  Patient was seen by his PCP on day of presentation and reportedly had oxygen saturations in the high 80's.  Patient was then instructed to present to the ED for further evaluation.  The patient was admitted to the COVID step-down unit.  He received 5 days of remdesivir and dexamethasone.  The patient was initially on 4 L, but quickly over the last several days we have been able to wean him down significantly really to almost room air.  Today, the patient has actually gotten to room air, but when he gets up, he does desaturate with ambulation.  His creatinine was slightly elevated when he was admitted, his ARB was held because his blood pressure was a little soft.  His creatinine went from 1.3 down to 1.1 upon discharge.  Also, his platelet count was slightly low when he was admitted, which is fairly common with COVID-19.  His platelet count was initially 108, but on the day of discharge it had already rebounded to 148.    He is eating and drinking.  He had had a bowel movement, which is not  uncommon for him.  He has struggled with constipation at home. He is eating and drinking.  He had had a bowel movement, which is not  uncommon for him.  He has struggled with constipation at home.    In terms of his diabetes, the patient was taken off his Jardiance and his glipizide along with his metformin while he is in the hospital.  Obviously, he had some elevation of his glucose, is related to the dexamethasone.  I think that will probably resolve itself after he finishes tape his dexamethasone course.   The patient feels well.  He qualified for 1-2 L of oxygen mostly when he ambulates.  He did get down to 86, when he ambulated.  I basically outlined him that he will probably need it for 1-2 weeks.  He will be discharged in markedly improved condition.  His diet should be heart healthy.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Constipation, Cough, Dizziness, Dyspnoea
Clinical narrative: Chief Complaint  pt illness since 8/10, covid + fatigue, lightheaded, cough, shortness of breath, fever, chills, BA, HA, loss of taste or smell. nausea, recieved monoclonal antibodies last week. O2 sat 88% History of Present Illness: patient is a 68-year-old man with a history of CAD (s/p CABG), RA, hypertension, and DMII who presented to the ED with worsening shortness of breath in the setting of COVID-19 infection.   The patient developed fatigue and URI symptoms around 8/11. He tested positive for COVID on 8/11. He was able to be arranged to have monoclonal antibody treatment on 8/12.  Patient reports that since his monoclonal antibody treatment that he has continued to have ongoing fatigue.  He  has also had ongoing cough, fever,  and body aches.  Patient was seen by his PCP on day of presentation and reportedly had oxygen saturations in the high 80's.  Patient was then instructed to present to the ED for further evaluation.  The patient was admitted to the COVID step-down unit.  He received 5 days of remdesivir and dexamethasone.  The patient was initially on 4 L, but quickly over the last several days we have been able to wean him down significantly really to almost room air.  Today, the patient has actually gotten to room air, but when he gets up, he does desaturate with ambulation.  His creatinine was slightly elevated when he was admitted, his ARB was held because his blood pressure was a little soft.  His creatinine went from 1.3 down to 1.1 upon discharge.  Also, his platelet count was slightly low when he was admitted, which is fairly common with COVID-19.  His platelet count was initially 108, but on the day of discharge it had already rebounded to 148.    He is eating and drinking.  He had had a bowel movement, which is not  uncommon for him.  He has struggled with constipation at home. He is eating and drinking.  He had had a bowel movement, which is not  uncommon for him.  He has struggled with constipation at home.    In terms of his diabetes, the patient was taken off his Jardiance and his glipizide along with his metformin while he is in the hospital.  Obviously, he had some elevation of his glucose, is related to the dexamethasone.  I think that will probably resolve itself after he finishes tape his dexamethasone course.   The patient feels well.  He qualified for 1-2 L of oxygen mostly when he ambulates.  He did get down to 86, when he ambulated.  I basically outlined him that he will probably need it for 1-2 weeks.  He will be discharged in markedly improved condition.  His diet should be heart healthy.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Nausea, Oxygen saturation decreased, Pain
Clinical narrative: Chief Complaint  pt illness since 8/10, covid + fatigue, lightheaded, cough, shortness of breath, fever, chills, BA, HA, loss of taste or smell. nausea, recieved monoclonal antibodies last week. O2 sat 88% History of Present Illness: patient is a 68-year-old man with a history of CAD (s/p CABG), RA, hypertension, and DMII who presented to the ED with worsening shortness of breath in the setting of COVID-19 infection.   The patient developed fatigue and URI symptoms around 8/11. He tested positive for COVID on 8/11. He was able to be arranged to have monoclonal antibody treatment on 8/12.  Patient reports that since his monoclonal antibody treatment that he has continued to have ongoing fatigue.  He  has also had ongoing cough, fever,  and body aches.  Patient was seen by his PCP on day of presentation and reportedly had oxygen saturations in the high 80's.  Patient was then instructed to present to the ED for further evaluation.  The patient was admitted to the COVID step-down unit.  He received 5 days of remdesivir and dexamethasone.  The patient was initially on 4 L, but quickly over the last several days we have been able to wean him down significantly really to almost room air.  Today, the patient has actually gotten to room air, but when he gets up, he does desaturate with ambulation.  His creatinine was slightly elevated when he was admitted, his ARB was held because his blood pressure was a little soft.  His creatinine went from 1.3 down to 1.1 upon discharge.  Also, his platelet count was slightly low when he was admitted, which is fairly common with COVID-19.  His platelet count was initially 108, but on the day of discharge it had already rebounded to 148.    He is eating and drinking.  He had had a bowel movement, which is not  uncommon for him.  He has struggled with constipation at home. He is eating and drinking.  He had had a bowel movement, which is not  uncommon for him.  He has struggled with constipation at home.    In terms of his diabetes, the patient was taken off his Jardiance and his glipizide along with his metformin while he is in the hospital.  Obviously, he had some elevation of his glucose, is related to the dexamethasone.  I think that will probably resolve itself after he finishes tape his dexamethasone course.   The patient feels well.  He qualified for 1-2 L of oxygen mostly when he ambulates.  He did get down to 86, when he ambulated.  I basically outlined him that he will probably need it for 1-2 weeks.  He will be discharged in markedly improved condition.  His diet should be heart healthy.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Platelet count decreased, Pyrexia, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: Chief Complaint  pt illness since 8/10, covid + fatigue, lightheaded, cough, shortness of breath, fever, chills, BA, HA, loss of taste or smell. nausea, recieved monoclonal antibodies last week. O2 sat 88% History of Present Illness: patient is a 68-year-old man with a history of CAD (s/p CABG), RA, hypertension, and DMII who presented to the ED with worsening shortness of breath in the setting of COVID-19 infection.   The patient developed fatigue and URI symptoms around 8/11. He tested positive for COVID on 8/11. He was able to be arranged to have monoclonal antibody treatment on 8/12.  Patient reports that since his monoclonal antibody treatment that he has continued to have ongoing fatigue.  He  has also had ongoing cough, fever,  and body aches.  Patient was seen by his PCP on day of presentation and reportedly had oxygen saturations in the high 80's.  Patient was then instructed to present to the ED for further evaluation.  The patient was admitted to the COVID step-down unit.  He received 5 days of remdesivir and dexamethasone.  The patient was initially on 4 L, but quickly over the last several days we have been able to wean him down significantly really to almost room air.  Today, the patient has actually gotten to room air, but when he gets up, he does desaturate with ambulation.  His creatinine was slightly elevated when he was admitted, his ARB was held because his blood pressure was a little soft.  His creatinine went from 1.3 down to 1.1 upon discharge.  Also, his platelet count was slightly low when he was admitted, which is fairly common with COVID-19.  His platelet count was initially 108, but on the day of discharge it had already rebounded to 148.    He is eating and drinking.  He had had a bowel movement, which is not  uncommon for him.  He has struggled with constipation at home. He is eating and drinking.  He had had a bowel movement, which is not  uncommon for him.  He has struggled with constipation at home.    In terms of his diabetes, the patient was taken off his Jardiance and his glipizide along with his metformin while he is in the hospital.  Obviously, he had some elevation of his glucose, is related to the dexamethasone.  I think that will probably resolve itself after he finishes tape his dexamethasone course.   The patient feels well.  He qualified for 1-2 L of oxygen mostly when he ambulates.  He did get down to 86, when he ambulated.  I basically outlined him that he will probably need it for 1-2 weeks.  He will be discharged in markedly improved condition.  His diet should be heart healthy.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive Covid results