chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine vials (Lot#:002C21A, expiration 10/14/21) were removed from freezer and delivered from larger healthcare facility within enterprise to our facility with a fridge expiration date of 6/24/21. The fridge expiration date was written on the bag that the vials came in, but not directly on the vials. The nurse administering vaccines on 6/30/21, grabbed a vial from the pharmacy fridge without knowing about or looking at the expiration date on the bag. The nurse then administered 8 doses of the expired vaccine that day.  Pharmacy caught adverse event on 7/9/21 when reporting doses given. Notified Moderna safety team on 7/12/21 who recommended to report to report to VAERS but not to administer additional dose as no studies done on patients receiving more than 2 doses. No further follow-up recommended. No adverse reactions noted.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dry mouth
Clinical narrative: Lightheadedness, dry mouth about 45 minutes after injection.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Death
Clinical narrative: death Acute renal failure (ARF)
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Blister, Condition aggravated, Headache
Clinical narrative: My joints started aching  on 6/19/21 and continued to get worse for 2 weeks. I had no energy and a constant headache for 3 weeks. My head covered in blisters on 6/19/21, then my right foot became covered in blisters on the 20th and both of my hands started blistering on the 21st. I?m still having a lot more blisters appear every day.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna vaccine vials (Lot#:002C21A, expiration 10/14/21) were removed from freezer and delivered from larger healthcare facility within enterprise to our facility with a fridge expiration date of 6/24/21. The fridge expiration date was written on the bag that the vials came in, but not directly on the vials. The nurse administering vaccines on 6/30/21, grabbed a vial from the pharmacy fridge without knowing about or looking at the expiration date on the bag. The nurse then administered 8 doses of the expired vaccine that day.  Pharmacy caught adverse event on 7/9/21 when reporting doses given. Notified Moderna safety team on 7/12/21 who recommended to report to report to VAERS but not to administer additional dose as no studies done on patients receiving more than 2 doses. No further follow-up recommended. No adverse reactions noted.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic arteriosclerosis, Arterial tortuosity syndrome, Atrioventricular block first degree, Blood calcium normal, Blood chloride normal
Clinical narrative: ED to Hosp-Admission Discharged  7/7/2021 - 7/9/2021 (2 days)  Last attending ? Treatment team Chest pain Principal problem  Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) Chest pain Unknown         Hypertension, essential Yes         Mixed hyperlipidemia Yes         Stage 2 chronic kidney disease Yes         Type 2 diabetes mellitus (CMS/HCC) Yes                    Disposition: Home CODE STATUS (LOI): Full Code     _ Active Issues Requiring Follow-up Chest pain: Unclear etiology patient should have a stress test done after discharge would wait a couple weeks to verify the patient is not developing Covid as the accuracy of the test may be degraded if patient has Covid infection.  May be reflux related so we will start patient on on Protonix for the next 30 days can likely stop it after that time period.  Patient understands to try Maalox or Mylanta She has an episode of pain like this and should return to the emergency department if she has not undergone stress testing if she has recurrence of the pain.     Test Results Pending at Discharge  Outpatient Follow-Up Future Appointments Date Time Provider Department Center 10/11/2021  1:20 PM DO FIFTH IM         Hospital Course   HPI: Chest pain     Hospital Course: Patient is a 92-year-old female with 2 episodes of chest pain lasting about 15 minutes each over the past couple weeks.  Patient had negative troponins.  Patient had prior Covid vaccine.  Patient underwent Covid swab as does everybody admitted to this hospital which returned positive.  Likely incidental finding.  Patient did not have any additional episodes of chest pain unclear is what the underlying etiology is.  Would wait for at least 2 weeks to verify that patient is not developing Covid and should undergo stress test after such time is completed.  Please follow-up with your outpatient provider to arrange this testing.  Patient's been advised to return to the emergency room or seek medical attention if she becomes symptomatic with the Covid including runny nose cough.  I do not believe patient to be contagious though I explained to her do not know that with certainty.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood magnesium normal, Blood potassium decreased, Blood sodium normal, Blood urea increased
Clinical narrative: ED to Hosp-Admission Discharged  7/7/2021 - 7/9/2021 (2 days)  Last attending ? Treatment team Chest pain Principal problem  Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) Chest pain Unknown         Hypertension, essential Yes         Mixed hyperlipidemia Yes         Stage 2 chronic kidney disease Yes         Type 2 diabetes mellitus (CMS/HCC) Yes                    Disposition: Home CODE STATUS (LOI): Full Code     _ Active Issues Requiring Follow-up Chest pain: Unclear etiology patient should have a stress test done after discharge would wait a couple weeks to verify the patient is not developing Covid as the accuracy of the test may be degraded if patient has Covid infection.  May be reflux related so we will start patient on on Protonix for the next 30 days can likely stop it after that time period.  Patient understands to try Maalox or Mylanta She has an episode of pain like this and should return to the emergency department if she has not undergone stress testing if she has recurrence of the pain.     Test Results Pending at Discharge  Outpatient Follow-Up Future Appointments Date Time Provider Department Center 10/11/2021  1:20 PM DO FIFTH IM         Hospital Course   HPI: Chest pain     Hospital Course: Patient is a 92-year-old female with 2 episodes of chest pain lasting about 15 minutes each over the past couple weeks.  Patient had negative troponins.  Patient had prior Covid vaccine.  Patient underwent Covid swab as does everybody admitted to this hospital which returned positive.  Likely incidental finding.  Patient did not have any additional episodes of chest pain unclear is what the underlying etiology is.  Would wait for at least 2 weeks to verify that patient is not developing Covid and should undergo stress test after such time is completed.  Please follow-up with your outpatient provider to arrange this testing.  Patient's been advised to return to the emergency room or seek medical attention if she becomes symptomatic with the Covid including runny nose cough.  I do not believe patient to be contagious though I explained to her do not know that with certainty.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Carbon dioxide decreased, Chest X-ray abnormal, Chest pain, Coagulation test
Clinical narrative: ED to Hosp-Admission Discharged  7/7/2021 - 7/9/2021 (2 days)  Last attending ? Treatment team Chest pain Principal problem  Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) Chest pain Unknown         Hypertension, essential Yes         Mixed hyperlipidemia Yes         Stage 2 chronic kidney disease Yes         Type 2 diabetes mellitus (CMS/HCC) Yes                    Disposition: Home CODE STATUS (LOI): Full Code     _ Active Issues Requiring Follow-up Chest pain: Unclear etiology patient should have a stress test done after discharge would wait a couple weeks to verify the patient is not developing Covid as the accuracy of the test may be degraded if patient has Covid infection.  May be reflux related so we will start patient on on Protonix for the next 30 days can likely stop it after that time period.  Patient understands to try Maalox or Mylanta She has an episode of pain like this and should return to the emergency department if she has not undergone stress testing if she has recurrence of the pain.     Test Results Pending at Discharge  Outpatient Follow-Up Future Appointments Date Time Provider Department Center 10/11/2021  1:20 PM DO FIFTH IM         Hospital Course   HPI: Chest pain     Hospital Course: Patient is a 92-year-old female with 2 episodes of chest pain lasting about 15 minutes each over the past couple weeks.  Patient had negative troponins.  Patient had prior Covid vaccine.  Patient underwent Covid swab as does everybody admitted to this hospital which returned positive.  Likely incidental finding.  Patient did not have any additional episodes of chest pain unclear is what the underlying etiology is.  Would wait for at least 2 weeks to verify that patient is not developing Covid and should undergo stress test after such time is completed.  Please follow-up with your outpatient provider to arrange this testing.  Patient's been advised to return to the emergency room or seek medical attention if she becomes symptomatic with the Covid including runny nose cough.  I do not believe patient to be contagious though I explained to her do not know that with certainty.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram QT interval, Electrocardiogram ST-T change, Electrocardiogram T wave abnormal, Eosinophil percentage increased, Full blood count
Clinical narrative: ED to Hosp-Admission Discharged  7/7/2021 - 7/9/2021 (2 days)  Last attending ? Treatment team Chest pain Principal problem  Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) Chest pain Unknown         Hypertension, essential Yes         Mixed hyperlipidemia Yes         Stage 2 chronic kidney disease Yes         Type 2 diabetes mellitus (CMS/HCC) Yes                    Disposition: Home CODE STATUS (LOI): Full Code     _ Active Issues Requiring Follow-up Chest pain: Unclear etiology patient should have a stress test done after discharge would wait a couple weeks to verify the patient is not developing Covid as the accuracy of the test may be degraded if patient has Covid infection.  May be reflux related so we will start patient on on Protonix for the next 30 days can likely stop it after that time period.  Patient understands to try Maalox or Mylanta She has an episode of pain like this and should return to the emergency department if she has not undergone stress testing if she has recurrence of the pain.     Test Results Pending at Discharge  Outpatient Follow-Up Future Appointments Date Time Provider Department Center 10/11/2021  1:20 PM DO FIFTH IM         Hospital Course   HPI: Chest pain     Hospital Course: Patient is a 92-year-old female with 2 episodes of chest pain lasting about 15 minutes each over the past couple weeks.  Patient had negative troponins.  Patient had prior Covid vaccine.  Patient underwent Covid swab as does everybody admitted to this hospital which returned positive.  Likely incidental finding.  Patient did not have any additional episodes of chest pain unclear is what the underlying etiology is.  Would wait for at least 2 weeks to verify that patient is not developing Covid and should undergo stress test after such time is completed.  Please follow-up with your outpatient provider to arrange this testing.  Patient's been advised to return to the emergency room or seek medical attention if she becomes symptomatic with the Covid including runny nose cough.  I do not believe patient to be contagious though I explained to her do not know that with certainty.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Hiatus hernia, Lung hyperinflation, Lymphocyte percentage
Clinical narrative: ED to Hosp-Admission Discharged  7/7/2021 - 7/9/2021 (2 days)  Last attending ? Treatment team Chest pain Principal problem  Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) Chest pain Unknown         Hypertension, essential Yes         Mixed hyperlipidemia Yes         Stage 2 chronic kidney disease Yes         Type 2 diabetes mellitus (CMS/HCC) Yes                    Disposition: Home CODE STATUS (LOI): Full Code     _ Active Issues Requiring Follow-up Chest pain: Unclear etiology patient should have a stress test done after discharge would wait a couple weeks to verify the patient is not developing Covid as the accuracy of the test may be degraded if patient has Covid infection.  May be reflux related so we will start patient on on Protonix for the next 30 days can likely stop it after that time period.  Patient understands to try Maalox or Mylanta She has an episode of pain like this and should return to the emergency department if she has not undergone stress testing if she has recurrence of the pain.     Test Results Pending at Discharge  Outpatient Follow-Up Future Appointments Date Time Provider Department Center 10/11/2021  1:20 PM DO FIFTH IM         Hospital Course   HPI: Chest pain     Hospital Course: Patient is a 92-year-old female with 2 episodes of chest pain lasting about 15 minutes each over the past couple weeks.  Patient had negative troponins.  Patient had prior Covid vaccine.  Patient underwent Covid swab as does everybody admitted to this hospital which returned positive.  Likely incidental finding.  Patient did not have any additional episodes of chest pain unclear is what the underlying etiology is.  Would wait for at least 2 weeks to verify that patient is not developing Covid and should undergo stress test after such time is completed.  Please follow-up with your outpatient provider to arrange this testing.  Patient's been advised to return to the emergency room or seek medical attention if she becomes symptomatic with the Covid including runny nose cough.  I do not believe patient to be contagious though I explained to her do not know that with certainty.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte percentage increased, Neutrophil percentage, Osteoarthritis, Platelet count normal, QRS axis
Clinical narrative: ED to Hosp-Admission Discharged  7/7/2021 - 7/9/2021 (2 days)  Last attending ? Treatment team Chest pain Principal problem  Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) Chest pain Unknown         Hypertension, essential Yes         Mixed hyperlipidemia Yes         Stage 2 chronic kidney disease Yes         Type 2 diabetes mellitus (CMS/HCC) Yes                    Disposition: Home CODE STATUS (LOI): Full Code     _ Active Issues Requiring Follow-up Chest pain: Unclear etiology patient should have a stress test done after discharge would wait a couple weeks to verify the patient is not developing Covid as the accuracy of the test may be degraded if patient has Covid infection.  May be reflux related so we will start patient on on Protonix for the next 30 days can likely stop it after that time period.  Patient understands to try Maalox or Mylanta She has an episode of pain like this and should return to the emergency department if she has not undergone stress testing if she has recurrence of the pain.     Test Results Pending at Discharge  Outpatient Follow-Up Future Appointments Date Time Provider Department Center 10/11/2021  1:20 PM DO FIFTH IM         Hospital Course   HPI: Chest pain     Hospital Course: Patient is a 92-year-old female with 2 episodes of chest pain lasting about 15 minutes each over the past couple weeks.  Patient had negative troponins.  Patient had prior Covid vaccine.  Patient underwent Covid swab as does everybody admitted to this hospital which returned positive.  Likely incidental finding.  Patient did not have any additional episodes of chest pain unclear is what the underlying etiology is.  Would wait for at least 2 weeks to verify that patient is not developing Covid and should undergo stress test after such time is completed.  Please follow-up with your outpatient provider to arrange this testing.  Patient's been advised to return to the emergency room or seek medical attention if she becomes symptomatic with the Covid including runny nose cough.  I do not believe patient to be contagious though I explained to her do not know that with certainty.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus rhythm, Spinal osteoarthritis, Troponin I increased, White blood cell count normal
Clinical narrative: ED to Hosp-Admission Discharged  7/7/2021 - 7/9/2021 (2 days)  Last attending ? Treatment team Chest pain Principal problem  Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) Chest pain Unknown         Hypertension, essential Yes         Mixed hyperlipidemia Yes         Stage 2 chronic kidney disease Yes         Type 2 diabetes mellitus (CMS/HCC) Yes                    Disposition: Home CODE STATUS (LOI): Full Code     _ Active Issues Requiring Follow-up Chest pain: Unclear etiology patient should have a stress test done after discharge would wait a couple weeks to verify the patient is not developing Covid as the accuracy of the test may be degraded if patient has Covid infection.  May be reflux related so we will start patient on on Protonix for the next 30 days can likely stop it after that time period.  Patient understands to try Maalox or Mylanta She has an episode of pain like this and should return to the emergency department if she has not undergone stress testing if she has recurrence of the pain.     Test Results Pending at Discharge  Outpatient Follow-Up Future Appointments Date Time Provider Department Center 10/11/2021  1:20 PM DO FIFTH IM         Hospital Course   HPI: Chest pain     Hospital Course: Patient is a 92-year-old female with 2 episodes of chest pain lasting about 15 minutes each over the past couple weeks.  Patient had negative troponins.  Patient had prior Covid vaccine.  Patient underwent Covid swab as does everybody admitted to this hospital which returned positive.  Likely incidental finding.  Patient did not have any additional episodes of chest pain unclear is what the underlying etiology is.  Would wait for at least 2 weeks to verify that patient is not developing Covid and should undergo stress test after such time is completed.  Please follow-up with your outpatient provider to arrange this testing.  Patient's been advised to return to the emergency room or seek medical attention if she becomes symptomatic with the Covid including runny nose cough.  I do not believe patient to be contagious though I explained to her do not know that with certainty.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Patient presents same day to discuss possible reaction to shingles vaccination 6/21.  Notes initial soreness, achiness, and rash to L arm injection site near deltoid.  Somewhat less red today.  Denies any weakness, streaks, fever, chills, chest tightness, wheezing, airway compromise.  No history of respiratory disease.  As needed OTC Tylenol has provided benefit.  She is asking for guidance on her second vaccine in 2 months.  She does report mild zoster in her 40s.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Pain, Pain in extremity
Clinical narrative: As per patients family, approx 2 days after receiving Moderna Dose #2 Immunization( was received 5/13/21) patient developed soreness of Rt Arm, body ache, shortness of breath. Was sleeping upright in wheelchair.in order to  breath easier. Family stated due to pt  having polio as a child, he was fearful of hospitals and refused to have family call 911  These symptoms continued until 6/1/2021 when pt was found dead  in wheelchair.by family.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Chills, Dyspnoea, Fatigue, Fluid retention
Clinical narrative: As per patients family, approx 2 days after receiving Moderna Dose #2 Immunization( was received 5/13/21) patient developed soreness of Rt Arm, body ache, shortness of breath. Was sleeping upright in wheelchair.in order to  breath easier. Family stated due to pt  having polio as a child, he was fearful of hospitals and refused to have family call 911  These symptoms continued until 6/1/2021 when pt was found dead  in wheelchair.by family.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Intracranial aneurysm
Clinical narrative: She had a brain aneurysm. We question if this was related to the covid 19  vaccine
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna vaccine vials (Lot#:002C21A, expiration 10/14/21) were removed from freezer and delivered from larger healthcare facility within enterprise to our facility with a fridge expiration date of 6/24/21. The fridge expiration date was written on the bag that the vials came in, but not directly on the vials. The nurse administering vaccines on 6/30/21, grabbed a vial from the pharmacy fridge without knowing about or looking at the expiration date on the bag. The nurse then administered 8 doses of the expired vaccine that day.  Pharmacy caught adverse event on 7/9/21 when reporting doses given. Notified Moderna safety team on 7/12/21 who recommended to report to report to VAERS but not to administer additional dose as no studies done on patients receiving more than 2 doses. No further follow-up recommended. No adverse reactions noted.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Erythema, Feeling hot, Headache, Neck pain
Clinical narrative: Morning after second dose, experienced severe pain running up the left side of neck, top of head and right side of neck - severe ear aches, both ears - Still happening Following Monday (today) my left arm is swollen, red and radiating heat
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Morning after second dose, experienced severe pain running up the left side of neck, top of head and right side of neck - severe ear aches, both ears - Still happening Following Monday (today) my left arm is swollen, red and radiating heat
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Impaired work ability, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Adverse effects of the first vaccine - Left arm - Fever 102 / Body aches worse than any flu ever.  Sick for three days.  Several days to recover.  Arm was sore for over a week.  Adverse effects from second vaccine - right arm - 9 hours after shot on 6/4/21 - every joint in my body hurt for two days.  My hands were the worst.  All I could do was cry and hold them up.  I could no even use them.  I did not have a Fever.  My arm was sore, but not as long.  My hands have not stopped hurting since June 4th.  They hurt ALL the time.  I wake up 3-4 times a night because they hurt so much.   I've missed work because of the pain.  I am wearing compression gloves all the time.  I have not had a chance to get to the Dr. yet, but hope to go in the next week or so.  I DID NOT HAVE THIS PROBLEM BEFORE THE MY SECOND VACCINE.   They NEVER STOP HURTING.   I was tested last year for Arthritis and did not have ANY of the markers for it.  I was fine before this.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Adverse effects of the first vaccine - Left arm - Fever 102 / Body aches worse than any flu ever.  Sick for three days.  Several days to recover.  Arm was sore for over a week.  Adverse effects from second vaccine - right arm - 9 hours after shot on 6/4/21 - every joint in my body hurt for two days.  My hands were the worst.  All I could do was cry and hold them up.  I could no even use them.  I did not have a Fever.  My arm was sore, but not as long.  My hands have not stopped hurting since June 4th.  They hurt ALL the time.  I wake up 3-4 times a night because they hurt so much.   I've missed work because of the pain.  I am wearing compression gloves all the time.  I have not had a chance to get to the Dr. yet, but hope to go in the next week or so.  I DID NOT HAVE THIS PROBLEM BEFORE THE MY SECOND VACCINE.   They NEVER STOP HURTING.   I was tested last year for Arthritis and did not have ANY of the markers for it.  I was fine before this.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna vaccine vials (Lot#:002C21A, expiration 10/14/21) were removed from freezer and delivered from larger healthcare facility within enterprise to our facility with a fridge expiration date of 6/24/21. The fridge expiration date was written on the bag that the vials came in, but not directly on the vials. The nurse administering vaccines on 6/30/21, grabbed a vial from the pharmacy fridge without knowing about or looking at the expiration date on the bag. The nurse then administered 8 doses of the expired vaccine that day.  Pharmacy caught adverse event on 7/9/21 when reporting doses given. Notified Moderna safety team on 7/12/21 who recommended to report to report to VAERS but not to administer additional dose as no studies done on patients receiving more than 2 doses. No further follow-up recommended. No adverse reactions noted.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: After the vaccination was administered, it was discovered that the patient had received a full, two dose course of the Pfizer Covid 19 vaccine on 2/27/21 & 3/20/21.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Aortic arteriosclerosis, Atelectasis, COVID-19 pneumonia, Chronic obstructive pulmonary disease
Clinical narrative: Chief Complaint   hypoxia  History of Present Illness     Pt is a 67F with PMH of COPD, depression, anxiety, possible Afib, possible CHF who presented as a transfer from OSH for hypoxia in the setting of COPD exacerbation and COVID PNA. She also has a hx of left lower lobe lobectomy many years ago for an infection per patient report. She states that she typically wears 4L o2 at home while sleeping and with exertion, but does not require any at rest. She reports that she completed both COVID vaccines about 1-2 months ago. She did have contact with her daughter who also tested positive recently. She reports that she started to feel dyspneic with minimal exertion at home and took her O2 saturations and found them to be in the 70s, so she presented to the ED. She underwent CTA scan in ED and was found to have left lower lobe collapse, severely calcified and ulcerated thoracic aorta with possible intraluminal hanging thrombus and small penetrating aortic ulcer. She was sent here for further work up and management. She denies any etoh or drug use, but has smoked 1-2ppd for 50 years. Mom and dad with hx of cancer. She denies any fevers, chills, chest pain, tightness, pressure, or worsening dyspnea at rest. She does have a productive cough with yellow sputum production and dyspnea with exertion.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea exertional, Hypoxia, Penetrating aortic ulcer, Productive cough
Clinical narrative: Chief Complaint   hypoxia  History of Present Illness     Pt is a 67F with PMH of COPD, depression, anxiety, possible Afib, possible CHF who presented as a transfer from OSH for hypoxia in the setting of COPD exacerbation and COVID PNA. She also has a hx of left lower lobe lobectomy many years ago for an infection per patient report. She states that she typically wears 4L o2 at home while sleeping and with exertion, but does not require any at rest. She reports that she completed both COVID vaccines about 1-2 months ago. She did have contact with her daughter who also tested positive recently. She reports that she started to feel dyspneic with minimal exertion at home and took her O2 saturations and found them to be in the 70s, so she presented to the ED. She underwent CTA scan in ED and was found to have left lower lobe collapse, severely calcified and ulcerated thoracic aorta with possible intraluminal hanging thrombus and small penetrating aortic ulcer. She was sent here for further work up and management. She denies any etoh or drug use, but has smoked 1-2ppd for 50 years. Mom and dad with hx of cancer. She denies any fevers, chills, chest pain, tightness, pressure, or worsening dyspnea at rest. She does have a productive cough with yellow sputum production and dyspnea with exertion.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Sputum discoloured
Clinical narrative: Chief Complaint   hypoxia  History of Present Illness     Pt is a 67F with PMH of COPD, depression, anxiety, possible Afib, possible CHF who presented as a transfer from OSH for hypoxia in the setting of COPD exacerbation and COVID PNA. She also has a hx of left lower lobe lobectomy many years ago for an infection per patient report. She states that she typically wears 4L o2 at home while sleeping and with exertion, but does not require any at rest. She reports that she completed both COVID vaccines about 1-2 months ago. She did have contact with her daughter who also tested positive recently. She reports that she started to feel dyspneic with minimal exertion at home and took her O2 saturations and found them to be in the 70s, so she presented to the ED. She underwent CTA scan in ED and was found to have left lower lobe collapse, severely calcified and ulcerated thoracic aorta with possible intraluminal hanging thrombus and small penetrating aortic ulcer. She was sent here for further work up and management. She denies any etoh or drug use, but has smoked 1-2ppd for 50 years. Mom and dad with hx of cancer. She denies any fevers, chills, chest pain, tightness, pressure, or worsening dyspnea at rest. She does have a productive cough with yellow sputum production and dyspnea with exertion.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Received Moderna vaccines on 2/11/21 and 3/11/21. Tested positive for COVID-19 by PCR on 7/9/2021. Will received monoclonal antibody therapy.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test abnormal, C-reactive protein increased, Dysstasia, Gait disturbance
Clinical narrative: I had my vaccine on May 18, 2021.  Prior to this date I was in good health.  I was in remission from  Ankylosing Spondylitis and Rheumatoid Arthritis for a 3 year period of time. I was off all meds related to this.  I was active and I am not over weight.  ( I have HBP and thyroid issues....All controlled).   After the vaccine, beginning around May 27, 2021 I started experiencing bi-lateral shoulder pain and my knees began to get stiff.  within the next week and after the symptoms got worse and started affecting all major joints.  I had a routine appointment with my Rheumatologist on June 21, but I called to been seen sooner because it was becoming difficult to stand, walk and the pain in my shoulders was severe and referred pain down my arms to my elbows.  I had an appointment on June 14, 2021 and had a blood test on the 18th.  The report came back with the highest numbers that I have ever had for inflammation.  There has been a lot of confusion at my doctors office but they are finally getting me approved to go back on biologics. I have been unable to do any of my normal activities and the pain throughout my body is a solid 10 on a 1-10 scale.  There isnt any relief currently and I am struggling.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Joint stiffness, Loss of personal independence in daily activities, Pain, Pain in extremity
Clinical narrative: I had my vaccine on May 18, 2021.  Prior to this date I was in good health.  I was in remission from  Ankylosing Spondylitis and Rheumatoid Arthritis for a 3 year period of time. I was off all meds related to this.  I was active and I am not over weight.  ( I have HBP and thyroid issues....All controlled).   After the vaccine, beginning around May 27, 2021 I started experiencing bi-lateral shoulder pain and my knees began to get stiff.  within the next week and after the symptoms got worse and started affecting all major joints.  I had a routine appointment with my Rheumatologist on June 21, but I called to been seen sooner because it was becoming difficult to stand, walk and the pain in my shoulders was severe and referred pain down my arms to my elbows.  I had an appointment on June 14, 2021 and had a blood test on the 18th.  The report came back with the highest numbers that I have ever had for inflammation.  There has been a lot of confusion at my doctors office but they are finally getting me approved to go back on biologics. I have been unable to do any of my normal activities and the pain throughout my body is a solid 10 on a 1-10 scale.  There isnt any relief currently and I am struggling.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: I had my vaccine on May 18, 2021.  Prior to this date I was in good health.  I was in remission from  Ankylosing Spondylitis and Rheumatoid Arthritis for a 3 year period of time. I was off all meds related to this.  I was active and I am not over weight.  ( I have HBP and thyroid issues....All controlled).   After the vaccine, beginning around May 27, 2021 I started experiencing bi-lateral shoulder pain and my knees began to get stiff.  within the next week and after the symptoms got worse and started affecting all major joints.  I had a routine appointment with my Rheumatologist on June 21, but I called to been seen sooner because it was becoming difficult to stand, walk and the pain in my shoulders was severe and referred pain down my arms to my elbows.  I had an appointment on June 14, 2021 and had a blood test on the 18th.  The report came back with the highest numbers that I have ever had for inflammation.  There has been a lot of confusion at my doctors office but they are finally getting me approved to go back on biologics. I have been unable to do any of my normal activities and the pain throughout my body is a solid 10 on a 1-10 scale.  There isnt any relief currently and I am struggling.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Hyperhidrosis, Palpitations
Clinical narrative: Fatigue 6 days Fever about 12 hours after 2nd dose, then again 6 days later (chills, sweating, shaking) Racing heart, 6 days after 2nd dose. Shortness of breath, 6 days after 2nd dose. Acetaminophen and ibuprofen.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Fatigue 6 days Fever about 12 hours after 2nd dose, then again 6 days later (chills, sweating, shaking) Racing heart, 6 days after 2nd dose. Shortness of breath, 6 days after 2nd dose. Acetaminophen and ibuprofen.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Back pain, Chest discomfort, Computerised tomogram thorax abnormal, Dyspnoea, Flank pain
Clinical narrative: shortness of breath, heavy feeling in lungs, pain in back and side,
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Pulmonary thrombosis
Clinical narrative: shortness of breath, heavy feeling in lungs, pain in back and side,
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Anticoagulant therapy, Back pain, Chest X-ray normal, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal
Clinical narrative: shortness of breath, heavy feeling in lungs, pain in back and side,
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Dyspnoea, Heart rate increased, Pulmonary embolism
Clinical narrative: shortness of breath, heavy feeling in lungs, pain in back and side,
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ear pain, Tinnitus
Clinical narrative: Severe ringing in both ears! Pain also associated with ringing.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna vaccine vials (Lot#:002C21A, expiration 10/14/21) were removed from freezer and delivered from larger healthcare facility within enterprise to our facility with a fridge expiration date of 6/24/21. The fridge expiration date was written on the bag that the vials came in, but not directly on the vials. On 7/7/21, pharmacist grabbed a vial from the pharmacy fridge without  looking at the expiration date on the bag and drew up 3 vials. The nurse then took the labeled 3 doses (labeled with manufacturer expiration and time of expiration from puncture of the vial time) and administered to 3 separate patients that day.  Pharmacy caught adverse event on 7/9/21 when reporting doses given. Notified Moderna safety team on 7/12/21 who recommended to report to report to VAERS but not to administer additional dose as no studies done on patients receiving more than 2 doses. No further follow-up recommended. No adverse reactions noted.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: I went to bed feeling fine but experienced chills, achy joints and headache until the next afternoon.   That was fine, expected that.   On about the 4 or 5th day.   I thought I had full blown Covid.   Had all the symptoms.   As this progressed my fatigue was overwhelming.   I lost my appetite, had a bad headache, joints and muscles ached, etc.   No fever at this time though and breathing was ok.  Texted  Dr.  and was told it was my immune system overreacting and he prescribed oral steroid to calm it down.   My fatigue lasted for a good 3 weeks.   This was as sick as I have ever been.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia
Clinical narrative: I went to bed feeling fine but experienced chills, achy joints and headache until the next afternoon.   That was fine, expected that.   On about the 4 or 5th day.   I thought I had full blown Covid.   Had all the symptoms.   As this progressed my fatigue was overwhelming.   I lost my appetite, had a bad headache, joints and muscles ached, etc.   No fever at this time though and breathing was ok.  Texted  Dr.  and was told it was my immune system overreacting and he prescribed oral steroid to calm it down.   My fatigue lasted for a good 3 weeks.   This was as sick as I have ever been.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna vaccine vials (Lot#:002C21A, expiration 10/14/21) were removed from freezer and delivered from larger healthcare facility within enterprise to our facility with a fridge expiration date of 6/24/21. The fridge expiration date was written on the bag that the vials came in, but not directly on the vials. On 7/7/21, pharmacist grabbed a vial from the pharmacy fridge without  looking at the expiration date on the bag and drew up 3 vials. The nurse then took the labeled 3 doses (labeled with manufacturer expiration and time of expiration from puncture of the vial time) and administered to 3 separate patients that day.  Pharmacy caught adverse event on 7/9/21 when reporting doses given. Notified Moderna safety team on 7/12/21 who recommended to report to report to VAERS but not to administer additional dose as no studies done on patients receiving more than 2 doses. No further follow-up recommended. No adverse reactions noted.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Pain in extremity, Pyrexia, Vision blurred
Clinical narrative: Patient said she had an immediate headache and later had pain in shoulder area, fever, blurred vision, elevated heart rate, and pain in feet. She treated with acetaminophen and diphenhydramine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Disorientation, Dizziness, Erythema
Clinical narrative: Face bright red & swollen, red rash all over my body, headache, dizziness within the first few hours of vaccination. The first evening my headache got significantly worse. I was  extremely thirsty, very tired, nauseous, vomiting, diarrhea, muscle pain, chills, fever, my left arm was very sore & swollen @ the injection site.  I slept for longer periods of time than normal, very disoriented & not clear on my thoughts & memory for days after.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypersomnia, Injection site pain, Injection site swelling
Clinical narrative: Face bright red & swollen, red rash all over my body, headache, dizziness within the first few hours of vaccination. The first evening my headache got significantly worse. I was  extremely thirsty, very tired, nauseous, vomiting, diarrhea, muscle pain, chills, fever, my left arm was very sore & swollen @ the injection site.  I slept for longer periods of time than normal, very disoriented & not clear on my thoughts & memory for days after.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Myalgia, Nausea, Pyrexia, Rash
Clinical narrative: Face bright red & swollen, red rash all over my body, headache, dizziness within the first few hours of vaccination. The first evening my headache got significantly worse. I was  extremely thirsty, very tired, nauseous, vomiting, diarrhea, muscle pain, chills, fever, my left arm was very sore & swollen @ the injection site.  I slept for longer periods of time than normal, very disoriented & not clear on my thoughts & memory for days after.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Swelling face, Thinking abnormal, Thirst, Vomiting
Clinical narrative: Face bright red & swollen, red rash all over my body, headache, dizziness within the first few hours of vaccination. The first evening my headache got significantly worse. I was  extremely thirsty, very tired, nauseous, vomiting, diarrhea, muscle pain, chills, fever, my left arm was very sore & swollen @ the injection site.  I slept for longer periods of time than normal, very disoriented & not clear on my thoughts & memory for days after.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Tinnitus
Clinical narrative: Severe tinnitus Went to ENT
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Wrong product administered
Clinical narrative: ADMINISTRATION ERROR:  Pt.'s daughter called stating Pt. received Moderna 06/10/2021 and then again received the Phizer 06/28/2021. Low blood pressure since 2nd vaccine, 100/39 decreased HBP meds, doctor recommended No vaccine because of the Antibiotics due to pneumonia. No consent given by family. More pronounced swelling in the legs, a little more difficulty finding words to community. Pt. states soreness throughout the whole body.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Death
Clinical narrative: Death N17.9 - Acute kidney failure, unspecified
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrospinal fluid leakage, Magnetic resonance imaging spinal abnormal
Clinical narrative: Diagnosed with a spontaneous Cerebrospinal Fluid Leak (CSF Leak).
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna vaccine vials (Lot#:002C21A, expiration 10/14/21) were removed from freezer and delivered from larger healthcare facility within enterprise to our facility with a fridge expiration date of 6/24/21. The fridge expiration date was written on the bag that the vials came in, but not directly on the vials. On 7/7/21, pharmacist grabbed a vial from the pharmacy fridge without  looking at the expiration date on the bag and drew up 3 vials. The nurse then took the labeled 3 doses (labeled with manufacturer expiration and time of expiration from puncture of the vial time) and administered to 3 separate patients that day.  Pharmacy caught adverse event on 7/9/21 when reporting doses given. Notified Moderna safety team on 7/12/21 who recommended to report to report to VAERS but not to administer additional dose as no studies done on patients receiving more than 2 doses. No further follow-up recommended. No adverse reactions noted.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Agonal respiration, Angiogram, Angiogram abnormal, Antinuclear antibody negative
Clinical narrative: 5/31 patient developed chest pain while at work, presented to clinic at work. Had ECG changes, and MI was suspected, received SL NTG. 35 minutes after nitro she collapsed pulseless and apneic, cyanotic with agonal breathing and posturing. CPR initiated, external defibrillator was used with CPR device- received 4 shocks which failed. Spontaneously converted to sinus rhythm with restoration of pulse, awoke intact neurologically. Transferred to Hospital, underwent emergent LHC, did not show infarction and had normal epicardial anatomy. TTE was normal. CTA confirmed LLL small Pulmonary Embolism. Was started on Xarelto. She had an NSTEMI type II subendocardial injury secondary to V. fib arrest in context of PE or arrhythmia. Lab tests done during admission significant for mild transaminitis with AST 132, ALT with 36 ALP 51, triglycerides 608 unable to calculate LDL, beta-2 glyco 1 IgG normal at less than 9, lupus anticoagulant not detected, double-stranded DNA antibody 2 which is normal, ANA not detected, cardiolipin antibody IgG less than 10 which is normal, cardiolipin antibody IgM less than 10 which is normal, complete blood count unremarkable. Cardiac MRI with scar likely secondary to myocarditis. Started by cardiology on colchicine. Unknown etiology for pulmonary embolism, perhaps result of arrest/cpr.  Had ICD placed.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Antiphospholipid antibodies negative, Apnoeic attack, Aspartate aminotransferase increased, Beta-2 glycoprotein antibody negative, Blood alkaline phosphatase normal
Clinical narrative: 5/31 patient developed chest pain while at work, presented to clinic at work. Had ECG changes, and MI was suspected, received SL NTG. 35 minutes after nitro she collapsed pulseless and apneic, cyanotic with agonal breathing and posturing. CPR initiated, external defibrillator was used with CPR device- received 4 shocks which failed. Spontaneously converted to sinus rhythm with restoration of pulse, awoke intact neurologically. Transferred to Hospital, underwent emergent LHC, did not show infarction and had normal epicardial anatomy. TTE was normal. CTA confirmed LLL small Pulmonary Embolism. Was started on Xarelto. She had an NSTEMI type II subendocardial injury secondary to V. fib arrest in context of PE or arrhythmia. Lab tests done during admission significant for mild transaminitis with AST 132, ALT with 36 ALP 51, triglycerides 608 unable to calculate LDL, beta-2 glyco 1 IgG normal at less than 9, lupus anticoagulant not detected, double-stranded DNA antibody 2 which is normal, ANA not detected, cardiolipin antibody IgG less than 10 which is normal, cardiolipin antibody IgM less than 10 which is normal, complete blood count unremarkable. Cardiac MRI with scar likely secondary to myocarditis. Started by cardiology on colchicine. Unknown etiology for pulmonary embolism, perhaps result of arrest/cpr.  Had ICD placed.