chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Injection, Rash, Urticaria
Clinical narrative: After the first dose on 4/23/21 I got itchy hives/rashes on my arms about a week later and figured it was posion ivy from the yard and was prescribed prednisone on 5/6/21. The hives/rashes went away after the prednisone cycle then came back a couple days later and I was prescribed more prednisone on 5/13/21 then received my second covid dose on 5/14/21 in the morning and started to get hives/rashes that night. I woke up with hives/rashes all over my arms legs stomach and neck. I had trouble breathing and was brought to the emergency room at hospital on 5/15/21 by my wife. I was given multiple IVs, steroids and a breathing mask. I was released that day and had to go back the next day with the hives/rashes returning all over my body and was released that day. I seen my primary doctor on 5/17/21 and 5/20/21 who prescribed more prednisone and referred me to an allergist. With him I spent about 6 months on prednisone and multiple medications such as hydroxyzine, famotidine and multiple allergy medications all to no avail. The hives/rashes would come and go all over my body including my face and legs. I was eventually approved for and prescribed Xolair around October and need 2 injections a month to control it. I'm currently still taking xolair with hopes to space out the doses and hopefully get off it all together.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Asthenia, COVID-19, Chest X-ray normal, Diet refusal
Clinical narrative: Provider dischage summary "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) is a 67 year old male with history of ALS, T2DM, HTN, HLD presents to ED via EMS for evaluation of weakness. Patient lives at home alone and has home health care, he is established with staff. Patient unable to provide history for me during evaluation as he is nonverbal, HPI provided by chart review of ED note. Per ED note Per EMS, they are familiar with the patient and he is able to ambulate usually with a walker.  However today, they got called to his house 4 times today for list assist due to ongoing falls.  The patient can hear but he cannot speak.  He can write somewhat to help communicate.  He is complaining of a mild headache.  Denies chest pain, abdominal pain, vomiting or other complaints.  I spoke with staff, they state that the patient has been progressively worsening due to his ALS and is not doing well at home during the hours that he is by himself.  He does live home alone with his home health care which is approximately 40 hours of home health care week.  They feel that he does need a higher level of care and ultimately he will be transitioning to hospice but he is not quite at that level yet. (HPI per, PA)   Hospital Course: No notes on file Failure to thrive in adult, Hx of ALS, increased weakness, falls, COVID 19  - CXR no acute pulmonary disease  - Oxygen Therapy per protocol - Received Regeneron - Continue Supportive Care with Tylenol - poor PO intake - PT/OT/SLP recommendations reviewed and appreciated,  NDD I with Nectar thickened liquids, meds whole or crushed in puree. Refusing to eat - Suction prn - Discharged on 12/29 with hospice   Discharge Exam: General - Elderly male, severe debility HEENT - NC AT Heart - S1 S2 RRR Lung - Moderate air entry Ext - No LE edema Neuro - Largely non-verbal, awake and able to move limbs and suction self"
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fall, Headache, Hypophagia, SARS-CoV-2 test positive, Walking aid user
Clinical narrative: Provider dischage summary "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) is a 67 year old male with history of ALS, T2DM, HTN, HLD presents to ED via EMS for evaluation of weakness. Patient lives at home alone and has home health care, he is established with staff. Patient unable to provide history for me during evaluation as he is nonverbal, HPI provided by chart review of ED note. Per ED note Per EMS, they are familiar with the patient and he is able to ambulate usually with a walker.  However today, they got called to his house 4 times today for list assist due to ongoing falls.  The patient can hear but he cannot speak.  He can write somewhat to help communicate.  He is complaining of a mild headache.  Denies chest pain, abdominal pain, vomiting or other complaints.  I spoke with staff, they state that the patient has been progressively worsening due to his ALS and is not doing well at home during the hours that he is by himself.  He does live home alone with his home health care which is approximately 40 hours of home health care week.  They feel that he does need a higher level of care and ultimately he will be transitioning to hospice but he is not quite at that level yet. (HPI per, PA)   Hospital Course: No notes on file Failure to thrive in adult, Hx of ALS, increased weakness, falls, COVID 19  - CXR no acute pulmonary disease  - Oxygen Therapy per protocol - Received Regeneron - Continue Supportive Care with Tylenol - poor PO intake - PT/OT/SLP recommendations reviewed and appreciated,  NDD I with Nectar thickened liquids, meds whole or crushed in puree. Refusing to eat - Suction prn - Discharged on 12/29 with hospice   Discharge Exam: General - Elderly male, severe debility HEENT - NC AT Heart - S1 S2 RRR Lung - Moderate air entry Ext - No LE edema Neuro - Largely non-verbal, awake and able to move limbs and suction self"
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: bud
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: bud
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: fatigue for 2 days, swelling of the arm on the side of the injection, redness spreading around the injection arm (6th day), itchiness in the arm
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was given after the 10 week expiration from being placed in the refrigerator. 10 week expiration should have been April 7, 2022 but vaccine was given on 4/8/22. All other proper storage requirements were followed.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: bud
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Aspiration, COVID-19, COVID-19 pneumonia, Chronic kidney disease
Clinical narrative: Provider discharge summary "Brief Summary of Hospital Stay: ( Sepsis 2 to combination of covid+ aspiration pneumonia  resolved   Covid pneumonia( pfizer x2 received) -clinically improving and stable after 3 days IV remdesvir and decadron with rx for likely aspiration pneumonia. Oxygen needs are decreasing and he is eating, up walking looks and feels better.   Active Problems:    Aspiration pneumonia Patient was clinically aspirating on arrival he improved significantly with tx for covid, IV hydration and Zosyn. He is AO and discharged on Augmentin    Acute metabolic encephalopathy resolved    AKI superimposed on chronic kidney disease, stage III resolved   HyperK, hyper Na/CL-dehydration resolved   Schizophrenia restart PTA medications   Urinary tract infection Pseudmomas zosyn-augmentin 7 day tx   Diabetes mellitus start diet, Lantus 20 HS monitor pt of care   Hyperkalemia resolved   Metabolic acidosis resolve   Patient is Alert, conversant, pleasant VSS tolerating diet with baseline physical exam."
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dehydration, Hyperkalaemia, Metabolic acidosis, Metabolic encephalopathy
Clinical narrative: Provider discharge summary "Brief Summary of Hospital Stay: ( Sepsis 2 to combination of covid+ aspiration pneumonia  resolved   Covid pneumonia( pfizer x2 received) -clinically improving and stable after 3 days IV remdesvir and decadron with rx for likely aspiration pneumonia. Oxygen needs are decreasing and he is eating, up walking looks and feels better.   Active Problems:    Aspiration pneumonia Patient was clinically aspirating on arrival he improved significantly with tx for covid, IV hydration and Zosyn. He is AO and discharged on Augmentin    Acute metabolic encephalopathy resolved    AKI superimposed on chronic kidney disease, stage III resolved   HyperK, hyper Na/CL-dehydration resolved   Schizophrenia restart PTA medications   Urinary tract infection Pseudmomas zosyn-augmentin 7 day tx   Diabetes mellitus start diet, Lantus 20 HS monitor pt of care   Hyperkalemia resolved   Metabolic acidosis resolve   Patient is Alert, conversant, pleasant VSS tolerating diet with baseline physical exam."
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia aspiration, SARS-CoV-2 test positive, Sepsis, Urinary tract infection pseudomonal
Clinical narrative: Provider discharge summary "Brief Summary of Hospital Stay: ( Sepsis 2 to combination of covid+ aspiration pneumonia  resolved   Covid pneumonia( pfizer x2 received) -clinically improving and stable after 3 days IV remdesvir and decadron with rx for likely aspiration pneumonia. Oxygen needs are decreasing and he is eating, up walking looks and feels better.   Active Problems:    Aspiration pneumonia Patient was clinically aspirating on arrival he improved significantly with tx for covid, IV hydration and Zosyn. He is AO and discharged on Augmentin    Acute metabolic encephalopathy resolved    AKI superimposed on chronic kidney disease, stage III resolved   HyperK, hyper Na/CL-dehydration resolved   Schizophrenia restart PTA medications   Urinary tract infection Pseudmomas zosyn-augmentin 7 day tx   Diabetes mellitus start diet, Lantus 20 HS monitor pt of care   Hyperkalemia resolved   Metabolic acidosis resolve   Patient is Alert, conversant, pleasant VSS tolerating diet with baseline physical exam."
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse drug reaction or adverse patient effect. Administered one day past manufacturer expiration. Per Moderna Case ID, vaccine maintained activity at time administered.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was given after the 10 week expiration from being placed in the refrigerator. 10 week expiration should have been April 7, 2022 but vaccine was given on 4/9/22. All other proper storage requirements were followed.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Product storage error
Clinical narrative: GAVE PATIENT MODERNA 4TH DOSE FROM EXPIRED VIAL.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID-19
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac abnormal, Coronary arterial stent insertion, Intracardiac thrombus, Myocardial infarction
Clinical narrative: Heart attack 1 week after second injection
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Severe large joint pain, especially in the hips.  This is an ongoing issue.  Prednisone was taken for a few weeks, but after the course, the pain returned.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose of vaccine given two weeks after the first, should have been 3 week interval.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Atrial fibrillation, Condition aggravated, Cortisol normal, Dizziness
Clinical narrative: Provider discharge summary "Patient is a 66 YO female with a PMHx of T2 DM, HTN, permanent Afib on Eliquis, bipolar disorder, CKD stage IIIa, HLD, vascular graft infection on suppressive doxycycline who presented after a ground level fall associated with some dizziness.   Brief Summary of Hospital Stay: Pt was noted to have some hypotension, which improved with holding of her BP meds. Orthostatics and cortisol levels not concerning. BP meds held currently. She did develop AFib with RVR which is improving, BB to continue.    Her MRI lumbar spine showed severe Right foraminal stenosis. This was discussed with NS, and outpatient referral is indicated.    She was found to have an incidental COVID infection and is asymptomatic. "
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fall, Hypotension, Laboratory test normal, Magnetic resonance imaging spinal abnormal, SARS-CoV-2 test positive
Clinical narrative: Provider discharge summary "Patient is a 66 YO female with a PMHx of T2 DM, HTN, permanent Afib on Eliquis, bipolar disorder, CKD stage IIIa, HLD, vascular graft infection on suppressive doxycycline who presented after a ground level fall associated with some dizziness.   Brief Summary of Hospital Stay: Pt was noted to have some hypotension, which improved with holding of her BP meds. Orthostatics and cortisol levels not concerning. BP meds held currently. She did develop AFib with RVR which is improving, BB to continue.    Her MRI lumbar spine showed severe Right foraminal stenosis. This was discussed with NS, and outpatient referral is indicated.    She was found to have an incidental COVID infection and is asymptomatic. "
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vertebral foraminal stenosis
Clinical narrative: Provider discharge summary "Patient is a 66 YO female with a PMHx of T2 DM, HTN, permanent Afib on Eliquis, bipolar disorder, CKD stage IIIa, HLD, vascular graft infection on suppressive doxycycline who presented after a ground level fall associated with some dizziness.   Brief Summary of Hospital Stay: Pt was noted to have some hypotension, which improved with holding of her BP meds. Orthostatics and cortisol levels not concerning. BP meds held currently. She did develop AFib with RVR which is improving, BB to continue.    Her MRI lumbar spine showed severe Right foraminal stenosis. This was discussed with NS, and outpatient referral is indicated.    She was found to have an incidental COVID infection and is asymptomatic. "
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Acquired oesophageal web, Diabetic ketoacidosis, Dysphagia, Impaired gastric emptying, Malnutrition
Clinical narrative: Diabetic ketoacidosis without coma associated with type 1 diabetes mellitus -Endocrine posted with recurrent DKA and insulin pump status.  Diabetic educator posted and educated about her insulin and carb count.  Dietitian posted for gastroparesis diet and malnutrition, and low fiber/low residual diet per Dietitian recs.  Speech posted for dysphagia and suggested GI consults with her ongoing DM/malnutrition issue.  Underwent EGD and dilatation for Mild Schatzki ring. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Oesophageal dilatation, Oesophagogastroduodenoscopy abnormal, Type 1 diabetes mellitus
Clinical narrative: Diabetic ketoacidosis without coma associated with type 1 diabetes mellitus -Endocrine posted with recurrent DKA and insulin pump status.  Diabetic educator posted and educated about her insulin and carb count.  Dietitian posted for gastroparesis diet and malnutrition, and low fiber/low residual diet per Dietitian recs.  Speech posted for dysphagia and suggested GI consults with her ongoing DM/malnutrition issue.  Underwent EGD and dilatation for Mild Schatzki ring. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse drug reaction or adverse patient effect. Administered one day past manufacturer expiration. Per Moderna Case ID CEA-2151, vaccine maintained activity at time administered.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Oral herpes
Clinical narrative: Starting about 2 days after receiving the vaccine, I started Valtrex again because I had a flare up of cold sores. I took (2) 1 gram tablets and then 12 hours later I took (2) tablets and the cold sores did not come out. I would only normally get flare ups 1-2x yearly but since receiving the vaccine as soon as they go away they come back (2x monthly). This happened after each consecutive vaccine and actually worsened with each one.
Age: 61.0
Sex: F
Vaccine: FLU4, PNC15, VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site mass, Injection site pain
Clinical narrative: Redness, swelling, and tender/hard lump on L deltoid/upper arm.  Area around injection site warm to touch.  Red/swollen area reached approximately 4.5" x 3" in diameter.  Patient also experienced significant fatigue/malaise.
Age: 61.0
Sex: F
Vaccine: FLU4, PNC15, VARZOS
Symptoms: Injection site swelling, Injection site warmth, Malaise
Clinical narrative: Redness, swelling, and tender/hard lump on L deltoid/upper arm.  Area around injection site warm to touch.  Red/swollen area reached approximately 4.5" x 3" in diameter.  Patient also experienced significant fatigue/malaise.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was given after the 10 week expiration from being placed in the refrigerator. 10 week expiration should have been April 7, 2022 but vaccine was given on 4/8/22. All other proper storage requirements were followed.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: no ADVERSE EVENT.  VACCINE ERROR, PT CAME IN FOR MODERNA BOOSTER BUT ALSO INADVERTENTLY RECEIVED BOOSTRIX INJECTION.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose was given 2 weeks after first, should have been a 3 week interval
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood test abnormal, Bronchoscopy abnormal, Computerised tomogram abnormal, Condition aggravated
Clinical narrative: On 10/25/2021, I noticed a drop in kidney function and anemia in my lab results. Then on 01/11/2022, I had a more dramatic drop in kidney function, and on 01/14/2022, even more dramatic drop. The on 02/02/2022, I had a kidney biopsy and was diagnosed with Microscopic Polyangiitis. I am still having these issues at this time.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Microscopic polyangiitis, Mycobacterium avium complex infection, Pulmonary function test normal, Pulmonary mass, Renal impairment
Clinical narrative: On 10/25/2021, I noticed a drop in kidney function and anemia in my lab results. Then on 01/11/2022, I had a more dramatic drop in kidney function, and on 01/14/2022, even more dramatic drop. The on 02/02/2022, I had a kidney biopsy and was diagnosed with Microscopic Polyangiitis. I am still having these issues at this time.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Computerised tomogram normal, Constipation, Gait disturbance
Clinical narrative: About 3 weeks after the booster vaccination (I had received JJ in April 2021, Moderna for booster in November 2021) I started to get weakness and numbing in my left leg. It continued to progress up my left leg and thigh, even with stretching and moving frequently. The weakness also started to occur in my right leg. Within 3 days of the onset of symptoms I didn't have enough strength to even walk up the stairs and the numbing progressed into tingles and involuntary shaking, like when you are super cold and get a few shakes, of my legs. I was admitted to the ER. Within 12 hours of my admittance, I was paralyzed from my torso down. I could not urinate or expel bowels. I could not move my legs or hardly sit up on my own. My skin had a burning feeling when it was touched, especially when something cold touched my skin. I was treated with IVIG for potential guillian barre. The strongest concerns for this illness, as it was traveling up my body, was how it could affect the muscles in my heart, lungs and throat that could put me on a ventilator if I could not continue to breath on my own due to paralysis. I stayed in the hospital for a full 7 days and was sent home at that point to continue healing at home with visits from nurses and physical therapy. After 4 months of recovery and testing, I still have weakness in my hips/legs and nerve pain that causes my skin to be very sensitive to touch and cold.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Laboratory test normal, Lumbar puncture normal, Magnetic resonance imaging spinal normal
Clinical narrative: About 3 weeks after the booster vaccination (I had received JJ in April 2021, Moderna for booster in November 2021) I started to get weakness and numbing in my left leg. It continued to progress up my left leg and thigh, even with stretching and moving frequently. The weakness also started to occur in my right leg. Within 3 days of the onset of symptoms I didn't have enough strength to even walk up the stairs and the numbing progressed into tingles and involuntary shaking, like when you are super cold and get a few shakes, of my legs. I was admitted to the ER. Within 12 hours of my admittance, I was paralyzed from my torso down. I could not urinate or expel bowels. I could not move my legs or hardly sit up on my own. My skin had a burning feeling when it was touched, especially when something cold touched my skin. I was treated with IVIG for potential guillian barre. The strongest concerns for this illness, as it was traveling up my body, was how it could affect the muscles in my heart, lungs and throat that could put me on a ventilator if I could not continue to breath on my own due to paralysis. I stayed in the hospital for a full 7 days and was sent home at that point to continue healing at home with visits from nurses and physical therapy. After 4 months of recovery and testing, I still have weakness in my hips/legs and nerve pain that causes my skin to be very sensitive to touch and cold.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Muscular weakness, Nerve conduction studies normal, Neuralgia, Paraesthesia
Clinical narrative: About 3 weeks after the booster vaccination (I had received JJ in April 2021, Moderna for booster in November 2021) I started to get weakness and numbing in my left leg. It continued to progress up my left leg and thigh, even with stretching and moving frequently. The weakness also started to occur in my right leg. Within 3 days of the onset of symptoms I didn't have enough strength to even walk up the stairs and the numbing progressed into tingles and involuntary shaking, like when you are super cold and get a few shakes, of my legs. I was admitted to the ER. Within 12 hours of my admittance, I was paralyzed from my torso down. I could not urinate or expel bowels. I could not move my legs or hardly sit up on my own. My skin had a burning feeling when it was touched, especially when something cold touched my skin. I was treated with IVIG for potential guillian barre. The strongest concerns for this illness, as it was traveling up my body, was how it could affect the muscles in my heart, lungs and throat that could put me on a ventilator if I could not continue to breath on my own due to paralysis. I stayed in the hospital for a full 7 days and was sent home at that point to continue healing at home with visits from nurses and physical therapy. After 4 months of recovery and testing, I still have weakness in my hips/legs and nerve pain that causes my skin to be very sensitive to touch and cold.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Paralysis, Skin burning sensation, Temperature intolerance, Tremor, Urinary retention
Clinical narrative: About 3 weeks after the booster vaccination (I had received JJ in April 2021, Moderna for booster in November 2021) I started to get weakness and numbing in my left leg. It continued to progress up my left leg and thigh, even with stretching and moving frequently. The weakness also started to occur in my right leg. Within 3 days of the onset of symptoms I didn't have enough strength to even walk up the stairs and the numbing progressed into tingles and involuntary shaking, like when you are super cold and get a few shakes, of my legs. I was admitted to the ER. Within 12 hours of my admittance, I was paralyzed from my torso down. I could not urinate or expel bowels. I could not move my legs or hardly sit up on my own. My skin had a burning feeling when it was touched, especially when something cold touched my skin. I was treated with IVIG for potential guillian barre. The strongest concerns for this illness, as it was traveling up my body, was how it could affect the muscles in my heart, lungs and throat that could put me on a ventilator if I could not continue to breath on my own due to paralysis. I stayed in the hospital for a full 7 days and was sent home at that point to continue healing at home with visits from nurses and physical therapy. After 4 months of recovery and testing, I still have weakness in my hips/legs and nerve pain that causes my skin to be very sensitive to touch and cold.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse drug reaction or adverse patient effect. Administered one day past manufacturer expiration. Per Moderna Case ID, vaccine maintained activity at time administered.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Ankle fracture, Blister, Closed fracture manipulation, Wound treatment
Clinical narrative: ED visit for wound check - treated. Hospital admission for planned surgery for Closed displaced trimalleolar fracture of left ankle. patient underwent close reduction percutaneous pinning with provisional K wires to allow for soft tissue rest secondary to significant blistering noted around his left ankle. Recovery in hospital. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was given after the 10 week expiration from being placed in the refrigerator. 10 week expiration should have been April 7, 2022 but vaccine was given on 4/9/22. All other proper storage requirements were followed.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine was administered to patient. vaccine expired 4/4/22 and was administered 4/5/22
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: second dose was given 2 weeks after first, should have been a 3 week interval.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Sore Throat, Runny Nose
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse drug reaction or adverse patient effect. Administered one day past manufacturer expiration. Per Moderna Case ID, vaccine maintained activity at time administered.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cough, Dialysis
Clinical narrative: Provider discharge summary "The patient is a very poor historian but reports to me that he felt bad while at dialysis. He reports a cough and fever. He states he lives with his wife who is sick with COVID 19. He has received his vaccination. He report he is on oxygen at home.   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  These were his acute medical issues addressed this hospitalization:   COVID pneumonia with hypoxia - required O2 support via nasal cannula.  Mainly admitted for significant weakness.   - Antibiotics completed after some concern for bacterial pneumonia. - O2 removed 1/4. Doing well on RA so far. - diagnosed 12/20/21. - Vaccinated x 2 (Pfizer). - Decadron received 12/21 to 1/5/22. - out of severe resp restrictions.   ESRD-  nephrology following for HD. Dialysis x 11 years. Currently dialysis via L forearm AVF.           - will resume his MWF dialysis schedule at dialysis unit.   HLD- continue with statin   Hx of COPD- home meds. Not exacerbating.   HTN- home meds   Hx of PH- monitor.   Hx of CAD with pacemaker in place- monitor    Hx of GERD- continue with meds.    He remains quite debilitated. Therapies recommend SNF placement. Accepted at nursing home. DC in stable condition to nursing home 1/6/22."
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Feeling abnormal, Hypoxia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Provider discharge summary "The patient is a very poor historian but reports to me that he felt bad while at dialysis. He reports a cough and fever. He states he lives with his wife who is sick with COVID 19. He has received his vaccination. He report he is on oxygen at home.   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  These were his acute medical issues addressed this hospitalization:   COVID pneumonia with hypoxia - required O2 support via nasal cannula.  Mainly admitted for significant weakness.   - Antibiotics completed after some concern for bacterial pneumonia. - O2 removed 1/4. Doing well on RA so far. - diagnosed 12/20/21. - Vaccinated x 2 (Pfizer). - Decadron received 12/21 to 1/5/22. - out of severe resp restrictions.   ESRD-  nephrology following for HD. Dialysis x 11 years. Currently dialysis via L forearm AVF.           - will resume his MWF dialysis schedule at dialysis unit.   HLD- continue with statin   Hx of COPD- home meds. Not exacerbating.   HTN- home meds   Hx of PH- monitor.   Hx of CAD with pacemaker in place- monitor    Hx of GERD- continue with meds.    He remains quite debilitated. Therapies recommend SNF placement. Accepted at nursing home. DC in stable condition to nursing home 1/6/22."
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Anaemia, Anticoagulant therapy, COVID-19
Clinical narrative: Patient admitted with abdominal pain for several weeks, and found to have a portal vein thrombosis on CT. She also had mildly abnormal liver function tests. Her symptoms came on a few days after a MVA at the end of December. She was also found to be anemic with AKI. She was started on IV heparin. Her AKI has resolved. She has since transitioned to apixaban and should complete 3 months of anticoagulation for what should be viewed as a provoked portal vein thrombosis. She also became positive for Covid-19 during this hospitalization - developed mild symptoms of sore throat and a cough, but no SOB or hypoxia. Her symptoms resolved within two days. Treated for all hospital problems and discharged home. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Cough, Liver function test abnormal, Oropharyngeal pain, Portal vein thrombosis
Clinical narrative: Patient admitted with abdominal pain for several weeks, and found to have a portal vein thrombosis on CT. She also had mildly abnormal liver function tests. Her symptoms came on a few days after a MVA at the end of December. She was also found to be anemic with AKI. She was started on IV heparin. Her AKI has resolved. She has since transitioned to apixaban and should complete 3 months of anticoagulation for what should be viewed as a provoked portal vein thrombosis. She also became positive for Covid-19 during this hospitalization - developed mild symptoms of sore throat and a cough, but no SOB or hypoxia. Her symptoms resolved within two days. Treated for all hospital problems and discharged home. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Road traffic accident, SARS-CoV-2 test positive
Clinical narrative: Patient admitted with abdominal pain for several weeks, and found to have a portal vein thrombosis on CT. She also had mildly abnormal liver function tests. Her symptoms came on a few days after a MVA at the end of December. She was also found to be anemic with AKI. She was started on IV heparin. Her AKI has resolved. She has since transitioned to apixaban and should complete 3 months of anticoagulation for what should be viewed as a provoked portal vein thrombosis. She also became positive for Covid-19 during this hospitalization - developed mild symptoms of sore throat and a cough, but no SOB or hypoxia. Her symptoms resolved within two days. Treated for all hospital problems and discharged home. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Feeling hot, Nausea
Clinical narrative: Patient received her Hep B vaccination and after minutes, She began to feel dizzy, nauseated  and warmth in her lower back. After another five min PT stated that the warmth was climbing up her spin and the dizziness did not subside. PT was given water and was observed by medical staff while rescue was being called. When rescue arrived she alert and oriented and went with recue to the  Hospital.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Vaccine expired 4/4 and was administered 4/5
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Tinnitus
Clinical narrative: I was sick for both shots. Shortly after I started getting ringing in the ears.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Diarrhoea, Interchange of vaccine products, Nausea
Clinical narrative: Body aches, chills, nausea, vomiting, explosive & persistent diarrhea
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Vomiting
Clinical narrative: Body aches, chills, nausea, vomiting, explosive & persistent diarrhea
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Epicondylitis, Inflammation, Magnetic resonance imaging normal, X-ray normal
Clinical narrative: Severe pain in my right elbow. I was told I had golf/ tennis elbow. The tendons on upper/lower elbow were inflamed. I was given a brace. I also started feeling pain in my right knee and well as shoulder. The pain is still there today and moves around.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered, Myalgia, Vaccine positive rechallenge, Wrong product administered
Clinical narrative: Patient mistakenly requested a Shingrix vaccine. Turns out it was dose #3. She reports having no adverse reaction, just a sore muscle like the first 2 doses.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Cough, Exposure to SARS-CoV-2, Influenza like illness, Pain
Clinical narrative: Around January 15, 2022 I felt like I was coming down with the flu. I got a cough and as the days went on it got deep and hurt so bad. I did not have a temperature. I lost my sense of taste. My tongue felt like burning your tongue with hot coffee. It still feels a little like that now. I still don't have my taste back the way it should be. I did not get a COVID test, but my wife tested positive for COVID a week or so after. I went to the doctor for a cough, and he prescribed prednisone. After I finished prednisone, the cough came back. He prescribed inhalers which are kind of controlling it.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Tongue discomfort
Clinical narrative: Around January 15, 2022 I felt like I was coming down with the flu. I got a cough and as the days went on it got deep and hurt so bad. I did not have a temperature. I lost my sense of taste. My tongue felt like burning your tongue with hot coffee. It still feels a little like that now. I still don't have my taste back the way it should be. I did not get a COVID test, but my wife tested positive for COVID a week or so after. I went to the doctor for a cough, and he prescribed prednisone. After I finished prednisone, the cough came back. He prescribed inhalers which are kind of controlling it.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic dissection, Chest pain, Magnetic resonance imaging
Clinical narrative: In June 2021 I developed a pain in my chest and thought I was having a heart attack. I went to the ER the same day and they provided a number of different medications. They dx'd me a dissected aorta. They referred me to other cardiologists and I may be getting a stent in my aorta. I've had several follow-up visits since June 2021.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture, Blood lactic acid increased, Computerised tomogram head abnormal, Confusional state, Consciousness fluctuating
Clinical narrative: Patient received the fourth dose of covid vaccine at health department on  03/16/22. Patient returned to nursing home. Nursing home called physician office at 11:49 am on 03/17/22, reporting "BP being low, she is pale, vomiting, and is confused." Patient sent to ER. Upon arrival to ER, according to chart, "Patient was brought to the emergency department by ambulance from the nursing home with altered mental status.  EMS reports that nursing home staff stated patient had been hallucinating and had had some facial drooping and was leaning towards the right with right-sided weakness.  EMS did not notice any facial drooping or right-sided weakness on their arrival but the patient was confused and hallucinating.  EMS describe intermittent consciousness with patient being unresponsive but arousable at times.  Upon arrival to the emergency department patient was awake but intermittently confused.  She did acknowledge she knew where she was at.  She denied any chest pain.  She stated she has chronic difficulty breathing.  She is able to move all asked remedies on command and stated she had pain in her feet all the time.  She was without any other complaints. Staff advised that she has intermittent problems with hallucinations over the last week or 2.  Review of her chart and after discussion with her primary care provider she does have a history of urinary tract infection with sepsis in the past and confusion and altered mental status associated with the past episode.  Patient also has a history of CVA in the past.  Patient also has history of some kind of neurologic disorder that caused quadriplegia which improved to just paraplegia." Patient diagnosed with sepsis, UTI, altered mental status, facial droop, hallucinations, elevated lactic and d-dimer, fever, and hypoxia.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Encephalomalacia, Facial paralysis, Fibrin D dimer increased, Full blood count
Clinical narrative: Patient received the fourth dose of covid vaccine at health department on  03/16/22. Patient returned to nursing home. Nursing home called physician office at 11:49 am on 03/17/22, reporting "BP being low, she is pale, vomiting, and is confused." Patient sent to ER. Upon arrival to ER, according to chart, "Patient was brought to the emergency department by ambulance from the nursing home with altered mental status.  EMS reports that nursing home staff stated patient had been hallucinating and had had some facial drooping and was leaning towards the right with right-sided weakness.  EMS did not notice any facial drooping or right-sided weakness on their arrival but the patient was confused and hallucinating.  EMS describe intermittent consciousness with patient being unresponsive but arousable at times.  Upon arrival to the emergency department patient was awake but intermittently confused.  She did acknowledge she knew where she was at.  She denied any chest pain.  She stated she has chronic difficulty breathing.  She is able to move all asked remedies on command and stated she had pain in her feet all the time.  She was without any other complaints. Staff advised that she has intermittent problems with hallucinations over the last week or 2.  Review of her chart and after discussion with her primary care provider she does have a history of urinary tract infection with sepsis in the past and confusion and altered mental status associated with the past episode.  Patient also has a history of CVA in the past.  Patient also has history of some kind of neurologic disorder that caused quadriplegia which improved to just paraplegia." Patient diagnosed with sepsis, UTI, altered mental status, facial droop, hallucinations, elevated lactic and d-dimer, fever, and hypoxia.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Hallucination, Hemiparesis, Hypotension, Hypoxia
Clinical narrative: Patient received the fourth dose of covid vaccine at health department on  03/16/22. Patient returned to nursing home. Nursing home called physician office at 11:49 am on 03/17/22, reporting "BP being low, she is pale, vomiting, and is confused." Patient sent to ER. Upon arrival to ER, according to chart, "Patient was brought to the emergency department by ambulance from the nursing home with altered mental status.  EMS reports that nursing home staff stated patient had been hallucinating and had had some facial drooping and was leaning towards the right with right-sided weakness.  EMS did not notice any facial drooping or right-sided weakness on their arrival but the patient was confused and hallucinating.  EMS describe intermittent consciousness with patient being unresponsive but arousable at times.  Upon arrival to the emergency department patient was awake but intermittently confused.  She did acknowledge she knew where she was at.  She denied any chest pain.  She stated she has chronic difficulty breathing.  She is able to move all asked remedies on command and stated she had pain in her feet all the time.  She was without any other complaints. Staff advised that she has intermittent problems with hallucinations over the last week or 2.  Review of her chart and after discussion with her primary care provider she does have a history of urinary tract infection with sepsis in the past and confusion and altered mental status associated with the past episode.  Patient also has a history of CVA in the past.  Patient also has history of some kind of neurologic disorder that caused quadriplegia which improved to just paraplegia." Patient diagnosed with sepsis, UTI, altered mental status, facial droop, hallucinations, elevated lactic and d-dimer, fever, and hypoxia.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic function test, Pain in extremity, Pallor, Platelet count decreased
Clinical narrative: Patient received the fourth dose of covid vaccine at health department on  03/16/22. Patient returned to nursing home. Nursing home called physician office at 11:49 am on 03/17/22, reporting "BP being low, she is pale, vomiting, and is confused." Patient sent to ER. Upon arrival to ER, according to chart, "Patient was brought to the emergency department by ambulance from the nursing home with altered mental status.  EMS reports that nursing home staff stated patient had been hallucinating and had had some facial drooping and was leaning towards the right with right-sided weakness.  EMS did not notice any facial drooping or right-sided weakness on their arrival but the patient was confused and hallucinating.  EMS describe intermittent consciousness with patient being unresponsive but arousable at times.  Upon arrival to the emergency department patient was awake but intermittently confused.  She did acknowledge she knew where she was at.  She denied any chest pain.  She stated she has chronic difficulty breathing.  She is able to move all asked remedies on command and stated she had pain in her feet all the time.  She was without any other complaints. Staff advised that she has intermittent problems with hallucinations over the last week or 2.  Review of her chart and after discussion with her primary care provider she does have a history of urinary tract infection with sepsis in the past and confusion and altered mental status associated with the past episode.  Patient also has a history of CVA in the past.  Patient also has history of some kind of neurologic disorder that caused quadriplegia which improved to just paraplegia." Patient diagnosed with sepsis, UTI, altered mental status, facial droop, hallucinations, elevated lactic and d-dimer, fever, and hypoxia.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sepsis, Troponin, Unresponsive to stimuli, Urinary tract infection
Clinical narrative: Patient received the fourth dose of covid vaccine at health department on  03/16/22. Patient returned to nursing home. Nursing home called physician office at 11:49 am on 03/17/22, reporting "BP being low, she is pale, vomiting, and is confused." Patient sent to ER. Upon arrival to ER, according to chart, "Patient was brought to the emergency department by ambulance from the nursing home with altered mental status.  EMS reports that nursing home staff stated patient had been hallucinating and had had some facial drooping and was leaning towards the right with right-sided weakness.  EMS did not notice any facial drooping or right-sided weakness on their arrival but the patient was confused and hallucinating.  EMS describe intermittent consciousness with patient being unresponsive but arousable at times.  Upon arrival to the emergency department patient was awake but intermittently confused.  She did acknowledge she knew where she was at.  She denied any chest pain.  She stated she has chronic difficulty breathing.  She is able to move all asked remedies on command and stated she had pain in her feet all the time.  She was without any other complaints. Staff advised that she has intermittent problems with hallucinations over the last week or 2.  Review of her chart and after discussion with her primary care provider she does have a history of urinary tract infection with sepsis in the past and confusion and altered mental status associated with the past episode.  Patient also has a history of CVA in the past.  Patient also has history of some kind of neurologic disorder that caused quadriplegia which improved to just paraplegia." Patient diagnosed with sepsis, UTI, altered mental status, facial droop, hallucinations, elevated lactic and d-dimer, fever, and hypoxia.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal, Vomiting, White blood cell count decreased
Clinical narrative: Patient received the fourth dose of covid vaccine at health department on  03/16/22. Patient returned to nursing home. Nursing home called physician office at 11:49 am on 03/17/22, reporting "BP being low, she is pale, vomiting, and is confused." Patient sent to ER. Upon arrival to ER, according to chart, "Patient was brought to the emergency department by ambulance from the nursing home with altered mental status.  EMS reports that nursing home staff stated patient had been hallucinating and had had some facial drooping and was leaning towards the right with right-sided weakness.  EMS did not notice any facial drooping or right-sided weakness on their arrival but the patient was confused and hallucinating.  EMS describe intermittent consciousness with patient being unresponsive but arousable at times.  Upon arrival to the emergency department patient was awake but intermittently confused.  She did acknowledge she knew where she was at.  She denied any chest pain.  She stated she has chronic difficulty breathing.  She is able to move all asked remedies on command and stated she had pain in her feet all the time.  She was without any other complaints. Staff advised that she has intermittent problems with hallucinations over the last week or 2.  Review of her chart and after discussion with her primary care provider she does have a history of urinary tract infection with sepsis in the past and confusion and altered mental status associated with the past episode.  Patient also has a history of CVA in the past.  Patient also has history of some kind of neurologic disorder that caused quadriplegia which improved to just paraplegia." Patient diagnosed with sepsis, UTI, altered mental status, facial droop, hallucinations, elevated lactic and d-dimer, fever, and hypoxia.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine administrated to patient. Vaccine expired on 4/4 and administered 4/5
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pediatric COVID 19 vaccine administered prior to dilution.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache, Heart rate increased, Lip swelling, Nausea
Clinical narrative: Extreme arm pain, lip swelling,  extreme nauseas, bad weakness, extreme head ache, excessive tremors shaking uncontrollably, hands were really cold, high heart rate, took 2 ibuprofen 400mg total