chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pleural effusion, Pyrexia, White blood cell count normal
Clinical narrative: CHIEF COMPLAINT Fever and sore throat    HISTORY OF PRESENT ILLNESS Patient  is a 71 y.o. male who presents with past medical history  (residing in adult foster care, wheelchair mobile) with medical conditions including HTN, diabetes type II, intellectual disability, schizophrenia, prior HIT (2012), prior stroke, bronchiectasis, anemia of chronic disease, CKD stage 5 (rising baseline creatinine most recently around 5.5, patient interested in peritoneal HD), renal mass (likely RCC, currently under surveillance, associated with pulmonary micronodules which may represent metastatic disease).    Patient presented to Hospital with complaint of cough, dyspnea, sore throat and fever.  He reports that there are many people in his group home that are COVID positive.  He denies any vomiting or diarrhea.  Plans in the emergency department were for him to undergo monoclonal antibodies and he had agreed, but lab results returned with a creatinine in noted at 6.14 and glucose of 49 (asymptomatic).  He was found to be COVID positive.  Hemoglobin 9.8, hematocrit 29.3, white blood cell count 7.8, glucose 48, sodium 138, potassium 4.2, bicarb 21, and gap of 19, creatinine of 6.14, BUN of 106, calcium 8.3, chest x-ray shows interval resolution of small bilateral pleural effusions and associated bibasilar atelectasis.  Given the concern for increasing creatinine in level above his baseline and hypoglycemia he was admitted to the hospital for further evaluation and treatment.   Patient was seen in room. He reports doing well and is eating dinner. He reports that his entire group home has come down with COVID and he started developing symptoms.  He denies any dizziness, lightheadedness, shaking related to his hypoglycemia.  He reports that he has not eaten anything since this morning, as he has been in the emergency department this entire time.  He denies any chills.  He reports his shortness of breath is only intermittent and denies any at this current time.  He denies any chest pain, nausea, vomiting and diarrhea constipation or urinary complaints.  He has remained on room air.  He endorses that he has been followed with outpatient Nephrology with the consideration of peritoneal hemodialysis given his recent rising creatinine levels.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Covid vaccine was prepared with wrong diluent- sterile water diluent was used.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: DOSE GIVEN TOO EARLY.  NO FURTHER ACTION REQUIRED. PATIENT/PARENT WAS SATISFIED WITH THIS EVENT.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: Patient was administered influenza vaccination using 5/8 inch needle not 1 inch needle
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Blood creatine phosphokinase increased, Condition aggravated, Laboratory test
Clinical narrative: I held the methotrexate/MTX for 24 days to allow the antibodies to build up in the system. And I had a flare in that, CK went up. I had to take a short course of Prednisone and had labs done in 4 weeks, around 11/22/2021.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/2021 with 30-day expiration on 11/6/2021. Verified no repeat dose needed with manufacturer.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gastrointestinal haemorrhage
Clinical narrative: - Gastrointestinal hemorrhage, unspecified gastrointestinal hemorrhage type
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt given wrong vaccine for age group
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: dose given only one month after 2nd dose of Pfizer vaccine.  Given too soon.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash at injection site 2 days after injection.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received pediatric 10mcg dose of Pfizer vaccine instead of the 30mcg dose of Pfizer vaccine. Communicated error with patient and her mother and the plan for her 2nd dose of vaccine.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Dyspnoea, Headache, Heart rate increased
Clinical narrative: Symptoms - Blood pressure normal (Athletic, very healthy and regimented diet and lifestyle)) before vaccine. One week after vaccine  Stage 2/3 Hypertension,, elevated resting HR and MHR +10-15  BPM , Systolic BP spiked +40, Systolic +30, four months later D+10 S +15 Stage 1 Hypertension.    Periodic chest discomfort,  headaches shortness of breath from time to time at rest, periodic weakness left arm, hand and leg. Blood pressure and heart rate highly abnormal based on 7-8 years of training and annual medical physical data. Can provide detailed evidence., has been very difficult to return to pre-vaccination cardiovascular training intensity level. Onset ringing of ears began early August first detected to now loud high pitched in right ear, lesser in left ear, worse at night and early morning.  Was tolerable up until early November 2021 now periodic low pitch in left ear beginning to trigger insomnia during night when it peaks in intensity. Ringing fluctuates in frequency and intensity shifts from ear to ear. Treatment - Exercise, reduced stress, increased cycling training from 300 miles/month to 700 miles/month, full time bicycle commuter., shifted to a four day work week.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Insomnia, Muscular weakness, Tinnitus
Clinical narrative: Symptoms - Blood pressure normal (Athletic, very healthy and regimented diet and lifestyle)) before vaccine. One week after vaccine  Stage 2/3 Hypertension,, elevated resting HR and MHR +10-15  BPM , Systolic BP spiked +40, Systolic +30, four months later D+10 S +15 Stage 1 Hypertension.    Periodic chest discomfort,  headaches shortness of breath from time to time at rest, periodic weakness left arm, hand and leg. Blood pressure and heart rate highly abnormal based on 7-8 years of training and annual medical physical data. Can provide detailed evidence., has been very difficult to return to pre-vaccination cardiovascular training intensity level. Onset ringing of ears began early August first detected to now loud high pitched in right ear, lesser in left ear, worse at night and early morning.  Was tolerable up until early November 2021 now periodic low pitch in left ear beginning to trigger insomnia during night when it peaks in intensity. Ringing fluctuates in frequency and intensity shifts from ear to ear. Treatment - Exercise, reduced stress, increased cycling training from 300 miles/month to 700 miles/month, full time bicycle commuter., shifted to a four day work week.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Chest discomfort, Malaise
Clinical narrative: The patient was monitored for allergic reactions post injection for 15 mins.   During the observation period the patient experienced: 1230- 20 minutes post Pfizer booster vaccination, pt c/o of Chest pressure/"tightness", generally not feeling well after getting up and ambulating in clinic. Patient assisted to chair. BP 177/94, HR 90, T 97.8, RR 16 O2 sat 100%, denies SOB. Pt reports Hx of CAD w/3 stents, DM, & HTN. Last cardiac episode reportedly occurred in 2019.   No signs of allergy noted. Pt. reports not having issues with 1st vaccination series except for neck stiffness 3 weeks post 2nd dose. Plan and Outcome:  1230 Pt with personal Nitroglycerin tabs, 1 taken SL. BP 177/94 1235 Still reporting chest pressure but not as intense/"relaxed". Nitroglycerin tab, 1 taken SL. BP 168/95. Blood Glucose 387, pt administered, per own supply 14 units of insulin. Discussed with pt the need to call EMS for further evaluation, however, pt refused.  12:40 Pt reports improvement with chest pressure. BP 144/84 12:45 Chest pressure reported as worsening, Nitroglycerin tab, 1 taken SL. BP 162/92  1247 Contacted Dr and reported pt condition. Dr. agreed for EMS to be called and spoke directly with pt, however, pt still refused.  1255 Dr. called the clinic and was also informed of pt condition. Dr. also discussed with pt the importance of being evaluated. Pt again refused EMS and said her husband would come pick her up.  1300 Pt excused herself to go to the restroom and upon returning she was asked to sign an AMA form. At that point the pt felt it would be best to call EMS as the she reportedly was still having chest tightness.  1304 EMS contacted  1315 EMS arrived, report of pt condition provided to EMS personnel and pt transported out of clinic via stretcher by EMS.  1330 Dr's notified of pt transport.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Death, Hypertensive heart disease, Ketoacidosis, Vaccination complication
Clinical narrative: Patient found deceased in facility.  Medical Examiner cause of death:  A. Ketoacidosis B. due to COVID-19 vaccination complicating undiagnosed diabetes mellitus.  Contributory: Hypertensive cardiovascular disease.;   Autopsy report was signed on 11/4/2021
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis
Clinical narrative: Myocarditis, 2 day hospital stay, medication
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Livedo reticularis, Pain, Pruritus
Clinical narrative: - itchiness on neck and torso starting at 7:30 pm following injection 3 hours earlier lasting 12 hours  - mottled skin on forearms and inner thighs lasting 7 days  - headache beginning 12 hours after injection and lasting 48 hours  - overall body aches beginning 24 hours after injection and lasting 48 hours
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 78.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: No adverse event
Clinical narrative: Patient requested COVID booster during office visit.  Patient had COVID in October.  Per provider, patient was past their quarantine window & asymptomatic at visit.  Provider asked what the patient was treated with, patient told provider that they were treated with antibiotics and steroids.  Patient completed questionnaire for COVID vaccine & circled "No" on the question about receiving monoclonal antibodies.  Patient received 0.25mL booster per protocol.  Patient called later that day after leaving office, verified patient per name & DOB, patient stated that she forgot that she had received monoclonal antibodies and she was concerned since she received the COVID booster.  Patient also received the flu shot on the same day.  Patient has not developed any signs nor symptoms; spoke with patient today and patient states that she felt fine.  CDC has been reached out to for guidance on the situation.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Skin irritation, Urticaria
Clinical narrative: Red rash/hives for approximately 8 weeks after 2nd dose of vaccination, skin itchiness and irritation, skin flare ups, welts. Took Benadryl and Claritin. Rash reappeared 12 days after receiving booster dose of vaccination.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: - TIA (transient ischemic attack)
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Inflammation, Injected limb mobility decreased, Muscle tightness, Musculoskeletal stiffness
Clinical narrative: SEVERE inflammation, clotting in left arm. Numbness in arm continuing down to wrist. Loss of motion in left arm. Paralysis at times. Throbbing pain at night. Tightness in neck and corresponding shoulder.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paralysis, Thrombosis
Clinical narrative: SEVERE inflammation, clotting in left arm. Numbness in arm continuing down to wrist. Loss of motion in left arm. Paralysis at times. Throbbing pain at night. Tightness in neck and corresponding shoulder.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Interchange of vaccine products
Clinical narrative: Patient falsified name upon presenting to the clinic and received 0.5ml dose of Covid-19 Moderna vaccine as a 2nd dose instead of a 0.25ml Moderna (booster), as clinic staff learned that patient previously received the full dose Janssen Covid-19 vaccine on 3/25/2021.
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hyperventilation, Nausea
Clinical narrative: At  12:05pm pt. c/o dizziness, feeling nauseated , hyperventilating and diaphoretic . Helped pt. to the floor in a supine position with legs elevated, encouraged slow deep breaths. V/S included; BP=142/90, HR=67,  O2 sat=99%. Pt. A&O X4. Loosened pt.'s clothing,  Applied icepack at the back of her neck, offered RM temp H2O and some animal crackers.( Pt. reported  not having eaten for a long time) .At 12:26pm pt. reported feeling better with no dizziness. Pt. was d/c at 1pm in a stable condition, No ambulation problems noted. Pt. did not incur any injuries, trauma or falls while at the clinic.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/07/2021. Mistook expiration date to be 11/17/2021. No adverse event or outcome to recipient.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Human chorionic gonadotropin, Maternal exposure before pregnancy, Pregnancy test positive, Uterine spasm, Vaginal haemorrhage
Clinical narrative: LMP 9/15/21, first positive pregnancy test 10/20/21. first appointment with OBGYN 11/5/21 and US showed gestational sac without pregnancy content (measuring 4 weeks, 6 days). I started light cramping and bleeding bright red blood 11/6/21 afternoon and started passing clots and material in the evening with more intense, severe cramps/ contractions.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: It was an error. the pt signed up for fluzone, but was given fluzone plus moderna. Fluzone wasnt given in the series. Moderna was given. the dr office was notified and the pt will follow up for further evaluation.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received a Moderna dose 1 vaccine on 11/19/2021. Patient is 17 years old and 8 months. Patient showed no immediate side effects. Patient signed-off stating she was 18 years or older on paperwork. Patient was called and told what happened. Moderna notified. No response from Moderna at this time on what to do for the second dose.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site discomfort, Lymphadenopathy, Nausea
Clinical narrative: The injection site still feels tight/pressure. Swollen glands in the neck the size of a golf ball. Neck is sore - pain causing headaches. Extremely tired and fatigued throughout the day. Nauseous throughout the day.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: The injection site still feels tight/pressure. Swollen glands in the neck the size of a golf ball. Neck is sore - pain causing headaches. Extremely tired and fatigued throughout the day. Nauseous throughout the day.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Bell's palsy, Blood test, Computerised tomogram, Facial paralysis
Clinical narrative: Developed Bell's Palsy. Symptoms began with some loss of taste on the evening of 07/12/2021. On the morning of 07/13/2021, I was still experiencing the loss of taste but also had pain along the jaw near the bottom of my right ear. I went in to get a COVID-19 test at a testing site on the morning of 07/14/2021. By the time that I was arriving back at my home, I was experiencing right-sided facial drooping and some numbness. I called my primary care provider who advised me to go to my local Emergency Room. The emergency room diagnosed me with a classic case of Bell's Palsy on the right side of my face.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in jaw
Clinical narrative: Developed Bell's Palsy. Symptoms began with some loss of taste on the evening of 07/12/2021. On the morning of 07/13/2021, I was still experiencing the loss of taste but also had pain along the jaw near the bottom of my right ear. I went in to get a COVID-19 test at a testing site on the morning of 07/14/2021. By the time that I was arriving back at my home, I was experiencing right-sided facial drooping and some numbness. I called my primary care provider who advised me to go to my local Emergency Room. The emergency room diagnosed me with a classic case of Bell's Palsy on the right side of my face.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Unprecedented? 4 instances of vertigo (as if room were merry go round, swirling around patient). Duration 5 to 30 seconds.   11/15 9:30a after being awake 20 minutes, rolling onto left side, while still laying in bed (30 seconds)  11/15 10:30a while standing, bending over finishing putting on shoes (15 seconds)   11/15 1:40p Leaned head backwards (looking up and right)  (10 seconds)  11/15 2:55p At store, bent to select item on bottom shelf (5 seconds)
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Cough, dyspnea, COVID-19 pneumonia and shortness of breath.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Client vaccinated with 2 doses of Pfizer vaccine (one in beginning of May 2021 and one at end of May 2021) for Covid.  Symptoms started 11/15/2021 - fever, headache, myalgia, fatigue.  Tested positive for Covid with PVR on 11/16.  Reported as case of breakthrough Covid illness in previously vaccinated person
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Client vaccinated with 2 doses of Pfizer vaccine (one in beginning of May 2021 and one at end of May 2021) for Covid.  Symptoms started 11/15/2021 - fever, headache, myalgia, fatigue.  Tested positive for Covid with PVR on 11/16.  Reported as case of breakthrough Covid illness in previously vaccinated person
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Tachycardia
Clinical narrative: Tachycardia persisting now for 18 hours. Pulse has been no lower than 110 and as high as 152 checked on auto blood pressure cuff and manually.   Tachycardia has continued, even at rest.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Haemoptysis, Pain
Clinical narrative: Patient says body aches and chills started the evening of the 17th. On the 19th she coughed up blood. Patient is trying to get in to see her MD.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Rash macular
Clinical narrative: Pt. states that after receiving the 3rd Booster of Phizer 10/22/2021, started experiencing symptoms 11/01/2021 of red blotchy spots throughout the body (No itchiness/pain). Primary visit 11/16/2021, Blood Work (Normal). Still continuing to experience symptom.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Cyanosis, Induration, Mass excision, Nodule
Clinical narrative: Adverse event: Right foot reveals a large nodule present to the central aspect of the forefoot fat pad. Measures approximately 1.7 cm in diameter. Firm in nature. Appears to be independent of the plantar fascia. Slight blue hue to it. Treatment: Surgery for excision of the plantar mass. Outcomes: Plantar mass was removed and on-going recovery.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Adverse event: Right foot reveals a large nodule present to the central aspect of the forefoot fat pad. Measures approximately 1.7 cm in diameter. Firm in nature. Appears to be independent of the plantar fascia. Slight blue hue to it. Treatment: Surgery for excision of the plantar mass. Outcomes: Plantar mass was removed and on-going recovery.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Skin warm, Tenderness
Clinical narrative: Circular rash size of half dollar and growing. Warm, tender and itchy.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute myocardial infarction, Anticoagulant therapy, Blood lactic acid increased, COVID-19
Clinical narrative: The patient  is a 74  year old male admitted to the 10-3/4 ICU for submassive pulmonary embolism. Pertinent past medical history includes a diagnosis of COVID-19 8 days ago, and an NSTEMI in October 2021 s/p PCI to ungrafted left circumflex in the setting of prior CABG in 2014.  Over the course of the last week the patient reports stuttering episodes of chest and abdominal pain, abrupt in onset and progressive in nature.  He had a significant event which prompted his presentation to the emergency department at MCHS New Prague yesterday, where CT pulmonary angiogram demonstrated extensive bilateral thromboemboli.  On initial presentation his blood pressure was 70 systolic and he had an elevated lactate and troponin, but rapidly stabilized with 1 L of crystalloid resuscitation and heparin infusion.  Due to the lack of PCU beds he was transferred for telemetry monitoring.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Computerised tomogram thorax, Intensive care, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: The patient  is a 74  year old male admitted to the 10-3/4 ICU for submassive pulmonary embolism. Pertinent past medical history includes a diagnosis of COVID-19 8 days ago, and an NSTEMI in October 2021 s/p PCI to ungrafted left circumflex in the setting of prior CABG in 2014.  Over the course of the last week the patient reports stuttering episodes of chest and abdominal pain, abrupt in onset and progressive in nature.  He had a significant event which prompted his presentation to the emergency department at MCHS New Prague yesterday, where CT pulmonary angiogram demonstrated extensive bilateral thromboemboli.  On initial presentation his blood pressure was 70 systolic and he had an elevated lactate and troponin, but rapidly stabilized with 1 L of crystalloid resuscitation and heparin infusion.  Due to the lack of PCU beds he was transferred for telemetry monitoring.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: The patient  is a 74  year old male admitted to the 10-3/4 ICU for submassive pulmonary embolism. Pertinent past medical history includes a diagnosis of COVID-19 8 days ago, and an NSTEMI in October 2021 s/p PCI to ungrafted left circumflex in the setting of prior CABG in 2014.  Over the course of the last week the patient reports stuttering episodes of chest and abdominal pain, abrupt in onset and progressive in nature.  He had a significant event which prompted his presentation to the emergency department at MCHS New Prague yesterday, where CT pulmonary angiogram demonstrated extensive bilateral thromboemboli.  On initial presentation his blood pressure was 70 systolic and he had an elevated lactate and troponin, but rapidly stabilized with 1 L of crystalloid resuscitation and heparin infusion.  Due to the lack of PCU beds he was transferred for telemetry monitoring.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute myocardial infarction, Anticoagulant therapy, Blood lactic acid, Blood lactic acid increased
Clinical narrative: The patient  is a 74  year old male admitted to the 10-3/4 ICU for submassive pulmonary embolism. Pertinent past medical history includes a diagnosis of COVID-19 8 days ago, and an NSTEMI in October 2021 s/p PCI to ungrafted left circumflex in the setting of prior CABG in 2014.  Over the course of the last week the patient reports stuttering episodes of chest and abdominal pain, abrupt in onset and progressive in nature.  He had a significant event which prompted his presentation to the emergency department at MCHS New Prague yesterday, where CT pulmonary angiogram demonstrated extensive bilateral thromboemboli.  On initial presentation his blood pressure was 70 systolic and he had an elevated lactate and troponin, but rapidly stabilized with 1 L of crystalloid resuscitation and heparin infusion.  Due to the lack of PCU beds he was transferred for telemetry monitoring.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure systolic, COVID-19, Chest pain, Computerised tomogram thorax, Intensive care
Clinical narrative: The patient  is a 74  year old male admitted to the 10-3/4 ICU for submassive pulmonary embolism. Pertinent past medical history includes a diagnosis of COVID-19 8 days ago, and an NSTEMI in October 2021 s/p PCI to ungrafted left circumflex in the setting of prior CABG in 2014.  Over the course of the last week the patient reports stuttering episodes of chest and abdominal pain, abrupt in onset and progressive in nature.  He had a significant event which prompted his presentation to the emergency department at MCHS New Prague yesterday, where CT pulmonary angiogram demonstrated extensive bilateral thromboemboli.  On initial presentation his blood pressure was 70 systolic and he had an elevated lactate and troponin, but rapidly stabilized with 1 L of crystalloid resuscitation and heparin infusion.  Due to the lack of PCU beds he was transferred for telemetry monitoring.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism, SARS-CoV-2 test, SARS-CoV-2 test positive, Troponin, Troponin increased
Clinical narrative: The patient  is a 74  year old male admitted to the 10-3/4 ICU for submassive pulmonary embolism. Pertinent past medical history includes a diagnosis of COVID-19 8 days ago, and an NSTEMI in October 2021 s/p PCI to ungrafted left circumflex in the setting of prior CABG in 2014.  Over the course of the last week the patient reports stuttering episodes of chest and abdominal pain, abrupt in onset and progressive in nature.  He had a significant event which prompted his presentation to the emergency department at MCHS New Prague yesterday, where CT pulmonary angiogram demonstrated extensive bilateral thromboemboli.  On initial presentation his blood pressure was 70 systolic and he had an elevated lactate and troponin, but rapidly stabilized with 1 L of crystalloid resuscitation and heparin infusion.  Due to the lack of PCU beds he was transferred for telemetry monitoring.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccination failure
Clinical narrative: The patient  is a 74  year old male admitted to the 10-3/4 ICU for submassive pulmonary embolism. Pertinent past medical history includes a diagnosis of COVID-19 8 days ago, and an NSTEMI in October 2021 s/p PCI to ungrafted left circumflex in the setting of prior CABG in 2014.  Over the course of the last week the patient reports stuttering episodes of chest and abdominal pain, abrupt in onset and progressive in nature.  He had a significant event which prompted his presentation to the emergency department at MCHS New Prague yesterday, where CT pulmonary angiogram demonstrated extensive bilateral thromboemboli.  On initial presentation his blood pressure was 70 systolic and he had an elevated lactate and troponin, but rapidly stabilized with 1 L of crystalloid resuscitation and heparin infusion.  Due to the lack of PCU beds he was transferred for telemetry monitoring.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood oestrogen decreased, Fatigue, Hot flush, Menopause, Menstruation irregular
Clinical narrative: After receiving the Second Covid-19 Shot on September 18th, 2021, my menstrual cycle came twice in September, skipped in October, and currently skipped in November. The vaccine made me go into menopause at age 35 which has caused me to have mood swings, hot flashes, night sweats, tiredness, cant sleep well at night. My estrogen levels had drop significantly low to where the doctors want to put me on hormone therapy. The Covid-19 Pfizer vaccine has hinder me to be able to have kids at this point and I do not know when or if I will ever be able to have kids due to the Vaccine adverse effect.  I am way too young to be going into menopause and I have had my blood work in normal ranges way before Covid-19 vaccines.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mood swings, Night sweats, Sleep disorder
Clinical narrative: After receiving the Second Covid-19 Shot on September 18th, 2021, my menstrual cycle came twice in September, skipped in October, and currently skipped in November. The vaccine made me go into menopause at age 35 which has caused me to have mood swings, hot flashes, night sweats, tiredness, cant sleep well at night. My estrogen levels had drop significantly low to where the doctors want to put me on hormone therapy. The Covid-19 Pfizer vaccine has hinder me to be able to have kids at this point and I do not know when or if I will ever be able to have kids due to the Vaccine adverse effect.  I am way too young to be going into menopause and I have had my blood work in normal ranges way before Covid-19 vaccines.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered past expiration. Moved from freezer to fridge 10/7/21 with 30 expiration on 11/6/21. Verified no repeat dose needed with manufacturer.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Movement disorder, Nausea, Pyrexia
Clinical narrative: Sustained fever of 101+, nausea, severe headache, trouble moving arms and legs. It lasted until the morning of 11/19/2021
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Muscular weakness, Peripheral swelling
Clinical narrative: This was on the following day- I was very fatigued and that was the only problem. I just stayed in bed and that helped me. On my left side I'm really weak, I have trouble going upstairs. I'm going to physical therapy. I started in late summer of August. In the last month I've had an issue where my leg has been swelling. I have a cardiologist and a vein doctor appointment in two weeks to research the issue. Not really for the leg weakness, but for the swelling. My asthma has also reappeared after 30+ years.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased, Insomnia, Palpitations
Clinical narrative: Twelve hours after receiving the second dose of Shingrix vaccine, I still could not sleep and heart was pounding.  The Shingrix info sheet stated that a fast heart rate was considered a severe allergic reaction and to go to the hospital.  Instead, I took half a .25mcg Xanax and was able to sleep.  Woke at 7:45am and used Blood Pressure cuff to find stats were then 118/61 and 90bpm.  Took another half Xanax and monitored heart data every 10-15 minutes; by 8:45am, 111/60 and 79 bpm; by 9:45am, 105/70 and 60 bpm; by 6:25pm, 90/49 and 60 bpm (my bp and heart rate are naturally low).
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations
Clinical narrative: I felt fine for the first 15 minutes after receiving a booster dose of the Moderna vaccine (my first vaccine was the J&J on 3/7/2021). About 30 minutes after the shot, and while driving, I felt my heart starting to race out of control. My watch captured my peak heart rate at 163 bpm (a typical heart rate for me is in the low 80s, resting rate is typically 74, walking is around 105-110). After about 15 minutes, and after being observed by a nurse and a physician, I felt better and went home. I had a subsequent "spike" another 20 minutes after the first incident where my heart rate peaked at 110. It has since leveled out and not recurred.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Breast swelling, Drainage, Emotional distress, Erythema
Clinical narrative: Woke up with malaise and pain in left (surgical) breast. Malaise progressed to brain fog, fatigue, and muscle aches over a 5-6 day period. Left breast swelled and turned red. Saw primary physician on 10/8/21 and was prescribed antibiotics and an emergency visit was scheduled with Dr. and PA, at Breast Center on 10/11/21.  At 4:00 am 10/11/21, woke with massive spontaneous drainage of left breast. Dr. diagnosed radiation recall vs lymphedema of the breast. An ultrasound was performed. A wick was inserted into the open wound to allow for additional drainage. The wick was replaced several times before finally fallilng out on 10/30/21. The spontaneous wound subsequently closed up. The breast then became concave on the left side at the site of the lumpectomy cavity/ surgical scar area. The initial erythema had subsided somewhat but the area around the scar remained red. Dr. gave a referral to another Dr for evaluation of left breast lymphedema. Dr. indicated this was the third case she had seen of breast lymphedema following Covid vaccine injections. She again prescribed antibiotics plus physical therapy to enhance range of motion and release scar tissue that has formed in the surgical area. The indentation from the collapsed seroma cavity will not go away and the breast will remain smaller than the other breast and possibly require plastic surgery in the future. This is permanent disfigurement and has rightfully caused quite a bit of distress to the patient.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Lymphoedema, Malaise, Myalgia
Clinical narrative: Woke up with malaise and pain in left (surgical) breast. Malaise progressed to brain fog, fatigue, and muscle aches over a 5-6 day period. Left breast swelled and turned red. Saw primary physician on 10/8/21 and was prescribed antibiotics and an emergency visit was scheduled with Dr. and PA, at Breast Center on 10/11/21.  At 4:00 am 10/11/21, woke with massive spontaneous drainage of left breast. Dr. diagnosed radiation recall vs lymphedema of the breast. An ultrasound was performed. A wick was inserted into the open wound to allow for additional drainage. The wick was replaced several times before finally fallilng out on 10/30/21. The spontaneous wound subsequently closed up. The breast then became concave on the left side at the site of the lumpectomy cavity/ surgical scar area. The initial erythema had subsided somewhat but the area around the scar remained red. Dr. gave a referral to another Dr for evaluation of left breast lymphedema. Dr. indicated this was the third case she had seen of breast lymphedema following Covid vaccine injections. She again prescribed antibiotics plus physical therapy to enhance range of motion and release scar tissue that has formed in the surgical area. The indentation from the collapsed seroma cavity will not go away and the breast will remain smaller than the other breast and possibly require plastic surgery in the future. This is permanent disfigurement and has rightfully caused quite a bit of distress to the patient.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Recall phenomenon, Ultrasound breast normal, Wound, Wound drainage
Clinical narrative: Woke up with malaise and pain in left (surgical) breast. Malaise progressed to brain fog, fatigue, and muscle aches over a 5-6 day period. Left breast swelled and turned red. Saw primary physician on 10/8/21 and was prescribed antibiotics and an emergency visit was scheduled with Dr. and PA, at Breast Center on 10/11/21.  At 4:00 am 10/11/21, woke with massive spontaneous drainage of left breast. Dr. diagnosed radiation recall vs lymphedema of the breast. An ultrasound was performed. A wick was inserted into the open wound to allow for additional drainage. The wick was replaced several times before finally fallilng out on 10/30/21. The spontaneous wound subsequently closed up. The breast then became concave on the left side at the site of the lumpectomy cavity/ surgical scar area. The initial erythema had subsided somewhat but the area around the scar remained red. Dr. gave a referral to another Dr for evaluation of left breast lymphedema. Dr. indicated this was the third case she had seen of breast lymphedema following Covid vaccine injections. She again prescribed antibiotics plus physical therapy to enhance range of motion and release scar tissue that has formed in the surgical area. The indentation from the collapsed seroma cavity will not go away and the breast will remain smaller than the other breast and possibly require plastic surgery in the future. This is permanent disfigurement and has rightfully caused quite a bit of distress to the patient.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Confusional state, Extra dose administered, Feeding disorder
Clinical narrative: Had the vaccine booster on Wednesday.  Within a few hours, I had a migraine headache with pain in my left shoulder and neck.  I was not able to drive home because I became so sleepy.  When I did get home, I went to bed at 7:30 pm and basically didn't get up until 4:30 am this morning (Friday).   I had SEVERE chills.  I would almost call them confusions.  My chest and back muscles would contract so hard that my whole body would shake.  My teeth were chattering.   This was followed by a fever that reached 102 and I took tylenol.  Over the next day, these two things would contine.  Severe chills and fever.   I couldn't eat.  I couldn't drink.  I couldn't watch tv or read a book.  All I could do was either sleep or sit in a chair staring out into space.  Even today, my mind is not very clear.   Today I also have a constant need to pee.  Even after I basically haven't had much water or any other liquid since Wednesday.  After my 2nd shot, also Pfizer, I had very similar side effects but not as severe.   Today, right now, Friday, 11/19/21 at 3:00 pm my temperature is 101.2.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Micturition urgency, Migraine, Muscle contracture, Neck pain, Pyrexia
Clinical narrative: Had the vaccine booster on Wednesday.  Within a few hours, I had a migraine headache with pain in my left shoulder and neck.  I was not able to drive home because I became so sleepy.  When I did get home, I went to bed at 7:30 pm and basically didn't get up until 4:30 am this morning (Friday).   I had SEVERE chills.  I would almost call them confusions.  My chest and back muscles would contract so hard that my whole body would shake.  My teeth were chattering.   This was followed by a fever that reached 102 and I took tylenol.  Over the next day, these two things would contine.  Severe chills and fever.   I couldn't eat.  I couldn't drink.  I couldn't watch tv or read a book.  All I could do was either sleep or sit in a chair staring out into space.  Even today, my mind is not very clear.   Today I also have a constant need to pee.  Even after I basically haven't had much water or any other liquid since Wednesday.  After my 2nd shot, also Pfizer, I had very similar side effects but not as severe.   Today, right now, Friday, 11/19/21 at 3:00 pm my temperature is 101.2.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Tremor
Clinical narrative: Had the vaccine booster on Wednesday.  Within a few hours, I had a migraine headache with pain in my left shoulder and neck.  I was not able to drive home because I became so sleepy.  When I did get home, I went to bed at 7:30 pm and basically didn't get up until 4:30 am this morning (Friday).   I had SEVERE chills.  I would almost call them confusions.  My chest and back muscles would contract so hard that my whole body would shake.  My teeth were chattering.   This was followed by a fever that reached 102 and I took tylenol.  Over the next day, these two things would contine.  Severe chills and fever.   I couldn't eat.  I couldn't drink.  I couldn't watch tv or read a book.  All I could do was either sleep or sit in a chair staring out into space.  Even today, my mind is not very clear.   Today I also have a constant need to pee.  Even after I basically haven't had much water or any other liquid since Wednesday.  After my 2nd shot, also Pfizer, I had very similar side effects but not as severe.   Today, right now, Friday, 11/19/21 at 3:00 pm my temperature is 101.2.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past expiration. Moved from freezer to fridge 10/7/21 with a 30 day expiration of 11/6/21. Manufacturer verified no repeat dose necessary.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Breast pain, Gynaecomastia, Mammogram, Monoclonal gammopathy
Clinical narrative: I was diagnosed as having gynecomastia .  I first noticed pain in my right breast right below the nipple.  The pain continues until this day.  My breast has not changed in size significantly.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/07/2021. Mistook expiration date to be 11/17/2021. No adverse event or outcome to recipient.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Influenza virus test negative
Clinical narrative: Terrible headache. She had very bad aches and pains and the feeling of collapsing. Caller stated that she became very weak and fatigue. Went to urgent care.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Terrible headache. She had very bad aches and pains and the feeling of collapsing. Caller stated that she became very weak and fatigue. Went to urgent care.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Blood test normal, Caffeine consumption, Cardioversion, Death
Clinical narrative: On February 4th, 2021 patient died suddenly while skiing. About 2 PM, there was no accident, he was found laying down in the snow and the first to find him gave him CPR - ski patrol came quickly and shocked him three times. But none of these brought him back. He was already gone.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, Sudden death
Clinical narrative: On February 4th, 2021 patient died suddenly while skiing. About 2 PM, there was no accident, he was found laying down in the snow and the first to find him gave him CPR - ski patrol came quickly and shocked him three times. But none of these brought him back. He was already gone.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administed expired Covid-19 Moderna Vaccine. Notified Moderna when we were made on 11/17/21 by . Patient has been called and informed of incident and advised to come in and be given an additional full dose of Covid-19 Moderna Vaccine per the instructions of both Moderna and .
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administed expired Covid-19 Moderna Vaccine. Notified Moderna when we were made on 11/17/21 by . Patient has been called and informed of incident and advised to come in and be given an additional full dose of Covid-19 Moderna Vaccine per the instructions of both Moderna and .
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: Two days ago, injection site got hot, swollen and had a huge lump.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administed expired Covid-19 Moderna Vaccine. Notified Moderna when we were made on 11/17/21. Patient has been called and informed of incident and advised to come in and be given an additional full dose of Covid-19 Moderna Vaccine per the instructions of both Moderna and health office.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Myalgia
Clinical narrative: muscle spasms and aches
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Dyspnoea, Heart rate increased, Injection site pain
Clinical narrative: Soreness at injection site. Soreness became a painful burning sensation. Pain the injection  site. Then, progress to a radiating pain extending from shoulder to neck. Collarbone area sensitive to touch.  Lymph nodes swelled to ping-pong ball size.  Injection site swelled to softball size. Hives around injection site, warm at injection site and along neckline.  Increased heart rate, shortness of breath.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site urticaria, Injection site warmth, Lymphadenopathy, Neck pain
Clinical narrative: Soreness at injection site. Soreness became a painful burning sensation. Pain the injection  site. Then, progress to a radiating pain extending from shoulder to neck. Collarbone area sensitive to touch.  Lymph nodes swelled to ping-pong ball size.  Injection site swelled to softball size. Hives around injection site, warm at injection site and along neckline.  Increased heart rate, shortness of breath.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Skin warm
Clinical narrative: Soreness at injection site. Soreness became a painful burning sensation. Pain the injection  site. Then, progress to a radiating pain extending from shoulder to neck. Collarbone area sensitive to touch.  Lymph nodes swelled to ping-pong ball size.  Injection site swelled to softball size. Hives around injection site, warm at injection site and along neckline.  Increased heart rate, shortness of breath.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: A family of 4, (2 adults with their 2 children) came to Covid vaccine clinic today, 11/19/21, to be vaccinated. They were in the pediatric wing with the vaccinator, all in one room. One parent was a flu only, the kids were the 5-11 covid dose and a flu vaccine The other parent was to be a 12+ covid vaccine and a flu shot. This 'other' parent was given the pediatric dose of the covid vaccine instead of the adult (12+) dosage. It was not realized and then confirmed by its charting and documentation, until after they left the room. The patient and family were not made aware of this at this time.