chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Ultrasound Doppler normal
Clinical narrative: DISCHARGE DIAGNOSES Acute Hypoxic Respiratory Failure - secondary to covid-19 pneumonia   HOSPITAL COURSE 90 year old male who has a history of hypertension came tot he hospital for shortness of breath.  It is noted he is vaccinated against Covid-19 but has not received his booster at this time.  Upon arrival to the ER he had been having symptoms for 10 days prior to admission.  In the ER he was noted to be hypoxic with sats at 76%.  Initially the patient required up to 12 L via high flow nasal cannula, but made steady and fairly rapid improvement over the past 3 days, weaned down to 3 L via nasal cannula.  Patient has been very adamant to go home for the last few days.  Patient passed PT OT.  Slum score was 21 out of 30.  Patient does show ability to make his own decisions.  Case was also discussed with family who will help support him.  With his advanced age, O2 needs, increased risk for decompensation, would prefer patient stay in the hospital at least another 1 to 2 days for additional monitoring, but patient remains adamant he like to go home.  Recommend patient follow-up with with his PCP in 1 week.  Will continue with dexamethasone 6 mg daily to complete a 10-day course.   Acute Hypoxic Respiratory Failure - secondary to covid-19 pneumonia - per the notes he has had these symptoms for ~11 days now.  Sepsis ruled out.  Metabolic encephalopathy due to covid has improved, appears he is back to his baseline.  - Home O2 ordered, 3 L at rest, 4 L with exertion  -CRP trended down from 29.6 -- >  9.9  - procal noted to be 0.16 - no antibiotics indicated  - Patient received Decadron 6 mg IV daily in the hospital, will discharge with another 7 days to complete a 10-day course orally. -Elevated D-dimer due to COVID infection; bilateral lower extremity ultrasounds prior to discharge performed ruled out DVT     AKI - Ruled out.  Did have mild acute renal insufficiency.  creatinine only rose to 1.29, now 1.06.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chronic obstructive pulmonary disease, Chronic respiratory failure, Cough, Hyperhidrosis
Clinical narrative: Pt has COPD and chronic respiratory failure on 2L NC.  He has had a more nonproductive cough and sweats for the last 2 days.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site pain
Clinical narrative: Today is Tuesday, January 18th, 2022. For the last 9 months, ever since my first COVID shot, my left arm has been stinging. Nearly each day, I am grabbing my left arm, at the injection site, in pain. The only treatments that I do are that I self-massage the injection site, multiple times each day. I stretch my arm out each day as well. Since I have gotten my booster shot, the pain has gotten worse.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient given 0.3mL instead of 0.25mL booster dose.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 12/28/21 presents to ED for "acute onset n/v for 1 day". PMHx of "HTN, DM 2, HLD, breast cancer, hiatal hernia, frequent falls, SDH, SAH
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 12/20/21 presents to ED for "fatigue and weakness". PMHx of "atrial fibrillation, hypertension, type 2 diabetes and coronary artery disease"
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Enlarged uvula, Lymphadenopathy, Swelling
Clinical narrative: I had a swollen armpit and it moved up to the top of my shoulder to my neck and back around the base of my skull. I woke up the next day with a very swollen uvula. I called office and asked if there's anything I can do regarding the side effects I was experiencing but she said there's really nothing and just to wait for it to subside and if it persists and I had difficulty breathing I should go to the hospital. It took about 4 days for me to recover back to normal.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was schedule to receive 1st dose of Pfizer vaccine but instead receive Moderna booster vaccine dose.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered after deadline of use.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: It was brought to attention of provider that clarification needed on booster vs 3rd dose. 3rd dose was documented in error. Discussed with CMA who administered and she believes that .25 dose given. Unable to reach pt to see if she had any adverse reaction. She has not called the clinic to report anything. Multiple outreach attempts made.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dysmenorrhoea, Mood altered, Postmenopausal haemorrhage
Clinical narrative: After first and second vaccine, pt. had one episode of post-menopausal vaginal bleeding including symptoms of menses (cramping, mood changes, etc.). Both instances occurred on the day of the vaccination and did not require treatment. After the third vaccine (booster), pt. had same symptoms of menses but no bleeding noted. Pt. received the third vaccine at different location (not same as first two).
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal wall infection, COVID-19, SARS-CoV-2 test positive
Clinical narrative: 12/30/21 presents to ED for "infection of her abdominal wall". PMHx of "insulin dependent diabetes"
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Benign prostatic hyperplasia, Bundle branch block left, COVID-19, Deep vein thrombosis
Clinical narrative: 01/02/22 presents to ED for "suicidal ideation". PMHx of "HFrEF, CAD s/p DES, AAA, atrial flutter s/p ablation, atrial fib s/p cardioversion 12/15/21 on Eliquis, LBBB, HTN, DVT, hypothyroidism, BPH, COVID 12/15/21"
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Hypothyroidism, Suicidal ideation
Clinical narrative: 01/02/22 presents to ED for "suicidal ideation". PMHx of "HFrEF, CAD s/p DES, AAA, atrial flutter s/p ablation, atrial fib s/p cardioversion 12/15/21 on Eliquis, LBBB, HTN, DVT, hypothyroidism, BPH, COVID 12/15/21"
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Blood creatine phosphokinase increased, Full blood count, Laboratory test
Clinical narrative: On January 3, 2022 I received the Moderna booster shot in Left Arm...on April 29, 2021 I also took the J&J at the same facility...SEE REPORT...I filed an adverse effect to the J&J shot on 1/13/22 with the following info VAERS ID: 2031767, E-Report Number: 772828.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: RECEIVED COVID VACCINE ON 01/04/22 Later that evening mother noted onset of mildly itchy diffuse rash on face at first When getting ready for bed noted rash all over  Over the next 3 days rash was more itchy and more red and raised The rash is raised. No blisters. No oral or genital lesions He is fussy due to itchiness and was sent home from school for that reason 1/6/22 Itchiness was even worse 1/7/22
Age: 84.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient presented with diarrhea and vomiting and was positive for COVID-19
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/26/21 presents to  ED for "dyspnea". PMHx of "HTN, HLD, AS s/p bioprosthetic replacement"
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: 24 hours after injection- area was hot, increased pain, and reddened to size of orange,  Site continued to get worse, at 48 hours area of redness had more than doubled in size, very itchy, hot, painful.  Pt states area of redness approx. 2-3 inches below vaccination site.  Today, 1/18/22 pt reports still reddened, but getting darker in color like a bruise, very itchy, and hot.  Pt reports icing area several times per day, Benadryl cream to area.  Pt states she notified her provider this am via portal
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pfizer COVID-19 Pediatric Vaccine 0.2 mL dose (5-11 years old) was given to 14 year old patient.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Syncope
Clinical narrative: 12/25/21 presents to EC ED for "syncope". PMHx of "afib on Eliquis, HTN, CHF, CVD "
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired, didn't know that it was.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID-19 on 01/12/2022
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia
Clinical narrative: Hospitalized with acute hypoxic resp failure, covid 19 pneumonia, possible bacterial pneumonia, remdesiovir and dexamethasone
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity, Urticaria
Clinical narrative: Initial reaction (same day) sore arm lasting about 3 days, heavy chills lasting about 7 hours, fatigue lasting about 24 hours.  14 days later, full body systemic hives lasting several days. hives erupted 11/14. initially treated with benadryl. Medical treatment sought 11/18. Given an injection of depo-medrol and a prednisone burst, advised to continue benadryl and add pepcid. Hives lasted approximately 1 week.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 12/28/21 presents to Diagnostic Radiology for "elective kidney biopsy, ordered by his transplant surgeon". PMHx of "HTN, CAD, AV replacement, DVT, ESRD s/p renal transplant x 2"
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: patient was given 0.3 mL instead of 0.25 mL for booster shot, no adverse effects
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Transaminases increased
Clinical narrative: 12/27/21 presents to ED "at the request of her oncology team due to elevating transaminitis". PMHx of "stage IV lung cancer and diabetes as well as hypertension and hyperlipidemia"
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Pelvic pain, SARS-CoV-2 test positive
Clinical narrative: 12/31/21 presents to ED for "worsening fatigue, SOB, and pelvic pain". PMHx of "atrial fibrillation,  COPD, Essential hypertension"
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered after deadline of use.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: 12/24/21 presents to ED for "worsening kidney function". PMHx of "ESRD s/p renal transplant 12/15/2021".
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: Vaccine Administration Error - Dose administered past beyond-use date. Patient received Pfizer Vaccines on 5/14/2021, 6/4/2021, and 1/17/2022. The vaccine that was administered on 1/17/2022 was past the beyond-use date.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, SARS-CoV-2 test positive
Clinical narrative: 12/25/21 presents to ED for "chest pain". PMHx of "hypertension, hyperlipidemia, mitral valve prolapse, and celiac disease"
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was schedule to receive 1st dose of Pfizer but instead receive Moderna Booster vaccine dose
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Headache, Laboratory test normal, Vertigo
Clinical narrative: Starting on October 5, 2021, I started suffering from a continuous headache in the lower back of my head. This has now been going on for more than three months and doctors are still unsure of the cause or how to treat. Imaging scans and bloodwork have all come back clear.  On January 1, 2022, I suffered from a bout of vertigo for the first time ever in my life. Doctors are unsure of the cause. It lasted for about a week. Physical therapy was used to manage it while it was going on.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Immediate post-injection reaction, Throat tightness
Clinical narrative: Patient received second pediatric COVID Pfizer vaccination and immediately complained of throat tightness, difficulty breathing and began making choking noises. When asked to rate how difficult it was to breathe (1 = no difficulty, 10 = impossible to breathe), patient stated their breathing was at a 6. 911 was called and an ambulance was dispatched to vaccination location. Patient then felt better without any medical intervention. Patient was able to swallow without difficulty and left with no complaints.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Rash / hives / urticaria mainly on hands, arms, front & back torso, and ankles. Currently on day 7 of rashes.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient was schedule to receive 1st dose of Pfizer but instead receive Moderna Booster vaccine dose
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cerebrovascular accident, Chest X-ray, Confusional state, Disorientation
Clinical narrative: Cognitive disorientation, hand paralysis, confusion, slurred speech, major stroke in right hemisphere frontal cortex
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Magnetic resonance imaging, Paralysis
Clinical narrative: Cognitive disorientation, hand paralysis, confusion, slurred speech, major stroke in right hemisphere frontal cortex
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: rash around injection site
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer batch/lot #FJ6369 with temperature excursion. Reported to Pfizer and they ok'd for use. Instructed by Pfizer staff to report each dose given in this system.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac stress test, Echocardiogram, Electrocardiogram ambulatory, Heart rate increased
Clinical narrative: A few days after the vaccine I started having a rapid heart rate while doing the smallest bit of activity. Once it got over a 100 bpm I didn't feel well and would have to sit down. I saw my doctor on 10/26/2021 and he didn't think it had anything to do with the booster at that time. He told me to stop taking lisinopril and had me do an echocardiogram and a stress test that both came back normal. I also had to wear a heart monitor for 3 days which had no abnormal findings either. As time has passed it has gotten better to the point where I don't experience it anymore.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: A few days after the vaccine I started having a rapid heart rate while doing the smallest bit of activity. Once it got over a 100 bpm I didn't feel well and would have to sit down. I saw my doctor on 10/26/2021 and he didn't think it had anything to do with the booster at that time. He told me to stop taking lisinopril and had me do an echocardiogram and a stress test that both came back normal. I also had to wear a heart monitor for 3 days which had no abnormal findings either. As time has passed it has gotten better to the point where I don't experience it anymore.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Syncope
Clinical narrative: Hospitalized with syncope, Probably vasovagal response.  covid positive without respiratory symptoms.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bleeding anovulatory
Clinical narrative: Heavy anovulatory bleeding 8 days after the end of my regular cycle. I am not on birth control , I track my periods every month & am freakishly regular. Regular period: January 4-8, 2022- New bleeding: January 16, 2022-current.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Pyrexia, Respiratory tract congestion
Clinical narrative: Pt has cerebral palsy and spastic quadriplegia.  He has had worse congestion, cough, and a fever.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis, Pain in extremity
Clinical narrative: No immediate symptoms other than a sore arm. Two  months later developed bells palsy. Was prescribed an anti-viral and steroids to increase the likelihood of recovery.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bladder catheterisation, COVID-19, Device dislocation, SARS-CoV-2 test positive, Urinary retention
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/09/2021.  67 y/o PMH HTN, DM, Renal failure, Laminectomy with residual paraplegia, Chronic indwelling catheter, colectomy/ileostomy presents to ED with c/o urinary retention after chronic foley fell out and HHC RN unable to replace.  Found to be Covid +, treated with IV abx.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/09/2021.  67 y/o PMH HTN, DM, Renal failure, Laminectomy with residual paraplegia, Chronic indwelling catheter, colectomy/ileostomy presents to ED with c/o urinary retention after chronic foley fell out and HHC RN unable to replace.  Found to be Covid +, treated with IV abx.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash macular, Urticaria
Clinical narrative: 9 days after my booster I had hives/ rash with itchiness all over my whole body. It?s was the worst on my arms/ legs/ ears/ hands/ feet, but it was on my whole body. I was itchy for about 6 days. On the third day of symptoms I got put on prednisone which lessened the symptoms. It has now been 12 days and I still have reactionary hives on my body and red splotches randomly. The steroids got rid of the constant itchiness and hives but they come back when I touch or itch my skin.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Immediate post-injection reaction, Pain in extremity, Tinnitus
Clinical narrative: Left arm pain,  currently still experiencing; tinnitus both ears, left greater that right (still ongoing); metallic taste in mouth, immediately after injection (lasted 2 hours)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Papule, Pruritus, Rash
Clinical narrative: About two weeks post-booster started experiencing areas of intense itching all over body.  Areas of itching will migrate, mostly on back of neck and torso, as well as hands and arms.  Small papules will appear and rash area will develop, then severe erythema.  On daily dose of Zyrtec and using Triamcinolone lotion on hand and arm areas of itchiness.  Symptoms improve with Zyrtec, but have never resolved.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Pain
Clinical narrative: After administration of vaccine patient began to complain of chest pain that was located on the left side radiating to the back.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Dysphonia
Clinical narrative: At 9:48am after taking the vaccine pt reported that she was unable to use her voice. Her voice became very raspy and she could only say 4 to 5 words. It progressed to where she couldn't speak at all. She was sent to Hospital for further evaluation.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Laryngitis, Paranasal sinus discomfort, SARS-CoV-2 test negative
Clinical narrative: Developed sinus pressure on 10/25/2021.  Ended up with laryngitis x10 days. During that time, took azithromycin pack and prednisone taper.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest discomfort, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea
Clinical narrative: Hospitalized with chest tightness, dyspnea, fatigue, PE, Covid-19 pneumonia and probable prolonged COPD exacerbation.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Hospitalized with chest tightness, dyspnea, fatigue, PE, Covid-19 pneumonia and probable prolonged COPD exacerbation.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Papule
Clinical narrative: Red papules/patches on bilateral  upper extremities.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Pain in extremity, Tendon disorder
Clinical narrative: developing pain in the biceps origin, tendinopathy symptoms. pain at night improved with positioning
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blister, Ear pain, Facial pain, Herpes zoster, Paraesthesia
Clinical narrative: I had my first shot 1/14/2021, my second shot 2/8/2021, and my third shot 10/5/2021.  My first two doses were through my employer at the Medical Center.  My third dose was through a Health Department vaccination clinic.  On December 13, 2021, I had pain in the teeth of my left lower jaw.  Within the next two days, I had weeping blisters on the left side of my chin and cheek.  I had ear pain and my face hurt.  I tested negative for COVID 19 on December 15, 2021.  I went to urgent care on December 16, 2021.  The provider said it looked like it could be Shingles and gave me the antiviral medication, Valtrex.  I began the antiviral.  Over the next few days, I had ear pain, burning on the left side of my tongue, pain in my lower left teeth, and intermittent tingles in my left cheek.  I went to my PCP on Monday, December 20, 2021.  At that point, I had had almost no new blisters and the existing ones were drying up.  I still had intense ear pain.  She gave me gabapentin for the pain and told me to finish the antiviral medication.  Over the next week, the pain declined in severity and frequency.  I have some evidence of the blisters on my face (discoloration), but it is all healing.   I anticipate no long term health concerns from having Shingles.   My PCP is planning to give me a Shingles vaccine in June 2022.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Skin discolouration, Skin weeping, Tongue discomfort, Toothache
Clinical narrative: I had my first shot 1/14/2021, my second shot 2/8/2021, and my third shot 10/5/2021.  My first two doses were through my employer at the Medical Center.  My third dose was through a Health Department vaccination clinic.  On December 13, 2021, I had pain in the teeth of my left lower jaw.  Within the next two days, I had weeping blisters on the left side of my chin and cheek.  I had ear pain and my face hurt.  I tested negative for COVID 19 on December 15, 2021.  I went to urgent care on December 16, 2021.  The provider said it looked like it could be Shingles and gave me the antiviral medication, Valtrex.  I began the antiviral.  Over the next few days, I had ear pain, burning on the left side of my tongue, pain in my lower left teeth, and intermittent tingles in my left cheek.  I went to my PCP on Monday, December 20, 2021.  At that point, I had had almost no new blisters and the existing ones were drying up.  I still had intense ear pain.  She gave me gabapentin for the pain and told me to finish the antiviral medication.  Over the next week, the pain declined in severity and frequency.  I have some evidence of the blisters on my face (discoloration), but it is all healing.   I anticipate no long term health concerns from having Shingles.   My PCP is planning to give me a Shingles vaccine in June 2022.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after use date.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Psychogenic seizure
Clinical narrative: Patient received vaccine approximatly 10 minutes later she started to experience multiple Pseudo Seizures.  POC reported patient has a history of Pseudo seizures. Patients vital signs were taken B/P-133/94 HR-113 RR-24 Spo2-99% Ems was called patient was transported to hospital at 11:15am
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Dyspnoea, Rhinorrhoea
Clinical narrative: 9/7/21 pt tested positive for COVID in assisted living home where he resides; sx:  cough, SOB, runny nose; per death certificate, pt died in the assisted living home; no other information available to this nurse
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 9/7/21 pt tested positive for COVID in assisted living home where he resides; sx:  cough, SOB, runny nose; per death certificate, pt died in the assisted living home; no other information available to this nurse
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Face oedema, Hypersensitivity
Clinical narrative: Dermal filler (Juvederm) hypersensitivity facial adema treated with prednisone (10 mg twice a day for 7 days 11/29/21-12/05/21, medrol dose pack 12/14/21, medrol dose pack 12/24/21)
Sex: M
Vaccine: COVID19, UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal operation, Abdominal pain, Blood test, Computerised tomogram abdomen abnormal, Gastrointestinal necrosis
Clinical narrative: On the afternoon of April 15, I developed cramping abdominal pain that gradually increased over about two hours, at which time I started vomiting.  I went to the emergency room, and after a more than three-hour wait received a CT scan that showed a closed-loop obstruction.  At the emergency abdominal operation, I was found to have an 85 cm. loop of dead small intestine with no apparent mechanical or vascular cause.  The affected bowel was removed.  I recovered without complication, and I have had no further symptoms.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Intestinal obstruction, Vomiting
Clinical narrative: On the afternoon of April 15, I developed cramping abdominal pain that gradually increased over about two hours, at which time I started vomiting.  I went to the emergency room, and after a more than three-hour wait received a CT scan that showed a closed-loop obstruction.  At the emergency abdominal operation, I was found to have an 85 cm. loop of dead small intestine with no apparent mechanical or vascular cause.  The affected bowel was removed.  I recovered without complication, and I have had no further symptoms.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after use date.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Illness
Clinical narrative: I had extreme chills and weakness for 4 days from the vaccine. Symptoms were so bad I was incapacitated for 4 days. I ended calling my doctor and was told if symptoms don't improve by 5th day to call back. He also mentioned that there reports of women my age having this type of reaction to the vaccine, especially if I hadn't had covid (which at the time of the vaccine I hadn't). I was sicker from the vaccine then people I know that had covid. My reaction was so severe I did ask my doctor if I should have the 2nd vaccine (which I did). I also had a small reaction to the 2nd vaccine.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Severe Pain radiating down  arm
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest pain, Headache, Heart rate increased
Clinical narrative: Thurs (1/13/2022) afternoon, my son received a booster shot.   Friday, he complained of headache and muscle soreness from his shoulder to his knee.  On Friday night, he started having chest pains, high heart rate, sweats.  Saturday morning, he told us, his parents, about the chest pains and that it hurt badly enough to keep him awake all night.  I took his bp, temp and heart rate.  bp was high, temp was 99.3, heart rate was 120.  We contacted his pediatrician who recommended we go to an ER with imaging.  We went.   My son's father has a clotting disorder, that was disclosed at the ER.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypertension, Myalgia, Sleep disorder
Clinical narrative: Thurs (1/13/2022) afternoon, my son received a booster shot.   Friday, he complained of headache and muscle soreness from his shoulder to his knee.  On Friday night, he started having chest pains, high heart rate, sweats.  Saturday morning, he told us, his parents, about the chest pains and that it hurt badly enough to keep him awake all night.  I took his bp, temp and heart rate.  bp was high, temp was 99.3, heart rate was 120.  We contacted his pediatrician who recommended we go to an ER with imaging.  We went.   My son's father has a clotting disorder, that was disclosed at the ER.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Asthenia, Blood creatinine increased, Blood gases, Blood pH decreased
Clinical narrative: 70 y.o. male with history of oxygen and steroid-dependent COPD, type 2 diabetes mellitus, morbid obesity, recurrent DVT on anticoagulation with Coumadin, obstructive sleep apnea, who presented to the emergency room with complaints of worsening weakness and shortness of breath over the past few days.  Patient says that he developed symptoms of COVID-19 around December 28 th or 29 th, with symptoms of weakness, fatigue, myalgias, fevers.  He tested positive for COVID-19 around 1/3/2022.  He thinks he may have caught it from a restaurant as his wife and daughter also tested positive.  He continue to monitor his pulse oximetry at home and he noticed that he was developing worsening shortness of breath.  So he decided to come to the emergency room today.  He has had mild lightheadedness and dizziness.   In the EC, vital signs showed tachypnea and hypoxia.  He was initiated on supplemental oxygen.  Labs showed a sodium of 133, creatinine 1.31.  Venous blood gas showed a pH of 7.29.  Chest x-ray showed new left lower lobe infiltrate.  Also showed a right lung infiltrate and elevation of the right hemidiaphragm (patient has history of right pneumonectomy vs lobectomy).  He was given IV Zithromax and IV ceftriaxone for community-acquired pneumonia.  He was also initiated on supplemental oxygen.  PROGRESS NOTE 1/17/2022 70 y.o. male with history of oxygen and steroid-dependent COPD, type 2 diabetes mellitus, morbid obesity, recurrent DVT on anticoagulation with Coumadin, obstructive sleep apnea, who presented to the emergency room with complaints of worsening weakness and shortness of breath over the past few days.  Patient says that he developed symptoms of COVID-19 around December 28 th or 29 th, with symptoms of weakness, fatigue, myalgias, fevers.  He tested positive for COVID-19 around 1/3/2022.  He thinks he may have caught it from a restaurant as his wife and daughter also tested positive.  He continue to monitor his pulse oximetry at home and he noticed that he was developing worsening shortness of breath.  So he decided to come to the emergency room today.  He has had mild lightheadedness and dizziness.   In the EC, vital signs showed tachypnea and hypoxia.  He was initiated on supplemental oxygen.  Labs showed a sodium of 133, creatinine 1.31.  Venous blood gas showed a pH of 7.29.  Chest x-ray showed new left lower lobe infiltrate.  Also showed a right lung infiltrate and elevation of the right hemidiaphragm (patient has history of right pneumonectomy vs lobectomy).  He was given IV Zithromax and IV ceftriaxone for community-acquired pneumonia.  He was also initiated on supplemental oxygen.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium decreased, COVID-19, Chest X-ray abnormal, Dizziness, Dyspnoea
Clinical narrative: 70 y.o. male with history of oxygen and steroid-dependent COPD, type 2 diabetes mellitus, morbid obesity, recurrent DVT on anticoagulation with Coumadin, obstructive sleep apnea, who presented to the emergency room with complaints of worsening weakness and shortness of breath over the past few days.  Patient says that he developed symptoms of COVID-19 around December 28 th or 29 th, with symptoms of weakness, fatigue, myalgias, fevers.  He tested positive for COVID-19 around 1/3/2022.  He thinks he may have caught it from a restaurant as his wife and daughter also tested positive.  He continue to monitor his pulse oximetry at home and he noticed that he was developing worsening shortness of breath.  So he decided to come to the emergency room today.  He has had mild lightheadedness and dizziness.   In the EC, vital signs showed tachypnea and hypoxia.  He was initiated on supplemental oxygen.  Labs showed a sodium of 133, creatinine 1.31.  Venous blood gas showed a pH of 7.29.  Chest x-ray showed new left lower lobe infiltrate.  Also showed a right lung infiltrate and elevation of the right hemidiaphragm (patient has history of right pneumonectomy vs lobectomy).  He was given IV Zithromax and IV ceftriaxone for community-acquired pneumonia.  He was also initiated on supplemental oxygen.  PROGRESS NOTE 1/17/2022 70 y.o. male with history of oxygen and steroid-dependent COPD, type 2 diabetes mellitus, morbid obesity, recurrent DVT on anticoagulation with Coumadin, obstructive sleep apnea, who presented to the emergency room with complaints of worsening weakness and shortness of breath over the past few days.  Patient says that he developed symptoms of COVID-19 around December 28 th or 29 th, with symptoms of weakness, fatigue, myalgias, fevers.  He tested positive for COVID-19 around 1/3/2022.  He thinks he may have caught it from a restaurant as his wife and daughter also tested positive.  He continue to monitor his pulse oximetry at home and he noticed that he was developing worsening shortness of breath.  So he decided to come to the emergency room today.  He has had mild lightheadedness and dizziness.   In the EC, vital signs showed tachypnea and hypoxia.  He was initiated on supplemental oxygen.  Labs showed a sodium of 133, creatinine 1.31.  Venous blood gas showed a pH of 7.29.  Chest x-ray showed new left lower lobe infiltrate.  Also showed a right lung infiltrate and elevation of the right hemidiaphragm (patient has history of right pneumonectomy vs lobectomy).  He was given IV Zithromax and IV ceftriaxone for community-acquired pneumonia.  He was also initiated on supplemental oxygen.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Hypoxia, Laboratory test, Lung infiltration
Clinical narrative: 70 y.o. male with history of oxygen and steroid-dependent COPD, type 2 diabetes mellitus, morbid obesity, recurrent DVT on anticoagulation with Coumadin, obstructive sleep apnea, who presented to the emergency room with complaints of worsening weakness and shortness of breath over the past few days.  Patient says that he developed symptoms of COVID-19 around December 28 th or 29 th, with symptoms of weakness, fatigue, myalgias, fevers.  He tested positive for COVID-19 around 1/3/2022.  He thinks he may have caught it from a restaurant as his wife and daughter also tested positive.  He continue to monitor his pulse oximetry at home and he noticed that he was developing worsening shortness of breath.  So he decided to come to the emergency room today.  He has had mild lightheadedness and dizziness.   In the EC, vital signs showed tachypnea and hypoxia.  He was initiated on supplemental oxygen.  Labs showed a sodium of 133, creatinine 1.31.  Venous blood gas showed a pH of 7.29.  Chest x-ray showed new left lower lobe infiltrate.  Also showed a right lung infiltrate and elevation of the right hemidiaphragm (patient has history of right pneumonectomy vs lobectomy).  He was given IV Zithromax and IV ceftriaxone for community-acquired pneumonia.  He was also initiated on supplemental oxygen.  PROGRESS NOTE 1/17/2022 70 y.o. male with history of oxygen and steroid-dependent COPD, type 2 diabetes mellitus, morbid obesity, recurrent DVT on anticoagulation with Coumadin, obstructive sleep apnea, who presented to the emergency room with complaints of worsening weakness and shortness of breath over the past few days.  Patient says that he developed symptoms of COVID-19 around December 28 th or 29 th, with symptoms of weakness, fatigue, myalgias, fevers.  He tested positive for COVID-19 around 1/3/2022.  He thinks he may have caught it from a restaurant as his wife and daughter also tested positive.  He continue to monitor his pulse oximetry at home and he noticed that he was developing worsening shortness of breath.  So he decided to come to the emergency room today.  He has had mild lightheadedness and dizziness.   In the EC, vital signs showed tachypnea and hypoxia.  He was initiated on supplemental oxygen.  Labs showed a sodium of 133, creatinine 1.31.  Venous blood gas showed a pH of 7.29.  Chest x-ray showed new left lower lobe infiltrate.  Also showed a right lung infiltrate and elevation of the right hemidiaphragm (patient has history of right pneumonectomy vs lobectomy).  He was given IV Zithromax and IV ceftriaxone for community-acquired pneumonia.  He was also initiated on supplemental oxygen.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 70 y.o. male with history of oxygen and steroid-dependent COPD, type 2 diabetes mellitus, morbid obesity, recurrent DVT on anticoagulation with Coumadin, obstructive sleep apnea, who presented to the emergency room with complaints of worsening weakness and shortness of breath over the past few days.  Patient says that he developed symptoms of COVID-19 around December 28 th or 29 th, with symptoms of weakness, fatigue, myalgias, fevers.  He tested positive for COVID-19 around 1/3/2022.  He thinks he may have caught it from a restaurant as his wife and daughter also tested positive.  He continue to monitor his pulse oximetry at home and he noticed that he was developing worsening shortness of breath.  So he decided to come to the emergency room today.  He has had mild lightheadedness and dizziness.   In the EC, vital signs showed tachypnea and hypoxia.  He was initiated on supplemental oxygen.  Labs showed a sodium of 133, creatinine 1.31.  Venous blood gas showed a pH of 7.29.  Chest x-ray showed new left lower lobe infiltrate.  Also showed a right lung infiltrate and elevation of the right hemidiaphragm (patient has history of right pneumonectomy vs lobectomy).  He was given IV Zithromax and IV ceftriaxone for community-acquired pneumonia.  He was also initiated on supplemental oxygen.  PROGRESS NOTE 1/17/2022 70 y.o. male with history of oxygen and steroid-dependent COPD, type 2 diabetes mellitus, morbid obesity, recurrent DVT on anticoagulation with Coumadin, obstructive sleep apnea, who presented to the emergency room with complaints of worsening weakness and shortness of breath over the past few days.  Patient says that he developed symptoms of COVID-19 around December 28 th or 29 th, with symptoms of weakness, fatigue, myalgias, fevers.  He tested positive for COVID-19 around 1/3/2022.  He thinks he may have caught it from a restaurant as his wife and daughter also tested positive.  He continue to monitor his pulse oximetry at home and he noticed that he was developing worsening shortness of breath.  So he decided to come to the emergency room today.  He has had mild lightheadedness and dizziness.   In the EC, vital signs showed tachypnea and hypoxia.  He was initiated on supplemental oxygen.  Labs showed a sodium of 133, creatinine 1.31.  Venous blood gas showed a pH of 7.29.  Chest x-ray showed new left lower lobe infiltrate.  Also showed a right lung infiltrate and elevation of the right hemidiaphragm (patient has history of right pneumonectomy vs lobectomy).  He was given IV Zithromax and IV ceftriaxone for community-acquired pneumonia.  He was also initiated on supplemental oxygen.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea
Clinical narrative: 70 y.o. male with history of oxygen and steroid-dependent COPD, type 2 diabetes mellitus, morbid obesity, recurrent DVT on anticoagulation with Coumadin, obstructive sleep apnea, who presented to the emergency room with complaints of worsening weakness and shortness of breath over the past few days.  Patient says that he developed symptoms of COVID-19 around December 28 th or 29 th, with symptoms of weakness, fatigue, myalgias, fevers.  He tested positive for COVID-19 around 1/3/2022.  He thinks he may have caught it from a restaurant as his wife and daughter also tested positive.  He continue to monitor his pulse oximetry at home and he noticed that he was developing worsening shortness of breath.  So he decided to come to the emergency room today.  He has had mild lightheadedness and dizziness.   In the EC, vital signs showed tachypnea and hypoxia.  He was initiated on supplemental oxygen.  Labs showed a sodium of 133, creatinine 1.31.  Venous blood gas showed a pH of 7.29.  Chest x-ray showed new left lower lobe infiltrate.  Also showed a right lung infiltrate and elevation of the right hemidiaphragm (patient has history of right pneumonectomy vs lobectomy).  He was given IV Zithromax and IV ceftriaxone for community-acquired pneumonia.  He was also initiated on supplemental oxygen.  PROGRESS NOTE 1/17/2022 70 y.o. male with history of oxygen and steroid-dependent COPD, type 2 diabetes mellitus, morbid obesity, recurrent DVT on anticoagulation with Coumadin, obstructive sleep apnea, who presented to the emergency room with complaints of worsening weakness and shortness of breath over the past few days.  Patient says that he developed symptoms of COVID-19 around December 28 th or 29 th, with symptoms of weakness, fatigue, myalgias, fevers.  He tested positive for COVID-19 around 1/3/2022.  He thinks he may have caught it from a restaurant as his wife and daughter also tested positive.  He continue to monitor his pulse oximetry at home and he noticed that he was developing worsening shortness of breath.  So he decided to come to the emergency room today.  He has had mild lightheadedness and dizziness.   In the EC, vital signs showed tachypnea and hypoxia.  He was initiated on supplemental oxygen.  Labs showed a sodium of 133, creatinine 1.31.  Venous blood gas showed a pH of 7.29.  Chest x-ray showed new left lower lobe infiltrate.  Also showed a right lung infiltrate and elevation of the right hemidiaphragm (patient has history of right pneumonectomy vs lobectomy).  He was given IV Zithromax and IV ceftriaxone for community-acquired pneumonia.  He was also initiated on supplemental oxygen.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok'd for use. Instructed by their staff to report each dose given in this system.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Computerised tomogram, Guillain-Barre syndrome, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: Guillain-Barré syndrome stared at noon 9/12/21 7 days after second Moderna shot
Age: 44.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Pt states that she is fully vaccinated for COIVID. Admitted with nausea and vomiting. Tested Positive for COVID upon admission
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Choking, Cough, Dry throat, Dysphagia, Dysphonia
Clinical narrative: 31-year-old male with a history of HTN, GERD, TBI and PTSD and presents to walk- in clinic complaining of cough and difficulty swallowing since obtaining a  maternal vaccination on 6/14/2021. Patient complains of dryness in the throat, cough, difficulty swallowing,  choking when eating or drinking, a feeling of something in the throat, vomiting,  blood-tinged sputum, and hoarseness of voice.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoptysis, Sensation of foreign body, Vomiting
Clinical narrative: 31-year-old male with a history of HTN, GERD, TBI and PTSD and presents to walk- in clinic complaining of cough and difficulty swallowing since obtaining a  maternal vaccination on 6/14/2021. Patient complains of dryness in the throat, cough, difficulty swallowing,  choking when eating or drinking, a feeling of something in the throat, vomiting,  blood-tinged sputum, and hoarseness of voice.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Blood pressure increased, Herpes zoster
Clinical narrative: pt stated about a week after getting the covid booster her blood pressure started going up.  It was higher than normal so she went to her doctor and had it checked and it was around 138/84.  It reached 162/90.  Her doctor recommended her to exercise more and lower sodium intake.  She is tracking it daily now.   She had her pneumonia and flu vaccine around the 3rd week in December.  She developed shingles on 1/2/22 but has never had chicken pox.   Her BP is still fluctuating up and down averaging 138 to148/78-87 and normal is 118/76.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive, Tibia fracture
Clinical narrative: Hospital with fracture of tibia COVID + 1/7 but not symptomatic at this time.   BOOSTER: 10/26/2021 Moderna LOT 036C21A L arm Intramuscular
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody increased, Arteriogram carotid normal, Blood pressure increased, Cardiac monitoring, Computerised tomogram head normal
Clinical narrative: The patient was found to have an elevated ANA as well as double stranded DNA on her recent testing. 11.4.21 Patient present to ED on 4.27.21-for TIA symptoms of left sided facial weakness with drooping, elevated blood pressure 181/91, fatigue & tachycardia 119.  Facial drooping-resolved-possible neurological side effect from vaccine