chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Computerised tomogram head normal, Condition aggravated, Exposure to SARS-CoV-2, Haemoglobin decreased, Hydronephrosis
Clinical narrative: Patient up to date on COVID vaccinations who admitted with COVID symptoms and COVID detected PCR.  Provider D/C note: " 68-year-old female with past medical history of chronic kidney disease status post kidney transplant with solitary kidney, cadaver, on immunosuppressive therapy (tacrolimus, prednisone), hydronephrosis status post stenting, DVT, hyperlipidemia,type 2 diabetes, hypertension, who presented to the emergency department with complaints of generalized weakness with onset 3-4 days prior to admission at which time she had a  positive COVID contact.  In the emergency department patient's vitals are stable, Accu-Chek with significant 48 blood glucose (given D10W in ED), labs significant for 8.3 hemoglobin, creatinine and BUN elevated, CO2 11, anion gap 17.  CT of head was done, unremarkable.  Patient reports she was supposed to have her stent removed 2 days prior but was too weak to see the urologist.  Patient was admitted to the general medicine team for further evaluation.  For her acute kidney injury on CKD status post renal transplant, patient had a renal ultrasound done which was significant for hydronephrosis/ hydroureter with stent present. urology was consulted stat.  UA was pending however previous UA was significant for Citrobacter freundii and meropenem was started.  Antibiotics were subsequently discontinued following benign UA results.  Urology deferred stent exchange and negated emergency intervention due to positive COVID status.  Urology continued to follow for the duration of the admission with instructions to follow-up following completion of severe respiratory isolation.  Nephrology was also consulted, patient's tacrolimus levels were maintained, patient was started on bicarbonate drip for her anion gap acidosis subsequently being transition to oral bicarbonate.  Patient was maintained off of all nephrotoxic medications and started on gentle hydration. Patient's AKI improved.  For her COVID + patient was started on remdesivir, did not require supplemental oxygen or any further treatment, tolerated well, symptomatic improvement.  Following improvement of her AKI and per recommendations of nephrology and urology patient was ready for discharge. For her covid 19+  Patient's hospital stay was not complicated"
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hydroureter, Malaise, Metabolic acidosis, SARS-CoV-2 test positive, Ultrasound kidney abnormal
Clinical narrative: Patient up to date on COVID vaccinations who admitted with COVID symptoms and COVID detected PCR.  Provider D/C note: " 68-year-old female with past medical history of chronic kidney disease status post kidney transplant with solitary kidney, cadaver, on immunosuppressive therapy (tacrolimus, prednisone), hydronephrosis status post stenting, DVT, hyperlipidemia,type 2 diabetes, hypertension, who presented to the emergency department with complaints of generalized weakness with onset 3-4 days prior to admission at which time she had a  positive COVID contact.  In the emergency department patient's vitals are stable, Accu-Chek with significant 48 blood glucose (given D10W in ED), labs significant for 8.3 hemoglobin, creatinine and BUN elevated, CO2 11, anion gap 17.  CT of head was done, unremarkable.  Patient reports she was supposed to have her stent removed 2 days prior but was too weak to see the urologist.  Patient was admitted to the general medicine team for further evaluation.  For her acute kidney injury on CKD status post renal transplant, patient had a renal ultrasound done which was significant for hydronephrosis/ hydroureter with stent present. urology was consulted stat.  UA was pending however previous UA was significant for Citrobacter freundii and meropenem was started.  Antibiotics were subsequently discontinued following benign UA results.  Urology deferred stent exchange and negated emergency intervention due to positive COVID status.  Urology continued to follow for the duration of the admission with instructions to follow-up following completion of severe respiratory isolation.  Nephrology was also consulted, patient's tacrolimus levels were maintained, patient was started on bicarbonate drip for her anion gap acidosis subsequently being transition to oral bicarbonate.  Patient was maintained off of all nephrotoxic medications and started on gentle hydration. Patient's AKI improved.  For her COVID + patient was started on remdesivir, did not require supplemental oxygen or any further treatment, tolerated well, symptomatic improvement.  Following improvement of her AKI and per recommendations of nephrology and urology patient was ready for discharge. For her covid 19+  Patient's hospital stay was not complicated"
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Urine analysis abnormal
Clinical narrative: Patient up to date on COVID vaccinations who admitted with COVID symptoms and COVID detected PCR.  Provider D/C note: " 68-year-old female with past medical history of chronic kidney disease status post kidney transplant with solitary kidney, cadaver, on immunosuppressive therapy (tacrolimus, prednisone), hydronephrosis status post stenting, DVT, hyperlipidemia,type 2 diabetes, hypertension, who presented to the emergency department with complaints of generalized weakness with onset 3-4 days prior to admission at which time she had a  positive COVID contact.  In the emergency department patient's vitals are stable, Accu-Chek with significant 48 blood glucose (given D10W in ED), labs significant for 8.3 hemoglobin, creatinine and BUN elevated, CO2 11, anion gap 17.  CT of head was done, unremarkable.  Patient reports she was supposed to have her stent removed 2 days prior but was too weak to see the urologist.  Patient was admitted to the general medicine team for further evaluation.  For her acute kidney injury on CKD status post renal transplant, patient had a renal ultrasound done which was significant for hydronephrosis/ hydroureter with stent present. urology was consulted stat.  UA was pending however previous UA was significant for Citrobacter freundii and meropenem was started.  Antibiotics were subsequently discontinued following benign UA results.  Urology deferred stent exchange and negated emergency intervention due to positive COVID status.  Urology continued to follow for the duration of the admission with instructions to follow-up following completion of severe respiratory isolation.  Nephrology was also consulted, patient's tacrolimus levels were maintained, patient was started on bicarbonate drip for her anion gap acidosis subsequently being transition to oral bicarbonate.  Patient was maintained off of all nephrotoxic medications and started on gentle hydration. Patient's AKI improved.  For her COVID + patient was started on remdesivir, did not require supplemental oxygen or any further treatment, tolerated well, symptomatic improvement.  Following improvement of her AKI and per recommendations of nephrology and urology patient was ready for discharge. For her covid 19+  Patient's hospital stay was not complicated"
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered  above vaccine past the 75days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: REPORTS ON 7/25/2022 NOTICED WHEN WOKE UP FINE BUMPS, ITCHY RASH THAT STARTED ON LT EAR AND NECK BY 7/27/2022 HAD SPREAD TO LT ARM, LT UPPER BACK AND LT UPPER CHEST WITH SOME SCATTERED BUMPS ON RT SIDE ARM AND NECK.  ON 8/4/2022 WENT TO PCP, WHO PRESCRIBED A TOPICAL CREAM TO APPLY TO AFFECTED AREA. PT BOUGHT SOME OTC ALLERGY RELIEF CERTRIZINE TO TAKE.FOR COMPLAINT OF SEVERE ITCHING
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered  above vaccine past the 75days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site pain, Injection site swelling, Injection site warmth, Malaise
Clinical narrative: Sore swollen and hot at site of injection. Vomiting fever chills shivering. Over all feeling of sick
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Sore swollen and hot at site of injection. Vomiting fever chills shivering. Over all feeling of sick
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Death, Dyspnoea
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 8/30/21, LOT #FE3592; pt had a positive COVID test on 1/14/22 from medical facility; was being followed by a doctor; pt is immunosuppressed; 1/22/22 pt to ED; tested positive for COVID; pt has been having more dyspnea, weakness, and cough since COVID dx; hypoxic; O2 supplementation; given ABX, steroids; multifocal pneumonia; required intubation with mechanical ventilation; septic shock; poor prognosis; DNR; family chose to withdraw care and move to comfort measures; pt passed in the hospital
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Hypoxia, Immunosuppression, Mechanical ventilation, Pneumonia
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 8/30/21, LOT #FE3592; pt had a positive COVID test on 1/14/22 from medical facility; was being followed by a doctor; pt is immunosuppressed; 1/22/22 pt to ED; tested positive for COVID; pt has been having more dyspnea, weakness, and cough since COVID dx; hypoxic; O2 supplementation; given ABX, steroids; multifocal pneumonia; required intubation with mechanical ventilation; septic shock; poor prognosis; DNR; family chose to withdraw care and move to comfort measures; pt passed in the hospital
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 8/30/21, LOT #FE3592; pt had a positive COVID test on 1/14/22 from medical facility; was being followed by a doctor; pt is immunosuppressed; 1/22/22 pt to ED; tested positive for COVID; pt has been having more dyspnea, weakness, and cough since COVID dx; hypoxic; O2 supplementation; given ABX, steroids; multifocal pneumonia; required intubation with mechanical ventilation; septic shock; poor prognosis; DNR; family chose to withdraw care and move to comfort measures; pt passed in the hospital
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 12.0
Sex: M
Vaccine: HEPA, HPV9, MNQ, TDAP
Symptoms: Dyskinesia, Immediate post-injection reaction, Nausea, Pallor, Skin warm
Clinical narrative: Client entered the clinic with his parent. Interpretation was utilized. Client received Hepatitis A, Tdap, and MCV4 vaccines without issue. HPV (Gardisil 9) was injected last, causing the client to have an  immediate syncopal episode. He turned pale and flailed his arms for a couple seconds and then was immediately coherent. He was seated for vaccination and did not fall out of his chair. The incident occurred at 11:45am. Immediately, another nurse entered the room and his blood pressure and heart rate were measured (heart rate: 58, pressure 71/55). He was given 2 cups of water to drink. He stated he was nauseated but did not vomit. His skin remained warm. At 11:50am, his heart rate was 60, blood pressure 84/59. He was given 2 more cups of water to drink and remarked that he was feeling better. At 11:55am, his heart rate was 63, blood pressure 107/80. He said he felt normal.  The nurse assisting me is fluent in his language and explained to his mom that this type of reaction is not unexpected with Gardisil 9 and educated her to pre-warn staff ahead of time the next time he receives any kind of vaccination or procedure. A note was also made in chart to also warn staff of his reaction. His mom proceeded to tell her that he had this same type of reaction with both doses of Covid-19 vaccines. This fact was not previously known by me as the vaccinator. Upon interview, before vaccines were given, I reviewed his questionnaire and allergies. His only allergy is to shrimp (swelling, rash) but when asked if he has previously had a reaction to any kind of vaccine, his mother stated, "no." The client was moved to the waiting room 15 minutes after vaccination (12pm) and remained in the waiting room under observation until 12:15pm. His color had returned to normal and he was able to ambulate without feeling ill.
Age: 12.0
Sex: M
Vaccine: HEPA, HPV9, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Client entered the clinic with his parent. Interpretation was utilized. Client received Hepatitis A, Tdap, and MCV4 vaccines without issue. HPV (Gardisil 9) was injected last, causing the client to have an  immediate syncopal episode. He turned pale and flailed his arms for a couple seconds and then was immediately coherent. He was seated for vaccination and did not fall out of his chair. The incident occurred at 11:45am. Immediately, another nurse entered the room and his blood pressure and heart rate were measured (heart rate: 58, pressure 71/55). He was given 2 cups of water to drink. He stated he was nauseated but did not vomit. His skin remained warm. At 11:50am, his heart rate was 60, blood pressure 84/59. He was given 2 more cups of water to drink and remarked that he was feeling better. At 11:55am, his heart rate was 63, blood pressure 107/80. He said he felt normal.  The nurse assisting me is fluent in his language and explained to his mom that this type of reaction is not unexpected with Gardisil 9 and educated her to pre-warn staff ahead of time the next time he receives any kind of vaccination or procedure. A note was also made in chart to also warn staff of his reaction. His mom proceeded to tell her that he had this same type of reaction with both doses of Covid-19 vaccines. This fact was not previously known by me as the vaccinator. Upon interview, before vaccines were given, I reviewed his questionnaire and allergies. His only allergy is to shrimp (swelling, rash) but when asked if he has previously had a reaction to any kind of vaccine, his mother stated, "no." The client was moved to the waiting room 15 minutes after vaccination (12pm) and remained in the waiting room under observation until 12:15pm. His color had returned to normal and he was able to ambulate without feeling ill.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient received the first dose of the Pfizer COVID vaccine on a Wednesday afternoon, and was monitored afterward. Nothing unusual was noted. Thursday patient had an unrelated doctor visit and septic arthritis in shoulder was assessed. Patient was baseline. Friday morning patient passed away unexpectedly.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered  above vaccine past the 75days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pyrexia
Clinical narrative: mother stated she noticed the patient felt HOT the next morning around 8am.  had a fever for 2 days per mother. highest was 101.0 took tylenol. patient still had plenty of energy no lethargy whatsoever per mother. took tylenol.  mother could remember exactly when fever was gone.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Aphasia, Asthenia, Blood glucose, Cardiac monitoring, Computerised tomogram head
Clinical narrative: 35 hours post vaccination, pt sitting at kitchen table, after a nap, felt week and vision began to narrow and become black and tunnelled, pt could not get her words out then fell out of the chair, hitting her forehead on flood.  hands and legs were shaking and pt felt like she couldn't breathe.  total event time 5 minutes without loc.  within 5 minutes of shaking stopping, EMS has arrived and pt was or normal cognitiion and awareness.  pt was taken to ER for evaluation, and their eval was that pt has a seizure. Per my collection of hx of event, pt had no postictal period.  pt was not prescribed any antiepileptics and was only given verbal precautions to follow regarding future seizures.  Pt on exam today (18 hours a 18 hours post event) had completely nml exam including complete neuro exam.  peds neurology referral ordered
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dyspnoea, Electrocardiogram, Fall, Full blood count, Head injury
Clinical narrative: 35 hours post vaccination, pt sitting at kitchen table, after a nap, felt week and vision began to narrow and become black and tunnelled, pt could not get her words out then fell out of the chair, hitting her forehead on flood.  hands and legs were shaking and pt felt like she couldn't breathe.  total event time 5 minutes without loc.  within 5 minutes of shaking stopping, EMS has arrived and pt was or normal cognitiion and awareness.  pt was taken to ER for evaluation, and their eval was that pt has a seizure. Per my collection of hx of event, pt had no postictal period.  pt was not prescribed any antiepileptics and was only given verbal precautions to follow regarding future seizures.  Pt on exam today (18 hours a 18 hours post event) had completely nml exam including complete neuro exam.  peds neurology referral ordered
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Laboratory test, Metabolic function test, Neurological examination normal, Seizure, Tremor
Clinical narrative: 35 hours post vaccination, pt sitting at kitchen table, after a nap, felt week and vision began to narrow and become black and tunnelled, pt could not get her words out then fell out of the chair, hitting her forehead on flood.  hands and legs were shaking and pt felt like she couldn't breathe.  total event time 5 minutes without loc.  within 5 minutes of shaking stopping, EMS has arrived and pt was or normal cognitiion and awareness.  pt was taken to ER for evaluation, and their eval was that pt has a seizure. Per my collection of hx of event, pt had no postictal period.  pt was not prescribed any antiepileptics and was only given verbal precautions to follow regarding future seizures.  Pt on exam today (18 hours a 18 hours post event) had completely nml exam including complete neuro exam.  peds neurology referral ordered
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Troponin, Tunnel vision, Urine analysis, Visual impairment
Clinical narrative: 35 hours post vaccination, pt sitting at kitchen table, after a nap, felt week and vision began to narrow and become black and tunnelled, pt could not get her words out then fell out of the chair, hitting her forehead on flood.  hands and legs were shaking and pt felt like she couldn't breathe.  total event time 5 minutes without loc.  within 5 minutes of shaking stopping, EMS has arrived and pt was or normal cognitiion and awareness.  pt was taken to ER for evaluation, and their eval was that pt has a seizure. Per my collection of hx of event, pt had no postictal period.  pt was not prescribed any antiepileptics and was only given verbal precautions to follow regarding future seizures.  Pt on exam today (18 hours a 18 hours post event) had completely nml exam including complete neuro exam.  peds neurology referral ordered
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 27.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Induration
Clinical narrative: Developed small, hard induration
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 59.0
Sex: M
Vaccine: HEPAB, PPV
Symptoms: Erythema, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Patient describes swelling and redness in the left arm. Also, very sore to move around. Started in the evening of 08/04/22. Improved after ibuprofen given on 08/05/22 and ice. Still sore after a couple hours on ibuprofen.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Moderna COVID-19 Vaccine- EUA: Patient in clinic for 2nd dose of Moderna in primary series. Upon review of administration paperwork, patient was administered booster dose instead of primary dose. Attempted to contact patient twice. No answer. Voicemail left.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Injection site erythema, Vaccination site discomfort, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Within hours of receiving Men B #2, patient began with redness, warmth, swelling, and discomfort to left upper extremity a vaccination site
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Impaired work ability, Migraine, Pyrexia
Clinical narrative: On the day of the shot at about 08:00pm I became dizzy and started to come down with a fever. I went home from work and stayed in bed for two days. The next day around 02:00 in the morning I had a massive migraine which lasted for 24 hours. Two days after receiving the shot I started to feel better.
Sex: F
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient diagnosed with COVID after completing vaccine series. Patient unable to provide vaccine information
Age: 27.0
Sex: M
Vaccine: YF
Symptoms: Product preparation error
Clinical narrative: The Yellow Fever vaccine was reconstituted with the incorrect diluent (sterile water) and administered to the patient.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Red, patchy, itchy rash on base of both palms. Started within 24 hours of dose, became apparent on third day, and has persisted from date of dose to present (August 5, 2022). No other symptoms. Patient on claritin for seasonal allergies but has no effect on rash and itchiness. Persistent, wakes up itching palms.  If not resolved before second dose on August 18, 2022, clinic visit will be scheduled.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: The next morning  after receiving my vaccine I woke up at 11:00am with a bad headache. It seemed to be over in about 24 hours. I took ibuprofen.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Epistaxis, Injection site pain
Clinical narrative: Day 1- 3 of injection, extreme arm pain from injection Day 2 of injection and ONGOING to the present; chest pressure/congestion, difficulty breathing like not able to get a full breath, developed extreme coughing. Day 4 (07/29/22), had vomiting Day 8 (08/02/22), had a bloody nose
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Vomiting
Clinical narrative: Day 1- 3 of injection, extreme arm pain from injection Day 2 of injection and ONGOING to the present; chest pressure/congestion, difficulty breathing like not able to get a full breath, developed extreme coughing. Day 4 (07/29/22), had vomiting Day 8 (08/02/22), had a bloody nose
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired on 7/13/2022  used in clinic 7/15/2022 none reported as of 8/5/2022
Sex: U
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient diagnosed with COVID after completing vaccine series. Patient unable to provide vaccine information
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered  above vaccine past the 75days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: I have 2 red spots on my left inner upper  arm that haven?t gone away. They do not itch, hurt, or burn.  I had a booster  on 12/20/21 in my right arm and later also developed 2 red spots on my right inner upper arm.  They seem to have increased in size after sitting in the sun 2 days ago. All the spots look like someone grabbed me on my arm or look like a faint burn from something.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Death, Dyspnoea, General physical health deterioration
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 12/3/21, LOT #060H21A; pt had a positive COVID test on 1/26/22 from Walgreens in Cordova, TN; went to ED that day; was on RA and doing ok so he was dc'd to home; 2/12/22 pt back to ED via EMS with AMS and increasing SOB; O2 supplementation; CXR showed COVID; given ABX; in renal failure; DNI; admitted; dexamethasone; rapidly worsened; transitioned to GIP hospice; pt passed away in hospital
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Renal failure, SARS-CoV-2 test positive
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 12/3/21, LOT #060H21A; pt had a positive COVID test on 1/26/22 from Walgreens in Cordova, TN; went to ED that day; was on RA and doing ok so he was dc'd to home; 2/12/22 pt back to ED via EMS with AMS and increasing SOB; O2 supplementation; CXR showed COVID; given ABX; in renal failure; DNI; admitted; dexamethasone; rapidly worsened; transitioned to GIP hospice; pt passed away in hospital
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives.  Time course, severity, treatment unavailable.  No other info available
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered  above vaccine past the 75days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Headache, Influenza like illness, Injection site erythema
Clinical narrative: About 10:00pm on the night of vaccination I started to feel like I had the flu. I was feverish, dizzy and coughing. It continued for over 24 hours. Two days after vaccination I woke up feeling better. I had a mild headache. Where I received the injection it was red and swollen. Everything got better but my arm. By five or six days after the shot the sore arm was gone.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: About 10:00pm on the night of vaccination I started to feel like I had the flu. I was feverish, dizzy and coughing. It continued for over 24 hours. Two days after vaccination I woke up feeling better. I had a mild headache. Where I received the injection it was red and swollen. Everything got better but my arm. By five or six days after the shot the sore arm was gone.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: incorrect dose
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered  above vaccine past the 75days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Gastrointestinal disorder, Headache, Lacrimation increased
Clinical narrative: headache, swollen neck glands, runny nose, cough, watery eyes, fatigue, hives, gastrointestinal problems, low grade fever
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, Urticaria
Clinical narrative: headache, swollen neck glands, runny nose, cough, watery eyes, fatigue, hives, gastrointestinal problems, low grade fever
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered above vaccine past 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Fatigue
Clinical narrative: Dizziness, fell after vaccine, fatigue
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error, Productive cough
Clinical narrative: Administered above vaccine past 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered  above vaccine past the 75days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered above vaccine past 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: Patient's mom noticed once she left pharmacy, that the band aid was placed very low on patient's arm.  She is concerned that the injection site can cause injury to the patient and is wondering if the shot was effective.  Spoke to manufacture and was told there is no need to redose the patient.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Malaise, Respiratory tract congestion
Clinical narrative: I contracted COVID-19 on 07/15/2022 with symptoms of cough, sneezing, runny nose, congestion, and fatigue. I was not prescribed any medication. I was ill for 4 days before my symptoms began to resolve. I am fully recovered with no lingering symptoms.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I contracted COVID-19 on 07/15/2022 with symptoms of cough, sneezing, runny nose, congestion, and fatigue. I was not prescribed any medication. I was ill for 4 days before my symptoms began to resolve. I am fully recovered with no lingering symptoms.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered above vaccine past 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered above vaccine past 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Death, Nausea, SARS-CoV-2 test positive
Clinical narrative: 1/27/22 pt had a positive COVID test from physicians office; 1/29/22 pt to ED via EMS with weakness, N/V; on RA; N/V treated with medication; dc'd to home; pt expired at home
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 1/27/22 pt had a positive COVID test from physicians office; 1/29/22 pt to ED via EMS with weakness, N/V; on RA; N/V treated with medication; dc'd to home; pt expired at home
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered above vaccine past 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Blood culture negative, Blood lactic acid normal, Blood prolactin normal, Cellulitis, Full blood count normal
Clinical narrative: arm pain, aching/throbbing and warmth 6/14, followed by redness and swelling of upper arm. Pt evaluated at the ER, 6/18 VS unremarkable, well appearing and non-toxic per ER report. Treated with IM rocephin, PO Keflex, tylenol and motrin and discharged Returned to ER 6/19 for increased area of redness of arm. PEr er report confluent area of skin rednes to L upper arm, measuring an inch beyond skin marker, exam otherwise normal. Blood culture, lactic  acid, CBC, CMP, prolactin unremarkable per note. 1500ml Vancocin in dextrox 5% 500mL IVPB administered. Discharged home with prescription for bactrim, for f/u with PCP for management of cellulitis.   Pt seen for follow up appointment by this provider 6/21/22 in office, noted gradual improvement in arm pain and swelling, mild spread of redness beyond marked off area mid arm, mild tenderness at injection site, improved per pt, no abscess or drainage, normal shoulder exam, no increased warmth. Area marked, Pt instructed to continue antibiotic as ordered and call if not improving in 24hrs.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Metabolic function test normal, Pain
Clinical narrative: arm pain, aching/throbbing and warmth 6/14, followed by redness and swelling of upper arm. Pt evaluated at the ER, 6/18 VS unremarkable, well appearing and non-toxic per ER report. Treated with IM rocephin, PO Keflex, tylenol and motrin and discharged Returned to ER 6/19 for increased area of redness of arm. PEr er report confluent area of skin rednes to L upper arm, measuring an inch beyond skin marker, exam otherwise normal. Blood culture, lactic  acid, CBC, CMP, prolactin unremarkable per note. 1500ml Vancocin in dextrox 5% 500mL IVPB administered. Discharged home with prescription for bactrim, for f/u with PCP for management of cellulitis.   Pt seen for follow up appointment by this provider 6/21/22 in office, noted gradual improvement in arm pain and swelling, mild spread of redness beyond marked off area mid arm, mild tenderness at injection site, improved per pt, no abscess or drainage, normal shoulder exam, no increased warmth. Area marked, Pt instructed to continue antibiotic as ordered and call if not improving in 24hrs.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Pain in extremity, Skin warm
Clinical narrative: arm pain, aching/throbbing and warmth 6/14, followed by redness and swelling of upper arm. Pt evaluated at the ER, 6/18 VS unremarkable, well appearing and non-toxic per ER report. Treated with IM rocephin, PO Keflex, tylenol and motrin and discharged Returned to ER 6/19 for increased area of redness of arm. PEr er report confluent area of skin rednes to L upper arm, measuring an inch beyond skin marker, exam otherwise normal. Blood culture, lactic  acid, CBC, CMP, prolactin unremarkable per note. 1500ml Vancocin in dextrox 5% 500mL IVPB administered. Discharged home with prescription for bactrim, for f/u with PCP for management of cellulitis.   Pt seen for follow up appointment by this provider 6/21/22 in office, noted gradual improvement in arm pain and swelling, mild spread of redness beyond marked off area mid arm, mild tenderness at injection site, improved per pt, no abscess or drainage, normal shoulder exam, no increased warmth. Area marked, Pt instructed to continue antibiotic as ordered and call if not improving in 24hrs.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered above vaccine past 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered above vaccine past 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered  above vaccine past the 75days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered above vaccine past 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered above vaccine past 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Body temperature increased, COVID-19, Chills
Clinical narrative: On Tuesday morning, I woke up with a sore throat and sinus congestion and pressure. I went to a local clinic. They did a rapid COVID-19 test and a PCR COVID-19 test. They both came back negative. That day, I felt worse and worse as the day progressed. I had more coughing and more congestion. On Wednesday, I retested with an at home COVID-19 test. It was positive. It was late in the day so I couldn't call a doctor to see if we could get the antiviral. I called the doctor on Thursday morning and had a telehealth visit with him. He prescribed an antiviral. We had to drive 45 miles to get it. It was prescribed to be taken every 12 hours for 5 days with four pills total. I started feeling so ill, I started my first dose at 6pm that night. My temperature got up to about 101 degrees. I had a persistent barking cough that made my diaphragm muscles sore. I had a dull headache and sinus pain. I also had chills periodically. By the next day, after the second dose, I noticed I wasn't feeling as sick, but I was still very fatigued. Each day after, I felt better. My fever broke, and the cough decreased. By day 3, the cough was minimal. I was up moving around and doing chores. I had some stomach upset from the antiviral. It was mostly indigestion. I also had a little bit of loose bowel movements. As of yesterday, I felt well enough to clean my kitchen, but I had to rest to get my energy back. I took another COVID-19 test today and it was negative. I still have some sinus pressure and feel more tired than normal.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dyspepsia, Fatigue, Feeling abnormal
Clinical narrative: On Tuesday morning, I woke up with a sore throat and sinus congestion and pressure. I went to a local clinic. They did a rapid COVID-19 test and a PCR COVID-19 test. They both came back negative. That day, I felt worse and worse as the day progressed. I had more coughing and more congestion. On Wednesday, I retested with an at home COVID-19 test. It was positive. It was late in the day so I couldn't call a doctor to see if we could get the antiviral. I called the doctor on Thursday morning and had a telehealth visit with him. He prescribed an antiviral. We had to drive 45 miles to get it. It was prescribed to be taken every 12 hours for 5 days with four pills total. I started feeling so ill, I started my first dose at 6pm that night. My temperature got up to about 101 degrees. I had a persistent barking cough that made my diaphragm muscles sore. I had a dull headache and sinus pain. I also had chills periodically. By the next day, after the second dose, I noticed I wasn't feeling as sick, but I was still very fatigued. Each day after, I felt better. My fever broke, and the cough decreased. By day 3, the cough was minimal. I was up moving around and doing chores. I had some stomach upset from the antiviral. It was mostly indigestion. I also had a little bit of loose bowel movements. As of yesterday, I felt well enough to clean my kitchen, but I had to rest to get my energy back. I took another COVID-19 test today and it was negative. I still have some sinus pressure and feel more tired than normal.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Myalgia, Oropharyngeal pain, Paranasal sinus discomfort
Clinical narrative: On Tuesday morning, I woke up with a sore throat and sinus congestion and pressure. I went to a local clinic. They did a rapid COVID-19 test and a PCR COVID-19 test. They both came back negative. That day, I felt worse and worse as the day progressed. I had more coughing and more congestion. On Wednesday, I retested with an at home COVID-19 test. It was positive. It was late in the day so I couldn't call a doctor to see if we could get the antiviral. I called the doctor on Thursday morning and had a telehealth visit with him. He prescribed an antiviral. We had to drive 45 miles to get it. It was prescribed to be taken every 12 hours for 5 days with four pills total. I started feeling so ill, I started my first dose at 6pm that night. My temperature got up to about 101 degrees. I had a persistent barking cough that made my diaphragm muscles sore. I had a dull headache and sinus pain. I also had chills periodically. By the next day, after the second dose, I noticed I wasn't feeling as sick, but I was still very fatigued. Each day after, I felt better. My fever broke, and the cough decreased. By day 3, the cough was minimal. I was up moving around and doing chores. I had some stomach upset from the antiviral. It was mostly indigestion. I also had a little bit of loose bowel movements. As of yesterday, I felt well enough to clean my kitchen, but I had to rest to get my energy back. I took another COVID-19 test today and it was negative. I still have some sinus pressure and feel more tired than normal.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion, Sinus pain
Clinical narrative: On Tuesday morning, I woke up with a sore throat and sinus congestion and pressure. I went to a local clinic. They did a rapid COVID-19 test and a PCR COVID-19 test. They both came back negative. That day, I felt worse and worse as the day progressed. I had more coughing and more congestion. On Wednesday, I retested with an at home COVID-19 test. It was positive. It was late in the day so I couldn't call a doctor to see if we could get the antiviral. I called the doctor on Thursday morning and had a telehealth visit with him. He prescribed an antiviral. We had to drive 45 miles to get it. It was prescribed to be taken every 12 hours for 5 days with four pills total. I started feeling so ill, I started my first dose at 6pm that night. My temperature got up to about 101 degrees. I had a persistent barking cough that made my diaphragm muscles sore. I had a dull headache and sinus pain. I also had chills periodically. By the next day, after the second dose, I noticed I wasn't feeling as sick, but I was still very fatigued. Each day after, I felt better. My fever broke, and the cough decreased. By day 3, the cough was minimal. I was up moving around and doing chores. I had some stomach upset from the antiviral. It was mostly indigestion. I also had a little bit of loose bowel movements. As of yesterday, I felt well enough to clean my kitchen, but I had to rest to get my energy back. I took another COVID-19 test today and it was negative. I still have some sinus pressure and feel more tired than normal.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site nodule, Injection site reaction, Rash vesicular, Vomiting
Clinical narrative: Child developed vomiting 1 week after injection for a few days. He also developed local reaction at injection site 1 week later with nodule and mild erythema. 13 days later developed 4 somewhat vesicular lesions on forehead. At time of evaluation, not fluid filled anymore so no fluid could be collected. He was seen by allergy for consult and they thought with timeline and description of lesions, could have been disseminated varicella lesions. His lesions resolved within a few days and he is now doing great and back to his baseline.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered above vaccine past 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Arthralgia, Chest pain, Electric shock sensation, Fatigue
Clinical narrative: She got her vaccine, she didn't notice anything, then not knowing when this happened, was feeling okay, she got a horrific pain to her head like a shock, and was reaching for the doorknob of her closet and had immediate pain in her head, and threw her backwards and hit her head on the floor.   She laid there a little while and got up.  They were locked down due to COVID and could not get up.  This same type of event happened two more times in 2 weeks time.  The pain was severe, and terrible.  She has been dealing with this for so long, and is tired of the pain as it is exhausting.  She has the headaches, and has head pain occasionally.  She is not the type to take pain medicine.  She told her doctor about the headaches when she had a routine APT.  He felt that it was due to her neck as she has had back and neck surgery in the past.  She dealt with that pain without any problems, but this is a different type of pain.  She kept telling him about the pain that goes down into her neck and shoulders, and he sent her to a doctor and ended up going to 4 doctors and the 4th one she saw talked to the nurse.  She went into his office, had a picture of her head on his computer and said that her brain looked great for her age.  She asked why she had terrific pain in her head 3 times in 2 1/2 weeks.  He prescribed Gabapentin 100 mg, which did help as far as being able to sleep at least 2-2 1/2 hours at night as she does not sleep good due to the pain in her head or in her neck.   During the day then her pain would be so bad like she did not take anything for it, it only helped her at night when she tried to sleep.  During the day she would have the terrific pains all day long.    She was given Tylenol for arthritis to take, then started having chest pains, but has to take it due to the pain.  Her hearing is worse since the shot, and her hair has been falling out, about 30-50 strands of hair a day.  She had her hair cut short, and now has flaking skin in her scalp, which she did not have any dandruff in the past before the vaccine, she also has itching scalp.   She is afraid that she will go bald.  She states that her head will get hot, back of her head and go to the crown of her head and feels like there are a million things running around in the back of her head.    She wished she would have never gotten the vaccines.    She also noticed that sometimes her hands and feet go numb, like they are asleep and tingle a little bit as well.