chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia, Vaccination site pain
Clinical narrative: RECEIVED FLU SHOT SEPT. 28 IN LEFT ARM. ANTERIOR NEEDLE PLACEMENT NOTED AFTER INJECTION. NO PAIN AT TIME OF INJECTION. NORMAL POST VACCINE TENDERNESS FOR A  COUPLE DAYS. OCT 1 (DAY 4)- FIRST FEELINGS OF A  DEEP FULLNESS/ ACHE NOTED. THIS SENSATION OCCURS EVERY COUPLE OF DAYS FOR A WEEK OR TWO. PROGESSED TO EVERYDAY. NOV 2- FIRST SENSATION OF NUMBNESS AND TINGLING IN RING AND PINKY FINGERS WHILE ARM WAS NOTED TO BE BENT FOR A PERIOD OF TIME, LASTING A FEW MINUTES. NOV 3- SENSATION (DEEP BURNING)/ ACHE IN UPPER ARM SPREADING DOWN FROM INJECTION SITE TOWARDS ANTECUBITAL REGION. MORE SEVERE NUMBESS AND TINGLING NOTED IN FINGERS, LASTING A COUPLE HOURS. REPORTED TO EMPLOYEE HEALTH AT THIS TIME.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Tenderness
Clinical narrative: Swelling under left arm, pain & tenderness.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was labeled with expiration date provided on Moderna website 11/01/2021 . It was discovered that this was for frozen storage not for refrigerated storage. Label should have stated 10/03/2021. Patient received expired vaccine on 10/29/2021. Vaccine expired 10/03/2021
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid, Blood magnesium decreased, COVID-19, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient presented to hospital with vomiting. Initial bloodwork showed lactate of 8.5, WBC 13K, Mg 1.2.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: Patient presented to hospital with vomiting. Initial bloodwork showed lactate of 8.5, WBC 13K, Mg 1.2.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: Prior complete physical 6/29/2021 BP was 112/62. After injection BP spoked at 200=106.  Dr prescribed Losartan 100 MG to bring BP under control.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adenovirus test, Angiogram pulmonary abnormal, Anticoagulant therapy, Atelectasis
Clinical narrative: Patient is a pleasant 77 y.o.  male patient of Dr. who presents today from ER as a direct admit to CCU for acute respiratory failure with hypoxia secondary to bilateral pneumonia with COVID 19 positivity.     Patient tested positive for COVID 19 2 days ago and was sent home, but became increasingly confused and short of breath at home, so his wife called 911 and patient presented to ER at 2100 last night.  His presenting pulse oximetry was in the 50's.  He was titrated up to a non-rebreather mask and then placed on HFNC at 60 L/min and titrated up to 95% Fi02.  Patient's respiratory rate on transfer was in the 20's with his Sa02 in the low 90 range.     ER was requesting transfer due to their high census.     Patient was transported by ambulance to our CCU.  Patient was hemodynamically stable on presentation and transitioned back to HFNC.  He needed a NRB mask to recover after the transfer on a NRB in the ambulance.     He is an excellent historian.  His son is sick with COVID 19 pneumonia in the Hospital.  He has had CLL for several years and is under the care of Dr.  He wanted us to make sure that he received his medications.  He denies history of COPD or asthma and hasn't smoked since his son received his kidney transplant 26 years ago.   His initial symptoms were around 4 days ago when he had a stuffy nose and drainange in the back of his throat.  He had a fever.  He then developed cough and shortness of breath.  He tested positive and tried to recover at home, but became increasingly short of breath followed by confusion and came to the hospital for treatment as above.  He didn't have monoclonal antibody treatment when he tested positive and didn't require oxygen at that time.  It was likely related to his medication for leukemia.     Code status is discussed.   CXR reviewed EKG reviewed Labs from ER yesterday and labs today reviewed.   DVT risk is high so Lovenox 40 mg SQ BID ordered GI prophylaxis with Pepcid.   His wife is his emergency contact, and I will call her tonight as requested, as she is currently visiting her son in the hospital while he recovers from COVID 19 pneumonia.     Spoke with Dr. today who said to hold treatment for CLL while admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture positive, Bordetella test negative, COVID-19, COVID-19 pneumonia, Cardiac murmur
Clinical narrative: Patient is a pleasant 77 y.o.  male patient of Dr. who presents today from ER as a direct admit to CCU for acute respiratory failure with hypoxia secondary to bilateral pneumonia with COVID 19 positivity.     Patient tested positive for COVID 19 2 days ago and was sent home, but became increasingly confused and short of breath at home, so his wife called 911 and patient presented to ER at 2100 last night.  His presenting pulse oximetry was in the 50's.  He was titrated up to a non-rebreather mask and then placed on HFNC at 60 L/min and titrated up to 95% Fi02.  Patient's respiratory rate on transfer was in the 20's with his Sa02 in the low 90 range.     ER was requesting transfer due to their high census.     Patient was transported by ambulance to our CCU.  Patient was hemodynamically stable on presentation and transitioned back to HFNC.  He needed a NRB mask to recover after the transfer on a NRB in the ambulance.     He is an excellent historian.  His son is sick with COVID 19 pneumonia in the Hospital.  He has had CLL for several years and is under the care of Dr.  He wanted us to make sure that he received his medications.  He denies history of COPD or asthma and hasn't smoked since his son received his kidney transplant 26 years ago.   His initial symptoms were around 4 days ago when he had a stuffy nose and drainange in the back of his throat.  He had a fever.  He then developed cough and shortness of breath.  He tested positive and tried to recover at home, but became increasingly short of breath followed by confusion and came to the hospital for treatment as above.  He didn't have monoclonal antibody treatment when he tested positive and didn't require oxygen at that time.  It was likely related to his medication for leukemia.     Code status is discussed.   CXR reviewed EKG reviewed Labs from ER yesterday and labs today reviewed.   DVT risk is high so Lovenox 40 mg SQ BID ordered GI prophylaxis with Pepcid.   His wife is his emergency contact, and I will call her tonight as requested, as she is currently visiting her son in the hospital while he recovers from COVID 19 pneumonia.     Spoke with Dr. today who said to hold treatment for CLL while admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Central venous catheterisation, Chest X-ray abnormal, Chest pain, Chlamydia test negative, Condition aggravated
Clinical narrative: Patient is a pleasant 77 y.o.  male patient of Dr. who presents today from ER as a direct admit to CCU for acute respiratory failure with hypoxia secondary to bilateral pneumonia with COVID 19 positivity.     Patient tested positive for COVID 19 2 days ago and was sent home, but became increasingly confused and short of breath at home, so his wife called 911 and patient presented to ER at 2100 last night.  His presenting pulse oximetry was in the 50's.  He was titrated up to a non-rebreather mask and then placed on HFNC at 60 L/min and titrated up to 95% Fi02.  Patient's respiratory rate on transfer was in the 20's with his Sa02 in the low 90 range.     ER was requesting transfer due to their high census.     Patient was transported by ambulance to our CCU.  Patient was hemodynamically stable on presentation and transitioned back to HFNC.  He needed a NRB mask to recover after the transfer on a NRB in the ambulance.     He is an excellent historian.  His son is sick with COVID 19 pneumonia in the Hospital.  He has had CLL for several years and is under the care of Dr.  He wanted us to make sure that he received his medications.  He denies history of COPD or asthma and hasn't smoked since his son received his kidney transplant 26 years ago.   His initial symptoms were around 4 days ago when he had a stuffy nose and drainange in the back of his throat.  He had a fever.  He then developed cough and shortness of breath.  He tested positive and tried to recover at home, but became increasingly short of breath followed by confusion and came to the hospital for treatment as above.  He didn't have monoclonal antibody treatment when he tested positive and didn't require oxygen at that time.  It was likely related to his medication for leukemia.     Code status is discussed.   CXR reviewed EKG reviewed Labs from ER yesterday and labs today reviewed.   DVT risk is high so Lovenox 40 mg SQ BID ordered GI prophylaxis with Pepcid.   His wife is his emergency contact, and I will call her tonight as requested, as she is currently visiting her son in the hospital while he recovers from COVID 19 pneumonia.     Spoke with Dr. today who said to hold treatment for CLL while admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Coronavirus test negative, Cough, Culture urine negative, Dyspnoea
Clinical narrative: Patient is a pleasant 77 y.o.  male patient of Dr. who presents today from ER as a direct admit to CCU for acute respiratory failure with hypoxia secondary to bilateral pneumonia with COVID 19 positivity.     Patient tested positive for COVID 19 2 days ago and was sent home, but became increasingly confused and short of breath at home, so his wife called 911 and patient presented to ER at 2100 last night.  His presenting pulse oximetry was in the 50's.  He was titrated up to a non-rebreather mask and then placed on HFNC at 60 L/min and titrated up to 95% Fi02.  Patient's respiratory rate on transfer was in the 20's with his Sa02 in the low 90 range.     ER was requesting transfer due to their high census.     Patient was transported by ambulance to our CCU.  Patient was hemodynamically stable on presentation and transitioned back to HFNC.  He needed a NRB mask to recover after the transfer on a NRB in the ambulance.     He is an excellent historian.  His son is sick with COVID 19 pneumonia in the Hospital.  He has had CLL for several years and is under the care of Dr.  He wanted us to make sure that he received his medications.  He denies history of COPD or asthma and hasn't smoked since his son received his kidney transplant 26 years ago.   His initial symptoms were around 4 days ago when he had a stuffy nose and drainange in the back of his throat.  He had a fever.  He then developed cough and shortness of breath.  He tested positive and tried to recover at home, but became increasingly short of breath followed by confusion and came to the hospital for treatment as above.  He didn't have monoclonal antibody treatment when he tested positive and didn't require oxygen at that time.  It was likely related to his medication for leukemia.     Code status is discussed.   CXR reviewed EKG reviewed Labs from ER yesterday and labs today reviewed.   DVT risk is high so Lovenox 40 mg SQ BID ordered GI prophylaxis with Pepcid.   His wife is his emergency contact, and I will call her tonight as requested, as she is currently visiting her son in the hospital while he recovers from COVID 19 pneumonia.     Spoke with Dr. today who said to hold treatment for CLL while admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Echocardiogram, Echocardiogram abnormal, Ejection fraction decreased, Endotracheal intubation
Clinical narrative: Patient is a pleasant 77 y.o.  male patient of Dr. who presents today from ER as a direct admit to CCU for acute respiratory failure with hypoxia secondary to bilateral pneumonia with COVID 19 positivity.     Patient tested positive for COVID 19 2 days ago and was sent home, but became increasingly confused and short of breath at home, so his wife called 911 and patient presented to ER at 2100 last night.  His presenting pulse oximetry was in the 50's.  He was titrated up to a non-rebreather mask and then placed on HFNC at 60 L/min and titrated up to 95% Fi02.  Patient's respiratory rate on transfer was in the 20's with his Sa02 in the low 90 range.     ER was requesting transfer due to their high census.     Patient was transported by ambulance to our CCU.  Patient was hemodynamically stable on presentation and transitioned back to HFNC.  He needed a NRB mask to recover after the transfer on a NRB in the ambulance.     He is an excellent historian.  His son is sick with COVID 19 pneumonia in the Hospital.  He has had CLL for several years and is under the care of Dr.  He wanted us to make sure that he received his medications.  He denies history of COPD or asthma and hasn't smoked since his son received his kidney transplant 26 years ago.   His initial symptoms were around 4 days ago when he had a stuffy nose and drainange in the back of his throat.  He had a fever.  He then developed cough and shortness of breath.  He tested positive and tried to recover at home, but became increasingly short of breath followed by confusion and came to the hospital for treatment as above.  He didn't have monoclonal antibody treatment when he tested positive and didn't require oxygen at that time.  It was likely related to his medication for leukemia.     Code status is discussed.   CXR reviewed EKG reviewed Labs from ER yesterday and labs today reviewed.   DVT risk is high so Lovenox 40 mg SQ BID ordered GI prophylaxis with Pepcid.   His wife is his emergency contact, and I will call her tonight as requested, as she is currently visiting her son in the hospital while he recovers from COVID 19 pneumonia.     Spoke with Dr. today who said to hold treatment for CLL while admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Enterovirus test negative, Fibrin D dimer increased, Gastrointestinal tube insertion, Gram stain positive, Heart sounds abnormal
Clinical narrative: Patient is a pleasant 77 y.o.  male patient of Dr. who presents today from ER as a direct admit to CCU for acute respiratory failure with hypoxia secondary to bilateral pneumonia with COVID 19 positivity.     Patient tested positive for COVID 19 2 days ago and was sent home, but became increasingly confused and short of breath at home, so his wife called 911 and patient presented to ER at 2100 last night.  His presenting pulse oximetry was in the 50's.  He was titrated up to a non-rebreather mask and then placed on HFNC at 60 L/min and titrated up to 95% Fi02.  Patient's respiratory rate on transfer was in the 20's with his Sa02 in the low 90 range.     ER was requesting transfer due to their high census.     Patient was transported by ambulance to our CCU.  Patient was hemodynamically stable on presentation and transitioned back to HFNC.  He needed a NRB mask to recover after the transfer on a NRB in the ambulance.     He is an excellent historian.  His son is sick with COVID 19 pneumonia in the Hospital.  He has had CLL for several years and is under the care of Dr.  He wanted us to make sure that he received his medications.  He denies history of COPD or asthma and hasn't smoked since his son received his kidney transplant 26 years ago.   His initial symptoms were around 4 days ago when he had a stuffy nose and drainange in the back of his throat.  He had a fever.  He then developed cough and shortness of breath.  He tested positive and tried to recover at home, but became increasingly short of breath followed by confusion and came to the hospital for treatment as above.  He didn't have monoclonal antibody treatment when he tested positive and didn't require oxygen at that time.  It was likely related to his medication for leukemia.     Code status is discussed.   CXR reviewed EKG reviewed Labs from ER yesterday and labs today reviewed.   DVT risk is high so Lovenox 40 mg SQ BID ordered GI prophylaxis with Pepcid.   His wife is his emergency contact, and I will call her tonight as requested, as she is currently visiting her son in the hospital while he recovers from COVID 19 pneumonia.     Spoke with Dr. today who said to hold treatment for CLL while admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Human rhinovirus test, Inferior vena cava dilatation, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Patient is a pleasant 77 y.o.  male patient of Dr. who presents today from ER as a direct admit to CCU for acute respiratory failure with hypoxia secondary to bilateral pneumonia with COVID 19 positivity.     Patient tested positive for COVID 19 2 days ago and was sent home, but became increasingly confused and short of breath at home, so his wife called 911 and patient presented to ER at 2100 last night.  His presenting pulse oximetry was in the 50's.  He was titrated up to a non-rebreather mask and then placed on HFNC at 60 L/min and titrated up to 95% Fi02.  Patient's respiratory rate on transfer was in the 20's with his Sa02 in the low 90 range.     ER was requesting transfer due to their high census.     Patient was transported by ambulance to our CCU.  Patient was hemodynamically stable on presentation and transitioned back to HFNC.  He needed a NRB mask to recover after the transfer on a NRB in the ambulance.     He is an excellent historian.  His son is sick with COVID 19 pneumonia in the Hospital.  He has had CLL for several years and is under the care of Dr.  He wanted us to make sure that he received his medications.  He denies history of COPD or asthma and hasn't smoked since his son received his kidney transplant 26 years ago.   His initial symptoms were around 4 days ago when he had a stuffy nose and drainange in the back of his throat.  He had a fever.  He then developed cough and shortness of breath.  He tested positive and tried to recover at home, but became increasingly short of breath followed by confusion and came to the hospital for treatment as above.  He didn't have monoclonal antibody treatment when he tested positive and didn't require oxygen at that time.  It was likely related to his medication for leukemia.     Code status is discussed.   CXR reviewed EKG reviewed Labs from ER yesterday and labs today reviewed.   DVT risk is high so Lovenox 40 mg SQ BID ordered GI prophylaxis with Pepcid.   His wife is his emergency contact, and I will call her tonight as requested, as she is currently visiting her son in the hospital while he recovers from COVID 19 pneumonia.     Spoke with Dr. today who said to hold treatment for CLL while admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test negative, Intensive care, Left ventricular enlargement, Legionella test, Lung consolidation
Clinical narrative: Patient is a pleasant 77 y.o.  male patient of Dr. who presents today from ER as a direct admit to CCU for acute respiratory failure with hypoxia secondary to bilateral pneumonia with COVID 19 positivity.     Patient tested positive for COVID 19 2 days ago and was sent home, but became increasingly confused and short of breath at home, so his wife called 911 and patient presented to ER at 2100 last night.  His presenting pulse oximetry was in the 50's.  He was titrated up to a non-rebreather mask and then placed on HFNC at 60 L/min and titrated up to 95% Fi02.  Patient's respiratory rate on transfer was in the 20's with his Sa02 in the low 90 range.     ER was requesting transfer due to their high census.     Patient was transported by ambulance to our CCU.  Patient was hemodynamically stable on presentation and transitioned back to HFNC.  He needed a NRB mask to recover after the transfer on a NRB in the ambulance.     He is an excellent historian.  His son is sick with COVID 19 pneumonia in the Hospital.  He has had CLL for several years and is under the care of Dr.  He wanted us to make sure that he received his medications.  He denies history of COPD or asthma and hasn't smoked since his son received his kidney transplant 26 years ago.   His initial symptoms were around 4 days ago when he had a stuffy nose and drainange in the back of his throat.  He had a fever.  He then developed cough and shortness of breath.  He tested positive and tried to recover at home, but became increasingly short of breath followed by confusion and came to the hospital for treatment as above.  He didn't have monoclonal antibody treatment when he tested positive and didn't require oxygen at that time.  It was likely related to his medication for leukemia.     Code status is discussed.   CXR reviewed EKG reviewed Labs from ER yesterday and labs today reviewed.   DVT risk is high so Lovenox 40 mg SQ BID ordered GI prophylaxis with Pepcid.   His wife is his emergency contact, and I will call her tonight as requested, as she is currently visiting her son in the hospital while he recovers from COVID 19 pneumonia.     Spoke with Dr. today who said to hold treatment for CLL while admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Lung opacity, Mitral valve incompetence, Mycoplasma test negative, Nasal congestion
Clinical narrative: Patient is a pleasant 77 y.o.  male patient of Dr. who presents today from ER as a direct admit to CCU for acute respiratory failure with hypoxia secondary to bilateral pneumonia with COVID 19 positivity.     Patient tested positive for COVID 19 2 days ago and was sent home, but became increasingly confused and short of breath at home, so his wife called 911 and patient presented to ER at 2100 last night.  His presenting pulse oximetry was in the 50's.  He was titrated up to a non-rebreather mask and then placed on HFNC at 60 L/min and titrated up to 95% Fi02.  Patient's respiratory rate on transfer was in the 20's with his Sa02 in the low 90 range.     ER was requesting transfer due to their high census.     Patient was transported by ambulance to our CCU.  Patient was hemodynamically stable on presentation and transitioned back to HFNC.  He needed a NRB mask to recover after the transfer on a NRB in the ambulance.     He is an excellent historian.  His son is sick with COVID 19 pneumonia in the Hospital.  He has had CLL for several years and is under the care of Dr.  He wanted us to make sure that he received his medications.  He denies history of COPD or asthma and hasn't smoked since his son received his kidney transplant 26 years ago.   His initial symptoms were around 4 days ago when he had a stuffy nose and drainange in the back of his throat.  He had a fever.  He then developed cough and shortness of breath.  He tested positive and tried to recover at home, but became increasingly short of breath followed by confusion and came to the hospital for treatment as above.  He didn't have monoclonal antibody treatment when he tested positive and didn't require oxygen at that time.  It was likely related to his medication for leukemia.     Code status is discussed.   CXR reviewed EKG reviewed Labs from ER yesterday and labs today reviewed.   DVT risk is high so Lovenox 40 mg SQ BID ordered GI prophylaxis with Pepcid.   His wife is his emergency contact, and I will call her tonight as requested, as she is currently visiting her son in the hospital while he recovers from COVID 19 pneumonia.     Spoke with Dr. today who said to hold treatment for CLL while admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pneumonia, Pyrexia, Respiratory syncytial virus test negative, Respiratory viral panel
Clinical narrative: Patient is a pleasant 77 y.o.  male patient of Dr. who presents today from ER as a direct admit to CCU for acute respiratory failure with hypoxia secondary to bilateral pneumonia with COVID 19 positivity.     Patient tested positive for COVID 19 2 days ago and was sent home, but became increasingly confused and short of breath at home, so his wife called 911 and patient presented to ER at 2100 last night.  His presenting pulse oximetry was in the 50's.  He was titrated up to a non-rebreather mask and then placed on HFNC at 60 L/min and titrated up to 95% Fi02.  Patient's respiratory rate on transfer was in the 20's with his Sa02 in the low 90 range.     ER was requesting transfer due to their high census.     Patient was transported by ambulance to our CCU.  Patient was hemodynamically stable on presentation and transitioned back to HFNC.  He needed a NRB mask to recover after the transfer on a NRB in the ambulance.     He is an excellent historian.  His son is sick with COVID 19 pneumonia in the Hospital.  He has had CLL for several years and is under the care of Dr.  He wanted us to make sure that he received his medications.  He denies history of COPD or asthma and hasn't smoked since his son received his kidney transplant 26 years ago.   His initial symptoms were around 4 days ago when he had a stuffy nose and drainange in the back of his throat.  He had a fever.  He then developed cough and shortness of breath.  He tested positive and tried to recover at home, but became increasingly short of breath followed by confusion and came to the hospital for treatment as above.  He didn't have monoclonal antibody treatment when he tested positive and didn't require oxygen at that time.  It was likely related to his medication for leukemia.     Code status is discussed.   CXR reviewed EKG reviewed Labs from ER yesterday and labs today reviewed.   DVT risk is high so Lovenox 40 mg SQ BID ordered GI prophylaxis with Pepcid.   His wife is his emergency contact, and I will call her tonight as requested, as she is currently visiting her son in the hospital while he recovers from COVID 19 pneumonia.     Spoke with Dr. today who said to hold treatment for CLL while admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus operation, Spinal osteoarthritis, Sputum culture, Staphylococcus test negative
Clinical narrative: Patient is a pleasant 77 y.o.  male patient of Dr. who presents today from ER as a direct admit to CCU for acute respiratory failure with hypoxia secondary to bilateral pneumonia with COVID 19 positivity.     Patient tested positive for COVID 19 2 days ago and was sent home, but became increasingly confused and short of breath at home, so his wife called 911 and patient presented to ER at 2100 last night.  His presenting pulse oximetry was in the 50's.  He was titrated up to a non-rebreather mask and then placed on HFNC at 60 L/min and titrated up to 95% Fi02.  Patient's respiratory rate on transfer was in the 20's with his Sa02 in the low 90 range.     ER was requesting transfer due to their high census.     Patient was transported by ambulance to our CCU.  Patient was hemodynamically stable on presentation and transitioned back to HFNC.  He needed a NRB mask to recover after the transfer on a NRB in the ambulance.     He is an excellent historian.  His son is sick with COVID 19 pneumonia in the Hospital.  He has had CLL for several years and is under the care of Dr.  He wanted us to make sure that he received his medications.  He denies history of COPD or asthma and hasn't smoked since his son received his kidney transplant 26 years ago.   His initial symptoms were around 4 days ago when he had a stuffy nose and drainange in the back of his throat.  He had a fever.  He then developed cough and shortness of breath.  He tested positive and tried to recover at home, but became increasingly short of breath followed by confusion and came to the hospital for treatment as above.  He didn't have monoclonal antibody treatment when he tested positive and didn't require oxygen at that time.  It was likely related to his medication for leukemia.     Code status is discussed.   CXR reviewed EKG reviewed Labs from ER yesterday and labs today reviewed.   DVT risk is high so Lovenox 40 mg SQ BID ordered GI prophylaxis with Pepcid.   His wife is his emergency contact, and I will call her tonight as requested, as she is currently visiting her son in the hospital while he recovers from COVID 19 pneumonia.     Spoke with Dr. today who said to hold treatment for CLL while admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Streptococcus test negative, Tricuspid valve incompetence, Ultrasound Doppler normal, Viral test negative
Clinical narrative: Patient is a pleasant 77 y.o.  male patient of Dr. who presents today from ER as a direct admit to CCU for acute respiratory failure with hypoxia secondary to bilateral pneumonia with COVID 19 positivity.     Patient tested positive for COVID 19 2 days ago and was sent home, but became increasingly confused and short of breath at home, so his wife called 911 and patient presented to ER at 2100 last night.  His presenting pulse oximetry was in the 50's.  He was titrated up to a non-rebreather mask and then placed on HFNC at 60 L/min and titrated up to 95% Fi02.  Patient's respiratory rate on transfer was in the 20's with his Sa02 in the low 90 range.     ER was requesting transfer due to their high census.     Patient was transported by ambulance to our CCU.  Patient was hemodynamically stable on presentation and transitioned back to HFNC.  He needed a NRB mask to recover after the transfer on a NRB in the ambulance.     He is an excellent historian.  His son is sick with COVID 19 pneumonia in the Hospital.  He has had CLL for several years and is under the care of Dr.  He wanted us to make sure that he received his medications.  He denies history of COPD or asthma and hasn't smoked since his son received his kidney transplant 26 years ago.   His initial symptoms were around 4 days ago when he had a stuffy nose and drainange in the back of his throat.  He had a fever.  He then developed cough and shortness of breath.  He tested positive and tried to recover at home, but became increasingly short of breath followed by confusion and came to the hospital for treatment as above.  He didn't have monoclonal antibody treatment when he tested positive and didn't require oxygen at that time.  It was likely related to his medication for leukemia.     Code status is discussed.   CXR reviewed EKG reviewed Labs from ER yesterday and labs today reviewed.   DVT risk is high so Lovenox 40 mg SQ BID ordered GI prophylaxis with Pepcid.   His wife is his emergency contact, and I will call her tonight as requested, as she is currently visiting her son in the hospital while he recovers from COVID 19 pneumonia.     Spoke with Dr. today who said to hold treatment for CLL while admitted.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Breast disorder female, Palpitations
Clinical narrative: Occasional heart palpitations and small "breast bubble "
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy
Clinical narrative: I now have Bell?s palsy
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Eyelid ptosis
Clinical narrative: I now have Bell?s palsy
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy
Clinical narrative: Patient woke up on 11/5/2021 at 4:30 am and his right eye lid was droopy . He went to the urgent care and Dr. said it was Bels Palsy.. He was told to use over the counter eye drops to keep the eye moist.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Eyelid ptosis
Clinical narrative: Patient woke up on 11/5/2021 at 4:30 am and his right eye lid was droopy . He went to the urgent care and Dr. said it was Bels Palsy.. He was told to use over the counter eye drops to keep the eye moist.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dysstasia, Gait disturbance, Limb discomfort, Pyrexia
Clinical narrative: On September 7, 2021 my husband spiked a fever of 100 and became confused. He is still in the early stages of dementia and he is forgetful never confused. His gait changed in the evening also and he was having trouble walking and seemed unbalanced over the next 2 days. He awoke on September 9th at 4 am and went to bathroom and then could not get up off the toilet. It took two people to stand him up and he could not move his legs or sustain a standing position. He was carried back to bed. The PCP was called and did not feel it was vaccine related. I was told if this continued then to call 911 and take him to the ED. He awoke 3 hours later with no fever, was coherent and though he had some difficulty standing and used a walker for balance, he was able to ambulate. With 48 hours he was able to ambulate independently and his cognitive was at baseline. I would have reported this earlier but since the PCP did not think this was related I did not report.  Earlier this morning I heard on the news, a physician speaking about  a few cases where patients had sudden onset of difficulty walking and inability to stand. I thought you would want to know that this was a reaction to vaccine which occurred with my husband.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Arm became hot and itchy, hard egg-size lump.   Swollen and very tender lymph nodes in area of left armpit and above left collarbone.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Headache, Hypoaesthesia
Clinical narrative: severe pain in left arm, inability to move arm 12 hrs after injection. Severe headache, fever, nausea, lethargy, body ache within 24 hrs. 72+ hrs later- tiredness, feeling of breathlessness, sudden dizziness (sitting or standing) followed by severe headache. muscle aches/cramps throughout body.  Arms/legs randomly tingle and go numb. My left arm/hand has a constant tremor.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Lethargy, Muscle spasms, Myalgia, Nausea
Clinical narrative: severe pain in left arm, inability to move arm 12 hrs after injection. Severe headache, fever, nausea, lethargy, body ache within 24 hrs. 72+ hrs later- tiredness, feeling of breathlessness, sudden dizziness (sitting or standing) followed by severe headache. muscle aches/cramps throughout body.  Arms/legs randomly tingle and go numb. My left arm/hand has a constant tremor.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia, Pyrexia, Tremor
Clinical narrative: severe pain in left arm, inability to move arm 12 hrs after injection. Severe headache, fever, nausea, lethargy, body ache within 24 hrs. 72+ hrs later- tiredness, feeling of breathlessness, sudden dizziness (sitting or standing) followed by severe headache. muscle aches/cramps throughout body.  Arms/legs randomly tingle and go numb. My left arm/hand has a constant tremor.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Paraesthesia, Throat tightness
Clinical narrative: About 15 minutes after the injection patient had throat tightness and tingling in face that lasted about 1.5 hours.  It felt similar to an allergic reaction she experienced 4 weeks earlier when given cefazolin.  Patient seen by physician and given Epipen and instructed to hold on receiving second COVID vaccine dose at this time and follow-up with allergy provider.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Decreased appetite, Fatigue, Injection site nodule
Clinical narrative: Pain at injection site, knot at injection site, muscle and joint pain, slight fever, no apetite, no strength, fatigue.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Pyrexia
Clinical narrative: Pain at injection site, knot at injection site, muscle and joint pain, slight fever, no apetite, no strength, fatigue.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expiration date was checked on Moderna website and was labeled with an expiration date of 11/01/2021. It was unknown that this date was for frozen storage rather than refrigerated storage. Expiration date should have been labeled as 10/03/2021. Vaccine was used on 10/29/2021 to vaccinate the employee and was expired
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Cardiac function test, Chest X-ray, Chest pain
Clinical narrative: Shoulder pain,  then chest pain,then chest pain with difficulty breathing,  then one week in the hospital
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Dyspnoea, Electrocardiogram, Magnetic resonance imaging, Ultrasound scan
Clinical narrative: Shoulder pain,  then chest pain,then chest pain with difficulty breathing,  then one week in the hospital
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Pallor, Rhinalgia, Unresponsive to stimuli
Clinical narrative: Patient here to receive her 1st Dose Pfizer Vaccine. Patient alert, and  oriented at time of vaccine. Received vaccine in Shot Room, stood up, stated she was OK, proceeded to Pediatric waiting area and sat in chair. Seconds later ~  12:45 PM, mother calling for some one as patient had fell out of chair onto floor face down. Mother and Nurse got her up and sat her in chair. Patient not responding, although she was breathing and had a pulse. Cool wet paper towel compress to forehead and face. Patient came to, but unaware of what had happened. Provider notified to come to area to assess patient. B/P- 97/61 P- 80, SPO2- 95%- 98%. Patient moved to an exam room, pale in color, shaking her head as her mom encouraged her to stay awake. Refusing an ambulance for care. Cool compresses to face, forehead and back of neck. ~ 12:54 patient alert and oriented, talking with mom, as color began to return. Drinking a cool Lemon Ice tea. Patient unaware of what happened. Does not recall falling to the floor. Patient did state that after the injection she felt dizzy, but did not say anything to Nurse or mother. ~ 1:00 PM- B/P- 100/74 P- 94 SPO2-96%. ~1:20 PM patient continues to complain that her nose hurts, cold ice pack applied to area, Provider aware of same. Parent encouraged to follow-up immediately with her Pediatrician to ensure that her nose is OK. Father arrived on the scene- ~ 1: 15 PM. Patient encouraged to stand and move around before leaving. ~ 1:35 PM family left the facility, again encouraged to follow up with Pediatrician.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was mislabeled with expiration date of 11/01/2021 rather than 10/03/2021 for refrigerated storage. This vaccine was used to vaccinate this patient
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Productive cough, Pyrexia
Clinical narrative: Had flu like symptoms, chills, low fever, pflegm in throat
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Error: Improper Storage (temperature)-
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis viral, Peripheral swelling
Clinical narrative: Viral arthritis- left hand swollen and severe joint pain
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Abscess limb, Arthralgia, Erythema, Incisional drainage, Joint swelling
Clinical narrative: Within 24 hours of injection pt reports that left ankle became erythematous and swollen and painful. Pt requested an appointment, but was not seen for some time. When seen pt was diagnosed with an abscess in the left lower lateral leg/ankle which was I&D'd and the patient was treated with PO Abx and received daily wound packing. Unfortunately this abscess continued to occur and pt had this area opened and packed with PO and IV abx 3 times over the last 7 months. It was suspected initially that this abscess was possibly involving the historical hardware from ORIF approx 18 years prior (pt had never had infection in this area prior to this event s/p vaccination).
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Medical device removal, Wound treatment
Clinical narrative: Within 24 hours of injection pt reports that left ankle became erythematous and swollen and painful. Pt requested an appointment, but was not seen for some time. When seen pt was diagnosed with an abscess in the left lower lateral leg/ankle which was I&D'd and the patient was treated with PO Abx and received daily wound packing. Unfortunately this abscess continued to occur and pt had this area opened and packed with PO and IV abx 3 times over the last 7 months. It was suspected initially that this abscess was possibly involving the historical hardware from ORIF approx 18 years prior (pt had never had infection in this area prior to this event s/p vaccination).
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal disorder
Clinical narrative: GI symptoms
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: HPI  this is an 86-year-old female past medical history significant for CAD, hyperlipidemia, hypothyroidism who was sent by primary care physician for evaluation of hypoxia.   Admitted to CCU.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was mislabeled with an expiration date for frozen storage rather than for refrigerated storage. Vaccine was labeled with a date of 11/01/2021. It was used on 10/29/2021 to vaccinate this employee. The expiration date should have been 10/03/2021.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I have found tinnitus much worse after each jab event.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Echocardiogram, Electrocardiogram, Heart rate increased, Laboratory test
Clinical narrative: Three day after shot my heart started to race. Since then I have had high heart rates off and on and have seen a cardiologist. A zio patch has shown that my heart has  episodes of ventricular tachycardia and one episode of super ventricular tachycardia. (7 day monitor) On 11/4 doctor recomended an ablation to help with the PVC an the tachycardia that have continously been happining.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Ventricular tachycardia
Clinical narrative: Three day after shot my heart started to race. Since then I have had high heart rates off and on and have seen a cardiologist. A zio patch has shown that my heart has  episodes of ventricular tachycardia and one episode of super ventricular tachycardia. (7 day monitor) On 11/4 doctor recomended an ablation to help with the PVC an the tachycardia that have continously been happining.
Age: 11.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Fall, Loss of consciousness, Neurological examination normal, Syncope
Clinical narrative: The patient was sitting on the examination table and the four vaccines were administered by the primary care, two in each arm. The last vaccine that was applied was HPV. One minute after the application, the patient fainted and fell to the floor. The patient fell on the left side of her body. She didn't hit her head. The patient regained consciousness a few seconds later. She was oriented in time, space and person. Patient was left on the floor for 2-3 minutes and was helped to move onto the stretcher. There were no more incidents. The neurological examination after the incident was normal. There was no evidence of significant trauma that could be seen on physical examination.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pruritus
Clinical narrative: 1) Left axillary  lymphadenopathy. [Received vaccine in left arm) .  2) generalized itching
Age: 45.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: itching, hives several hours after dosing no dyspnea or angioedema  treatment with oral Benadryl x 3 doses and hives resolved but itching still
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was mislabeled with frozen storage expiration date of 11/01/2021. This should have been labeled with expiration date for refrigerator storage which would have been 10/03/2021. Vaccine was administered to employee on 10/29/2021
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 8 year old patient was administered the 0.3ml (30mcg) dose of the covid Pfizer vaccine inadvertently, no adverse effects noted at time of reporting
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Faeces discoloured, Influenza virus test positive, Nausea, SARS-CoV-2 antibody test
Clinical narrative: dark stools x 3 days Details Onset Prior to Arrival 3 Days, Timing Pattern Acute; Pain No, Associated Symptom dizziness and nausea, Similar Symptoms/Event No.   45 yo M with PMHX bells palsy episode 2002, presented to the ED for evaluation of nausea, dizziness, and dark stools.  Noted with BOTH Rapid Influenza and COVID PCR +
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: dark stools x 3 days Details Onset Prior to Arrival 3 Days, Timing Pattern Acute; Pain No, Associated Symptom dizziness and nausea, Similar Symptoms/Event No.   45 yo M with PMHX bells palsy episode 2002, presented to the ED for evaluation of nausea, dizziness, and dark stools.  Noted with BOTH Rapid Influenza and COVID PCR +
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Extra dose administered, Fatigue, Feeding disorder
Clinical narrative: 1. Immediately sore arm a shot site.  Still sore 48 hrs. later.  2.  Onset within 8 hrs. - high fever, headache, chills, muscle ache, fatigue, cough, lung irritation (flue like symptoms).  Could not eat or get out bed for 18 hrs.  Starting to feel a little better at time of reporting (48 hrs. later).  Feeling sick is a rare event for me.  The only two times I've felt sick in he last 10 yrs. is after the second and third Moderna shots, the third (booster) being the worse.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Injection site pain, Malaise, Mobility decreased
Clinical narrative: 1. Immediately sore arm a shot site.  Still sore 48 hrs. later.  2.  Onset within 8 hrs. - high fever, headache, chills, muscle ache, fatigue, cough, lung irritation (flue like symptoms).  Could not eat or get out bed for 18 hrs.  Starting to feel a little better at time of reporting (48 hrs. later).  Feeling sick is a rare event for me.  The only two times I've felt sick in he last 10 yrs. is after the second and third Moderna shots, the third (booster) being the worse.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Respiratory tract irritation
Clinical narrative: 1. Immediately sore arm a shot site.  Still sore 48 hrs. later.  2.  Onset within 8 hrs. - high fever, headache, chills, muscle ache, fatigue, cough, lung irritation (flue like symptoms).  Could not eat or get out bed for 18 hrs.  Starting to feel a little better at time of reporting (48 hrs. later).  Feeling sick is a rare event for me.  The only two times I've felt sick in he last 10 yrs. is after the second and third Moderna shots, the third (booster) being the worse.
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Hives all over my body
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Impaired driving ability, Impaired work ability
Clinical narrative: Fever, neck and head ache,dizziness, chills 3rd day to dizzy to drive or work.Advil ever 4hrs and dramamine for the dizziness
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pyrexia
Clinical narrative: Fever, neck and head ache,dizziness, chills 3rd day to dizzy to drive or work.Advil ever 4hrs and dramamine for the dizziness
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Depressed mood, Feeling abnormal
Clinical narrative: Patient began feeling anxious and depressed later that afternoon.  Feeling of impending doom or danger.  Very out of character or not normal for her.  Worsened the following day and lasted for approximately 4 days.  Did not want to socialize with family, friends, or strangers.  Would not answer phone or associate with anyone.  Sat in the dark for a few days.  Said it felt like a dream as of Sunday, like it never even happened.  Does feel back to normal now.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Dyspnoea, Laboratory test normal, Syncope
Clinical narrative: Shortness of breath, abdominal pain and syncope
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Chest pain, Cough, Dyspnoea
Clinical narrative: Shortness of breath, abdominal pain and syncope
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Head injury, Headache, SARS-CoV-2 test positive, Syncope
Clinical narrative: Shortness of breath, abdominal pain and syncope