chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic left ventricular failure, Computerised tomogram abdomen abnormal, Computerised tomogram head normal, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: 11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Differential white blood cell count abnormal, Diverticulum, Eosinophil count decreased, Eosinophil percentage decreased
Clinical narrative: 11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Globulins increased, Glomerular filtration rate increased, Glycosylated haemoglobin normal, Haematocrit decreased
Clinical narrative: 11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hyponatraemia, Hypothyroidism, Intensive care, Leukocytosis
Clinical narrative: 11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test abnormal, Lymphocyte count increased, Lymphocyte percentage increased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal
Clinical narrative: 11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume increased, Mean platelet volume increased, Mental status changes, Metabolic acidosis, Metabolic encephalopathy
Clinical narrative: 11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Monocyte count normal, Monocyte percentage decreased, Neutrophil count increased, Neutrophil percentage decreased, Oedema
Clinical narrative: 11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Protein total normal, Pulmonary congestion, Red blood cell count decreased, Red cell distribution width increased
Clinical narrative: 11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Thrombocytopenia, Ultrasound kidney normal, White blood cell count increased
Clinical narrative: 11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Possibility that vaccine was overdiluted with 1.8mL instead of 1.3mL prior to administration.
Age: 73.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Injected limb mobility decreased, Neck pain, Wrong technique in product usage process
Clinical narrative: After 3 days he couldn't lift his arm at all. He just lost the use of his arm and also it became painful from his shoulder up to his neck. Saw his pcp and she informed him that the shot was given to high in the muscle. He also had a knot in his arm.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Syncope
Clinical narrative: 3mins post vaccination, pt had dizziness and nausea that resulted in a syncopal event.   Vitals: 17:50 (trendelenburg) 93/65, 74, 12 SpO2 99% -- > 17:58 (supine) 99/67, 79, 12, 100% -- > 18:06 (sitting) 98/68, 84, 12, 100% Pt stable and released from the vaccination site.  Advised to notify PCP of event and to take the 2nd dose in the supine position.
Age: 80.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Back pain, Headache, Nausea, Pain in extremity
Clinical narrative: Severely sore arm, fever, headache, back ache low sacral area for 8 days, nausea weakness
Age: 80.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Severely sore arm, fever, headache, back ache low sacral area for 8 days, nausea weakness
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Possibility that vaccine was overdiluted with 1.8mL instead of 1.3mL prior to administration
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Asthenia, Blood test abnormal, Chills, Fatigue
Clinical narrative: Initially muscle pain at direct arm site was evident. Then followed by weakness and a need to sleep for 2 days. A fever on the 2nd day of 102. Also severe chills and almost convulsive body tremor occurred about 3 weeks after the initial Johnson 1x only vaccine adm 4/28/21. Following the booster shot given in early November 2021 blood lab tests  were given for continued fatigue.  Aged 55 female periods have returned  after both the initial vaccine for Covid, and then from since the booster given 3 weeks ago. The outcome of the blood lab was severe anemic bloodwork. 2nd blood lab  work has shown severe anemia and pending a lumbar puncture type biopsy to rule out  a rare blood cancer.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Injection site pain, Pyrexia, Seizure, Tremor
Clinical narrative: Initially muscle pain at direct arm site was evident. Then followed by weakness and a need to sleep for 2 days. A fever on the 2nd day of 102. Also severe chills and almost convulsive body tremor occurred about 3 weeks after the initial Johnson 1x only vaccine adm 4/28/21. Following the booster shot given in early November 2021 blood lab tests  were given for continued fatigue.  Aged 55 female periods have returned  after both the initial vaccine for Covid, and then from since the booster given 3 weeks ago. The outcome of the blood lab was severe anemic bloodwork. 2nd blood lab  work has shown severe anemia and pending a lumbar puncture type biopsy to rule out  a rare blood cancer.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Vaccine consent form stated patient's birthdate was from a certain year but other medical records shows that patient's birthdate is something different. Thus, patient would be 11 years old and not 12 years old. Because the age stated on vaccine consent form was 12 years old, patient received 30 mcg of Pfizer instead of 10 mcg. Father was called to verify birthdate but he would not verify and kept saying that he could not hear me. However, when father was informed of observing child for any potential adverse side effects given that child received a higher dose than that recommended if he's 11 years old, father replied and said that the child was just fine and hung up.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: facial and neck rash with hives within 2 hours of COVID vaccine
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Possibility that vaccine was overdiluted with 1.8mL instead of 1.3mL prior to administration
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Pallor, Respiratory arrest
Clinical narrative: I administered the patient's 1st Moderna dose in our vaccination room.  The patient was not showing any signs of reaction. The patient then went to our observation area in front of the pharmacy. Five minutes after vaccination, he presented to the pharmacy window stating that he felt faint. A pharmacy technician immediately opened the pharmacy door and put a chair under the patient, as he passed out into it.  I instructed another technician to call 911. I ran to the patient who then stopped breathing.  I grabbed an Epi-pen off the pharmacy shelf and was about to administer it when the patient regained consciousness.  The patient was very pale, but oriented to person, place and time. EMS arrived, gathered information, and left with the patient.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Immediate post-injection reaction, Injection site discolouration, Injection site pruritus, Urticaria
Clinical narrative: Very shortly after booster, injection site was itchy & slightly pink. Now a bit over 24 hours later there is pink welt the size of a half dollar if not bigger. Still itchy. This did not occur with my first two shots. Everything I am reading online says arm rashes occur 2-12 days after but this happened almost immediately.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Platelet count decreased, Platelet disorder
Clinical narrative: Vaccinated on Friday, and Monday 3/15 I had blood work done; when I got the results, my platelet count dropped significantly from the results on 3/17 (86 count on the blood test). When I talked to my doctor's office, they wanted me to see a hematologist. I told them I would wait and do my blood work again to see if it was in relation to the vaccine. 30 days or so I went to get another blood work done. Doctor called back and said that it was normal again (150 count), but it was low on the normal range. So called the doctor again, and just did another blood work 11/9 to see if my platelets were still up and made sure that it was okay. I requested these tests. This test came back with 161. My platelet counts in the past have been over 200. I'm in the normal range of 161 but the normal range is 150-400. Scared to get the booster shot because the platelets may drop again. All doctor visits were telehealth/online. Note: all other blood results and levels were normal. Note: all other blood results and levels were normal
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Patient death 10/10/2021
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Chest pain, Musculoskeletal pain, Myalgia, Product administered at inappropriate site
Clinical narrative: Shoulder blade and chest muscle was hurting very bad. She stated she couldn't lay on her right side. Saw pcp on Nov 12th and she told her it was from the shot being given to high in the arm.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Large local reaction with 1cm x 2.5 cm area of tender erythema to left upper arm which appeared 9 days after vaccination given.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient came into the office for a follow up with provider- APRN. Patient requested influenza vaccine to provider- I was order to administer vaccine. I confirmed allergies before administration, patient denied any allergies.  When I went to chart the vaccine in the state vaccine registry the vaccine had already been charted and administered for 2021 by a different provider.  Duplicate doses administered.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Administration error. this 13 year old received a 3 dose of the COVID -19 vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Malaise
Clinical narrative: Case was hospitalized for Covid 8 months after receiving the Covid vaccine. Covid course in hospital: Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Pt here w/ covid symptoms x 8 days(10/23) w/ new acute hypoxemic respiratory failure overlapping w/ COPD. We will target O2 goal 88-92% as a result. She was vaxxed x 3. Risk factors include morbid obesity, coronary disease, hypertension, diabetes and COPD. Okay to stop abx w/ negative procal, got 1 dose in ED   Plan:  - dexamethasone 6mg daily - remdesivir   Please use the following non medical therapies for COVID patients:  - encourage self proning as able - up to chair when not sleeping to prevent atelectasis - incentive spirometer every hour  - Ambulation TID as tolerated, in addition to any PT / OT
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Spirometry
Clinical narrative: Case was hospitalized for Covid 8 months after receiving the Covid vaccine. Covid course in hospital: Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Pt here w/ covid symptoms x 8 days(10/23) w/ new acute hypoxemic respiratory failure overlapping w/ COPD. We will target O2 goal 88-92% as a result. She was vaxxed x 3. Risk factors include morbid obesity, coronary disease, hypertension, diabetes and COPD. Okay to stop abx w/ negative procal, got 1 dose in ED   Plan:  - dexamethasone 6mg daily - remdesivir   Please use the following non medical therapies for COVID patients:  - encourage self proning as able - up to chair when not sleeping to prevent atelectasis - incentive spirometer every hour  - Ambulation TID as tolerated, in addition to any PT / OT
Age: 80.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Pt came in 11/18/21 to pick up prescriptions and mentioned that her shoulder was still sore after her flu shot.  She says that I gave it to her in the back of her shoulder.  She is having trouble lifting her arm.  I advised her to see a Dr. and that I would be reporting it to management and VAERS.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Received Pfizer Dose for children ages 5-11. Should have received Pfizer dose for patients age 12 and up. No s/s of distress noted
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Gait inability, Magnetic resonance imaging normal, Musculoskeletal disorder, Sensory loss
Clinical narrative: patient lost the ability to walk due to lack of control and loss of sensation in bilateral lower extremities.  First occurred 1 week post dose 2 of the Moderna Vaccine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster reactivation
Clinical narrative: Severe and extensive Zoster/Shingles reactivation, affecting T10-T12 dermatomes requiring inpatient admission for IV acyclovir
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Chest pain, Headache, Hypoaesthesia, Inflammation, Nausea
Clinical narrative: Had a reaction to first flu shot & Dr. had suggested trying egg-free.  That one was OK, so had requested egg-free shot.  Fell asleep early that night & woke after about 15 mins. with my heart racing.  First night & second pain in arm interrupted sleep.  First night woke with nausea early hours of following morning.  Headache lasted for several days.  Occasional but infrequent chest pain (inflammation/numbness sensation) over next 5 days.  Major concern is the heart-racing and subsequent chest pain.  No allergy to eggs; regular part of diet.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Palpitations, Sleep disorder
Clinical narrative: Had a reaction to first flu shot & Dr. had suggested trying egg-free.  That one was OK, so had requested egg-free shot.  Fell asleep early that night & woke after about 15 mins. with my heart racing.  First night & second pain in arm interrupted sleep.  First night woke with nausea early hours of following morning.  Headache lasted for several days.  Occasional but infrequent chest pain (inflammation/numbness sensation) over next 5 days.  Major concern is the heart-racing and subsequent chest pain.  No allergy to eggs; regular part of diet.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: sore arm, tired , headache
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Ear, nose and throat examination normal, Tinnitus
Clinical narrative: Tinnitus started on 10/6/21, the day after my booster vaccine.  So far have been treated with steroids, anxiety and sleep meds, tinnitus still present as of 11/18/21
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dysstasia, Extra dose administered, Pain in extremity, Peripheral swelling
Clinical narrative: The next evening my legs especially the left side  in my knees were very soar i could hardly get up from chair felt swelled
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient had a red, hot, swollen arm under the injection site for 3 days. On days 4 and 5 the reaction site was itchy. By day 6 the adverse reaction had resolved. She was instructed by her Dr. to put an ice pack on it, and take some BENADRYL and TYLENOL or ADVIL.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac flutter, Heart rate increased
Clinical narrative: Heart beating fast, feeling like having heart flutters of some sort. Never experienced this prior. Mentioned to doctor. Only noted, no treatment given. Brought baby aspirin to help because I know it can help with heart
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain, Lymphadenopathy, Skin discolouration
Clinical narrative: Woke up on 11/17/21 and had terrible pain around the left side of my chest and arm pit area, entire area was swollen and dark in color, similar to a bruise. I have limited movement on that side of my body as the pain has not subsided as of this evening, 11/18/21.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Possibility that vaccine was overdiluted with 1.8mL instead of 1.3mL prior to administration
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain, Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: 2 hours after injection I had a large hard lump 2" below injection site, about 3" in diameter that went away within 3 days.  9 days after injection I had a large area in same place as lump break out into massive hives, painful, itchy, hot.  Went to Dr next morning, pictures were taken of arm. Went back to Dr 3 days later.  Rash resolved 8 days after it started.  Took Benedryl internally and topically.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Blood test, Computerised tomogram abdomen, Computerised tomogram head normal, Computerised tomogram thorax abnormal
Clinical narrative: between 3 to 4 days after receiving her Moderna booster, patient had what I suspect was a syncopal episode.  She fell, fractured several ribs and sustained a concussion.  She was admitted to the hospital to trauma service and had full metabolic evaluation and imaging studies which only showed rib fractures but no other serious injuries of the head chest or abdomen.  Patient did not have complete memory of events even a week after the event.  She is otherwise recovering well without any long-term sequelae.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Concussion, Fall, Full blood count, Metabolic function test abnormal, Rib fracture
Clinical narrative: between 3 to 4 days after receiving her Moderna booster, patient had what I suspect was a syncopal episode.  She fell, fractured several ribs and sustained a concussion.  She was admitted to the hospital to trauma service and had full metabolic evaluation and imaging studies which only showed rib fractures but no other serious injuries of the head chest or abdomen.  Patient did not have complete memory of events even a week after the event.  She is otherwise recovering well without any long-term sequelae.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Thyroid function test
Clinical narrative: between 3 to 4 days after receiving her Moderna booster, patient had what I suspect was a syncopal episode.  She fell, fractured several ribs and sustained a concussion.  She was admitted to the hospital to trauma service and had full metabolic evaluation and imaging studies which only showed rib fractures but no other serious injuries of the head chest or abdomen.  Patient did not have complete memory of events even a week after the event.  She is otherwise recovering well without any long-term sequelae.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and vomiting
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Received Pfizer dose for patients 12 and up. Should have received dose for children between 5-11 years of age. Consenting parent made aware of what happened. No s/s of distress noted.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness, Magnetic resonance imaging, Ophthalmic migraine, Ultrasound scan, Visual field defect
Clinical narrative: Occular migranes and roving scotomas causing partial blindness for 7 out of 30 days. Strongest symptoms during days directly after vaccine injection. No history of similar symptoms prior. Emergency medical care received at a Medical Center (out of state). Checked for retinal detachment with ultrasound (no retinal detachment found). Further medical care received at another Medical Center (with neurologist) who ordered an MRI (taken at a local imaging center) that was inconclusive. Then a visit with an Eye care Dr. locally was ordered to have an fMRI with contrast taken to investigate possible causes of the migranes and scotomas. This fMRI was not taken because symptoms had subsided and medical costs were becoming unwieldy.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Hypoxia, Pneumonia viral
Clinical narrative: Case was hospitalized for covid 7 months after completion of vaccination series.  * Pneumonia due to COVID-19 virus Assessment & Plan Symptom onset about 13 days ago with positive COVID-19 test 6 days prior to admission. Fully vaccinated February-March with Pfizer vaccine, but notable that she is on immune suppressive therapy for her renal transplant. CXR on admission consistent with viral pneumonia. Only mild hypoxia on 2L/min nasal cannula on admission. Outside time window for Remdesivir, and her renal function would preclude this in any case. - dexamethasone 6mg daily. - continue supplemental oxygen as needed. -not needing supplemental O2 at discharge. Gave return precautions.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Renal function test, SARS-CoV-2 test positive
Clinical narrative: Case was hospitalized for covid 7 months after completion of vaccination series.  * Pneumonia due to COVID-19 virus Assessment & Plan Symptom onset about 13 days ago with positive COVID-19 test 6 days prior to admission. Fully vaccinated February-March with Pfizer vaccine, but notable that she is on immune suppressive therapy for her renal transplant. CXR on admission consistent with viral pneumonia. Only mild hypoxia on 2L/min nasal cannula on admission. Outside time window for Remdesivir, and her renal function would preclude this in any case. - dexamethasone 6mg daily. - continue supplemental oxygen as needed. -not needing supplemental O2 at discharge. Gave return precautions.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness
Clinical narrative: *19:49 Vaccinator vaccinated minor client 19:50 Client losses consciousness falls forward to the floor Safety Officer called to assist  client regains consciousness  is A/Ox3 placed in wheelchair taken to Special Obs with mother and sister 19:51 Once in SO client looses consciousness again briefly EMS called by Site Director per Safety Officer request. Client able to get to cot vitals taken 19:53 BP 94/46 P 84 R 16  19:55 BP 98/62 P 74 R 18 19:59 EMS on site Orthostatic vitals taken were negative. EMS discussed transport of client with mother who refused transport documents signed indicating this with EMS client home ambulatory with family
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Blister, Blood test abnormal, Borrelia test negative, Herpes zoster
Clinical narrative: Rash initially started as a single itchy blister distal to injection site on anterior forearm. Rash multiplied into a shingles like rash- made a doctor's appointment and received antiviral medication. After 1 day of medication rash crossed the midline and was told it could be a poison ivy. Steroid cream prescribed and no relief given after several days. Rash continued to spread and evolved into a target lesion rash on both forearms, upper arms, chest, abdomen, thighs, calves, ankles, feet, toes, plantar surface, palms of hands, fingers, neck and face. Returned to doctor and was given a 12 day taper of prednisone. No relief of itching or spreading after 7 days. Rash started healing slowly and after finishing steroid,  rash reappeared on right and left forearms, abdomen and thighs. Was referred to an allergist while on the steroid. Dr. did a blood test for lyme disease and shingles iGg. Lyme was negative, shingles iGg was positive, but not high enough to indicate recent outbreak. Rash started resolving after several days. One week after resolution, rash reappeared and Dr. performed a biopsy. Results of biopsy were hypersensitivity reaction. Rash is still reoccuring as of 11/18/2021.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Pruritus, Rash
Clinical narrative: Rash initially started as a single itchy blister distal to injection site on anterior forearm. Rash multiplied into a shingles like rash- made a doctor's appointment and received antiviral medication. After 1 day of medication rash crossed the midline and was told it could be a poison ivy. Steroid cream prescribed and no relief given after several days. Rash continued to spread and evolved into a target lesion rash on both forearms, upper arms, chest, abdomen, thighs, calves, ankles, feet, toes, plantar surface, palms of hands, fingers, neck and face. Returned to doctor and was given a 12 day taper of prednisone. No relief of itching or spreading after 7 days. Rash started healing slowly and after finishing steroid,  rash reappeared on right and left forearms, abdomen and thighs. Was referred to an allergist while on the steroid. Dr. did a blood test for lyme disease and shingles iGg. Lyme was negative, shingles iGg was positive, but not high enough to indicate recent outbreak. Rash started resolving after several days. One week after resolution, rash reappeared and Dr. performed a biopsy. Results of biopsy were hypersensitivity reaction. Rash is still reoccuring as of 11/18/2021.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness swelling itch at the site of shot
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain
Clinical narrative: Patient stated pain on injection resulting in fairly large lump on her left deltoid.  She did not report this to use until 11/17/2021.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hypertension, Nausea, Panic attack
Clinical narrative: An adult patient received her first dose of the Moderna COVID-19 vaccine.  Approximately 20 minutes later she felt dizzy and nauseated.  I spoke with her and checked her blood pressure which was elevated at 150/100.  She sat down and rested for a while and eventually decided to go home.  She stated that she might be having a panic attack as she has anxiety around vaccines.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Fatigue, Headache, Pain
Clinical narrative: pounding headache    ears ringing          threw up friday pm  3x,  fever,   tired.  achy, dizzy, no appetite. until monday.  11/15/2021.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus, Vomiting
Clinical narrative: pounding headache    ears ringing          threw up friday pm  3x,  fever,   tired.  achy, dizzy, no appetite. until monday.  11/15/2021.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Muscular weakness, Nausea, Peripheral swelling
Clinical narrative: 11-11-2021 Day 2 arm pit itching and large hive on arm and chest area. Arm is swollen beside injection site not where injection was given. Took Benadryl. Day 3 hives larger and I am nauseated. 11-13,14,15,-2021 I was nauseated, had very bad gushing watery diarrhea and was unable to do anything except rest. Was very weak and my legs could barely hold me up. On 11-16-2021 I felt much better and took no Benadryl. Hives gone and feel fine 11-18-2021.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: 11-11-2021 Day 2 arm pit itching and large hive on arm and chest area. Arm is swollen beside injection site not where injection was given. Took Benadryl. Day 3 hives larger and I am nauseated. 11-13,14,15,-2021 I was nauseated, had very bad gushing watery diarrhea and was unable to do anything except rest. Was very weak and my legs could barely hold me up. On 11-16-2021 I felt much better and took no Benadryl. Hives gone and feel fine 11-18-2021.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Back pain, Chills, Diarrhoea
Clinical narrative: From the J&J vaccine, I never got any adverse reactions. When I got the Moderna booster shot, I developed a high fever (103-105) on said date in the form. Other symptoms that developed after were: muscle aches (particularly the hips, lower back, armpits, and the neck especially), extreme mental fog. A few hours later, with the previous symptoms persisting, I got a little sore throat (not the worst), chills, nausea, congestion, light sensitivity, light-headedness, and headaches on my forehead and behind my eyes. On 11/18/21, my fever and muscle aches have reduced and majority of my symptoms are gone. The only ones that have stayed were the sore throat, nausea, and headache. However, I developed diarrhea on this day as a new symptom. All I have done in terms of treatment was taking Tylenol and Motrin appropriately.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Extra dose administered, Feeling abnormal, Headache, Interchange of vaccine products
Clinical narrative: From the J&J vaccine, I never got any adverse reactions. When I got the Moderna booster shot, I developed a high fever (103-105) on said date in the form. Other symptoms that developed after were: muscle aches (particularly the hips, lower back, armpits, and the neck especially), extreme mental fog. A few hours later, with the previous symptoms persisting, I got a little sore throat (not the worst), chills, nausea, congestion, light sensitivity, light-headedness, and headaches on my forehead and behind my eyes. On 11/18/21, my fever and muscle aches have reduced and majority of my symptoms are gone. The only ones that have stayed were the sore throat, nausea, and headache. However, I developed diarrhea on this day as a new symptom. All I have done in terms of treatment was taking Tylenol and Motrin appropriately.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Neck pain, Oropharyngeal pain, Photophobia
Clinical narrative: From the J&J vaccine, I never got any adverse reactions. When I got the Moderna booster shot, I developed a high fever (103-105) on said date in the form. Other symptoms that developed after were: muscle aches (particularly the hips, lower back, armpits, and the neck especially), extreme mental fog. A few hours later, with the previous symptoms persisting, I got a little sore throat (not the worst), chills, nausea, congestion, light sensitivity, light-headedness, and headaches on my forehead and behind my eyes. On 11/18/21, my fever and muscle aches have reduced and majority of my symptoms are gone. The only ones that have stayed were the sore throat, nausea, and headache. However, I developed diarrhea on this day as a new symptom. All I have done in terms of treatment was taking Tylenol and Motrin appropriately.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion
Clinical narrative: From the J&J vaccine, I never got any adverse reactions. When I got the Moderna booster shot, I developed a high fever (103-105) on said date in the form. Other symptoms that developed after were: muscle aches (particularly the hips, lower back, armpits, and the neck especially), extreme mental fog. A few hours later, with the previous symptoms persisting, I got a little sore throat (not the worst), chills, nausea, congestion, light sensitivity, light-headedness, and headaches on my forehead and behind my eyes. On 11/18/21, my fever and muscle aches have reduced and majority of my symptoms are gone. The only ones that have stayed were the sore throat, nausea, and headache. However, I developed diarrhea on this day as a new symptom. All I have done in terms of treatment was taking Tylenol and Motrin appropriately.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia, Somnambulism
Clinical narrative: Began feeling general fatigue a few hours after second dosage. Approximately 12hrs after dosage I had a fever ranging between 102-104 that lasted for 2.5days. My baseline body temperature runs 94-96. I?ve also noticed 3 separate occurrences of sleep walking after the second dosage. I?ve never had a sleep walking issue ever.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: 10/25/21-Patient listed as deceased as of this date, no records of where or why