chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Ileus, Lipase increased, Nasal congestion, Nothing by mouth order, Pain
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 7/3/21 (EW0176) Pfizer Dose 2 7/24/21 (FA7484) COVID Positive 10/11/21  10/11/21: History is obtained from patient as well as a personal review of records. Patient is a 58-year-old with known history of insulin-dependent diabetes mellitus, hypertension, sleep apnea, tobacco use, pancreatic stricture and other medical problems.  She had multiple episodes of pancreatitis in past.  Has seen Dr.  Pancreatic stents were placed and subsequently removed.  She presents to emergency department with abdominal pain, and other complaints.  She had cough for 1 month.  Has received antibiotics without much relief.  Reports nasal congestion.  Denied fever or chills.  Abdominal pain of 1 day duration.  Located in upper abdomen and radiates to back.  Rated as 5 on a scale of 1-10.  Pain medications help.    It reminded her of previous episodes of pancreatitis.  She had  elevated lipase in emergency department.  CT scan showed  ileus.  Her daughter tested positive for  SARS-CoV-2 last week.  SARS-CoV-2 result pending at the time of my examination.  10/16/21: Patient is a 58-year-old female who presented to the emergency department with some increasing abdominal pain complaints along with a cough.  There had been some nasal congestion with no fever or chills.  Elevated lipase was noted while in the emergency room with a CT scan that showed an ileus.  Patient was treated for abdominal pain secondary to acute on chronic pancreatitis and was initially placed NPO with IV fluids along with as needed pain medications.  In addition to this the patient was also found to have COVID-19 and was treated for this with IV remdesivir.  The patient did slowly improve and did tolerate advancement of her diet.  Patient completed treatment with remdesivir and was briefly on oxygen after she was admitted.  Patient was able to be weaned to room air and tolerated this with normal oxygenation.  On the morning of 10/16/2021 the patient had improved to the point where she was otherwise felt stable for discharge home. The patient's imaging studies, vital signs, laboratory studies, current medications and follow-up plan was all discussed. Patient indicated understanding.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pancreatitis acute, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 7/3/21 (EW0176) Pfizer Dose 2 7/24/21 (FA7484) COVID Positive 10/11/21  10/11/21: History is obtained from patient as well as a personal review of records. Patient is a 58-year-old with known history of insulin-dependent diabetes mellitus, hypertension, sleep apnea, tobacco use, pancreatic stricture and other medical problems.  She had multiple episodes of pancreatitis in past.  Has seen Dr.  Pancreatic stents were placed and subsequently removed.  She presents to emergency department with abdominal pain, and other complaints.  She had cough for 1 month.  Has received antibiotics without much relief.  Reports nasal congestion.  Denied fever or chills.  Abdominal pain of 1 day duration.  Located in upper abdomen and radiates to back.  Rated as 5 on a scale of 1-10.  Pain medications help.    It reminded her of previous episodes of pancreatitis.  She had  elevated lipase in emergency department.  CT scan showed  ileus.  Her daughter tested positive for  SARS-CoV-2 last week.  SARS-CoV-2 result pending at the time of my examination.  10/16/21: Patient is a 58-year-old female who presented to the emergency department with some increasing abdominal pain complaints along with a cough.  There had been some nasal congestion with no fever or chills.  Elevated lipase was noted while in the emergency room with a CT scan that showed an ileus.  Patient was treated for abdominal pain secondary to acute on chronic pancreatitis and was initially placed NPO with IV fluids along with as needed pain medications.  In addition to this the patient was also found to have COVID-19 and was treated for this with IV remdesivir.  The patient did slowly improve and did tolerate advancement of her diet.  Patient completed treatment with remdesivir and was briefly on oxygen after she was admitted.  Patient was able to be weaned to room air and tolerated this with normal oxygenation.  On the morning of 10/16/2021 the patient had improved to the point where she was otherwise felt stable for discharge home. The patient's imaging studies, vital signs, laboratory studies, current medications and follow-up plan was all discussed. Patient indicated understanding.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus both ears?.ringing/buzzing noise
Age: 43.0
Sex: M
Vaccine: FLUC4, TDAP
Symptoms: Arthralgia
Clinical narrative: Shoulder soreness
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Fatigue
Clinical narrative: Presented with SOB, cough,nausea, aches, fatigue: +Covid 4 days PTA; fully vaccinated; admit with covid-19 PNA; TX with remdesivir, steroids, Vit D, zinc; d/c'ed home on room air
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, SARS-CoV-2 test positive
Clinical narrative: Presented with SOB, cough,nausea, aches, fatigue: +Covid 4 days PTA; fully vaccinated; admit with covid-19 PNA; TX with remdesivir, steroids, Vit D, zinc; d/c'ed home on room air
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient was fully vaccinated and boosted, developed COVID19 on 01/05/2022, and passed away on 01/12/2022. mortality review team is currently investigating this death to determine if it was COVID19 related.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Areflexia, Brain death, COVID-19 pneumonia, Cerebellar haemorrhage, Computerised tomogram head abnormal
Clinical narrative: Presented with SOB x 1, productive cough;  admit with Covid 19 PNA; tx with remdesivir, zithromax, steroids, maxipime, doxycycline, veletri, zyvox, merrem,admitted with COVID 19 pneumonia with respiratory failure. The patient was admitted to ICU and admitted the evening of 8/26. He had showed improvement of ventilator requirements but on 9/5 was noted to have fixed and dilated pupils with loss of gag reflex. A STAT CT showed R cerebellar hemorrhage with signs of increased intracranial pressure. Sedation was held and over the next 24 hours the patient had brain perfusion scan which was abnormal as well as EEG showing no brain activity. Brain death was pronounced on 9/6/21
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electroencephalogram abnormal, Intensive care, Intracranial pressure increased, Mechanical ventilation
Clinical narrative: Presented with SOB x 1, productive cough;  admit with Covid 19 PNA; tx with remdesivir, zithromax, steroids, maxipime, doxycycline, veletri, zyvox, merrem,admitted with COVID 19 pneumonia with respiratory failure. The patient was admitted to ICU and admitted the evening of 8/26. He had showed improvement of ventilator requirements but on 9/5 was noted to have fixed and dilated pupils with loss of gag reflex. A STAT CT showed R cerebellar hemorrhage with signs of increased intracranial pressure. Sedation was held and over the next 24 hours the patient had brain perfusion scan which was abnormal as well as EEG showing no brain activity. Brain death was pronounced on 9/6/21
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Perfusion brain scan abnormal, Productive cough, Pupil fixed, Respiratory failure
Clinical narrative: Presented with SOB x 1, productive cough;  admit with Covid 19 PNA; tx with remdesivir, zithromax, steroids, maxipime, doxycycline, veletri, zyvox, merrem,admitted with COVID 19 pneumonia with respiratory failure. The patient was admitted to ICU and admitted the evening of 8/26. He had showed improvement of ventilator requirements but on 9/5 was noted to have fixed and dilated pupils with loss of gag reflex. A STAT CT showed R cerebellar hemorrhage with signs of increased intracranial pressure. Sedation was held and over the next 24 hours the patient had brain perfusion scan which was abnormal as well as EEG showing no brain activity. Brain death was pronounced on 9/6/21
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: patient given Pfizer 5-11  yr Pfizer even though was 14 yrs; did receive appropriate second dose  Pfizer for age 1/21/22
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia, Peripheral swelling, Urticaria
Clinical narrative: Broke out in hives on my midsection, hands and legs and my lower lip was swollen. I also have a tingling sensation from my knee to my ankle on the left leg.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Given Moderna even though under 18 years of age. Patient did not experience any adverse event.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was scheduled for additional (100mcg) dose of Moderna COVID-19 vaccine due to immunocompromised status. Patient received 50mcg dose  instead of 100mcg.  The error being reported at this time: After discovery of the first error, the patient was scheduled to receive an additional 100mcg dose to correct the initial error.  The patient received Moderna 50mcg dose again.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, Fatigue, Pain, Productive cough
Clinical narrative: Presented with SOB, fever, body aches, fatigue, productive cough x 2 days; admit with Covid 19 PNA; tx with  remdesivir, maxipime, steroids, doxycycline, zinc, Vit C, Vit D
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Presented with SOB, fever, body aches, fatigue, productive cough x 2 days; admit with Covid 19 PNA; tx with  remdesivir, maxipime, steroids, doxycycline, zinc, Vit C, Vit D
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered to the patient, was given in error beyond the recommended expiration date. We are consulting with Moderna manuf if it is advised to have the patient repeat vaccine dose.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 70.0
Sex: M
Vaccine: UNK
Symptoms: Back pain, Ear haemorrhage, Epistaxis, Erythema, Intensive care
Clinical narrative: it was the shingles vaccine 2nd dose. stared on 01/08/22 with body aches , nose bleed and ear bleed, next day broke out in open sores first in the face and progressed to the body including inside the mouth, continue with aches and and bloody nose. his 2 legs were covered in what looked like goosebumps the color hot pink, also legs were hot to the touch. his back was hurting sooo bad we called the dr on 01/11/22 called dr and prescribed meds. start meds on 1/12/22 as per dr. symptoms to worsen called dr office on 1/17/22 send us to urgentcare they placed him in the hospital on 1/20/22 the ICU then back to the hospital on 1/21/22 as of today he still in the hospital
Age: 70.0
Sex: M
Vaccine: UNK
Symptoms: Pain, Piloerection, Skin ulcer, Skin warm, Stomatitis
Clinical narrative: it was the shingles vaccine 2nd dose. stared on 01/08/22 with body aches , nose bleed and ear bleed, next day broke out in open sores first in the face and progressed to the body including inside the mouth, continue with aches and and bloody nose. his 2 legs were covered in what looked like goosebumps the color hot pink, also legs were hot to the touch. his back was hurting sooo bad we called the dr on 01/11/22 called dr and prescribed meds. start meds on 1/12/22 as per dr. symptoms to worsen called dr office on 1/17/22 send us to urgentcare they placed him in the hospital on 1/20/22 the ICU then back to the hospital on 1/21/22 as of today he still in the hospital
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: pt given Pfizer 5-11 dose for first dose; 1/21/22 -pt returned and received appropriate Pfizer dose for age
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered to the patient, was given in error beyond the recommended expiration date. We are consulting with Moderna manuf if it is advised to have the patient repeat vaccine dose.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Mydriasis
Clinical narrative: - Patient requested second COVID shot. Within minutes of administration return to exam room to find patient sitting and in a rocking motion on exam table, muttering words and clenching left forearm with right arm, with gaze fixed towards ceiling. Pt initially not following commands, with dilated pupils to 5-6 mm. Preserved consciousness. But within 15-30 seconds, squeezes my hands and releases, changes position on own accord and makes eye contact with ability to talk. Over next 5 min patient continues to bob head, but is ambulatory and demonstrating fine motor function (drinking out of a cup, picking up pen off counter) and verbally appropriate. - Patient has a history of pseudoseizures with multiple repeat  presentations to ED for episodes. Pt has had multiple Head CTs, MRI brain and ambulatory EEG monitoring negative for epileptic or seizure activity. Neurology tapered patient off of Keppra in April of last year, initiated SSRI for anxiety and referred to psychiatry for further assistance with management strategies for anxiety.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine administered after stored at freezer temperature for too long. Patient advised and may get revaccinated.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Patient woke up with a red swollen arm about 2 inches around.  1/23/22 it started to itch and spread.  1/24/22 it has spread to 6 inches around and still itching.
Age: 28.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: MMRV given to 28 year old. Age range is 12 months to 12 years old. Vaccine mistake. Contacted Merck and was indicated per recommendation "if MMRV is given to a person 13 years or older it can be counted as completion towards MMR and Varicella series." No need for patient to come back in, but patient was still notified. Vaccine mistake still reported to facilities safety team and VAERS. Patient had no adverse reaction to vaccine.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site induration, Injection site nodule, Pruritus
Clinical narrative: large hard bump (knot-like) on injection site, very itchy and red
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: sore throat, cough, congestion. starting 1/21/22
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Aspiration pleural cavity, Back pain, COVID-19, Chest X-ray abnormal
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 3/3/21 (013A21A) Moderna Dose 2 3/29/21 (017B21A) COVID Positive 9/24/2021 Hospitalized  9/20/21-10/5/21  10/13/21: History is obtained from patient as well as a personal review of records. The patient is 71-year-old gentleman with known history of cholangiocarcinoma, malignant pleural effusion, recently diagnosed PE, recent COVID19, chronic leukocytosis and other medical problems. His oncologist is Dr. (Privacy). He was hospitalized from 9/20/2021 to 10/5/2021 at the Medical Center. He was discharged to a Nursing and Rehab Center. He was diagnosed with PE on 9/20/2021.  He tested positive for  SARS-CoV-2 on 9/24/2021.  Was treated with remdesivir, dexamethasone and Actemra.  He underwent thoracentesis on 9/28/2021  and pleural fluid showed malignant cells. Please see records from last hospitalization for more details.   He was sent from nursing home to emergency department for white cell count of 32.7.  I reviewed patient's previous records.  His white cell count on 10/4/2021 was 29.91.  Emergency department he was found to have increased oxygen requirement from baseline 2 L to 4 L. Chest x-ray showed moderate bilateral pleural effusions and possible bilateral lung infiltrates.  After coming to floor patient complained of lower back pain and abdominal pain.  Rated the pain as 8 on a scale of 1-10.  No aggravating or relieving factors. Denied fever or chills.  Lab work showed white cell count of 44.08.  Patient was discharged home on Eliquis and dexamethasone.  10/20/21: Patient discharged to hospice.  10/22/21: Patient deceased.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Lung disorder, Pleural effusion, Pleural fluid analysis abnormal, Pulmonary embolism
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 3/3/21 (013A21A) Moderna Dose 2 3/29/21 (017B21A) COVID Positive 9/24/2021 Hospitalized  9/20/21-10/5/21  10/13/21: History is obtained from patient as well as a personal review of records. The patient is 71-year-old gentleman with known history of cholangiocarcinoma, malignant pleural effusion, recently diagnosed PE, recent COVID19, chronic leukocytosis and other medical problems. His oncologist is Dr. (Privacy). He was hospitalized from 9/20/2021 to 10/5/2021 at the Medical Center. He was discharged to a Nursing and Rehab Center. He was diagnosed with PE on 9/20/2021.  He tested positive for  SARS-CoV-2 on 9/24/2021.  Was treated with remdesivir, dexamethasone and Actemra.  He underwent thoracentesis on 9/28/2021  and pleural fluid showed malignant cells. Please see records from last hospitalization for more details.   He was sent from nursing home to emergency department for white cell count of 32.7.  I reviewed patient's previous records.  His white cell count on 10/4/2021 was 29.91.  Emergency department he was found to have increased oxygen requirement from baseline 2 L to 4 L. Chest x-ray showed moderate bilateral pleural effusions and possible bilateral lung infiltrates.  After coming to floor patient complained of lower back pain and abdominal pain.  Rated the pain as 8 on a scale of 1-10.  No aggravating or relieving factors. Denied fever or chills.  Lab work showed white cell count of 44.08.  Patient was discharged home on Eliquis and dexamethasone.  10/20/21: Patient discharged to hospice.  10/22/21: Patient deceased.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection, White blood cell count increased
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 3/3/21 (013A21A) Moderna Dose 2 3/29/21 (017B21A) COVID Positive 9/24/2021 Hospitalized  9/20/21-10/5/21  10/13/21: History is obtained from patient as well as a personal review of records. The patient is 71-year-old gentleman with known history of cholangiocarcinoma, malignant pleural effusion, recently diagnosed PE, recent COVID19, chronic leukocytosis and other medical problems. His oncologist is Dr. (Privacy). He was hospitalized from 9/20/2021 to 10/5/2021 at the Medical Center. He was discharged to a Nursing and Rehab Center. He was diagnosed with PE on 9/20/2021.  He tested positive for  SARS-CoV-2 on 9/24/2021.  Was treated with remdesivir, dexamethasone and Actemra.  He underwent thoracentesis on 9/28/2021  and pleural fluid showed malignant cells. Please see records from last hospitalization for more details.   He was sent from nursing home to emergency department for white cell count of 32.7.  I reviewed patient's previous records.  His white cell count on 10/4/2021 was 29.91.  Emergency department he was found to have increased oxygen requirement from baseline 2 L to 4 L. Chest x-ray showed moderate bilateral pleural effusions and possible bilateral lung infiltrates.  After coming to floor patient complained of lower back pain and abdominal pain.  Rated the pain as 8 on a scale of 1-10.  No aggravating or relieving factors. Denied fever or chills.  Lab work showed white cell count of 44.08.  Patient was discharged home on Eliquis and dexamethasone.  10/20/21: Patient discharged to hospice.  10/22/21: Patient deceased.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Arthralgia, Blood test abnormal, C-reactive protein increased, Disturbance in attention
Clinical narrative: I had extreme pain in my right knee and ankles.  I then started not being able to move my right shoulder. I was having trouble concentrating and extremely tired 48 hours after the shot.  I waited 45 days after the shot to seek medical attention due to the information received about the vaccine from the lab. By the time I went to a doc in the box, I was barely able to move. I had to have assistance opening up the car door and walking into the doctor's office. The first doctor gave me Tramadol 100 MLG tables and told me to go see an Orthopedic doctor.  I set an appointment to see an orthopedic doctor who diagnosed me with a frozen shoulder but could not explain the pain in my knee ankles neck and upper body.  He asked me to do some blood work to check on some things. After receiving my results he informed me to see an RA doctor.  I saw Dr., she started me on Methotrexate 2.5 MG  and ordered blood work.  She then diagnosed me with RA.  However, the Methotrexate is not working.  More blood work was taken.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Haemoglobin decreased, Injected limb mobility decreased, Loss of personal independence in daily activities
Clinical narrative: I had extreme pain in my right knee and ankles.  I then started not being able to move my right shoulder. I was having trouble concentrating and extremely tired 48 hours after the shot.  I waited 45 days after the shot to seek medical attention due to the information received about the vaccine from the lab. By the time I went to a doc in the box, I was barely able to move. I had to have assistance opening up the car door and walking into the doctor's office. The first doctor gave me Tramadol 100 MLG tables and told me to go see an Orthopedic doctor.  I set an appointment to see an orthopedic doctor who diagnosed me with a frozen shoulder but could not explain the pain in my knee ankles neck and upper body.  He asked me to do some blood work to check on some things. After receiving my results he informed me to see an RA doctor.  I saw Dr., she started me on Methotrexate 2.5 MG  and ordered blood work.  She then diagnosed me with RA.  However, the Methotrexate is not working.  More blood work was taken.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Neck pain, Pain, Periarthritis, Platelet count increased
Clinical narrative: I had extreme pain in my right knee and ankles.  I then started not being able to move my right shoulder. I was having trouble concentrating and extremely tired 48 hours after the shot.  I waited 45 days after the shot to seek medical attention due to the information received about the vaccine from the lab. By the time I went to a doc in the box, I was barely able to move. I had to have assistance opening up the car door and walking into the doctor's office. The first doctor gave me Tramadol 100 MLG tables and told me to go see an Orthopedic doctor.  I set an appointment to see an orthopedic doctor who diagnosed me with a frozen shoulder but could not explain the pain in my knee ankles neck and upper body.  He asked me to do some blood work to check on some things. After receiving my results he informed me to see an RA doctor.  I saw Dr., she started me on Methotrexate 2.5 MG  and ordered blood work.  She then diagnosed me with RA.  However, the Methotrexate is not working.  More blood work was taken.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, Red cell distribution width increased, Rheumatoid arthritis, Rheumatoid factor negative
Clinical narrative: I had extreme pain in my right knee and ankles.  I then started not being able to move my right shoulder. I was having trouble concentrating and extremely tired 48 hours after the shot.  I waited 45 days after the shot to seek medical attention due to the information received about the vaccine from the lab. By the time I went to a doc in the box, I was barely able to move. I had to have assistance opening up the car door and walking into the doctor's office. The first doctor gave me Tramadol 100 MLG tables and told me to go see an Orthopedic doctor.  I set an appointment to see an orthopedic doctor who diagnosed me with a frozen shoulder but could not explain the pain in my knee ankles neck and upper body.  He asked me to do some blood work to check on some things. After receiving my results he informed me to see an RA doctor.  I saw Dr., she started me on Methotrexate 2.5 MG  and ordered blood work.  She then diagnosed me with RA.  However, the Methotrexate is not working.  More blood work was taken.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient was given an incorrectly dilute COVID Vaccination.  Was given a pediatric COVID vaccine that was diluted as if adult dosage.  Patient was given repeat Vaccination with correct dose on 12/8/21.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Anuria, COVID-19, Cough, Death, Dyspnoea
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 3/10/21 (040A21A) Moderna Dose 2 4/7/21 (006B21A) COVID Positive 11/2/21  11/2/21: Patient is an 82 male with pmhx of diabetes and hyperlipidemia coming in for shortness of breath of a few weeks duration. patient says he has been feeling short of breath especially with ambualtion for the past few weeks. he accompanied his wife to her clinic appointment, and supposedly was advised by the doctor there to go to the er as he was not looking too good. patient says he doesnt have any fevers, but has minimal coughing, nonbloody. he denies any chest pains. no nausea or vomiting. no diarrhea. he has been vaccinated against covid x2. he has known lung mass that is being followed by his pcp, with low suspicion for cancer.  11/12/21: Patient is an 82 male with pmhx of diabetes and hyperlipidemia coming in for shortness of breath of a few weeks duration. patient says he has been feeling short of breath especially with ambualtion for the past few weeks. he accompanied his wife to her clinic appointment, and supposedly was advised by the doctor there to go to the er as he was not looking too good. patient says he doesnt have any fevers, but has minimal coughing, nonbloody. he denies any chest pains. no nausea or vomiting. no diarrhea. he has been vaccinated against covid x2. he has known lung mass that is being followed by his pcp, with low suspicion for cancer.  Patient was admitted to icu for increasing oxygen requirements. pulmonary was consulted, and pateitn started on remdesivir and dexamethasone as well as antibiotics. he continued to desaturate, until he eventually required intubation 11/06/2021. he developed worsening renal function, with nephrology recommending possible dialysis for his anuria. eventually family elected to make patient comfort care. patient expired 11/12/2021.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Endotracheal intubation, General physical condition abnormal, Intensive care, Oxygen saturation decreased
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 3/10/21 (040A21A) Moderna Dose 2 4/7/21 (006B21A) COVID Positive 11/2/21  11/2/21: Patient is an 82 male with pmhx of diabetes and hyperlipidemia coming in for shortness of breath of a few weeks duration. patient says he has been feeling short of breath especially with ambualtion for the past few weeks. he accompanied his wife to her clinic appointment, and supposedly was advised by the doctor there to go to the er as he was not looking too good. patient says he doesnt have any fevers, but has minimal coughing, nonbloody. he denies any chest pains. no nausea or vomiting. no diarrhea. he has been vaccinated against covid x2. he has known lung mass that is being followed by his pcp, with low suspicion for cancer.  11/12/21: Patient is an 82 male with pmhx of diabetes and hyperlipidemia coming in for shortness of breath of a few weeks duration. patient says he has been feeling short of breath especially with ambualtion for the past few weeks. he accompanied his wife to her clinic appointment, and supposedly was advised by the doctor there to go to the er as he was not looking too good. patient says he doesnt have any fevers, but has minimal coughing, nonbloody. he denies any chest pains. no nausea or vomiting. no diarrhea. he has been vaccinated against covid x2. he has known lung mass that is being followed by his pcp, with low suspicion for cancer.  Patient was admitted to icu for increasing oxygen requirements. pulmonary was consulted, and pateitn started on remdesivir and dexamethasone as well as antibiotics. he continued to desaturate, until he eventually required intubation 11/06/2021. he developed worsening renal function, with nephrology recommending possible dialysis for his anuria. eventually family elected to make patient comfort care. patient expired 11/12/2021.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Renal impairment, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 3/10/21 (040A21A) Moderna Dose 2 4/7/21 (006B21A) COVID Positive 11/2/21  11/2/21: Patient is an 82 male with pmhx of diabetes and hyperlipidemia coming in for shortness of breath of a few weeks duration. patient says he has been feeling short of breath especially with ambualtion for the past few weeks. he accompanied his wife to her clinic appointment, and supposedly was advised by the doctor there to go to the er as he was not looking too good. patient says he doesnt have any fevers, but has minimal coughing, nonbloody. he denies any chest pains. no nausea or vomiting. no diarrhea. he has been vaccinated against covid x2. he has known lung mass that is being followed by his pcp, with low suspicion for cancer.  11/12/21: Patient is an 82 male with pmhx of diabetes and hyperlipidemia coming in for shortness of breath of a few weeks duration. patient says he has been feeling short of breath especially with ambualtion for the past few weeks. he accompanied his wife to her clinic appointment, and supposedly was advised by the doctor there to go to the er as he was not looking too good. patient says he doesnt have any fevers, but has minimal coughing, nonbloody. he denies any chest pains. no nausea or vomiting. no diarrhea. he has been vaccinated against covid x2. he has known lung mass that is being followed by his pcp, with low suspicion for cancer.  Patient was admitted to icu for increasing oxygen requirements. pulmonary was consulted, and pateitn started on remdesivir and dexamethasone as well as antibiotics. he continued to desaturate, until he eventually required intubation 11/06/2021. he developed worsening renal function, with nephrology recommending possible dialysis for his anuria. eventually family elected to make patient comfort care. patient expired 11/12/2021.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Pain in extremity
Clinical narrative: left arm painful induration
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Oropharyngeal pain
Clinical narrative: Cough, sore throat, headache
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Pruritus, Rash macular, Urticaria
Clinical narrative: Hives both itchy and burning, red area in neck like a sunburn and itched and burned, wrist and hands hives with itch and burn, hives on upper arms and upper inner thighs that went from small hives to big blotchy areas in minutes (Ironically, these ares did not itch)- my family Dr. could not see me for a week so went to local HCF- given claritin and hydrocortisone cream- hives would come and go- Saw my dermatologist, emergency appt., June 22- She prescribed Zyrtec and a cream specific to the neck area, Mometasone Furoate 0.1%.  Hives resolved over time. I have pictures on my cell.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient was given incorrectly diluted COVID vaccination.  Was given a pediatric dose diluted as if an adult dose. Patient has not been able to be contacted for repeat vaccination after multiple attempts
Age: 10.0
Sex: F
Vaccine: UNK
Symptoms: Dysphagia, Lip swelling, Throat tightness
Clinical narrative: 11:25am Patient complained of throat tightness and mild difficulty with swallowing then developed lip swelling.  EMS was called, epi-pen IM  and Bendadryl IM adminstered.  Patient transferred to emergency room.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Erythema, Heart rate increased, Myalgia
Clinical narrative: The first few days I experienced the expected post covid vaccine symptoms, I had fever, chills, sore arm, muscle aches, joint pains, and tachycardia (I have my fibit data that shows my resting HR and how elevated it was compared to my normal one pre covid shot). Then exactly 2 weeks after my first shot, the palms of my hands started to itch that afternoon. From then, it just got worse. My whole body had different areas/patches of redness and itchiness (I took pictures). I decided to wait until Monday to see someone via video appointment. They recommended to take cetirizine and benadryl. I tried and benadryl made me feel dizzy and a head feeling I did not like. So I have been taking Cetirizine since then. I have been taking 5mg and 10mg on bad days. I do not take it everyday because I am waiting to see when the effects of the cetirizine go away if it gets better and it seems like it does, but the patches are still popping and I try not to scratch it but even tags on clothing or my own long hair seems to make the red spot even redder and makes it itchier. It's been a month with this and I am worried about the future booster and how long this reaction will last if I am depending on ceterizine to keep this rash controlled.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Tachycardia
Clinical narrative: The first few days I experienced the expected post covid vaccine symptoms, I had fever, chills, sore arm, muscle aches, joint pains, and tachycardia (I have my fibit data that shows my resting HR and how elevated it was compared to my normal one pre covid shot). Then exactly 2 weeks after my first shot, the palms of my hands started to itch that afternoon. From then, it just got worse. My whole body had different areas/patches of redness and itchiness (I took pictures). I decided to wait until Monday to see someone via video appointment. They recommended to take cetirizine and benadryl. I tried and benadryl made me feel dizzy and a head feeling I did not like. So I have been taking Cetirizine since then. I have been taking 5mg and 10mg on bad days. I do not take it everyday because I am waiting to see when the effects of the cetirizine go away if it gets better and it seems like it does, but the patches are still popping and I try not to scratch it but even tags on clothing or my own long hair seems to make the red spot even redder and makes it itchier. It's been a month with this and I am worried about the future booster and how long this reaction will last if I am depending on ceterizine to keep this rash controlled.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: Delayed menstrual period, 2 months post vaccination without a menstrual cycle since (normally a 21 day cycle)
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after stored at freezer temperature for too long. Patient advised and may get revaccinated.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain, COVID-19, Cough, Dyspnoea
Clinical narrative: I had no fever or nauseas, but two days after the vaccine I had pain in my right armpit. I checked the armpit and discovered a lump. The pain lasted for about a week. The lump of swollen lymph nodes were there for about 3 weeks. I also cought covid for the 2nd time but I wear a mask everywhere I go so I don't know how I was exposed. I started with a slight cough then it progressed badly to a bad cough. I went to the doctor and had a positive covid test. I had drainage and severe coughs. I also got short of breath. I tried to get the covid infusion but I didn't qualify for it. I've been doing breathing treatments every 4 hours. I was prescribed prednisone. I was off work for 2 weeks.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, SARS-CoV-2 test positive
Clinical narrative: I had no fever or nauseas, but two days after the vaccine I had pain in my right armpit. I checked the armpit and discovered a lump. The pain lasted for about a week. The lump of swollen lymph nodes were there for about 3 weeks. I also cought covid for the 2nd time but I wear a mask everywhere I go so I don't know how I was exposed. I started with a slight cough then it progressed badly to a bad cough. I went to the doctor and had a positive covid test. I had drainage and severe coughs. I also got short of breath. I tried to get the covid infusion but I didn't qualify for it. I've been doing breathing treatments every 4 hours. I was prescribed prednisone. I was off work for 2 weeks.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Injection site pain
Clinical narrative: long term weakness and pain at injection site ( tricep ) beginning week after shot and still present 80 days later
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Caught Covid in January after being fully vaccinated with 2 Pfizer vaccines
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: After vaccination patient felt intense pain in left arm, about an hour so after. Pain continues, limited mobility, seen by Doctor in August, and is currently in physical therapy which begin in September.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Hypotension, Rhinorrhoea, Syncope
Clinical narrative: Presented with syncope, hypotension, mild covid symtpoms (runny nose, fatigue); admit with syncope; covid (no pna)-
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram head normal, Facial paralysis
Clinical narrative: left side facial paralysis, unable to move face. Went to ER locally  ER Doc diagnosed with bells palsy on 1/20
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Presented with SOB, cough x10 days; fatigue, nausea, body aches, fever, loss of taste & smell, diarrhea; admitted with Covid PNA; tx with maxipime, steroids, remdesivir, zinc, vit C, vit D, supplemental O2 Patient did not need home oxygen Upon arrival to the ED he was found to be hypoxic with chest x-ray revealing bilateral infiltrates Patient tested positive for COVID-19 on August 19, 2021
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Fatigue, Hypoxia
Clinical narrative: Presented with SOB, cough x10 days; fatigue, nausea, body aches, fever, loss of taste & smell, diarrhea; admitted with Covid PNA; tx with maxipime, steroids, remdesivir, zinc, vit C, vit D, supplemental O2 Patient did not need home oxygen Upon arrival to the ED he was found to be hypoxic with chest x-ray revealing bilateral infiltrates Patient tested positive for COVID-19 on August 19, 2021
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Nausea, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented with SOB, cough x10 days; fatigue, nausea, body aches, fever, loss of taste & smell, diarrhea; admitted with Covid PNA; tx with maxipime, steroids, remdesivir, zinc, vit C, vit D, supplemental O2 Patient did not need home oxygen Upon arrival to the ED he was found to be hypoxic with chest x-ray revealing bilateral infiltrates Patient tested positive for COVID-19 on August 19, 2021
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Feeling drunk, Impaired driving ability, Loss of personal independence in daily activities, Vertigo
Clinical narrative: Extreme vertigo...has 3 sessions of vestibular therapy which did not resolve symptoms. Still have debilitating vertigo and cannot drive or even leave my house. Feel drunk constantly.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: Have not had a menstrual cycle since receiving the vaccine
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Feeling cold, Hyperhidrosis, Seizure like phenomena, Syncope
Clinical narrative: Patient had syncopal episode approx. 7-10 minutes post vaccination while sitting in waiting area. Partner reports patient had seizure-like episode and was shaking. Duration is unknown, partner reports about 30 seconds. Then notified clinic staff. Patient was brought into clinic room and had return of consciousness. She was diaphoretic, with cool and clammy skin. Kept laying inclined on patient on exam table for post monitoring. A/Ox3, vital signs stable. She reports hx of fainting in past post blood draw but has not experienced with vaccination. Skin tone returned to normal. Patient reports feeling better after post monitoring. Partner will transport home via personal vehicle.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Patient had syncopal episode approx. 7-10 minutes post vaccination while sitting in waiting area. Partner reports patient had seizure-like episode and was shaking. Duration is unknown, partner reports about 30 seconds. Then notified clinic staff. Patient was brought into clinic room and had return of consciousness. She was diaphoretic, with cool and clammy skin. Kept laying inclined on patient on exam table for post monitoring. A/Ox3, vital signs stable. She reports hx of fainting in past post blood draw but has not experienced with vaccination. Skin tone returned to normal. Patient reports feeling better after post monitoring. Partner will transport home via personal vehicle.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Tachycardia
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient was 17 yo at the time of vaccine administration and he received his first dose as a Moderna vaccine.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored out of range - in freezer for greater than 14 days; offered revaccination and patient denied
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Pain in extremity, Sleep disorder, X-ray
Clinical narrative: I have a constant ache and limited range of motion in my left arm, sometimes throbbing and interrupting sleep. Sometimes I feel dull, sharp pains down the left arm to fingers of my left hand.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 55.0
Sex: U
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Nausea, Vomiting
Clinical narrative: lt headed, fatigue, N&V
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received booster today only 3 ½ months after 3rd dose of Pfizer. Patient received his 3rd dose at another facility on 10/04/2022. Patient was fine after booster. We will follow-up with PCP.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity, Rotator cuff syndrome, Sleep disorder
Clinical narrative: Left arm soreness present the day after vaccine injection never fully resolved, continued to go to the gym for about 4-6 weeks post-vaccine but could not use the usual weights for any exercises involving the left shoulder (0-5 lbs instead of the usual 12-15 lbs).  Exam consistent with shoulder impingement. Tried anti-inflammatory medication (Celebrex) without relief. Could not sleep through the night, woke up 2 or 3 times/night with left upper arm pain. Started physical therapy December 2021 (about 2 mos post-vaccine). Eval today showed improvement with continued decrease in range of motion. Plan to continue PT.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
Clinical narrative: Left arm soreness present the day after vaccine injection never fully resolved, continued to go to the gym for about 4-6 weeks post-vaccine but could not use the usual weights for any exercises involving the left shoulder (0-5 lbs instead of the usual 12-15 lbs).  Exam consistent with shoulder impingement. Tried anti-inflammatory medication (Celebrex) without relief. Could not sleep through the night, woke up 2 or 3 times/night with left upper arm pain. Started physical therapy December 2021 (about 2 mos post-vaccine). Eval today showed improvement with continued decrease in range of motion. Plan to continue PT.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope 5 minutes after receiving shot
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Sinus headache, Urticaria
Clinical narrative: Headache, similar to a sinus Headache. Lasting approximately 24hrs Higher heart rate overnight, the night of the shot, 85 vs an average around 55. Hives covering neck and chest. Still bright, but not bad at joints at this time.  Lasting ?24hrs.  Similar symptoms as first shots, but more intense.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt was filling dizzy, states she had lots of anxiety. She laid down for about 20 minutes after which she stated she felt better. Her pulse was normal.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.