chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Client Nauseous within 10-15 minutes after vaccination, Vomited 4 times. Client reports feeling better after vomiting. Pt was monitored for 30 minutes after getting sick.  Pt reports feeling normal at time of departure
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash macular, SARS-CoV-2 test negative
Clinical narrative: I received the vaccine Monday and didn't notice anything Tuesday however I did not look at myself on Tuesday so I can't say if anything started Tuesday or not.  Wednesday morning I noticed red blotches all over my neck, torso/stomach, back, arms, top of legs.  It started off as red spots, then turned to very large darker red splotches over the rest of the day into evening.  No itching, burning or pain.  I did not take any medication for it or put anything on my skin.  Thursday the blotches were less noticeable.  Friday the blotchy areas were a very faint pink.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Muscle spasms, Nausea
Clinical narrative: PATIENT REPORTED FEELING DIZZY AND LIGHT-HEADED WITHIN TEN MINUTES OF RECEIVING VACCINE. SHE FELT NAUSEATED  AND STATED SHE FELT LIKE SHE DID WHEN SHE HAD AN ALLERGIC REACTION TO A BEE STING THAT REQUIRED AND EPI-PEN. WE BEGAN ASSESSING THE PATIENT FOR ANAPHYLAXIS. WE GAVE DIPHENHYDRAMINE 50 MG ORALLY AND MONITORED HER HEART RATE AND BLOOD PRESSURE. HER BLOOD PRESSURE AND HEART RATE STAYED WITHIN NORMAL RANGE FOR THE NEXT 45 MINUTES. SHE REPORTED NO ANGIOEDEMA OR ANY OTHER SYMPTOMS OF ANAPHYLAXIS. WE ALSO ADMINISTERED FAMOTIDINE 20 MG TABLET. SHE CONTINUED TO DO WELL AND DID NOT EXHIBIT ANY OTHER SIGNS OF ANAPHYLAXIS. AFTER 45 MINUTES OF MONITORING THE PATIENT WITH SYMPTOMATIC QUESTIONS FOR ANAPHYLAXIS, MONITORING HER BLOOD PRESSURE AND HEART RATE, AND WITH NO OTHER SIGNS OF ANAPHYLAXIS, THE PATIENT WAS RELEASED FROM OBSERVATION. SHE REPORTED TO OUR PHARMACY ON 3/5/21 THAT SHE HAS CONTINUED TO HAVE SEVERE MUSCLE CRAMPING, SOME NAUSEA AND OVERALL FATIGUE. I COUNSELED THE PATIENT TO CONTINUE TO MAKE SURE SHE CONTINUES TO STAY WELL HYDRATED. SHE CONSULTED WITH MD AND HE ADVISED HER TO STAY HYDRATED. SHE ALSO TOOK PREDNISONE PRESCRIBED FOR A PREVIOUS KNEE INJURY, THAT THE PATIENT REPORTED.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Oropharyngeal pain
Clinical narrative: Sore throat, pain in the ear
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia
Clinical narrative: Muscle and joint pain in neck, shoulder, elbows, and wrists
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Injection site pain, redness, swelling and itching exceeding 10 days after injection
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Peripheral swelling, Rash, Swelling, Swelling face
Clinical narrative: Rash and swelling.  Begins one week after shot.  Worse second shot. On arm, rib cage, flank, back, neck and face  Had to use hydrocortisone, Benadryl, Zyrtec, and medrol pak
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Delayed local injection site reaction starting about a week after injection - large erythematous splotch on upper left arm, deltoid area. Not pain, fever, or itching. Resolved within 24 hours.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Dizziness, Headache, Injection site swelling, Pain
Clinical narrative: Arm Pain - onset 6h post injection Body aches - 24h post injection Arm pit pain & swelling - 34h post injection Headache -34h post injection  Injection site swelling/lump - 38h post injection Lightheaded - 44h post injection
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Arm Pain - onset 6h post injection Body aches - 24h post injection Arm pit pain & swelling - 34h post injection Headache -34h post injection  Injection site swelling/lump - 38h post injection Lightheaded - 44h post injection
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swelling in left axillary lymph node and left chest wall.  Instructed to wait one week and then have an ultrasound done - ultrasound will be scheduled the week of 03/15/2021 if swelling has not resolved.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Around 08:40 am, during administration, less than half of the authorized amount of the vaccine squirted out of patient's arm.  Per CDC guidelines, the vaccine does not need to be administered again at this time. Patient will get the authorized amount of vaccine at her scheduled date for the second dose on April 2, 2021.  Two weeks after administration of her second dose, patient will return to clinic for antibody testing.  Pt was notified of this information and agreed with plan.
Age: 65.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Clinician reconstituted with 0.8 instead of 1.8 cc saline
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given an expired vaccine, vaccine expired at 1230pm, and was given at 132pm, patient was contacted and came in 3/5/21 to be revaccinated.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Seizure like phenomena, Vaccine positive rechallenge
Clinical narrative: The vaccine was administered to the patient in the consultation room. Once we left the consultation room, after about 2 minutes, the patient got my attention and complained of feeling dizzy. I went to her side, and she told me that she felt like she was going to pass out. The patient then proceeded to lose consciousness while sitting in a chair in the waiting area. She then exhibited seizure-like movements (muscles contracted, groaning sounds) for about 10 seconds, and she then regained consciousness. I administered no treatment, since this did not exhibit the signs of an anaphylactic reaction. 911 was called, and emergency medical services arrived. The patient was then taken to the hospital. The patient stated that she has had a similar reaction in the past to getting a vaccine, she thinks it is from the stress of getting injected with a needle.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever 104.5
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Heart rate increased, Nausea, Palpitations
Clinical narrative: Patient received covid vaccine and during observation reported palpitations and nausea. Patient stated that her normal heart rate was 75 BPM and normal BP 90/ 60. During the episode BP ranged from 110 /80 to 150/ 85 with heart rate of 88 to 80 BPM. Patient reported being anxious. No signs or symptoms of anaphylactic reaction. Patient was discharged to self after 30 minutes.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site mass, Injection site pain, Lymphadenopathy, Pain
Clinical narrative: Pain at injection site returned after initially resolving (first noticed on day 6 and ongoing). Soreness when raising arm returned after initially resolving (first noticed on day 6 and ongoing). Hard lump at injection site (day 6, resolved after a day). Swollen axillary lymph node (first noticed around day 4 or 5 and ongoing).  Itchy, spreading, red rash (first noticed on day 9).
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Pain at injection site returned after initially resolving (first noticed on day 6 and ongoing). Soreness when raising arm returned after initially resolving (first noticed on day 6 and ongoing). Hard lump at injection site (day 6, resolved after a day). Swollen axillary lymph node (first noticed around day 4 or 5 and ongoing).  Itchy, spreading, red rash (first noticed on day 9).
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Burning sensation, Dyspnoea, Headache, Heart rate increased
Clinical narrative: Patient started not feeling well the night after receiving vaccine.  Next day patient had flu like symptoms, headache, anxiety, increased heart rate and trouble breathing.  Patient also presented  with rash located back of neck and back - red, painful, burning and itching rash - painful to sleep on back the night after receiving the vaccine
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Malaise, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Patient started not feeling well the night after receiving vaccine.  Next day patient had flu like symptoms, headache, anxiety, increased heart rate and trouble breathing.  Patient also presented  with rash located back of neck and back - red, painful, burning and itching rash - painful to sleep on back the night after receiving the vaccine
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Patient started not feeling well the night after receiving vaccine.  Next day patient had flu like symptoms, headache, anxiety, increased heart rate and trouble breathing.  Patient also presented  with rash located back of neck and back - red, painful, burning and itching rash - painful to sleep on back the night after receiving the vaccine
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Clinician reconstituted with 0.8 instead of 1.8 cc saline
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin
Clinical narrative: Extremely dry scalp (spot at top right side of head and behind left ear)
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Paraesthesia
Clinical narrative: Finger tingling, dark purple bruise to left lateral AC x 2, one slightly above and one slightly AC, slightly left lateral to AC.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Mental impairment, Musculoskeletal stiffness
Clinical narrative: I got very dizzy at the time of injection and the room was spinning, I sat for 30 minutes and they watched me and let me go after. I immediately begin to feel very tired and couldn't think, my neck began to hurt and feel stiff and started having  chills and still having chills.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: I got very dizzy at the time of injection and the room was spinning, I sat for 30 minutes and they watched me and let me go after. I immediately begin to feel very tired and couldn't think, my neck began to hurt and feel stiff and started having  chills and still having chills.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pruritus, Rash
Clinical narrative: about 24 hours later, I started feeling chill, tire and rash on my stomach, feel itchy on my back but very small area. Rash got spread out little by little as day go by, and the chill and tirdness are the same.  Rash spread my whole from but not the breast area and the part of the back , my inner upper arm and inner thigh but not a big area.  I went to see doctor on the 5 of March and doctor give me Hydroxyzine to take.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Insomnia, Malaise, Pain in extremity, Pyrexia
Clinical narrative: reported severed arm pain, "bone pain" fever up to 102, insomnia, and general unwell
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Body temperature increased, Discomfort, Injection site reaction, Neck pain
Clinical narrative: Moderna COVID-19 Vaccine EUA 02/18/21 - achy back and neck (beyond ?normal? for me) - left arm sore 3/10 - pink rash near injection site - temp: 100.3 (normal 98 or below);  Tylenol was not strong enough to relieve discomfort - took Aleve;  improved on Friday 02/19/21;  much better on Saturday 02/20/21;  back to my ?normal? Sunday 02/21/21
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash erythematous
Clinical narrative: Moderna COVID-19 Vaccine EUA 02/18/21 - achy back and neck (beyond ?normal? for me) - left arm sore 3/10 - pink rash near injection site - temp: 100.3 (normal 98 or below);  Tylenol was not strong enough to relieve discomfort - took Aleve;  improved on Friday 02/19/21;  much better on Saturday 02/20/21;  back to my ?normal? Sunday 02/21/21
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Arm is very red and hot to the touch and itchy. Doctor prescribed antibiotics
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Day 8: in am reddened area at injection site. By evening larger, redder, itchy.  Day 9: In am less red but much larger area on upper arm.  Less itchy.  My doctor recommended I get checked so I got checked: no infection , was improving significantly by day 10/11.  Then went away completely.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Lymph node pain, Muscular weakness
Clinical narrative: Severe fatigue the morning following the vaccine (about 22 hours after the shot), which lasted only about an hour. At about 7:00 pm the same day I developed fever, chills, lymph node pain, fatigue, coughing, sneezing. These symptoms lasted about four hours. Four about three days after the shot I had muscle weakness.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sneezing
Clinical narrative: Severe fatigue the morning following the vaccine (about 22 hours after the shot), which lasted only about an hour. At about 7:00 pm the same day I developed fever, chills, lymph node pain, fatigue, coughing, sneezing. These symptoms lasted about four hours. Four about three days after the shot I had muscle weakness.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Fatigue, Feeling abnormal, Influenza like illness, Injection site pain
Clinical narrative: About an hour after the shot, I felt some tingling in my face; that was followed by a few odd sensations, all of which are basically the same as when I have a flu shot.  Eight hours after the shot, I noticed that I was smelling smoke; my sense of smell started to do weird things an hour before (for example, smelling rotten food in the fridge), but this became clear when the smoke smell started.  Over the first 48 hours, my left arm was sore (sore to touch at 24 hours, gone at 48), and I had some mild flu symptoms (sore throat, stuffy nose, fatigue), plus some chest "tightness" which I have been feeling from time to time since March 2020.  The flu-like symptoms were all basically gone except the stuffy nose.  I still have a slight stuffy nose, and the strange smell issue.  I have been able to smell things fine all along, it's just overlaid with a smell that started as smoke or BBQ, and varies in strength; it's a bit like smelling dirt now.  It's always possible this is coincidental, but I wasn't exposed to smoke or anything that I think could cause my nose to go haywire.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Paraesthesia, Parosmia
Clinical narrative: About an hour after the shot, I felt some tingling in my face; that was followed by a few odd sensations, all of which are basically the same as when I have a flu shot.  Eight hours after the shot, I noticed that I was smelling smoke; my sense of smell started to do weird things an hour before (for example, smelling rotten food in the fridge), but this became clear when the smoke smell started.  Over the first 48 hours, my left arm was sore (sore to touch at 24 hours, gone at 48), and I had some mild flu symptoms (sore throat, stuffy nose, fatigue), plus some chest "tightness" which I have been feeling from time to time since March 2020.  The flu-like symptoms were all basically gone except the stuffy nose.  I still have a slight stuffy nose, and the strange smell issue.  I have been able to smell things fine all along, it's just overlaid with a smell that started as smoke or BBQ, and varies in strength; it's a bit like smelling dirt now.  It's always possible this is coincidental, but I wasn't exposed to smoke or anything that I think could cause my nose to go haywire.
Sex: U
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: COVID-19 VACCINE - Patient received 1st dose of Moderna on 2/2/21.   Was scheduled to receive 2nd dose on 3/3/21.   Pfizer vaccine was administered in error on 3/3/21 as second dose.       No symptoms reported by patient's husband on 3/5/21.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Clinician reconstituted with 0.8 instead of 1.8 cc saline
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysgeusia, Fatigue, Swollen tongue, Tongue blistering
Clinical narrative: 15 minutes after injection, customer complained about metallic taste, tongue slightly swollen with small bubbles on each side of tongue. No difficulty in breathing. We asked to stay 15 minutes more for observation. Had tightness in the chest 5 minutes later. Called 911. Operator asks not to give water/benadryl/epipen.  EMT arrived 5 minutes later and assessed.  Watch 15-20 minutes later walked her out to car. We checked 6:45 pm still have metallic taste and just little swollen on tongue.  Called 3/5/21 @ 2:30pm no more symptoms., only from the JNJ shot. tiredness
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Disturbance in attention, Influenza like illness, Myalgia
Clinical narrative: Total body muscular aching, chills, can't think straight; loss of appetite The flu like symptoms abated 24 hours later; but still not thinking straight.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Swelling in upper arm with redness and soreness.   Progressed to include itchiness. Lasted about 14 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Headache, fever 101, achy all over, sinuses, fatique, right arm swollen red all over, rash under arm, very painful. took Ibuprophen. In bed all day in pain. First dose just sore arm ONLY.   I AM A REDHEAD, Allergic reaction to over 65 Flu shot and 1st dose of Shingles. Do no have information on those. Same reactions as the covid vaccinations.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pain, Pyrexia, Sinusitis
Clinical narrative: Headache, fever 101, achy all over, sinuses, fatique, right arm swollen red all over, rash under arm, very painful. took Ibuprophen. In bed all day in pain. First dose just sore arm ONLY.   I AM A REDHEAD, Allergic reaction to over 65 Flu shot and 1st dose of Shingles. Do no have information on those. Same reactions as the covid vaccinations.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site warmth
Clinical narrative: The evening of day 11 post vaccine I noticed my L upper arm was itching.  The next day there was a large warm, red and very itchy area surrounding the site of my second Covid vaccine.  I researched this and found that this had been reported but it was rare.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Nausea, Pyrexia
Clinical narrative: Approximately 24 hours after 2md shot Fever was greater than 105, chills, nausea and upset stomach. Highest fever was after taking tylenol, 2 hours later taking advil and 2 hours later tylenol. After 4 doses of fever reducer and cool compresses it started to come down. Then went back up 30 hours later. Stomach upset for appr. 2 weeks.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dizziness, Headache, Nasal pruritus
Clinical narrative: Blurred vision, dizziness, itching, tightness of chest, headache.1340 c/o itching nose/chest tightness along with anxiousness BP 124/80, HR 60, RR 18, SpO2 98% RA.  Resp. easy/even.  Denies difficulty with swallowing. C/o Blurred vision at this time. 1349 States that chest tightness is resolved.  Continue to c/o blurred vision.  States that after receiving vaccination she almost immediately had an instant headache.  1356 States that itching is now resolved, along with tightness of chest/blurred vision. States that her headache remains.  1408: BP 116/76, HR 68, RR 18, Continue c/o headache.  No other complaints at this time.  Staff nurse suggested pt get a ride home.  Pt denied need for a ride stating that she was fine other than the headache.  1413 Pt released to go home.  Pt reminded to call PCP for any further adverse reactions.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Blurred vision, dizziness, itching, tightness of chest, headache.1340 c/o itching nose/chest tightness along with anxiousness BP 124/80, HR 60, RR 18, SpO2 98% RA.  Resp. easy/even.  Denies difficulty with swallowing. C/o Blurred vision at this time. 1349 States that chest tightness is resolved.  Continue to c/o blurred vision.  States that after receiving vaccination she almost immediately had an instant headache.  1356 States that itching is now resolved, along with tightness of chest/blurred vision. States that her headache remains.  1408: BP 116/76, HR 68, RR 18, Continue c/o headache.  No other complaints at this time.  Staff nurse suggested pt get a ride home.  Pt denied need for a ride stating that she was fine other than the headache.  1413 Pt released to go home.  Pt reminded to call PCP for any further adverse reactions.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Pruritus, Swelling
Clinical narrative: Delayed allergic vaccine reaction including itchy, raised, red, circular area that covered my entire  upper left arm area.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Customer stated she had a pinkish solution that soaked her band-aide. She noted this after she went to remove her band-aide after she got home. She had no pain with the injection and did not note any liquid that ran down her arm after the injection
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Migraine
Clinical narrative: Migraine; 104 temp; 90% pulse oximeter; bilateral hip pain
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Clinician reconstituted with 0.8 instead of 1.8 cc saline
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Patient felt a tightening in the throat 10 minutes after receiving vaccine.  Vitals were stable on the way to the hospital, patient received steroids and benadryl at the hospital (no epinephrine was needed or given).  Not a true anaphylaxis, MD described as "slight allergic reaction" and is okay to get 2nd dose in 3 weeks.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio, Amylase normal, Aspartate aminotransferase normal, Basophil count normal
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin increased, Blood calcium normal
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine increased, Blood glucose normal, Blood magnesium normal, Blood pH normal
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea increased, Blood urine present, Brain natriuretic peptide increased
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest X-ray abnormal, Chromaturia, Culture stool negative, Culture urine positive
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Eosinophil count normal, Epistaxis, Escherichia urinary tract infection, Faeces discoloured
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count abnormal, Glomerular filtration rate decreased, Glucose urine absent, Granulocyte count, Granulocyte percentage
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Hypertensive urgency, Laboratory test, Lipase normal
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count increased, Lymphocyte percentage increased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume increased, Metabolic function test, Metabolic function test abnormal, Monocyte count normal, Neutrophil count normal
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil percentage decreased, Nitrite urine present, Platelet count normal, Protein total normal, Protein urine present
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count normal, Red blood cells urine, Red cell distribution width increased, Specific gravity urine normal, Troponin I normal
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine abnormality, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased, White blood cells urine negative
Clinical narrative: 3/5/21 emergency roomHPI  83 y.o. female who presents with  Complaints of nose bleed reports that she had a nose bleed this ongoing now for the past hour she could not stop at home and came for help she reports her symptoms are mild-to-moderate better with putting pressure on her nose worse without pressure denies any injury  FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Hypertensive urgency  I16.0 401.9 2. Epistaxis  R04.0 784.7  2/22/21 Emergency room HPI  83 y.o. female who presents with SHORTNESS OF BREATH ONSET BEFORE ARRIVAL.  EMS GAVE PT A DUONEB AND NOW SHE STATES SHE FEELS FINE.  DAUGHTER STATES THAT PT HAD A YELLOW STOOL YESTERDAY.  PT STATES THE SHORTNESS OF BREATH IS WORSE WITH LAYING FLAT.  NO OTHER EXACERBATING FACTORS. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Acute urinary tract infection  N39.0 599.0 2. Shortness of breath  R06.02 786.05
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Clinician reconstituted with 0.8 instead of 1.8 cc saline
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Patient received first dose of vaccine on 2/8/2021. Was monitored properly with no adverse reaction, but had a stroke a few hours later after leaving facility. Patient is still hospitalized.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Apraxia, Balance disorder, Cerebrovascular accident, Electrocardiogram
Clinical narrative: Patient received first dose of vaccine on 2/8/2021. Was monitored properly with no adverse reaction, but had a stroke a few hours later after leaving facility. Patient is still hospitalized.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fall, Implantable cardiac monitor insertion, Loss of consciousness, Magnetic resonance imaging, Motor dysfunction
Clinical narrative: Patient received first dose of vaccine on 2/8/2021. Was monitored properly with no adverse reaction, but had a stroke a few hours later after leaving facility. Patient is still hospitalized.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Swallow study, X-ray
Clinical narrative: Patient received first dose of vaccine on 2/8/2021. Was monitored properly with no adverse reaction, but had a stroke a few hours later after leaving facility. Patient is still hospitalized.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Bone pain, Chills, Dizziness, Fatigue
Clinical narrative: Fever, chills, thunder clap headaches, dizziness, severe fatigue,  muscle aches, body aches, severe bone pain, numbness and tingling to both hands, tinnitus in left ear, back pain. Severe injection pain and unable to raise arm that received the vaccine above shoulder. Symptoms lasted 7 days.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Mobility decreased, Myalgia, Pain
Clinical narrative: Fever, chills, thunder clap headaches, dizziness, severe fatigue,  muscle aches, body aches, severe bone pain, numbness and tingling to both hands, tinnitus in left ear, back pain. Severe injection pain and unable to raise arm that received the vaccine above shoulder. Symptoms lasted 7 days.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia, Thunderclap headache, Tinnitus
Clinical narrative: Fever, chills, thunder clap headaches, dizziness, severe fatigue,  muscle aches, body aches, severe bone pain, numbness and tingling to both hands, tinnitus in left ear, back pain. Severe injection pain and unable to raise arm that received the vaccine above shoulder. Symptoms lasted 7 days.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Feeling cold, Skin warm, Throat irritation
Clinical narrative: SCRATCHY  THROAT FEELS LIKE SHE HAS BUBBLES IN HER LUNGS NO SYCOPY PT COMPLAINS OF FEELING COLD 1610 BP 156/84 HR 106 RESP 24 O2SAT 99 SKIN WARM AND DRY BREATHING IS CLEAR BILATERALLY
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Delirium, Dysstasia, Fatigue
Clinical narrative: Low grade fever- temp unknown, mild delirium, weakness in whole body, weakness when standing/walking, extreme soreness in upper arm into shoulder, fatigue after sleeping.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Pain in extremity, Pyrexia
Clinical narrative: Low grade fever- temp unknown, mild delirium, weakness in whole body, weakness when standing/walking, extreme soreness in upper arm into shoulder, fatigue after sleeping.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on neck and chest that lasted about 10-12 days ? No itching or irritation, just lots of spots.  Fatigue.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Mass, Pruritus, Scab
Clinical narrative: Three (3) large, itching red lumps. One under chin. Could feel the bulge under tongue. One on right forearm. Has a small scab from scratching. One on upper left arm very close to arm pit. Two days later still itching but lumps going slowly down.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient received an expired vaccine on 3/4/21, the vaccine expired at 1230pm, the patient received the dose at 128pm. The patient was contacted and revaccinated 3/5/21.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Confusional state, Delirium, Disorganised speech, Dysarthria
Clinical narrative: Pt reported the day after her vaccine, 3-2, she was delirious and did not remember that day. She went to bed and slept most of the day. On 3-3 she woke up with a red rash on her trunk and extremities. The rash did not itch and was not painful. She took Benadryl and on 3-4 the rash was fading.  Spoke with husband to get more info on 3-2 since patient did not remember. Husband stated that patient woke up slurring words, not completing sentences and repeating herself. Husband put patient back to bed and she continued to sleep for most of the day. Husband called PCP and they recommended her to go to the hospital but they did not. Husband states on 3-3 patient was back to normal except for the rash. Husband also stated that the patient has had this happen before, the slurring of the words, and confusion. They did not call and report to the neurologist. Recommended to call and go over this reaction with the neurologist and get the ok for the second dose and will need to provide a letter.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Repetitive speech, Somnolence
Clinical narrative: Pt reported the day after her vaccine, 3-2, she was delirious and did not remember that day. She went to bed and slept most of the day. On 3-3 she woke up with a red rash on her trunk and extremities. The rash did not itch and was not painful. She took Benadryl and on 3-4 the rash was fading.  Spoke with husband to get more info on 3-2 since patient did not remember. Husband stated that patient woke up slurring words, not completing sentences and repeating herself. Husband put patient back to bed and she continued to sleep for most of the day. Husband called PCP and they recommended her to go to the hospital but they did not. Husband states on 3-3 patient was back to normal except for the rash. Husband also stated that the patient has had this happen before, the slurring of the words, and confusion. They did not call and report to the neurologist. Recommended to call and go over this reaction with the neurologist and get the ok for the second dose and will need to provide a letter.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Inadvertently administered 1st dose of Moderna for a 17 year old male.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chills, Dizziness, Echocardiogram, Headache
Clinical narrative: intermittent episodes of subjective fever chills tachycardia nearly passing out headaches.  Symptoms started approximately 9 days ago after having a second maternal vaccine.  She states she is intermittently been feeling ill in terms of diffuse myalgias headaches today she had a racing heart rate and near syncope.  Denies any chest pain shortness of breath abdominal pain nausea vomiting diarrhea.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Malaise, Palpitations
Clinical narrative: intermittent episodes of subjective fever chills tachycardia nearly passing out headaches.  Symptoms started approximately 9 days ago after having a second maternal vaccine.  She states she is intermittently been feeling ill in terms of diffuse myalgias headaches today she had a racing heart rate and near syncope.  Denies any chest pain shortness of breath abdominal pain nausea vomiting diarrhea.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tachycardia
Clinical narrative: intermittent episodes of subjective fever chills tachycardia nearly passing out headaches.  Symptoms started approximately 9 days ago after having a second maternal vaccine.  She states she is intermittently been feeling ill in terms of diffuse myalgias headaches today she had a racing heart rate and near syncope.  Denies any chest pain shortness of breath abdominal pain nausea vomiting diarrhea.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Fast heart rate. Thought it was going to shock me from defibrillator.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Blood creatinine increased, Blood urea increased, Dyspnoea
Clinical narrative: At some point after the 2nd vaccine the patient had increased weakness and shortness of breath. He presented to the ER and was noted to have acute kidney injury. Patient was admitted from 2/23- 2/27.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased
Clinical narrative: At some point after the 2nd vaccine the patient had increased weakness and shortness of breath. He presented to the ER and was noted to have acute kidney injury. Patient was admitted from 2/23- 2/27.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Erythema, Pain in extremity, Skin warm
Clinical narrative: Right elbow became inflamed, red, warm and painful.  Right upper arm was sore.  Became dizzy at 11 AM on 3/2 and slept for 3 hours.  All expect the inflamed elbow were not a surprise.  I treated my elbow with an ice pack during the day on 3/2 and by 3/4 it had improved.  By 3/5 it was no longer inflamed, red or warm, but is still tender to lean on.  I informed my doctor's office of this.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: After patient received his vaccination it was discovered that he was only 15 years old (patient will turn 16 tomorrow 3/6/2021), this technically resulted in a medication administration error. Patient's parents were on-site and were advised of the error, there was no concern expressed by the parents. Patient was observed for 15 minutes and no reactions were noted.  Steps have been taken to avoid similar mistakes in the future. Staff at all levels have been directed to be more diligent in checking ages, signs have been developed to be posted with the ?must have been born  before" date.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture negative, Blood lactic acid normal, C-reactive protein increased, Computerised tomogram thorax abnormal, Inflammation
Clinical narrative: At 5 days post vaccination, patient developed severe left shoulder pain, originally thought to be secondary to chronic shoulder pain and a recent fall, over the next three days it progressed to swelling, severe pain, and limited ROM. He ended up being admitted to the hospital and CT scan showed development of significant soft tissue infiltration around sternum and sternoclavicular joints. This was originally thought to be infectious, but he never developed a fever or leukocytosis and we feel this was most likely an inflammatory process. I have no idea if this was actually a vaccine side effect, but given the proximity in both time a location and the known complication of shoulder pain with the vaccine, it seems reasonable to give you the information to monitor for other similar cases.