chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Biopsy breast normal, Heavy menstrual bleeding, Mammogram normal, Menstruation irregular
Clinical narrative: My period was two months late and when it came back, I had very heavy bleeding. To this day, I still have heavy bleeding. In addition, in the mammograms a possible breast cancer has been seen, but in the biopsies everything seems to be fine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Hypotension, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Seizure-Mild.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Syncope, Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Seizure-Mild.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Injection site erythema
Clinical narrative: Site: Redness at Injection Site-Mild, Additional Details: 911 took her to hospital. No evidence of allergy reaction, and most likely anxiety issue. She did indicate that she has anxiety in general.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Severe, Additional Details: Patient came in today stating his left arm hurt. He stated his arm hurt from mid-arm to elbow area. He thinks it's from the Pfizer vaccine but it has been 5 and 1/2 months. He did not symptoms at the beginning but says few days or week after his arm still hurts and has gotten worse. I advised him since it's been a while, he should see a doctor in which he says he is today.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Dyspnoea, Nervousness
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient presented with nervous demeanor prior to receiving shot. After the shot, said he was feeling dizzy and had chest tightness with trouble breathing. Requested that we call 911. Went to the ER with this parents on the ambulance.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Disorientation, Dizziness, Food intolerance, Headache
Clinical narrative: Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadedness-Medium, Systemic: Headache-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: Patients mother reported he had severe headache and nausea/vomiting lasting about 3 days after vaccine administration. He was disoriented and dizzy and unable to tolerate food for 3 days. Went to doctor and was given Zofran that helped.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadedness-Medium, Systemic: Headache-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: Patients mother reported he had severe headache and nausea/vomiting lasting about 3 days after vaccine administration. He was disoriented and dizzy and unable to tolerate food for 3 days. Went to doctor and was given Zofran that helped.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Disorientation, Dizziness, Headache, Nausea
Clinical narrative: Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadedness-Medium, Systemic: Headache-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: Patients mother reported he had severe headache and nausea/vomiting lasting about 3 days after vaccine administration. He was disoriented and dizzy and unable to tolerate food for 3 days. Went to doctor and was given Zofran that helped.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadedness-Medium, Systemic: Headache-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: Patients mother reported he had severe headache and nausea/vomiting lasting about 3 days after vaccine administration. He was disoriented and dizzy and unable to tolerate food for 3 days. Went to doctor and was given Zofran that helped.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Disorientation, Dizziness, Food intolerance, Headache
Clinical narrative: Patient is reporting extreme headaches, nausea and vomiting, dizziness, disoriented, unable to eat food regularly. AEs lasted about 2-3 days.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Patient is reporting extreme headaches, nausea and vomiting, dizziness, disoriented, unable to eat food regularly. AEs lasted about 2-3 days.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Disorientation, Dizziness, Headache, Nausea
Clinical narrative: Patient is reporting extreme headaches, nausea and vomiting, dizziness, disoriented, unable to eat food regularly. AEs lasted about 2-3 days.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Patient is reporting extreme headaches, nausea and vomiting, dizziness, disoriented, unable to eat food regularly. AEs lasted about 2-3 days.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Condition aggravated, Cough, Dyspnoea
Clinical narrative: First headache followed shortly by uncontrollable chills and muscle twitching.  Fell asleep and woke about an hour or two later with 102 fever.  By morning fever had broken, no more twitching but developed cough and copious mucus.  Mucus and cough remain, although slightly less, 3 months later.  Woke morning after vaccine nauseaus which passed by around 4 pm, but returned each morning for a few days.  Body, particularly joint pain began within days of vaccine and remain intermittently 3 months later.  Reactivate fibromyalgia?  Tightness in chest, as if I can't take a deep breath remain intermittently, maybe once a week,  3 months later.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fibromyalgia, Headache, Muscle twitching, Nausea, Pain
Clinical narrative: First headache followed shortly by uncontrollable chills and muscle twitching.  Fell asleep and woke about an hour or two later with 102 fever.  By morning fever had broken, no more twitching but developed cough and copious mucus.  Mucus and cough remain, although slightly less, 3 months later.  Woke morning after vaccine nauseaus which passed by around 4 pm, but returned each morning for a few days.  Body, particularly joint pain began within days of vaccine and remain intermittently 3 months later.  Reactivate fibromyalgia?  Tightness in chest, as if I can't take a deep breath remain intermittently, maybe once a week,  3 months later.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Secretion discharge, Sleep disorder
Clinical narrative: First headache followed shortly by uncontrollable chills and muscle twitching.  Fell asleep and woke about an hour or two later with 102 fever.  By morning fever had broken, no more twitching but developed cough and copious mucus.  Mucus and cough remain, although slightly less, 3 months later.  Woke morning after vaccine nauseaus which passed by around 4 pm, but returned each morning for a few days.  Body, particularly joint pain began within days of vaccine and remain intermittently 3 months later.  Reactivate fibromyalgia?  Tightness in chest, as if I can't take a deep breath remain intermittently, maybe once a week,  3 months later.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Hypoaesthesia, Nervous system disorder, Paraesthesia, Rash
Clinical narrative: Systemic: Allergic: Rash Generalized-Medium, Systemic: Hypertension-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Systemic: Allergic: Rash Generalized-Medium, Systemic: Hypertension-Mild, Systemic: Neurological Disorder (diagnosed by MD)-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Constipation, Fatigue, Gait disturbance, Injection site pain
Clinical narrative: Extreme fatigue , joint pain in knees hips shoulders ankles fever 101.7 -102.5, constipation, pain at site and under arm and to shoulder, lasted 1/23 10pm. Some of the fatigue and inability to wall freely were cleared up some and i was able to move around more through the house  1/23 9 am fever lasted last check 100.7 at 10pm 1/23
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Extreme fatigue , joint pain in knees hips shoulders ankles fever 101.7 -102.5, constipation, pain at site and under arm and to shoulder, lasted 1/23 10pm. Some of the fatigue and inability to wall freely were cleared up some and i was able to move around more through the house  1/23 9 am fever lasted last check 100.7 at 10pm 1/23
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Eye haemorrhage, Heavy menstrual bleeding, Menstrual disorder, Muscle spasms, Thrombosis
Clinical narrative: Had a busted blood vessel in my eye within 3 days  Never had one before, ever! Then the following month I started have severe menstrual cycles. Passing clots like crazy, excessive bleeding like I've never had before. Cramps that took me to my knees.  I will literally bleed down my legs. I have never had anything like this, even after a miscarriage.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: Fever, chills, shaking, pain, joint and body pain, rapid pulse, sweating, nausea, very painful arm , headache, dizzy, brain fog, chronic fatigue
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Hyperhidrosis, Nausea, Pain
Clinical narrative: Fever, chills, shaking, pain, joint and body pain, rapid pulse, sweating, nausea, very painful arm , headache, dizzy, brain fog, chronic fatigue
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Tremor
Clinical narrative: Fever, chills, shaking, pain, joint and body pain, rapid pulse, sweating, nausea, very painful arm , headache, dizzy, brain fog, chronic fatigue
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Pulsatile tinnitus 8000 Hz developed in both ears 2-3 days after booster shot. Louder in left ear than right. Noticeably louder in mornings, but still loud even when driving with studded winter tires and the heater on. Only stops pulsing while I yawn and becomes a steady whine. When yawning stops, goes back to pulsatile. Has not diminished in severity since it developed.  Have not gone to a doctor. Waiting for it to resolve (hopefully)
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site hypersensitivity
Clinical narrative: Allergic reaction at the  left deltoid injection site one week after receiving the Shingrix vaccination. Shingrix lot #9EY93, 0.5 ml volume.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Hyperhidrosis, Myalgia, Pain
Clinical narrative: Very sore arm; sweats; chills and shaking; fever of 101F for over 12 hours; fatigue and muscle aches and pains.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Pyrexia, Tremor
Clinical narrative: Very sore arm; sweats; chills and shaking; fever of 101F for over 12 hours; fatigue and muscle aches and pains.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Echocardiogram, Electrocardiogram, Headache, Magnetic resonance imaging
Clinical narrative: Severe heart palpitations, internal tremors/vibrations and headaches.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Tremor
Clinical narrative: Severe heart palpitations, internal tremors/vibrations and headaches.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis allergic
Clinical narrative: Allergy in the skin.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: Abnormal hair  loss.  This is following my 3rd in (booster)  Covid vaccine by Moderna  Although I know it is not life threatening, it is very frustrating to have my hair coming out this much. My hairdresser and I both noticed it, she said she has many other clients showing the same symptom.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Pain, Pyrexia
Clinical narrative: adverse effects: fever 100.4+, chills, N/V, body aches, all joint sore, headache
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Decreased appetite, Fatigue, Headache
Clinical narrative: Extreme tiredness, headache, loss of appetite, all for a 72 hour period.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Diplopia, Pain in jaw, Rhinorrhoea
Clinical narrative: Ongoing loss of smell, loss of taste, post nasal drip, runny nose, double vision, and jaw pain when swallowing. Dr. did not resolve these issues. Remarked that maybe I had COVID-19 and was not aware of it.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: Ongoing loss of smell, loss of taste, post nasal drip, runny nose, double vision, and jaw pain when swallowing. Dr. did not resolve these issues. Remarked that maybe I had COVID-19 and was not aware of it.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt was given their 2nd dose of Pfizer COVID vaccine at 16 days after their 1st dose. No adverse effects noted.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given their 2nd dose of Pfizer COVID-19 vaccine at 16 days after their 1st dose. No adverse effects noted.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt was given their 2nd dose of Pfizer COVID vaccine at 16 days after their 1st dose. No adverse effects noted.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dyspnoea, Heart rate increased, Hypoaesthesia, Malaise
Clinical narrative: Dosage 1, (8/25/2021): shortness of breath, elevated heart rate, and cold sweats as well as nuchal pain and numbness and tingling in the L side of the face lasting 3 hours. Dosage 2, (9/15/21): L sided body numbness and tingling resolving after 4 hours; generalized malaise for 6 days post injection.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nuchal rigidity, Paraesthesia
Clinical narrative: Dosage 1, (8/25/2021): shortness of breath, elevated heart rate, and cold sweats as well as nuchal pain and numbness and tingling in the L side of the face lasting 3 hours. Dosage 2, (9/15/21): L sided body numbness and tingling resolving after 4 hours; generalized malaise for 6 days post injection.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt was given their 2nd dose of Pfizer COVID vaccine at 16 days after their 1st dose. No adverse effects noted.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt was given their 2nd dose of Pfizer COVID vaccine at 16 days after their 1st dose. No adverse effects noted.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Myocarditis
Clinical narrative: Myocarditis symptoms reported and observed.  Patient took OTC aspirin for chest pains.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Urticaria
Clinical narrative: Hives, urticaria, dermatographia
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Antiacetylcholine receptor antibody, Blood test, Facial paralysis, Myasthenia gravis, Paraesthesia oral
Clinical narrative: 4 days post shot, got tingling in upper lip? Exactly 6 weeks later on December 9 21 I developed a droopy right eye? That was later deemed to be myasthenia gravis through a blood test , after visiting an optometrist, ophthalmologist, and neuro ophthalmologist
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Needle penetrated pt's skin, and before full dose could be administered, pt pulled arm away resulting in needle coming out of skin.  More than half the dose remained in syringe.  Per CDC, a full dose was administered in opposite arm.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was not yet 18 at time of vaccination. Patient did not experience any adverse effects.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Generalised tonic-clonic seizure, Paraesthesia oral, Petit mal epilepsy, Presyncope
Clinical narrative: approx. 5 minutes after vaccination while sitting in waiting area, motioned to nurse monitoring area she felt tingling onher lips. No swelling noted appeared to then start to vagal and was lowered to floor when she started to have peti mal seizure activity which progressed to GM and lasted approx. 30-45 seconds. Then had several more episodes. transferred to our Urgent Care then via ambulance to ER.  Was able to talk between seizure. Had seen neuro that day for an appointment . Currently getting worked up. No meds at this time for seizures.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dyspnoea, Heart rate increased, Paraesthesia, Paraesthesia oral
Clinical narrative: approx. 5 minutes after vaccination while sitting in waiting area, motioned to nurse monitoring area she felt tingling onher lips. No swelling noted appeared to then start to vagal and was lowered to floor when she started to have peti mal seizure activity which progressed to GM and lasted approx. 30-45 seconds. Then had several more episodes. transferred to our Urgent Care then via ambulance to ER.  Was able to talk between seizure. Had seen neuro that day for an appointment . Currently getting worked up. No meds at this time for seizures.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Presyncope, Seizure
Clinical narrative: approx. 5 minutes after vaccination while sitting in waiting area, motioned to nurse monitoring area she felt tingling onher lips. No swelling noted appeared to then start to vagal and was lowered to floor when she started to have peti mal seizure activity which progressed to GM and lasted approx. 30-45 seconds. Then had several more episodes. transferred to our Urgent Care then via ambulance to ER.  Was able to talk between seizure. Had seen neuro that day for an appointment . Currently getting worked up. No meds at this time for seizures.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Biopsy, Blood test, Urticaria
Clinical narrative: I have been suffering from chronic hives for months. I am on a lot of medications. Being treated by an allergist.  They are even in my throat.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Biopsy, Blood test, Coordination abnormal, Dyspnoea
Clinical narrative: Neuropathy, headaches, fever, nerve pain, decrease muscle strength, lack of coordination, pins/needles in arms/legs, achy/shooting, cramplike pain in arms and legs, tachycardia, nausea/vomiting, SOB when laying down.  Blood tests, numerous doctors appointments, antibiotics, hospital admission in 8/2021, follow up with specialists, currently on prednisone and getting nerve biopsy.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging, Melanocytic naevus, Muscle spasms, Nausea
Clinical narrative: Neuropathy, headaches, fever, nerve pain, decrease muscle strength, lack of coordination, pins/needles in arms/legs, achy/shooting, cramplike pain in arms and legs, tachycardia, nausea/vomiting, SOB when laying down.  Blood tests, numerous doctors appointments, antibiotics, hospital admission in 8/2021, follow up with specialists, currently on prednisone and getting nerve biopsy.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Pain, Paraesthesia, Pyrexia, Tachycardia
Clinical narrative: Neuropathy, headaches, fever, nerve pain, decrease muscle strength, lack of coordination, pins/needles in arms/legs, achy/shooting, cramplike pain in arms and legs, tachycardia, nausea/vomiting, SOB when laying down.  Blood tests, numerous doctors appointments, antibiotics, hospital admission in 8/2021, follow up with specialists, currently on prednisone and getting nerve biopsy.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Neuropathy, headaches, fever, nerve pain, decrease muscle strength, lack of coordination, pins/needles in arms/legs, achy/shooting, cramplike pain in arms and legs, tachycardia, nausea/vomiting, SOB when laying down.  Blood tests, numerous doctors appointments, antibiotics, hospital admission in 8/2021, follow up with specialists, currently on prednisone and getting nerve biopsy.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dyspnoea, Ear pain, Fatigue
Clinical narrative: Rapid heart rate, Fever, Chills, Sweats, extreme pain in lymph nodes under arm, arm pain, left side pain, body aches, headache, ear pain, sore throat, chest pain, extreme fatigue, shortness of breath
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Hyperhidrosis, Lymph node pain, Oropharyngeal pain
Clinical narrative: Rapid heart rate, Fever, Chills, Sweats, extreme pain in lymph nodes under arm, arm pain, left side pain, body aches, headache, ear pain, sore throat, chest pain, extreme fatigue, shortness of breath
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Rapid heart rate, Fever, Chills, Sweats, extreme pain in lymph nodes under arm, arm pain, left side pain, body aches, headache, ear pain, sore throat, chest pain, extreme fatigue, shortness of breath
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was picked up on 12/07/2021 to be stored in fridge and used by 01/07/2022. Patient received this dose one day past the vaccine usage date. Patient reported no known symptoms.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, Product preparation issue
Clinical narrative: 27 yo female pt received one vaccination with 0.3 mL of Pfizer vaccine and 0.2 mL of Janssen vaccine components instead of intended 0.5 mL of Janssen vaccine. Immunizer drew up 0.5 mL of Janssen vaccine, labeled it, and set it down. Immunizer then went through information with patient and picked up a syringe nearby, realized there were only 0.3 mL in it, then added another 0.2 mLs for a total of 0.5 mL. Administered this immunization to the patient. Later, immunizer realized the Janssen vaccine was still sitting where it was left earlier. Immunizer had picked up a Pfizer vaccine (0.3 mL) and added Janssen (0.2 mL) to this syringe before giving it to patient. Patient has since been contacted and made aware of the situation. Plan to schedule second appointment for Pfizer vaccination dose 2.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was picked up on 12/07/2021 to be stored in fridge and used by 01/07/2022. Patient received this dose three days past the vaccine usage date. Patient reported no known symptoms.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was picked up on 12/07/2021 to be stored in fridge and used by 01/07/2022. Patient received this dose three days past the vaccine usage date. Patient reported no known symptoms.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper
Clinical narrative: Stomach ache lasting more than 1 week
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was picked up from state department on 12/07/2021 to be stored in fridge and used by 01/07/2022. Patient received this dose four days past the vaccine usage date. Patient reported no known symptoms.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: WITHIN A WEEK AFTER ADMINISTRATION OF DOSE #3, TINNITUS BEGAN IN BOTH EARS. TINNITUS HAD BEEN EXPERIENCED DURING FEVER STAGE OF LYME DISEASE (JULY 11-15) BUT HAD DIMINISHED COMPLETELY BY TIME OF COVID BOOSTER ON 12-06-2021. WITHIN 3 DAYS, THE TINNITUS HAD RETURNED AND IS NOW CONSTANT INSTEAD OF INTERMITTENT (AS HAD BEEN EXPERIENCED PREVIOUSLY DURING LYME DISEASE). IN OTHER WORDS, IT'S BECOME NEXT LEVEL.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Hepatitis A antibody negative, Herpes simplex test negative, Pruritus, Ulcer
Clinical narrative: The day after vaccination, pt had onset of vulvar lesions on the left inner labia only.  They were itchy and uncfortable.  pt had picture and the lesions appeared to be clustered linear superficial ulcerations with possible small blisters..
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Vulval disorder
Clinical narrative: The day after vaccination, pt had onset of vulvar lesions on the left inner labia only.  They were itchy and uncfortable.  pt had picture and the lesions appeared to be clustered linear superficial ulcerations with possible small blisters..
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was picked up from state department on 12/07/2021 to be stored in fridge and used by 01/07/2022. Patient received this dose six days past the vaccine usage date. Patient reported no known symptoms.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Chills, Dizziness, Dyspnoea
Clinical narrative: SEVERE HEADACHES SWELLING ALL OVER BODY  HIGH BLOOD PRESSURE HIGH FEVER CHILLS SEVERE BODY ACHE  TENDERNESS UNDER ARM DIZZINESS HIVES SEVERE CHEST PAIN/TACHYCARDIA DIFFICULTY BREATHING SEVERE SHOULDER PAIN TAKES ME OVER A WEEK TO GET BETTER AND SOMESIDE EFFECTS LASTS MONTHS
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypertension, Pain, Pyrexia, Swelling
Clinical narrative: SEVERE HEADACHES SWELLING ALL OVER BODY  HIGH BLOOD PRESSURE HIGH FEVER CHILLS SEVERE BODY ACHE  TENDERNESS UNDER ARM DIZZINESS HIVES SEVERE CHEST PAIN/TACHYCARDIA DIFFICULTY BREATHING SEVERE SHOULDER PAIN TAKES ME OVER A WEEK TO GET BETTER AND SOMESIDE EFFECTS LASTS MONTHS
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tenderness, Urticaria
Clinical narrative: SEVERE HEADACHES SWELLING ALL OVER BODY  HIGH BLOOD PRESSURE HIGH FEVER CHILLS SEVERE BODY ACHE  TENDERNESS UNDER ARM DIZZINESS HIVES SEVERE CHEST PAIN/TACHYCARDIA DIFFICULTY BREATHING SEVERE SHOULDER PAIN TAKES ME OVER A WEEK TO GET BETTER AND SOMESIDE EFFECTS LASTS MONTHS
Age: 0.08
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: No adverse event
Clinical narrative: Nothing for this vaccine
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was picked up on 12/07/2021 to be stored in fridge and used by 01/07/2022. Patient received this dose seven days past the vaccine usage date. Patient reported no known symptoms.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was picked up from state department on 12/07/2021 to be stored in fridge and used by 01/07/2022. Patient received this dose seven days past the vaccine usage date. Patient reported no known symptoms.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Aggression, Pyrexia
Clinical narrative: Baby was fussy in the evening after the vaccines and woke up febrile @ 3:00 a.m,, temp 101.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient was not of age to receive this vaccine. The patient's parents were notified immediately after.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Joint swelling, Peripheral swelling, Pyrexia
Clinical narrative: I experienced swelling in my feet and ankles, shortness of breath and fever.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acidosis, Acute kidney injury, Blood creatinine increased, COVID-19, Chronic kidney disease
Clinical narrative: This patient was received in signout from Dr.  In brief, is a 56-year-old male history of asthma and hypertension who presented with shortness of breath for the past couple weeks.  The patient was found to be in acute renal failure with a creatinine of 17, and his creatinine was previously 5.  The patient was signed out awaiting transfer bed availability, as he will need to initiate dialysis.  Dr. spoke with nephrologist Dr. and the patient was started on D5W with bicarbonate gtt at 50 ml/hr. COVID-19 testing was pending as well.    COVID-19 testing returned positive. He is tachycardic and tachypneic, but not hypoxic. This is likely in part due to COVID-19, but likely also related to his acidosis.   I was notified our admin manager identified an admission bed in hospital. I discussed the patient with Dr., who accepted the patient in transfer. I spoke with the patient with CLI interpreter, and he is aware of COVID-19 diagnosis. He is vaccinated but has not received booster. He is not hypoxic, so does not require decadron at this time. He is in agreement with transfer. He will transfer via EMS to hospital for further management.   Diagnosis:     ICD-10-CM   1. Acute renal failure superimposed on chronic kidney disease, unspecified CKD stage, unspecified acute renal failure type (HCC)  N17.9     N18.9   2. Hyperglycemia  R73.9   3. COVID-19  U07.1
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hyperglycaemia, SARS-CoV-2 test positive, Tachycardia, Tachypnoea
Clinical narrative: This patient was received in signout from Dr.  In brief, is a 56-year-old male history of asthma and hypertension who presented with shortness of breath for the past couple weeks.  The patient was found to be in acute renal failure with a creatinine of 17, and his creatinine was previously 5.  The patient was signed out awaiting transfer bed availability, as he will need to initiate dialysis.  Dr. spoke with nephrologist Dr. and the patient was started on D5W with bicarbonate gtt at 50 ml/hr. COVID-19 testing was pending as well.    COVID-19 testing returned positive. He is tachycardic and tachypneic, but not hypoxic. This is likely in part due to COVID-19, but likely also related to his acidosis.   I was notified our admin manager identified an admission bed in hospital. I discussed the patient with Dr., who accepted the patient in transfer. I spoke with the patient with CLI interpreter, and he is aware of COVID-19 diagnosis. He is vaccinated but has not received booster. He is not hypoxic, so does not require decadron at this time. He is in agreement with transfer. He will transfer via EMS to hospital for further management.   Diagnosis:     ICD-10-CM   1. Acute renal failure superimposed on chronic kidney disease, unspecified CKD stage, unspecified acute renal failure type (HCC)  N17.9     N18.9   2. Hyperglycemia  R73.9   3. COVID-19  U07.1
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was picked up on 12/07/2021 to be stored in fridge and used by 01/07/2022. Patient received this dose eleven days past the vaccine usage date. Patient reported no known symptoms.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was picked up from state department on 12/07/2021 to be stored in fridge and used by 01/07/2022. Patient received this dose eleven days past the vaccine usage date. Patient reported no known symptoms.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Amylase increased, Anxiety, Bilirubin conjugated, Blood bilirubin
Clinical narrative: 42 year old female with history of fibromyalgia, anxiety and depression that presents to the emergency department with epigastric pain.  She states she woke up with it this morning.  She has vomited multiple times today.  She denies diarrhea however states she had a normal bowel movement today.  He states the pain is mainly in her epigastrium and it is a nagging pain that intermittently is sharp.  Patient is also states she has been unable to hold down her medications today due to the vomiting.  She denies fever or chills.  No sick contacts. Associated Symptoms: anxiety, nausea, vomiting
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, COVID-19, Computerised tomogram abdomen abnormal, Condition aggravated, Lipase increased
Clinical narrative: 42 year old female with history of fibromyalgia, anxiety and depression that presents to the emergency department with epigastric pain.  She states she woke up with it this morning.  She has vomited multiple times today.  She denies diarrhea however states she had a normal bowel movement today.  He states the pain is mainly in her epigastrium and it is a nagging pain that intermittently is sharp.  Patient is also states she has been unable to hold down her medications today due to the vomiting.  She denies fever or chills.  No sick contacts. Associated Symptoms: anxiety, nausea, vomiting
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pancreatitis acute, SARS-CoV-2 test positive, Transaminases increased, Ultrasound abdomen normal
Clinical narrative: 42 year old female with history of fibromyalgia, anxiety and depression that presents to the emergency department with epigastric pain.  She states she woke up with it this morning.  She has vomited multiple times today.  She denies diarrhea however states she had a normal bowel movement today.  He states the pain is mainly in her epigastrium and it is a nagging pain that intermittently is sharp.  Patient is also states she has been unable to hold down her medications today due to the vomiting.  She denies fever or chills.  No sick contacts. Associated Symptoms: anxiety, nausea, vomiting
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 42 year old female with history of fibromyalgia, anxiety and depression that presents to the emergency department with epigastric pain.  She states she woke up with it this morning.  She has vomited multiple times today.  She denies diarrhea however states she had a normal bowel movement today.  He states the pain is mainly in her epigastrium and it is a nagging pain that intermittently is sharp.  Patient is also states she has been unable to hold down her medications today due to the vomiting.  She denies fever or chills.  No sick contacts. Associated Symptoms: anxiety, nausea, vomiting
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pyrexia, Vomiting
Clinical narrative: Pt. states that after receiving the 3rd dose of Moderna 01/14/2022, starting experience symptoms 01/15/2022 of fever (101.0), injection site swelling, and vomiting. Symptoms lasting 3 days before subsiding. Primary communications 01/15/2022 with recommendations hot/cold pack at the injection site.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Bladder catheterisation, Blood bilirubin increased, COVID-19
Clinical narrative: CLINICAL IMPRESSION 1. COVID-19  2. Acute UTI  3. Acute hypoxemic respiratory failure due to COVID-19  4. Diarrhea, unspecified type  5. Elevated bilirubin  6. Confusion  7. Complication, blocked Foley catheter, initial encounter  8. Acute urinary retention  9. Hypotension, unspecified hypotension type  10. Sepsis with acute renal failure and septic shock, due to unspecified organism, unspecified acute renal failure type  11. Panhypopituitarism
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Complication associated with device, Confusional state, Device occlusion, Diarrhoea, Hypopituitarism
Clinical narrative: CLINICAL IMPRESSION 1. COVID-19  2. Acute UTI  3. Acute hypoxemic respiratory failure due to COVID-19  4. Diarrhea, unspecified type  5. Elevated bilirubin  6. Confusion  7. Complication, blocked Foley catheter, initial encounter  8. Acute urinary retention  9. Hypotension, unspecified hypotension type  10. Sepsis with acute renal failure and septic shock, due to unspecified organism, unspecified acute renal failure type  11. Panhypopituitarism
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Sepsis, Septic shock, Urinary retention, Urinary tract infection
Clinical narrative: CLINICAL IMPRESSION 1. COVID-19  2. Acute UTI  3. Acute hypoxemic respiratory failure due to COVID-19  4. Diarrhea, unspecified type  5. Elevated bilirubin  6. Confusion  7. Complication, blocked Foley catheter, initial encounter  8. Acute urinary retention  9. Hypotension, unspecified hypotension type  10. Sepsis with acute renal failure and septic shock, due to unspecified organism, unspecified acute renal failure type  11. Panhypopituitarism
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Haemorrhage, Maternal exposure before pregnancy, Pathology test, Pregnancy
Clinical narrative: I  got pregnant 2 cycles after receiving my 2 dose of Covid vaccine. I have had 3 previous healthy pregnancies with no uterine or blood disorders causing miscarriage. At 12 weeks I had a sudden miscarriage and a hemorrhage. After 2 cycles I conceived again and had another 6-7 week miscarriage genetic related. There is no medical reasoning for this to occur with my past history. The only change was my vaccine and husband vaccine. I believe this could be correlated.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Surgery
Clinical narrative: I  got pregnant 2 cycles after receiving my 2 dose of Covid vaccine. I have had 3 previous healthy pregnancies with no uterine or blood disorders causing miscarriage. At 12 weeks I had a sudden miscarriage and a hemorrhage. After 2 cycles I conceived again and had another 6-7 week miscarriage genetic related. There is no medical reasoning for this to occur with my past history. The only change was my vaccine and husband vaccine. I believe this could be correlated.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Dysphagia, Ear pain, Lymphadenopathy, Oropharyngeal pain
Clinical narrative: hard to swallow/feeling of something in my throat, constantly gagging, a lot of excess phlegm and spitting to clear throat, left lymph gland swollen and shooting pain to left ear, sore throat, hurts when swallowing food
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Retching, Throat clearing, Throat irritation
Clinical narrative: hard to swallow/feeling of something in my throat, constantly gagging, a lot of excess phlegm and spitting to clear throat, left lymph gland swollen and shooting pain to left ear, sore throat, hurts when swallowing food
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt was inadvertently given a booster dose of 0.25 mL of Moderna vaccine. Pt is not of age to receive this vaccine. No adverse reaction reported by pt or family at this time.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Incorrect dose administered
Clinical narrative: Patient was inadvertently given the full dose (0.5 ml) for the Moderna booster instead of  standard 0.25 ml. Followed up with patient to see if immunocompromised in any way to qualify for full dose.  Spoke with patient's daughter on 1/24/2022 (after leaving 3 messages for the family).  Daughter confirmed mom was doing just fine with no adverse effects aside of a little fatigue like she had after first 2 doses.  I would like to note here that patient is morbidly obese as well.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia
Clinical narrative: Acute respiratory failure with hypoxia; COVID-19 virus infection; Pneumonia due to COVID-19 virus
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, Blood creatinine increased, Blood glucose increased
Clinical narrative: PROGRESS NOTE 1/23/2022 68 year old man with hx of cognitive impairment, CVA, remote hx of alcohol abuse, T2DM, and atrial fibrillation on Xarelto who is admitted acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Remains on HFNC.    Acute hypoxic respiratory failure COVID-19 pneumonia CAP Tested positive on 1/13. Vaccinated. Worsening O2 requirements overnight into 1/15. Transferred to ICU on 1/6 for 24 hours.  Then was on HFNC on floor. Procal 2.8 so treated for superimposed CAP as well w/ azithro/ceftriaxone (abx complete as of 1/20)   As of 1/20 Currently on 50 LPM 90% FiO2. WBC downtrending.   1/21 on 55L at 90%FIO2, however appears comfortable and not in distress. CRP trending down to 0.9    1/23 Pt improving considerably, down to 7L by facemask. CRP trended to 0.7   - Wean O2 as able to goal O2 >92% - switch from solumedrol to decadron 6mg daily - on Xarelto for AC for atrial fibrillation - incentive spirometer -ok to stop trending DDIMER, CRP   Diabetes Mellitus type 2 Steroid-induced hyperglycemia     BS in 300s on 1/23 likely steriod induced - Discussed insulin with PharmD, will adjust to NPH 26u BID,  -anticipate being able to decrease insulin as steriods parse down -PharmD to follow - Hold PTA dulaglutide and sitagliptin-metformin while in house; Hgb A1c 8.1 - MDSSI   Goals of care Per sister, goals are restorative, but understanding that this is based on a similar quality of life that he has now. Given baseline cognitive status and current deconditioning, patient is not likely to have a favorable outcome if needing intubation. Would benefit from discussing this further. Additionally, she would appreciate assistance with filling out his advance directives if nearing discharge as well.  - palliative consulted, appreciate recs   Hyperkalemia 2/2 hemolyzed samples, resolved K 6.7 (hemolyzed) recheck 4.8. Reoccured multiple times. Noted to be hemolyzed when pulled off PICC.    K of 5.0 on 1/23 - communicated with RNs, will not pull K samples off PICC   Atrial fibrillation Rate controlled in 70s. EKG from 1/18 read as STEMI however given patient is paced spoke with cardiology and this is not interpretable - Continue PTA Xarelto   Fall No significant injury. Suspect related to hypoxia and associated generalized weakness.  - PT and OT consulted   Cognitive impairment Appears to be at baseline mental status. He reports that he is his own decision maker. No guardian listed on paperwork from group home.  - Continue PTA asa 81 mg - Continue PTA atorvastatin 40 mg - Continue PTA sertraline 50 daily   Hard of hearing - Normally wears hearing aids.  Normocytic Anemia - Hgb in 11s. No signs or symptoms of acute bleed.  Acute kidney injury, resolved -Cr elevated to 1.27 from 0.93. Urine lytes obtained on 1/14 and FeNA 0.2%, consistent with prerenal etiology. Improved in AM of 1/15 to 0.9. Tobacco use disorder - Continue PTA nicotine patch
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium increased, C-reactive protein increased, COVID-19 pneumonia, Condition aggravated, Electrocardiogram
Clinical narrative: PROGRESS NOTE 1/23/2022 68 year old man with hx of cognitive impairment, CVA, remote hx of alcohol abuse, T2DM, and atrial fibrillation on Xarelto who is admitted acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Remains on HFNC.    Acute hypoxic respiratory failure COVID-19 pneumonia CAP Tested positive on 1/13. Vaccinated. Worsening O2 requirements overnight into 1/15. Transferred to ICU on 1/6 for 24 hours.  Then was on HFNC on floor. Procal 2.8 so treated for superimposed CAP as well w/ azithro/ceftriaxone (abx complete as of 1/20)   As of 1/20 Currently on 50 LPM 90% FiO2. WBC downtrending.   1/21 on 55L at 90%FIO2, however appears comfortable and not in distress. CRP trending down to 0.9    1/23 Pt improving considerably, down to 7L by facemask. CRP trended to 0.7   - Wean O2 as able to goal O2 >92% - switch from solumedrol to decadron 6mg daily - on Xarelto for AC for atrial fibrillation - incentive spirometer -ok to stop trending DDIMER, CRP   Diabetes Mellitus type 2 Steroid-induced hyperglycemia     BS in 300s on 1/23 likely steriod induced - Discussed insulin with PharmD, will adjust to NPH 26u BID,  -anticipate being able to decrease insulin as steriods parse down -PharmD to follow - Hold PTA dulaglutide and sitagliptin-metformin while in house; Hgb A1c 8.1 - MDSSI   Goals of care Per sister, goals are restorative, but understanding that this is based on a similar quality of life that he has now. Given baseline cognitive status and current deconditioning, patient is not likely to have a favorable outcome if needing intubation. Would benefit from discussing this further. Additionally, she would appreciate assistance with filling out his advance directives if nearing discharge as well.  - palliative consulted, appreciate recs   Hyperkalemia 2/2 hemolyzed samples, resolved K 6.7 (hemolyzed) recheck 4.8. Reoccured multiple times. Noted to be hemolyzed when pulled off PICC.    K of 5.0 on 1/23 - communicated with RNs, will not pull K samples off PICC   Atrial fibrillation Rate controlled in 70s. EKG from 1/18 read as STEMI however given patient is paced spoke with cardiology and this is not interpretable - Continue PTA Xarelto   Fall No significant injury. Suspect related to hypoxia and associated generalized weakness.  - PT and OT consulted   Cognitive impairment Appears to be at baseline mental status. He reports that he is his own decision maker. No guardian listed on paperwork from group home.  - Continue PTA asa 81 mg - Continue PTA atorvastatin 40 mg - Continue PTA sertraline 50 daily   Hard of hearing - Normally wears hearing aids.  Normocytic Anemia - Hgb in 11s. No signs or symptoms of acute bleed.  Acute kidney injury, resolved -Cr elevated to 1.27 from 0.93. Urine lytes obtained on 1/14 and FeNA 0.2%, consistent with prerenal etiology. Improved in AM of 1/15 to 0.9. Tobacco use disorder - Continue PTA nicotine patch