chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Patient came in for his 3rd Hep B vaccine. Pulled vaccine from fridge, check vile date, within date. Double checked with other nurse "this the correct vaccine" she to glanced at the vile in hand and stated, "yes". Peeled label and placed on consent form for patient to sign to receive vaccine. Administered vaccine to patient with no incidents. Upon putting vaccine information in under patient name, lot number come up for "PEDS dose". Went to fridge to check box, box had "up to age 19" on it. Was not aware the adult and peds where together in same basket (only box of Hep B vaccines in fridge), actual vile of the vaccine did not list it was a PEDS dose. Notified vaccine coordinator of what happened and what my next step was.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired healing, Skin ulcer
Clinical narrative: Non-healing ulcer of right ankle, unspecified ulcer stage. ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Lung disorder, SARS-CoV-2 test positive
Clinical narrative: Patient states she was vaccinated with Pfizer two dose series in Mach 2021 and received the booster 11/27/21..
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Electric shock sensation, Fatigue, Feeling abnormal, Myalgia
Clinical narrative: Extreme fatigue with knee joint pain. Feeling of electric shocks in head and down arms. Feeling of hot/burning in leg muscles, Pain in finger joints getting intense then aching. Foggy brain.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Extreme fatigue with knee joint pain. Feeling of electric shocks in head and down arms. Feeling of hot/burning in leg muscles, Pain in finger joints getting intense then aching. Foggy brain.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Bursitis, COVID-19, Myalgia
Clinical narrative: After contracting covid-19 approx. Jan. 15 2022, I developed muscle pains in my left arm and then approx. Feb.9 2022 I was dianoised with Burcitis of the left hip and then less than a week later my lower back began to hurt. I was prescribed Percondone and 1000 mg of Ipuprotin.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine wa expired by 1 day
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills
Clinical narrative: Admitted to hospital 12/25/2021 with chief complaint of shortness of breath since 12/18/2021, also productive cough, myalgia, chills, runny nose and wheezing.  She presented with t tachypnea and hypoxia (SpO2 65% on RA) . She was treated initially with Tylenol, albuterol inhaler, and  PO Decadron and placed on O2.  She died on 12/27/2021 primary: Acute Hypoxic Respiratory Failure due to Covid-19 pneumonia.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Hypoxia, Lung opacity, Myalgia
Clinical narrative: Admitted to hospital 12/25/2021 with chief complaint of shortness of breath since 12/18/2021, also productive cough, myalgia, chills, runny nose and wheezing.  She presented with t tachypnea and hypoxia (SpO2 65% on RA) . She was treated initially with Tylenol, albuterol inhaler, and  PO Decadron and placed on O2.  She died on 12/27/2021 primary: Acute Hypoxic Respiratory Failure due to Covid-19 pneumonia.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Rhinorrhoea, SARS-CoV-2 test positive, Tachypnoea, Wheezing
Clinical narrative: Admitted to hospital 12/25/2021 with chief complaint of shortness of breath since 12/18/2021, also productive cough, myalgia, chills, runny nose and wheezing.  She presented with t tachypnea and hypoxia (SpO2 65% on RA) . She was treated initially with Tylenol, albuterol inhaler, and  PO Decadron and placed on O2.  She died on 12/27/2021 primary: Acute Hypoxic Respiratory Failure due to Covid-19 pneumonia.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given was in fridge one day after use by date
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Discomfort, Lung cancer metastatic, Metastases to liver
Clinical narrative: Patient received moderna vaccine on 2/12/21. Unsure of LOT and vaccine route and site. On 2/1/22, found to be COVID positive. Presented to ER on 2/15/22.  Admitted through the emergency room after he presented with increasing abdominal pain and  discomfort, and subsequent radiographic evidence of what appears to be metastatic lung cancer to the liver. He was admitted at this time for further care. Did not receive therapy for COVID during hospital stay. Discharged on 2/16/22
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, X-ray abnormal
Clinical narrative: Patient received moderna vaccine on 2/12/21. Unsure of LOT and vaccine route and site. On 2/1/22, found to be COVID positive. Presented to ER on 2/15/22.  Admitted through the emergency room after he presented with increasing abdominal pain and  discomfort, and subsequent radiographic evidence of what appears to be metastatic lung cancer to the liver. He was admitted at this time for further care. Did not receive therapy for COVID during hospital stay. Discharged on 2/16/22
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance, Lethargy, Presyncope
Clinical narrative: CHIEF COMPLAINT:   Patient presents to ER with history of TIA. Pt was dizzy and lethargix lasting a approx. 3 min. EMS states all symptoms resolved before their arrival. denies SOB or SP. pt is A/O x 4. pt has full strength, no facial droop, arm drift. last known well: 0900   HISTORY OF PRESENT ILLNESS:     88-year-old female with a history of CKD stage III, atrial fibrillation, prior TIAs presenting for the evaluation of dizziness and near syncope.  Patient reports several episodes of dizziness and instability on her feet over the past day.  She states that she almost fainted while walking to the couch earlier this morning.  She denies chest pain, palpitations, shortness of breath.  She denies symptoms at rest.  Denies cough, fever, headache, neck stiffness.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Gastrointestinal haemorrhage
Clinical narrative: Acute GI hemorrhage. She was restarted on her anticoagulation without further bleeding. ED visit and hospitalization. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Infection, Injection site haematoma, Swelling
Clinical narrative: patient shoulder began swelling. went to md and was told shot was administered too low and pt now has a hematoma with an infection
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired the previous day on 01/20/2022
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo, Vertigo positional
Clinical narrative: I want to be clear that I don't know if this is related or not.  I suddenly started experiencing vertigo in my sleep around 2 weeks after the booster.  Where I was waking me up in the middle of the nigh feeling  like I'm on a ride and spinning.  During the day it seemed to go away.  Now I'm having it during the day and almost fell in my bathroom.  I made an appointment with my doctor who gave me some medication to help with the spinning and nausea, and some exercises. I didn't think to mention my concerns about it being related to the booster. I was diagnosed with BPPV by my doctor. It's only been a couple days since my doctor's office visit and I'm still experiencing the vertigo. I'm hoping that it will go away soon.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Dysarthria, Dyspnoea, Impaired self-care
Clinical narrative: He got his vaccine, started to feel a little bit weak and gradually as the week went by he could hardly walk.  Within 2 weeks he was paralyzed.  He was hospitalized at Hospital and they found some damaged disc.  They did an MRI of the brain, and saw a neurologist who told him there was nothing wrong with him and didn't check his MRI of the brain.  He has slurred speech a lot, extreme loss of balance and using a walker now, which he never had problems with balance or anything before.  He has to get a CNA, nurse, PT to come to the house to assist him with daily care.  He said that they call somebody else, and tell him to call another doctor and they don't seem to know what to do.  He had no neurological issues before the vaccine, said it's extreme.  His legs and feet are swollen, and has gone from being normal to this state over night.  He will FU with a neurologist, but does not have any appointments scheduled at this time.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Intervertebral disc injury, Magnetic resonance imaging head normal, Paralysis, Peripheral swelling, Walking aid user
Clinical narrative: He got his vaccine, started to feel a little bit weak and gradually as the week went by he could hardly walk.  Within 2 weeks he was paralyzed.  He was hospitalized at Hospital and they found some damaged disc.  They did an MRI of the brain, and saw a neurologist who told him there was nothing wrong with him and didn't check his MRI of the brain.  He has slurred speech a lot, extreme loss of balance and using a walker now, which he never had problems with balance or anything before.  He has to get a CNA, nurse, PT to come to the house to assist him with daily care.  He said that they call somebody else, and tell him to call another doctor and they don't seem to know what to do.  He had no neurological issues before the vaccine, said it's extreme.  His legs and feet are swollen, and has gone from being normal to this state over night.  He will FU with a neurologist, but does not have any appointments scheduled at this time.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Injection site reaction, Myalgia, Pain, Pruritus
Clinical narrative: I was feeling heat in that deltoid muscle area and some achiness and itching. I didn't really pay much attention to it until about 2 weeks later the vaccine. I thought this should be going away and I took a look at it and found that there was probably the size of a baseball size area that was inflamed with a patchy rash. Somewhat resembling hives. There was definitely demarcation between the round area surrounding the site of the injection and lower down on the arm. Maybe a little bit larger than a baseball. I saw the doctor and she didn't really know what to make of it and told me there was someone else, another provider, who had a similar experience. She said that it was probably my body forming antibodies but basically, it was kind of an anomaly. I didn't realize until about July that it was actually a reaction that was widespread enough that it would be recognized as a reaction.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: I was feeling heat in that deltoid muscle area and some achiness and itching. I didn't really pay much attention to it until about 2 weeks later the vaccine. I thought this should be going away and I took a look at it and found that there was probably the size of a baseball size area that was inflamed with a patchy rash. Somewhat resembling hives. There was definitely demarcation between the round area surrounding the site of the injection and lower down on the arm. Maybe a little bit larger than a baseball. I saw the doctor and she didn't really know what to make of it and told me there was someone else, another provider, who had a similar experience. She said that it was probably my body forming antibodies but basically, it was kind of an anomaly. I didn't realize until about July that it was actually a reaction that was widespread enough that it would be recognized as a reaction.
Age: 93.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Cardiac failure acute, Left ventricular failure
Clinical narrative: Acute on chronic systolic heart failure. Patient was diuresed with an improvement in symptoms. She remains rate controlled on BB therapy. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Cardiac imaging procedure abnormal, Chest pain, Dyspnoea, Echocardiogram abnormal
Clinical narrative: I experienced a skin rash initially and extreme pain in my left shoulder.  The pain progressed to my chest and caused shortness of breath so  I went to the ER and was diagnosed with pericarditis. I am currently being treated. I almost died! Weeks
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Pericardial effusion, Pericarditis, Pleural effusion, Rash
Clinical narrative: I experienced a skin rash initially and extreme pain in my left shoulder.  The pain progressed to my chest and caused shortness of breath so  I went to the ER and was diagnosed with pericarditis. I am currently being treated. I almost died! Weeks
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired the previous day on 01/20/2022
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Gastrooesophageal reflux disease, Peripheral swelling, Swelling
Clinical narrative: 90 days after vaccination I started to have feelings of shortness of breath that I?ve not had before.  I started to have chest pains and was told by an ent doctor I had acid reflux.  I?ve never had an issue with acid reflux I believe the vaccine had caused me to develop this.  Now almost 10 months later I now have a swollen arm swelling in my neck .  Since having the vaccine I have been to so many doctors more than I?ve ever had before.  I believe the vaccine has been causing me to have problems that I?ve never had before.  I am a healthy individual with normally no major issues.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Full-body hives and rash for 16+ days starting a week after the booster dose. Most medicines are not effective in relieving itchiness, such as Benadryl and Xyzal.  Methylprednisolone did not help, only made the symptoms worse.
Age: 35.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID 19 TEST.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Lymphadenopathy, Ultrasound scan
Clinical narrative: I went in for a routine mammogram. They found an enlarge lymph node in my arm pit. They did an ultra sound on it and now I need a biopsy.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given Moderna vaccine as his 1st dose of COVID-19 vaccine. Patient is fine, and parents are aware and will continue to monitor. Parent also aware that child will receive Pfizer vaccine 28 days after today's vaccine.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired the previous day on 01/20/2022
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Needle issue, No adverse event
Clinical narrative: RN, was attempting to vaccinate the client and pierced the skin with the needle. At this time, the client moved and the needle came out of the client's arm. The registered nurse vaccinating called over lead RN and she was able to observe the needle and syringe that had pierced the client's skin. Both Registered nurses confirmed that the entire dose of 0.2ml remained in the syringe. The area of the arm that was pierced was not bleeding and it was barely visible to see where the needle had pierced the skin. The client was then vaccinated with the full vaccine dose. No reaction occurred while client sat for 30 minutes in the observation area.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram
Clinical narrative: Encounter for electrocardiogram. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Arthralgia, Blood test, Chills, Diarrhoea
Clinical narrative: Day after booster I woke up with chills and worked until noon and had to be sent home and went home to sleep. Third day after vaccination, my legs were feeling numb and slept most of the day. I would have diarrhea, hair has been falling out as well. I now have blurriness out of my left eye and it is now hard to walk because out of nowhere I will begin to get dizzy when the blurriness occurs. I visited a specialist that found that there was severe inflammation in my eye. They prescribed an RX for me however it was not covered by my insurance and therefore could not receive them. Xiidra (Lifitegrast). I have also been having a lot of joint pain going down my shoulder and back. MRI done on the right hand as well  due to cramping in hands. They also checked for blood clotting as well in my legs. After the first dose and second I had chills, and fever, and nausea that caused me to get sick. I would then turn in and sleep for the rest of the day. Obstetrician-gynecologist: Found a dermoid cyst in right ovary that was not there a couple years ago.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Echocardiogram normal, Eye inflammation, Gait disturbance, Hypoaesthesia
Clinical narrative: Day after booster I woke up with chills and worked until noon and had to be sent home and went home to sleep. Third day after vaccination, my legs were feeling numb and slept most of the day. I would have diarrhea, hair has been falling out as well. I now have blurriness out of my left eye and it is now hard to walk because out of nowhere I will begin to get dizzy when the blurriness occurs. I visited a specialist that found that there was severe inflammation in my eye. They prescribed an RX for me however it was not covered by my insurance and therefore could not receive them. Xiidra (Lifitegrast). I have also been having a lot of joint pain going down my shoulder and back. MRI done on the right hand as well  due to cramping in hands. They also checked for blood clotting as well in my legs. After the first dose and second I had chills, and fever, and nausea that caused me to get sick. I would then turn in and sleep for the rest of the day. Obstetrician-gynecologist: Found a dermoid cyst in right ovary that was not there a couple years ago.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Magnetic resonance imaging, Muscle spasms, Ovarian germ cell teratoma benign, Vision blurred
Clinical narrative: Day after booster I woke up with chills and worked until noon and had to be sent home and went home to sleep. Third day after vaccination, my legs were feeling numb and slept most of the day. I would have diarrhea, hair has been falling out as well. I now have blurriness out of my left eye and it is now hard to walk because out of nowhere I will begin to get dizzy when the blurriness occurs. I visited a specialist that found that there was severe inflammation in my eye. They prescribed an RX for me however it was not covered by my insurance and therefore could not receive them. Xiidra (Lifitegrast). I have also been having a lot of joint pain going down my shoulder and back. MRI done on the right hand as well  due to cramping in hands. They also checked for blood clotting as well in my legs. After the first dose and second I had chills, and fever, and nausea that caused me to get sick. I would then turn in and sleep for the rest of the day. Obstetrician-gynecologist: Found a dermoid cyst in right ovary that was not there a couple years ago.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray abnormal
Clinical narrative: Day after booster I woke up with chills and worked until noon and had to be sent home and went home to sleep. Third day after vaccination, my legs were feeling numb and slept most of the day. I would have diarrhea, hair has been falling out as well. I now have blurriness out of my left eye and it is now hard to walk because out of nowhere I will begin to get dizzy when the blurriness occurs. I visited a specialist that found that there was severe inflammation in my eye. They prescribed an RX for me however it was not covered by my insurance and therefore could not receive them. Xiidra (Lifitegrast). I have also been having a lot of joint pain going down my shoulder and back. MRI done on the right hand as well  due to cramping in hands. They also checked for blood clotting as well in my legs. After the first dose and second I had chills, and fever, and nausea that caused me to get sick. I would then turn in and sleep for the rest of the day. Obstetrician-gynecologist: Found a dermoid cyst in right ovary that was not there a couple years ago.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope
Clinical narrative: Patient fainted after receiving the vaccine and fell on the counter. He was back to normal within a minute. He had not had anything to eat since morning. He drank some water and orange juice. He stayed in the pharmacy for 30 minutes and was ok when he left.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: administered one day passed expired vaccine ( one day passed expired from 30 days standard storage time)
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Eczema, Illness, Pyrexia
Clinical narrative: 08/30/2021 - There was rash in the palm of both my hand. 12/25/2021- Woke up sick and with a fever at 04:00AM in the morning and it felt like I had strep throat and was coughing really bad. 12/27/2021- Tested Positive for Covid. 01/07/2022- After quarantine, I went to the doctor on 01/08/2022 and tested negative
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: 08/30/2021 - There was rash in the palm of both my hand. 12/25/2021- Woke up sick and with a fever at 04:00AM in the morning and it felt like I had strep throat and was coughing really bad. 12/27/2021- Tested Positive for Covid. 01/07/2022- After quarantine, I went to the doctor on 01/08/2022 and tested negative
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired the previous day on 01/20/2022
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Rash
Clinical narrative: Approximately 15 min after receiving the vaccine receipiant started to complain of itching in the right arm where vaccine was given. She also developed a rash that quickly spread to bilateral upper arms, abdomen, upper back and bilateral thighs. At no point did she complain of SOB or feeling like her throat was closing up. She was given oral benadryl 25mg and Pepcid 10mg from which she reported no relief from the pruritus. She was sent to Occupational health for further evaluation and treatment. She was prescribed Pepcid 20mg once daily, Medrol (Pak) 4mg in a dose pack, Zyrtec 10mg daily, and hydroxyzine HCI 25mg every 4-6 hrs as needed. She followed up 3 days later and continued to complain of itching. She was adviced to contniue the above medications and try cool milk compresses, colloidial oatmeal bath soaks & topical anti itch meds for the contniued pruritus.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID 19 TEST.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Nausea, Paraesthesia, Pyrexia
Clinical narrative: Within 5 minutes I had tingling in the bottom of my feet spreading upto my knees. Also had tingling in my hands. Almost fainted with heavy curtain coming down over my eyes. During that night my fever shot to 104, respiration was 111, and I had bad chills with nausea. 2 days later (today) I still have a fever of 101.1
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dysarthria, Mental status changes, Urinary incontinence
Clinical narrative: CHIEF COMPLAINT:   AMS  HISTORY OF PRESENT ILLNESS:     History is very limited in this patient because she is very confused and altered.   71-year-old female brought in by ambulance for evaluation of altered mental status.  2 weeks ago the patient was out to dinner and her baseline mental status was completely normal at that time.  Last known well was 4 days ago on Friday night.  According to the niece, the patient was dropped off at home and placed in her rocking chair.  At that time the patient was more confused than usual slurring her speech slightly but was very insistent that she was "okay ".  Next day the niece called the house and the patient sounded better.  There was an ice storm the following day and the weather made driving almost unmanageable, and for this reason the patient was left at home for the next couple days.  When the patient stopped answering her phone calls the niece became concerned and went to visit her today.  The niece found the patient today in the same rocking chair and wearing the same exact close.  The suspicion is that the patient not moved at all from the chair for the past 4 days.  EMS tells me that the patient was covered in urine and soaking wet.   The patient herself makes eye contact, is able to speak in 1-2 word sentences, but is clearly confused.  He can answer simple questions yes or no, and often says "I am fine ".
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Rash pruritic, Urticaria
Clinical narrative: Red swollen arm. Hives and itching rash over her body. Went to doctor and her prescribed her prednisone. Also she went to the dermatologist and they prescribed her antihistamine
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received Pfizer COVID-19 vaccine which was beyond the manufacturer recommended use time of 31 days at the refrigerated temperature. Organization has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range which is supported by the above data. No known adverse outcomes.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: fever, cough, SOB, chills, fatigue, headache, muscle aches, nausea and runny nose.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Nausea, Pyrexia, Rhinorrhoea
Clinical narrative: fever, cough, SOB, chills, fatigue, headache, muscle aches, nausea and runny nose.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: Acute respiratory failure with hypoxia. He was treated with IV lopressor without improvement, then started on a cardizem drip and digoxin without improvement.  On 11/20/21 he was started on amiodarone protocol. Improved to discharge. ED visit and hospital admissions within 6 weeks of receiving the COVID vaccine.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives over the chest area
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Sensation of foreign body
Clinical narrative: lump in throat, palpatations
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood calcium decreased, Blood test, Chest X-ray, Communication disorder
Clinical narrative: Pt.'s Daughter states that after receiving the 1st dose of Pfizer 12/20/2022 (Booster - Previous J&J 01/15/2021), started experiencing symptoms 01/28/2022 of fatigue, fever, and weakness. Urgent Care 01/29/2022 visit/ tested for Flu & Covid = Negative. 01/31/2022 Confusion, fever, difficulty walking and communicating/ Transported to Hospital admitted for Viral Meningitis, IV treatment followed with Discharged 02/05/2022 to Rehabilitation 02/05/2022 - 02/11/2021 discharged. Primary visit 02/17/2021 protein and calcium levels low. Infectious Disease appt. 03/01/2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Confusional state, Fatigue, Gait disturbance, Influenza virus test negative
Clinical narrative: Pt.'s Daughter states that after receiving the 1st dose of Pfizer 12/20/2022 (Booster - Previous J&J 01/15/2021), started experiencing symptoms 01/28/2022 of fatigue, fever, and weakness. Urgent Care 01/29/2022 visit/ tested for Flu & Covid = Negative. 01/31/2022 Confusion, fever, difficulty walking and communicating/ Transported to Hospital admitted for Viral Meningitis, IV treatment followed with Discharged 02/05/2022 to Rehabilitation 02/05/2022 - 02/11/2021 discharged. Primary visit 02/17/2021 protein and calcium levels low. Infectious Disease appt. 03/01/2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Meningitis viral, Protein total decreased, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Pt.'s Daughter states that after receiving the 1st dose of Pfizer 12/20/2022 (Booster - Previous J&J 01/15/2021), started experiencing symptoms 01/28/2022 of fatigue, fever, and weakness. Urgent Care 01/29/2022 visit/ tested for Flu & Covid = Negative. 01/31/2022 Confusion, fever, difficulty walking and communicating/ Transported to Hospital admitted for Viral Meningitis, IV treatment followed with Discharged 02/05/2022 to Rehabilitation 02/05/2022 - 02/11/2021 discharged. Primary visit 02/17/2021 protein and calcium levels low. Infectious Disease appt. 03/01/2022.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: no treatment prescribed at the time. PAtient educated to monitor the site
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: My symptoms started on December 29,2021. I had cough on December 30.2021 tested with a home test followed up with PCR. Later that same day experienced brain fog, no fever and stats was normal. The next day I had diarrhea and on January 1, 2022 symptoms continued. On January 2, 2022 was given monoclonal antibodies. I received the new antibody on January 3, 2022 due to me being high risk and had slight improvements by January 4, 2022. Then on January 7th or 8th, 2022 everything had resolved resides the post viral cough lasted about a month.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac murmur, Cardiac stress test, Chest discomfort, Chest pain
Clinical narrative: Approximately a week after vaccine, I experienced chest pain.  I am a teacher and went to school nurse. My blood pressure was high even though I am on blood pressure meds and it is controlled. She heard a pause and a skip when listening to my heart. She told me to call my doctor, I had an appt for the next morning. While at the doctor, I had an EKG. I was told I was several having PVC's. I was ordered a Holter monitor for the weekend. I was put on on Metoprolol once daily. I had went to the ER due to having chest pressure and pain. While at ER, I had an EKG and monitored. Was told to follow up with a stress test and echocardiogram. My stress test and echocardiogram was normal. I did have a heart murmur. I was told the Metoprolol would control the arrhythmia.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Electrocardiogram, Electrocardiogram ambulatory, Extrasystoles, Hypertension
Clinical narrative: Approximately a week after vaccine, I experienced chest pain.  I am a teacher and went to school nurse. My blood pressure was high even though I am on blood pressure meds and it is controlled. She heard a pause and a skip when listening to my heart. She told me to call my doctor, I had an appt for the next morning. While at the doctor, I had an EKG. I was told I was several having PVC's. I was ordered a Holter monitor for the weekend. I was put on on Metoprolol once daily. I had went to the ER due to having chest pressure and pain. While at ER, I had an EKG and monitored. Was told to follow up with a stress test and echocardiogram. My stress test and echocardiogram was normal. I did have a heart murmur. I was told the Metoprolol would control the arrhythmia.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: Approximately a week after vaccine, I experienced chest pain.  I am a teacher and went to school nurse. My blood pressure was high even though I am on blood pressure meds and it is controlled. She heard a pause and a skip when listening to my heart. She told me to call my doctor, I had an appt for the next morning. While at the doctor, I had an EKG. I was told I was several having PVC's. I was ordered a Holter monitor for the weekend. I was put on on Metoprolol once daily. I had went to the ER due to having chest pressure and pain. While at ER, I had an EKG and monitored. Was told to follow up with a stress test and echocardiogram. My stress test and echocardiogram was normal. I did have a heart murmur. I was told the Metoprolol would control the arrhythmia.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Albumin globulin ratio normal, Anion gap, Aspartate aminotransferase normal, Asthenia
Clinical narrative: 1/27/22 Chief Complaint: Cough     Context: Pt is a 74 yr/o male who presents with covid symptoms that began Monday. Pt has had nasal congestion, cough, and fatigue. Pt tested positive for covid on Wednesday. Pt has been more confused and generalized weak today. Pt has fallen today but no injuries. Pt was told to come to ED. Pt has had vaccine with booster. No sore throat, HA, sneezing/tearing from eyes, SOA, CP, body aches, V/D, dysuria, rash, or bruising. No blood thinner use. None smoker. No lung disease. Pt has hx of dementia. Physical Exam Constitutional:      Appearance: He is well-developed and well-groomed.  HENT:     Head: Normocephalic and atraumatic.     Mouth/Throat:     Mouth: Mucous membranes are dry.  Physical Exam Eyes:     Conjunctiva/sclera: Conjunctivae normal.  Cardiovascular:     Rate and Rhythm: Regular rhythm. Tachycardia present.  Pulmonary:     Effort: No tachypnea.     Breath sounds: Examination of the right-lower field reveals decreased breath sounds. Examination of the left-lower field reveals decreased breath sounds. Decreased breath sounds present.  Abdominal:     Palpations: Abdomen is soft.     Tenderness: There is no abdominal tenderness.  Musculoskeletal:     Cervical back: Neck supple.  Lymphadenopathy:     Cervical: No cervical adenopathy.  Skin:    General: Skin is warm.  Neurological:     Mental Status: He is alert.     Comments: Awake and alert to person, place, but not time  Psychiatric:        Attention and Perception: Attention normal.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bacterial test negative, Balance disorder, Basophil count normal, Basophil percentage, Bilirubin urine
Clinical narrative: 1/27/22 Chief Complaint: Cough     Context: Pt is a 74 yr/o male who presents with covid symptoms that began Monday. Pt has had nasal congestion, cough, and fatigue. Pt tested positive for covid on Wednesday. Pt has been more confused and generalized weak today. Pt has fallen today but no injuries. Pt was told to come to ED. Pt has had vaccine with booster. No sore throat, HA, sneezing/tearing from eyes, SOA, CP, body aches, V/D, dysuria, rash, or bruising. No blood thinner use. None smoker. No lung disease. Pt has hx of dementia. Physical Exam Constitutional:      Appearance: He is well-developed and well-groomed.  HENT:     Head: Normocephalic and atraumatic.     Mouth/Throat:     Mouth: Mucous membranes are dry.  Physical Exam Eyes:     Conjunctiva/sclera: Conjunctivae normal.  Cardiovascular:     Rate and Rhythm: Regular rhythm. Tachycardia present.  Pulmonary:     Effort: No tachypnea.     Breath sounds: Examination of the right-lower field reveals decreased breath sounds. Examination of the left-lower field reveals decreased breath sounds. Decreased breath sounds present.  Abdominal:     Palpations: Abdomen is soft.     Tenderness: There is no abdominal tenderness.  Musculoskeletal:     Cervical back: Neck supple.  Lymphadenopathy:     Cervical: No cervical adenopathy.  Skin:    General: Skin is warm.  Neurological:     Mental Status: He is alert.     Comments: Awake and alert to person, place, but not time  Psychiatric:        Attention and Perception: Attention normal.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride decreased
Clinical narrative: 1/27/22 Chief Complaint: Cough     Context: Pt is a 74 yr/o male who presents with covid symptoms that began Monday. Pt has had nasal congestion, cough, and fatigue. Pt tested positive for covid on Wednesday. Pt has been more confused and generalized weak today. Pt has fallen today but no injuries. Pt was told to come to ED. Pt has had vaccine with booster. No sore throat, HA, sneezing/tearing from eyes, SOA, CP, body aches, V/D, dysuria, rash, or bruising. No blood thinner use. None smoker. No lung disease. Pt has hx of dementia. Physical Exam Constitutional:      Appearance: He is well-developed and well-groomed.  HENT:     Head: Normocephalic and atraumatic.     Mouth/Throat:     Mouth: Mucous membranes are dry.  Physical Exam Eyes:     Conjunctiva/sclera: Conjunctivae normal.  Cardiovascular:     Rate and Rhythm: Regular rhythm. Tachycardia present.  Pulmonary:     Effort: No tachypnea.     Breath sounds: Examination of the right-lower field reveals decreased breath sounds. Examination of the left-lower field reveals decreased breath sounds. Decreased breath sounds present.  Abdominal:     Palpations: Abdomen is soft.     Tenderness: There is no abdominal tenderness.  Musculoskeletal:     Cervical back: Neck supple.  Lymphadenopathy:     Cervical: No cervical adenopathy.  Skin:    General: Skin is warm.  Neurological:     Mental Status: He is alert.     Comments: Awake and alert to person, place, but not time  Psychiatric:        Attention and Perception: Attention normal.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood glucose normal, Blood lactic acid, Blood magnesium increased, Blood potassium normal, Blood sodium decreased
Clinical narrative: 1/27/22 Chief Complaint: Cough     Context: Pt is a 74 yr/o male who presents with covid symptoms that began Monday. Pt has had nasal congestion, cough, and fatigue. Pt tested positive for covid on Wednesday. Pt has been more confused and generalized weak today. Pt has fallen today but no injuries. Pt was told to come to ED. Pt has had vaccine with booster. No sore throat, HA, sneezing/tearing from eyes, SOA, CP, body aches, V/D, dysuria, rash, or bruising. No blood thinner use. None smoker. No lung disease. Pt has hx of dementia. Physical Exam Constitutional:      Appearance: He is well-developed and well-groomed.  HENT:     Head: Normocephalic and atraumatic.     Mouth/Throat:     Mouth: Mucous membranes are dry.  Physical Exam Eyes:     Conjunctiva/sclera: Conjunctivae normal.  Cardiovascular:     Rate and Rhythm: Regular rhythm. Tachycardia present.  Pulmonary:     Effort: No tachypnea.     Breath sounds: Examination of the right-lower field reveals decreased breath sounds. Examination of the left-lower field reveals decreased breath sounds. Decreased breath sounds present.  Abdominal:     Palpations: Abdomen is soft.     Tenderness: There is no abdominal tenderness.  Musculoskeletal:     Cervical back: Neck supple.  Lymphadenopathy:     Cervical: No cervical adenopathy.  Skin:    General: Skin is warm.  Neurological:     Mental Status: He is alert.     Comments: Awake and alert to person, place, but not time  Psychiatric:        Attention and Perception: Attention normal.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood urea nitrogen/creatinine ratio, Blood urea normal, Breath sounds abnormal, COVID-19, Carbon dioxide normal
Clinical narrative: 1/27/22 Chief Complaint: Cough     Context: Pt is a 74 yr/o male who presents with covid symptoms that began Monday. Pt has had nasal congestion, cough, and fatigue. Pt tested positive for covid on Wednesday. Pt has been more confused and generalized weak today. Pt has fallen today but no injuries. Pt was told to come to ED. Pt has had vaccine with booster. No sore throat, HA, sneezing/tearing from eyes, SOA, CP, body aches, V/D, dysuria, rash, or bruising. No blood thinner use. None smoker. No lung disease. Pt has hx of dementia. Physical Exam Constitutional:      Appearance: He is well-developed and well-groomed.  HENT:     Head: Normocephalic and atraumatic.     Mouth/Throat:     Mouth: Mucous membranes are dry.  Physical Exam Eyes:     Conjunctiva/sclera: Conjunctivae normal.  Cardiovascular:     Rate and Rhythm: Regular rhythm. Tachycardia present.  Pulmonary:     Effort: No tachypnea.     Breath sounds: Examination of the right-lower field reveals decreased breath sounds. Examination of the left-lower field reveals decreased breath sounds. Decreased breath sounds present.  Abdominal:     Palpations: Abdomen is soft.     Tenderness: There is no abdominal tenderness.  Musculoskeletal:     Cervical back: Neck supple.  Lymphadenopathy:     Cervical: No cervical adenopathy.  Skin:    General: Skin is warm.  Neurological:     Mental Status: He is alert.     Comments: Awake and alert to person, place, but not time  Psychiatric:        Attention and Perception: Attention normal.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Chronic left ventricular failure, Cognitive disorder, Computerised tomogram head normal
Clinical narrative: 1/27/22 Chief Complaint: Cough     Context: Pt is a 74 yr/o male who presents with covid symptoms that began Monday. Pt has had nasal congestion, cough, and fatigue. Pt tested positive for covid on Wednesday. Pt has been more confused and generalized weak today. Pt has fallen today but no injuries. Pt was told to come to ED. Pt has had vaccine with booster. No sore throat, HA, sneezing/tearing from eyes, SOA, CP, body aches, V/D, dysuria, rash, or bruising. No blood thinner use. None smoker. No lung disease. Pt has hx of dementia. Physical Exam Constitutional:      Appearance: He is well-developed and well-groomed.  HENT:     Head: Normocephalic and atraumatic.     Mouth/Throat:     Mouth: Mucous membranes are dry.  Physical Exam Eyes:     Conjunctiva/sclera: Conjunctivae normal.  Cardiovascular:     Rate and Rhythm: Regular rhythm. Tachycardia present.  Pulmonary:     Effort: No tachypnea.     Breath sounds: Examination of the right-lower field reveals decreased breath sounds. Examination of the left-lower field reveals decreased breath sounds. Decreased breath sounds present.  Abdominal:     Palpations: Abdomen is soft.     Tenderness: There is no abdominal tenderness.  Musculoskeletal:     Cervical back: Neck supple.  Lymphadenopathy:     Cervical: No cervical adenopathy.  Skin:    General: Skin is warm.  Neurological:     Mental Status: He is alert.     Comments: Awake and alert to person, place, but not time  Psychiatric:        Attention and Perception: Attention normal.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Confusional state, Cough, Culture urine, Dementia
Clinical narrative: 1/27/22 Chief Complaint: Cough     Context: Pt is a 74 yr/o male who presents with covid symptoms that began Monday. Pt has had nasal congestion, cough, and fatigue. Pt tested positive for covid on Wednesday. Pt has been more confused and generalized weak today. Pt has fallen today but no injuries. Pt was told to come to ED. Pt has had vaccine with booster. No sore throat, HA, sneezing/tearing from eyes, SOA, CP, body aches, V/D, dysuria, rash, or bruising. No blood thinner use. None smoker. No lung disease. Pt has hx of dementia. Physical Exam Constitutional:      Appearance: He is well-developed and well-groomed.  HENT:     Head: Normocephalic and atraumatic.     Mouth/Throat:     Mouth: Mucous membranes are dry.  Physical Exam Eyes:     Conjunctiva/sclera: Conjunctivae normal.  Cardiovascular:     Rate and Rhythm: Regular rhythm. Tachycardia present.  Pulmonary:     Effort: No tachypnea.     Breath sounds: Examination of the right-lower field reveals decreased breath sounds. Examination of the left-lower field reveals decreased breath sounds. Decreased breath sounds present.  Abdominal:     Palpations: Abdomen is soft.     Tenderness: There is no abdominal tenderness.  Musculoskeletal:     Cervical back: Neck supple.  Lymphadenopathy:     Cervical: No cervical adenopathy.  Skin:    General: Skin is warm.  Neurological:     Mental Status: He is alert.     Comments: Awake and alert to person, place, but not time  Psychiatric:        Attention and Perception: Attention normal.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Device use issue, Diabetic nephropathy, Diarrhoea, Differential white blood cell count, Eosinophil count normal
Clinical narrative: 1/27/22 Chief Complaint: Cough     Context: Pt is a 74 yr/o male who presents with covid symptoms that began Monday. Pt has had nasal congestion, cough, and fatigue. Pt tested positive for covid on Wednesday. Pt has been more confused and generalized weak today. Pt has fallen today but no injuries. Pt was told to come to ED. Pt has had vaccine with booster. No sore throat, HA, sneezing/tearing from eyes, SOA, CP, body aches, V/D, dysuria, rash, or bruising. No blood thinner use. None smoker. No lung disease. Pt has hx of dementia. Physical Exam Constitutional:      Appearance: He is well-developed and well-groomed.  HENT:     Head: Normocephalic and atraumatic.     Mouth/Throat:     Mouth: Mucous membranes are dry.  Physical Exam Eyes:     Conjunctiva/sclera: Conjunctivae normal.  Cardiovascular:     Rate and Rhythm: Regular rhythm. Tachycardia present.  Pulmonary:     Effort: No tachypnea.     Breath sounds: Examination of the right-lower field reveals decreased breath sounds. Examination of the left-lower field reveals decreased breath sounds. Decreased breath sounds present.  Abdominal:     Palpations: Abdomen is soft.     Tenderness: There is no abdominal tenderness.  Musculoskeletal:     Cervical back: Neck supple.  Lymphadenopathy:     Cervical: No cervical adenopathy.  Skin:    General: Skin is warm.  Neurological:     Mental Status: He is alert.     Comments: Awake and alert to person, place, but not time  Psychiatric:        Attention and Perception: Attention normal.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Eosinophil percentage, Fall, Fatigue, Full blood count, Gait disturbance
Clinical narrative: 1/27/22 Chief Complaint: Cough     Context: Pt is a 74 yr/o male who presents with covid symptoms that began Monday. Pt has had nasal congestion, cough, and fatigue. Pt tested positive for covid on Wednesday. Pt has been more confused and generalized weak today. Pt has fallen today but no injuries. Pt was told to come to ED. Pt has had vaccine with booster. No sore throat, HA, sneezing/tearing from eyes, SOA, CP, body aches, V/D, dysuria, rash, or bruising. No blood thinner use. None smoker. No lung disease. Pt has hx of dementia. Physical Exam Constitutional:      Appearance: He is well-developed and well-groomed.  HENT:     Head: Normocephalic and atraumatic.     Mouth/Throat:     Mouth: Mucous membranes are dry.  Physical Exam Eyes:     Conjunctiva/sclera: Conjunctivae normal.  Cardiovascular:     Rate and Rhythm: Regular rhythm. Tachycardia present.  Pulmonary:     Effort: No tachypnea.     Breath sounds: Examination of the right-lower field reveals decreased breath sounds. Examination of the left-lower field reveals decreased breath sounds. Decreased breath sounds present.  Abdominal:     Palpations: Abdomen is soft.     Tenderness: There is no abdominal tenderness.  Musculoskeletal:     Cervical back: Neck supple.  Lymphadenopathy:     Cervical: No cervical adenopathy.  Skin:    General: Skin is warm.  Neurological:     Mental Status: He is alert.     Comments: Awake and alert to person, place, but not time  Psychiatric:        Attention and Perception: Attention normal.