chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Hypophagia, Malaise, Nausea, Sleep disorder
Clinical narrative: Administration after 11:00.  Was ok until 3 PM and then started feeling tired. Nausea during supper and little food eaten. Continued to feel weak and tired.  Headache by 9:00 and nausea, chills and Temp 100.5.  Went to bed. Could not even sip water. Felt awful. At 2:00 AM woke up to urinate. Still feeling very nauseated. Could not get up and return to bed. My husband heard me in bathroom. Something like breathing difficulty, he found me sitting and he called my name but I did not respond. He put me on the floor and blew into my mouth 2 times. I remember looking up and saying " I just want to go to bed" I felt so nauseated and weak. B/P 117/77. Pulse 88. I was sweating all over, arms, legs. He used cool compresses on them. I slept  and awoke  7/28,  somewhat better overall. No appetite, some nausea and headache. Felt ill until Friday night. Started to eat and drink more.7/29
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Unresponsive to stimuli
Clinical narrative: Administration after 11:00.  Was ok until 3 PM and then started feeling tired. Nausea during supper and little food eaten. Continued to feel weak and tired.  Headache by 9:00 and nausea, chills and Temp 100.5.  Went to bed. Could not even sip water. Felt awful. At 2:00 AM woke up to urinate. Still feeling very nauseated. Could not get up and return to bed. My husband heard me in bathroom. Something like breathing difficulty, he found me sitting and he called my name but I did not respond. He put me on the floor and blew into my mouth 2 times. I remember looking up and saying " I just want to go to bed" I felt so nauseated and weak. B/P 117/77. Pulse 88. I was sweating all over, arms, legs. He used cool compresses on them. I slept  and awoke  7/28,  somewhat better overall. No appetite, some nausea and headache. Felt ill until Friday night. Started to eat and drink more.7/29
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV -2 virus at the time of adminstration".  Patient reported no adverse reactions.
Age: 49.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Diagnosed with Covid.  Received COVID vaccine.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received her 1st booster on 5/3/22 and I administered her 2nd booster on 7/28/22, so the timing was too soon. Patient has not had an adverse reaction to date.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was vaccinated on 6/23/22.  On the afternoon of Friday, June  24th, expired Moderna Covid-19 Vaccine was discovered in the refrigerator.  Lot 54A22A was placed into the refrigerator on 5/19/22 and expired 30 days after on 6/18/22.  The expired vaccine was immediately removed from inventory.  A clinic pharmacist then called the manufacturer, Moderna, to report the incident and inquire about the stability of the expired product.  The pharmacist from Moderna submitted a ?lot analysis? request to evaluate the effectiveness of the affected lot against Covid-19 past the 30 day expiration date.  On Tuesday, June 28th, Moderna responded and stated that: ?The vaccine administered on June 22 and June 23, 2022 from lot number 054A22A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  No patient harm resulted.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hordeolum, Pain
Clinical narrative: 02/11/22 I woke up with a sty and it was painful and I used warm compress for a few days but it got worse. I went to see ophthalmologist and they put me on an eye ointment azithromycin and I started that on the 16th. On the 19th I started doxycycline and eye drops on 03/01/22. It took 3 months to go away.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Erythema, Injection site erythema, Injection site induration
Clinical narrative: Resident received Covid-19 booster on 7/26 with no signs of reaction noted. On 7/28 resident began to have new onset bilateral lower extremity swelling and 2+ edema, as well as a red, hot, swollen, hard arm at injection site. She also had new onset tremors, and facial redness and slight swelling. Resident was then sent out to ER for evaluation. Resident returned same night and returned with non-productive cough. Resident tested on 7/29 for COVID-19 and resulted positive. Resident stabilized in facility now, managing symptoms.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Oedema peripheral, Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: Resident received Covid-19 booster on 7/26 with no signs of reaction noted. On 7/28 resident began to have new onset bilateral lower extremity swelling and 2+ edema, as well as a red, hot, swollen, hard arm at injection site. She also had new onset tremors, and facial redness and slight swelling. Resident was then sent out to ER for evaluation. Resident returned same night and returned with non-productive cough. Resident tested on 7/29 for COVID-19 and resulted positive. Resident stabilized in facility now, managing symptoms.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Tremor
Clinical narrative: Resident received Covid-19 booster on 7/26 with no signs of reaction noted. On 7/28 resident began to have new onset bilateral lower extremity swelling and 2+ edema, as well as a red, hot, swollen, hard arm at injection site. She also had new onset tremors, and facial redness and slight swelling. Resident was then sent out to ER for evaluation. Resident returned same night and returned with non-productive cough. Resident tested on 7/29 for COVID-19 and resulted positive. Resident stabilized in facility now, managing symptoms.
Age: 56.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Diagnosed with COVID.  Received COVID vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exercise tolerance decreased, Fatigue, Nasopharyngitis
Clinical narrative: So it felt like a bad cold. I had some coughing (more so at night). I had to sleep on 2-3 pillows to keep my head elevated. I took NYQUIL and DAYQUIL along with PAXLOVID. I felt tired and run down. This all started on June 26th and I tested positive through July 16th. I was still able to exercise but not to the extent I usually do. It was like a bad cold. I never had a loss of sense of taste or smell. I didn't have any stomach issues. It was mainly congestion, postnasal drip. Most nights I would have to have a cough drop for sleeps sake. I was able to keep working from home, which was great. It did not seem debilitating at all, just an annoyance.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sleep disorder, Upper-airway cough syndrome
Clinical narrative: So it felt like a bad cold. I had some coughing (more so at night). I had to sleep on 2-3 pillows to keep my head elevated. I took NYQUIL and DAYQUIL along with PAXLOVID. I felt tired and run down. This all started on June 26th and I tested positive through July 16th. I was still able to exercise but not to the extent I usually do. It was like a bad cold. I never had a loss of sense of taste or smell. I didn't have any stomach issues. It was mainly congestion, postnasal drip. Most nights I would have to have a cough drop for sleeps sake. I was able to keep working from home, which was great. It did not seem debilitating at all, just an annoyance.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Influenza like illness, Pain, Respiratory tract congestion
Clinical narrative: After the vaccine I felt flu like, achy and my joints ached for about 30 hours.  The symptoms began about 12 hours after the booster.    I started having a runny nose and congestion on July 18th.  I took PCR that was positive.  I continued to have nasal congestion and began to have a cough and runny.  Paxlovid wasn't recommended because it had been several days and my symptoms were beginning to resolve.  I felt good for a few days but then I still tested positive as of July 29th.  As of today I do not have lingering symptoms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: After the vaccine I felt flu like, achy and my joints ached for about 30 hours.  The symptoms began about 12 hours after the booster.    I started having a runny nose and congestion on July 18th.  I took PCR that was positive.  I continued to have nasal congestion and began to have a cough and runny.  Paxlovid wasn't recommended because it had been several days and my symptoms were beginning to resolve.  I felt good for a few days but then I still tested positive as of July 29th.  As of today I do not have lingering symptoms.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was vaccinated on 6/23/22.  On the afternoon of Friday, June  24th, expired Moderna Covid-19 Vaccine was discovered in the refrigerator.  Lot 54A22A was placed into the refrigerator on 5/19/22 and expired 30 days after on 6/18/22.  The expired vaccine was immediately removed from inventory.  A clinic pharmacist then called the manufacturer, Moderna, to report the incident and inquire about the stability of the expired product.  The pharmacist from Moderna submitted a ?lot analysis? request to evaluate the effectiveness of the affected lot against Covid-19 past the 30 day expiration date.  On Tuesday, June 28th, Moderna responded and stated that: ?The vaccine administered on June 22 and June 23, 2022 from lot number 054A22A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  No patient harm resulted.
Age: 60.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: System trigger for COVID.  Added to Covid log.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Lymphadenopathy, Nausea
Clinical narrative: I started feeling nauseous on 04/09/21 and I broke out in shingles on 04/12/21. I started the anti-viral on 04/14/21 and ended that on 04/21/21. I still had swollen lymph nodes into May and according to my doctor it's because of the shingles, and the shingles lasted only a few days after taking anti-viral.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Induration, Injection site nodule, Injection site rash
Clinical narrative: Starting 05/02/2022, I had a knot on my arm (very hard and hot around it). I had a bad headache (not a migraine). I was more concerned about the knot and heat rash around the injection site. Given I had a reaction similar to this after a flu shot, and its accompanied by an abnormal headache, I was concerned I was having a delayed allergic reaction to the vaccine. I sent a message to my doctor to see if I should come in. She told me to use some compresses on the arm and to take medicine for the headache. I was told to go to the ER if it got worse. The headache lasted for about 12 hours. The redness and heat went down by the next day. The knot gradually worked itself down and was gone in about 2 days.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nodule, Skin warm
Clinical narrative: Starting 05/02/2022, I had a knot on my arm (very hard and hot around it). I had a bad headache (not a migraine). I was more concerned about the knot and heat rash around the injection site. Given I had a reaction similar to this after a flu shot, and its accompanied by an abnormal headache, I was concerned I was having a delayed allergic reaction to the vaccine. I sent a message to my doctor to see if I should come in. She told me to use some compresses on the arm and to take medicine for the headache. I was told to go to the ER if it got worse. The headache lasted for about 12 hours. The redness and heat went down by the next day. The knot gradually worked itself down and was gone in about 2 days.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against SARS CoV-2 virus at the time of adminstration".  Patient reported no adverse reactions.
Age: 58.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Abdominal discomfort, Abdominal pain, Anticoagulant therapy, Blood bilirubin increased, COVID-19
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 7/22/2022 Discharge Date: Jul 26, 2022  PRESENTING PROBLEM: Syncope and collapse [R55] Hypokalemia [E87.6] Total bilirubin, elevated [R17] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD [N18.30] COVID-19 [U07.1]   HOSPITAL COURSE: 59-year-old man with a past medical history significant for atrial fibrillation on Eliquis, Hawkins status post ICD placement, AAA status post repair, type 2 diabetes, hypertension who presented to the emergency department chief concern of worsening abdominal pain along with nausea and vomiting.  In the emergency department patient was positive for COVID.  His GI symptoms were thought to be secondary to COVID infection.  Patient also experienced a syncopal episode prior to his presentation which is most likely secondary to orthostatic hypotension and dehydration in the setting of GI losses.  Cardiology was consulted to interrogate patient's ICD, which showed no significant abnormalities.  At the time of admission CT abdomen was done which did not show acute abnormalities.  However due to concern for AAA and repair history vascular surgery was consulted in the emergency department who reviewed the images of the CT abdomen and were concerned for infrarenal thrombus although this is not seen in the official CT abdomen read.  Patient was started on IV heparin drip and Eliquis was placed on hold in case of procedure.  CT abdomen pelvis repeated on 07/25 improved vascular surgery no intervention planned okay to transition back to Eliquis.  Patient did well with COVID symptoms having no respiratory symptoms and improved diarrhea by the day of discharge.  Patient was able to maintain hydration with po.     In the emergency department patient was also found to have guaiac-positive stool test. GI was consulted and plan is to pursue outpatient colonoscopy and EGD.  Plan is to continue Protonix 40 mg 2 times a day.  Right upper quadrant ultrasound was consistent with hepatic steatosis.  Patient was monitored for alcohol withdrawal and remained symptom-free.  Patient with noted elevated bilirubin transaminases during hospital course that were improving by discharge.  Discussion was had patient regarding need to have complete alcohol cessation.  Recommend repeat CMP to follow within 1 week.
Age: 58.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Chronic kidney disease, Computerised tomogram abdomen normal, Dehydration, Diarrhoea, Hepatic steatosis
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 7/22/2022 Discharge Date: Jul 26, 2022  PRESENTING PROBLEM: Syncope and collapse [R55] Hypokalemia [E87.6] Total bilirubin, elevated [R17] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD [N18.30] COVID-19 [U07.1]   HOSPITAL COURSE: 59-year-old man with a past medical history significant for atrial fibrillation on Eliquis, Hawkins status post ICD placement, AAA status post repair, type 2 diabetes, hypertension who presented to the emergency department chief concern of worsening abdominal pain along with nausea and vomiting.  In the emergency department patient was positive for COVID.  His GI symptoms were thought to be secondary to COVID infection.  Patient also experienced a syncopal episode prior to his presentation which is most likely secondary to orthostatic hypotension and dehydration in the setting of GI losses.  Cardiology was consulted to interrogate patient's ICD, which showed no significant abnormalities.  At the time of admission CT abdomen was done which did not show acute abnormalities.  However due to concern for AAA and repair history vascular surgery was consulted in the emergency department who reviewed the images of the CT abdomen and were concerned for infrarenal thrombus although this is not seen in the official CT abdomen read.  Patient was started on IV heparin drip and Eliquis was placed on hold in case of procedure.  CT abdomen pelvis repeated on 07/25 improved vascular surgery no intervention planned okay to transition back to Eliquis.  Patient did well with COVID symptoms having no respiratory symptoms and improved diarrhea by the day of discharge.  Patient was able to maintain hydration with po.     In the emergency department patient was also found to have guaiac-positive stool test. GI was consulted and plan is to pursue outpatient colonoscopy and EGD.  Plan is to continue Protonix 40 mg 2 times a day.  Right upper quadrant ultrasound was consistent with hepatic steatosis.  Patient was monitored for alcohol withdrawal and remained symptom-free.  Patient with noted elevated bilirubin transaminases during hospital course that were improving by discharge.  Discussion was had patient regarding need to have complete alcohol cessation.  Recommend repeat CMP to follow within 1 week.
Age: 58.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Hypokalaemia, Malaise, Nausea, Occult blood positive, Orthostatic hypotension
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 7/22/2022 Discharge Date: Jul 26, 2022  PRESENTING PROBLEM: Syncope and collapse [R55] Hypokalemia [E87.6] Total bilirubin, elevated [R17] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD [N18.30] COVID-19 [U07.1]   HOSPITAL COURSE: 59-year-old man with a past medical history significant for atrial fibrillation on Eliquis, Hawkins status post ICD placement, AAA status post repair, type 2 diabetes, hypertension who presented to the emergency department chief concern of worsening abdominal pain along with nausea and vomiting.  In the emergency department patient was positive for COVID.  His GI symptoms were thought to be secondary to COVID infection.  Patient also experienced a syncopal episode prior to his presentation which is most likely secondary to orthostatic hypotension and dehydration in the setting of GI losses.  Cardiology was consulted to interrogate patient's ICD, which showed no significant abnormalities.  At the time of admission CT abdomen was done which did not show acute abnormalities.  However due to concern for AAA and repair history vascular surgery was consulted in the emergency department who reviewed the images of the CT abdomen and were concerned for infrarenal thrombus although this is not seen in the official CT abdomen read.  Patient was started on IV heparin drip and Eliquis was placed on hold in case of procedure.  CT abdomen pelvis repeated on 07/25 improved vascular surgery no intervention planned okay to transition back to Eliquis.  Patient did well with COVID symptoms having no respiratory symptoms and improved diarrhea by the day of discharge.  Patient was able to maintain hydration with po.     In the emergency department patient was also found to have guaiac-positive stool test. GI was consulted and plan is to pursue outpatient colonoscopy and EGD.  Plan is to continue Protonix 40 mg 2 times a day.  Right upper quadrant ultrasound was consistent with hepatic steatosis.  Patient was monitored for alcohol withdrawal and remained symptom-free.  Patient with noted elevated bilirubin transaminases during hospital course that were improving by discharge.  Discussion was had patient regarding need to have complete alcohol cessation.  Recommend repeat CMP to follow within 1 week.
Age: 58.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: SARS-CoV-2 test positive, Syncope, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 7/22/2022 Discharge Date: Jul 26, 2022  PRESENTING PROBLEM: Syncope and collapse [R55] Hypokalemia [E87.6] Total bilirubin, elevated [R17] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD [N18.30] COVID-19 [U07.1]   HOSPITAL COURSE: 59-year-old man with a past medical history significant for atrial fibrillation on Eliquis, Hawkins status post ICD placement, AAA status post repair, type 2 diabetes, hypertension who presented to the emergency department chief concern of worsening abdominal pain along with nausea and vomiting.  In the emergency department patient was positive for COVID.  His GI symptoms were thought to be secondary to COVID infection.  Patient also experienced a syncopal episode prior to his presentation which is most likely secondary to orthostatic hypotension and dehydration in the setting of GI losses.  Cardiology was consulted to interrogate patient's ICD, which showed no significant abnormalities.  At the time of admission CT abdomen was done which did not show acute abnormalities.  However due to concern for AAA and repair history vascular surgery was consulted in the emergency department who reviewed the images of the CT abdomen and were concerned for infrarenal thrombus although this is not seen in the official CT abdomen read.  Patient was started on IV heparin drip and Eliquis was placed on hold in case of procedure.  CT abdomen pelvis repeated on 07/25 improved vascular surgery no intervention planned okay to transition back to Eliquis.  Patient did well with COVID symptoms having no respiratory symptoms and improved diarrhea by the day of discharge.  Patient was able to maintain hydration with po.     In the emergency department patient was also found to have guaiac-positive stool test. GI was consulted and plan is to pursue outpatient colonoscopy and EGD.  Plan is to continue Protonix 40 mg 2 times a day.  Right upper quadrant ultrasound was consistent with hepatic steatosis.  Patient was monitored for alcohol withdrawal and remained symptom-free.  Patient with noted elevated bilirubin transaminases during hospital course that were improving by discharge.  Discussion was had patient regarding need to have complete alcohol cessation.  Recommend repeat CMP to follow within 1 week.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was vaccinated on 6/23/22.  On the afternoon of Friday, June  24th, expired Moderna Covid-19 Vaccine was discovered in the refrigerator.  Lot 54A22A was placed into the refrigerator on 5/19/22 and expired 30 days after on 6/18/22.  The expired vaccine was immediately removed from inventory.  A clinic pharmacist then called the manufacturer, Moderna, to report the incident and inquire about the stability of the expired product.  The pharmacist from Moderna submitted a ?lot analysis? request to evaluate the effectiveness of the affected lot against Covid-19 past the 30 day expiration date.  On Tuesday, June 28th, Moderna responded and stated that: ?The vaccine administered on June 22 and June 23, 2022 from lot number 054A22A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  No patient harm resulted.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pruritus, Erythema, Haemorrhage, Inflammation, Orchitis noninfective
Clinical narrative: Immediately about a week after my right hand in-between the ring finger and other finger I had a really bad itch like I never an itch like it. A couple of days later it started bleeding from so much scratching. It spread to both hands till up the top of my elbows completely around the arm and in-between my fingers. Now it is behind both of ears, all around my eyes. My groin and nut sack, it is red and inflamed. It's everywhere. If I scratch It starts cracking and bleeding. A living nightmare.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Scratch, Skin fissures
Clinical narrative: Immediately about a week after my right hand in-between the ring finger and other finger I had a really bad itch like I never an itch like it. A couple of days later it started bleeding from so much scratching. It spread to both hands till up the top of my elbows completely around the arm and in-between my fingers. Now it is behind both of ears, all around my eyes. My groin and nut sack, it is red and inflamed. It's everywhere. If I scratch It starts cracking and bleeding. A living nightmare.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".   Patient reported no adverse reactions.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received her 1st booster dose 5/4/2022 and her 2nd booster dose 7/28/2022. Her second booster was too early in the series. No reactions noted.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was vaccinated on 6/23/22.  On the afternoon of Friday, June  24th, expired Moderna Covid-19 Vaccine was discovered in the refrigerator.  Lot 54A22A was placed into the refrigerator on 5/19/22 and expired 30 days after on 6/18/22.  The expired vaccine was immediately removed from inventory.  A clinic pharmacist then called the manufacturer, Moderna, to report the incident and inquire about the stability of the expired product.  The pharmacist from Moderna submitted a ?lot analysis? request to evaluate the effectiveness of the affected lot against Covid-19 past the 30 day expiration date.  On Tuesday, June 28th, Moderna responded and stated that: ?The vaccine administered on June 22 and June 23, 2022 from lot number 054A22A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  No patient harm resulted.
Age: 24.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Abdominal pain upper, Agonal respiration, Angiopathy, Autopsy, Cardiomegaly
Clinical narrative: She got her vaccine, and also got the flu shot the same day as well, and wanted to give her the HPV vaccine as well, but mother said that the two were enough.  Mother then noticed that her face turned red and looked like her veins were move visible than normal in her neck and her heart was racing, and she was sweating.  Her mother told her to sit down and trying to get her mind off of it, and she told her mom not to leave her as she did not feel well.  She was short of breath, running a fever.  She was urinating a lot, was not eating much and not feeling well.  Then on 10/4/21 she went out at around 11:30 PM.   On 10/5/21 at 5:30 PM the police came to tell her that her daughter had died.  An autopsy was done, and the coroner informed her that she had cardiomegaly, pulmonary edema.  Mother was not aware that she had cardiomegaly.  Three weeks prior to that she was at the hospital as she was complaining of stomach pains and had gallstones.    She left the house with a cap over her head and apparently went to a location where there were a lot of people and had agonal breathing but nobody called for an ambulance.  When she was found dead rigor mortice had set in.  She had an EKG at that time and she was diagnosed with anything.  Her heart was 550 grams.  Was a very active girl who did not show any signs of problems.   She had been in the psychiatric unit a few times, possibly 30 times, and she was never diagnosed with any heart issues.    She also had a similar reaction with the first vaccine of the neck veins popping out, the redness of her face and did not feel well the entire month leading up to the 2nd vaccine.
Age: 24.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Cholelithiasis, Death, Dyspnoea, Electrocardiogram, Erythema
Clinical narrative: She got her vaccine, and also got the flu shot the same day as well, and wanted to give her the HPV vaccine as well, but mother said that the two were enough.  Mother then noticed that her face turned red and looked like her veins were move visible than normal in her neck and her heart was racing, and she was sweating.  Her mother told her to sit down and trying to get her mind off of it, and she told her mom not to leave her as she did not feel well.  She was short of breath, running a fever.  She was urinating a lot, was not eating much and not feeling well.  Then on 10/4/21 she went out at around 11:30 PM.   On 10/5/21 at 5:30 PM the police came to tell her that her daughter had died.  An autopsy was done, and the coroner informed her that she had cardiomegaly, pulmonary edema.  Mother was not aware that she had cardiomegaly.  Three weeks prior to that she was at the hospital as she was complaining of stomach pains and had gallstones.    She left the house with a cap over her head and apparently went to a location where there were a lot of people and had agonal breathing but nobody called for an ambulance.  When she was found dead rigor mortice had set in.  She had an EKG at that time and she was diagnosed with anything.  Her heart was 550 grams.  Was a very active girl who did not show any signs of problems.   She had been in the psychiatric unit a few times, possibly 30 times, and she was never diagnosed with any heart issues.    She also had a similar reaction with the first vaccine of the neck veins popping out, the redness of her face and did not feel well the entire month leading up to the 2nd vaccine.
Age: 24.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Hyperhidrosis, Hypophagia, Malaise, Muscle rigidity, Palpitations
Clinical narrative: She got her vaccine, and also got the flu shot the same day as well, and wanted to give her the HPV vaccine as well, but mother said that the two were enough.  Mother then noticed that her face turned red and looked like her veins were move visible than normal in her neck and her heart was racing, and she was sweating.  Her mother told her to sit down and trying to get her mind off of it, and she told her mom not to leave her as she did not feel well.  She was short of breath, running a fever.  She was urinating a lot, was not eating much and not feeling well.  Then on 10/4/21 she went out at around 11:30 PM.   On 10/5/21 at 5:30 PM the police came to tell her that her daughter had died.  An autopsy was done, and the coroner informed her that she had cardiomegaly, pulmonary edema.  Mother was not aware that she had cardiomegaly.  Three weeks prior to that she was at the hospital as she was complaining of stomach pains and had gallstones.    She left the house with a cap over her head and apparently went to a location where there were a lot of people and had agonal breathing but nobody called for an ambulance.  When she was found dead rigor mortice had set in.  She had an EKG at that time and she was diagnosed with anything.  Her heart was 550 grams.  Was a very active girl who did not show any signs of problems.   She had been in the psychiatric unit a few times, possibly 30 times, and she was never diagnosed with any heart issues.    She also had a similar reaction with the first vaccine of the neck veins popping out, the redness of her face and did not feel well the entire month leading up to the 2nd vaccine.
Age: 24.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pollakiuria, Pulmonary oedema, Pyrexia
Clinical narrative: She got her vaccine, and also got the flu shot the same day as well, and wanted to give her the HPV vaccine as well, but mother said that the two were enough.  Mother then noticed that her face turned red and looked like her veins were move visible than normal in her neck and her heart was racing, and she was sweating.  Her mother told her to sit down and trying to get her mind off of it, and she told her mom not to leave her as she did not feel well.  She was short of breath, running a fever.  She was urinating a lot, was not eating much and not feeling well.  Then on 10/4/21 she went out at around 11:30 PM.   On 10/5/21 at 5:30 PM the police came to tell her that her daughter had died.  An autopsy was done, and the coroner informed her that she had cardiomegaly, pulmonary edema.  Mother was not aware that she had cardiomegaly.  Three weeks prior to that she was at the hospital as she was complaining of stomach pains and had gallstones.    She left the house with a cap over her head and apparently went to a location where there were a lot of people and had agonal breathing but nobody called for an ambulance.  When she was found dead rigor mortice had set in.  She had an EKG at that time and she was diagnosed with anything.  Her heart was 550 grams.  Was a very active girl who did not show any signs of problems.   She had been in the psychiatric unit a few times, possibly 30 times, and she was never diagnosed with any heart issues.    She also had a similar reaction with the first vaccine of the neck veins popping out, the redness of her face and did not feel well the entire month leading up to the 2nd vaccine.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against SARS C0-V2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain, Lymphadenopathy
Clinical narrative: Lymphadenopathy, painful mass size of tennis ball reported in axilla of vaccinated side
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Hypoxia, Interstitial lung disease, Lung opacity
Clinical narrative: dyspnea and hypoxemia starting day after vaccine (moderna booster #1).
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary function test abnormal
Clinical narrative: dyspnea and hypoxemia starting day after vaccine (moderna booster #1).
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: Discharge Provider:  Primary Care Provider: Admission Date: 7/22/2022 Discharge Date: Jul 25, 2022  PRESENTING PROBLEM: Pulmonary embolism and infarction (HCC) [I26.99] Acute pulmonary embolism without acute cor pulmonale, unspecified pulmonary embolism type (HCC) [I26.99] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is an 86 year old male with PMHx of DM2, PVD, Esophageal carcinoma stage 3, who presented with COVID pneumonia and bilateral PE. Patient was admitted after he was found to be tachycardic and short of breath in his oncology office. He was found to be positive for COVID in the ER and CT scan showed bilateral PEs. Patient was admitted and started on a heparin drip and increased doses of steroids. Patient improved symptomatically. Patient never was hypoxic. He was transitioned from heparin to eliquis. Patient's symptoms improved. He was doing well at the time of discharge, he was not short of breath, his vitals were normal. He will need at least 3-6 months of anticoagulation, possibly indefinitely given his underlying malignancy, will leave that up to his PCP. Patient was then discharged home in stable condition.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Pulmonary embolism, Pulmonary infarction, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Discharge Provider:  Primary Care Provider: Admission Date: 7/22/2022 Discharge Date: Jul 25, 2022  PRESENTING PROBLEM: Pulmonary embolism and infarction (HCC) [I26.99] Acute pulmonary embolism without acute cor pulmonale, unspecified pulmonary embolism type (HCC) [I26.99] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is an 86 year old male with PMHx of DM2, PVD, Esophageal carcinoma stage 3, who presented with COVID pneumonia and bilateral PE. Patient was admitted after he was found to be tachycardic and short of breath in his oncology office. He was found to be positive for COVID in the ER and CT scan showed bilateral PEs. Patient was admitted and started on a heparin drip and increased doses of steroids. Patient improved symptomatically. Patient never was hypoxic. He was transitioned from heparin to eliquis. Patient's symptoms improved. He was doing well at the time of discharge, he was not short of breath, his vitals were normal. He will need at least 3-6 months of anticoagulation, possibly indefinitely given his underlying malignancy, will leave that up to his PCP. Patient was then discharged home in stable condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chest pain, Cough, Dyspnoea
Clinical narrative: I had a stuffy nose and scratchy throat on the 28th. I did a test on the 29th it was negative. I arrived home on the 30th I had chest congestion and trouble with congestion. On July 3, 2022, I went to the ER, I was having chest pain and trouble inhaling. I was given a EKG, x-ray. I developed a cough that MUCINEX helped with the cough. The cough lasted about three days total. The chest pain stopped after the visit to the ER was over. My nose did drain uncontrollably throughout the COVID-19. On the forth of July I had green discharge coming out of my tear ducts. I had a video visit with a doctor and she prescribed eye drops for me. I never had fever or fatigue. Just eye discharge, congestion and cough.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Eye discharge, Nasal congestion, Paranasal sinus hypersecretion, Pulmonary congestion
Clinical narrative: I had a stuffy nose and scratchy throat on the 28th. I did a test on the 29th it was negative. I arrived home on the 30th I had chest congestion and trouble with congestion. On July 3, 2022, I went to the ER, I was having chest pain and trouble inhaling. I was given a EKG, x-ray. I developed a cough that MUCINEX helped with the cough. The cough lasted about three days total. The chest pain stopped after the visit to the ER was over. My nose did drain uncontrollably throughout the COVID-19. On the forth of July I had green discharge coming out of my tear ducts. I had a video visit with a doctor and she prescribed eye drops for me. I never had fever or fatigue. Just eye discharge, congestion and cough.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: I had a stuffy nose and scratchy throat on the 28th. I did a test on the 29th it was negative. I arrived home on the 30th I had chest congestion and trouble with congestion. On July 3, 2022, I went to the ER, I was having chest pain and trouble inhaling. I was given a EKG, x-ray. I developed a cough that MUCINEX helped with the cough. The cough lasted about three days total. The chest pain stopped after the visit to the ER was over. My nose did drain uncontrollably throughout the COVID-19. On the forth of July I had green discharge coming out of my tear ducts. I had a video visit with a doctor and she prescribed eye drops for me. I never had fever or fatigue. Just eye discharge, congestion and cough.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was vaccinated on 6/23/22.  On the afternoon of Friday, June  24th, expired Moderna Covid-19 Vaccine was discovered in the refrigerator.  Lot 54A22A was placed into the refrigerator on 5/19/22 and expired 30 days after on 6/18/22.  The expired vaccine was immediately removed from inventory.  A clinic pharmacist then called the manufacturer, Moderna, to report the incident and inquire about the stability of the expired product.  The pharmacist from Moderna submitted a ?lot analysis? request to evaluate the effectiveness of the affected lot against Covid-19 past the 30 day expiration date.  On Tuesday, June 28th, Moderna responded and stated that: ?The vaccine administered on June 22 and June 23, 2022 from lot number 054A22A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  No patient harm resulted.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Antinuclear antibody positive, Blood uric acid normal, C-reactive protein decreased, Dactylitis
Clinical narrative: progressive pain in fingers/hands, diagnosed as having Dactylitis, predominantly in Right Hand
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Pain in extremity, Red blood cell sedimentation rate increased, Rheumatoid factor negative, X-ray normal
Clinical narrative: progressive pain in fingers/hands, diagnosed as having Dactylitis, predominantly in Right Hand
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Myalgia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Breakthrough Case of COVID-19: Started out with a tickle in the back of my throat, then went to muscle aches and pains and then a fever which I treated with Tyelnol, I had some coughing as well.  The symptoms lasted for about three days. Started Paxlovid  3days later.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case of COVID-19: Started out with a tickle in the back of my throat, then went to muscle aches and pains and then a fever which I treated with Tyelnol, I had some coughing as well.  The symptoms lasted for about three days. Started Paxlovid  3days later.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was vaccinated on 6/23/22.  On the afternoon of Friday, June  24th, expired Moderna Covid-19 Vaccine was discovered in the refrigerator.  Lot 54A22A was placed into the refrigerator on 5/19/22 and expired 30 days after on 6/18/22.  The expired vaccine was immediately removed from inventory.  A clinic pharmacist then called the manufacturer, Moderna, to report the incident and inquire about the stability of the expired product.  The pharmacist from Moderna submitted a ?lot analysis? request to evaluate the effectiveness of the affected lot against Covid-19 past the 30 day expiration date.  On Tuesday, June 28th, Moderna responded and stated that: ?The vaccine administered on June 22 and June 23, 2022 from lot number 054A22A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  No patient harm resulted.
Age: 31.0
Sex: M
Vaccine: MMRV
Symptoms: Wrong product administered
Clinical narrative: PATIENT WAS GIVEN MMRV COMBO INSTEAD OF MMR AND VARICELLA SEPERATE
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS Co-V2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was vaccinated on 6/23/22.  On the afternoon of Friday, June  24th, expired Moderna Covid-19 Vaccine was discovered in the refrigerator.  Lot 54A22A was placed into the refrigerator on 5/19/22 and expired 30 days after on 6/18/22.  The expired vaccine was immediately removed from inventory.  A clinic pharmacist then called the manufacturer, Moderna, to report the incident and inquire about the stability of the expired product.  The pharmacist from Moderna submitted a ?lot analysis? request to evaluate the effectiveness of the affected lot against Covid-19 past the 30 day expiration date.  On Tuesday, June 28th, Moderna responded and stated that: ?The vaccine administered on June 22 and June 23, 2022 from lot number 054A22A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  No patient harm resulted.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Nasal congestion
Clinical narrative: I developed nasal congestion, and scratchy throat on 6/20.  Developed fatigue and body aches on 6/21.  I developed chills and a low-grade fever the morning on 6/22 and went to urgent care and tested positive for COVID-19.  I took Tylenol though fever lasted for the next few days as well as congestion and slight cough.  I used a nasal spray for the congestion.  I was still testing positive as of 7/3 but was negative on 7/5.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I developed nasal congestion, and scratchy throat on 6/20.  Developed fatigue and body aches on 6/21.  I developed chills and a low-grade fever the morning on 6/22 and went to urgent care and tested positive for COVID-19.  I took Tylenol though fever lasted for the next few days as well as congestion and slight cough.  I used a nasal spray for the congestion.  I was still testing positive as of 7/3 but was negative on 7/5.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: No adverse event occurred.  This is being reported because the incorrect booster dosage of 0.25 ml was administered rather than the initial vaccine dosage of 0.5 ml.  Pharmacy and physician recommends giving the additional 0.25 ml of vaccine to equal the complete dose of the initial vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Heavy menstrual bleeding, Menstrual disorder, Smear cervix normal, Therapy cessation
Clinical narrative: 01/01/2022 I noticed my menstrual cycle was incredibly heavy.  My cycle would last 4-5 days and was heavy.  This continued for four months. I went off my birth control in February because my cycle was so heavy.  I made a doctor appointment for May. The doctor informed me that other women have had the similar thing happen.   I went from having very heavy cycles and being on schedule. To having no periods in June and July. My pap smear and exam were normal.  I have not had COVID.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was vaccinated on 6/23/22.  On the afternoon of Friday, June  24th, expired Moderna Covid-19 Vaccine was discovered in the refrigerator.  Lot 54A22A was placed into the refrigerator on 5/19/22 and expired 30 days after on 6/18/22.  The expired vaccine was immediately removed from inventory.  A clinic pharmacist then called the manufacturer, Moderna, to report the incident and inquire about the stability of the expired product.  The pharmacist from Moderna submitted a ?lot analysis? request to evaluate the effectiveness of the affected lot against Covid-19 past the 30 day expiration date.  On Tuesday, June 28th, Moderna responded and stated that: ?The vaccine administered on June 22 and June 23, 2022 from lot number 054A22A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  No patient harm resulted.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS Co-V2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine. No temperature excursions occurred. Moderna determined the vial "maintained the activity necessary to  protect against SARS Co-V2 virus at the time of administration." Patient reported no adverse reaction.