chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: It was after the booster, which I am not sure it was related for sure, but when I was filling a syringe dose for my spouse my eye would twitch and I lost my train of thought and it was odd but I never thought about it. Then about a week after the booster, I started to lose my balance a bit but it went away and nothing was out of the ordinary. I went to work and everything was normal. Then on the 4th of November I began walking funny, and I lost my balance and fell and began vomiting for 4 hours straight. I was taken to the hospital and I was kept there for 3 days. I still have a bit of balance issues and I could not drive a car for almost a whole month. The equilibrium of my ears are not balanced. Slowly they are getting better but they are not fully recovered still.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Impaired work ability, Pain, Pain in extremity
Clinical narrative: Fever, body aches and pain in left arm, dizziness, weakness. Lasted about 24 hours so 2 days of work missed.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, body aches and pain in left arm, dizziness, weakness. Lasted about 24 hours so 2 days of work missed.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Grip strength decreased, Incorrect route of product administration, Joint range of motion decreased, Migraine
Clinical narrative: Administration of the vaccine was incorrect, too high in the arm. (Noted by PA and PT). After I had the shot on my way home, it started hurting. By the time I got home, I put ice on it. The pain level just kept rising. Within that week, the shoulder was getting hard to move and I could no longer reach my arm above my head. It's continued that way until the present. I had been doing a routine of icing the arm alternating with heat. That was under the direction of a physical therapist. I asked for a referral from a PA for physical therapy. He's been working with me since September to get mobility back and pain down. I can't take Aleve or Advil, so all I could take was Tylenol and that didn't do much. All I can do is the exercises the PT gave me and alternating with ice and heat. I went in for weekly sessions for months, but I couldn't afford the deductible so I'm only going once a month. So I'm still going, doing the exercises, and alternating the ice and heat. Very slow to recover and there's a lot of pain in that muscle. Because of the way it is, it's triggered migraines because of the pain across the top of the shoulders and the clavicle. I was dropping glasses because I had weakness in my hand. Anything I picked up would fall to the ground. I can hold a glass now, but at first it was difficult. I had a flu shot in between the doses and the lady noted that the only time she's seen this happen is when the vaccine was administered too high in the arm. Ongoing symptoms a year later and to this day.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscular weakness, Myalgia, Pain
Clinical narrative: Administration of the vaccine was incorrect, too high in the arm. (Noted by PA and PT). After I had the shot on my way home, it started hurting. By the time I got home, I put ice on it. The pain level just kept rising. Within that week, the shoulder was getting hard to move and I could no longer reach my arm above my head. It's continued that way until the present. I had been doing a routine of icing the arm alternating with heat. That was under the direction of a physical therapist. I asked for a referral from a PA for physical therapy. He's been working with me since September to get mobility back and pain down. I can't take Aleve or Advil, so all I could take was Tylenol and that didn't do much. All I can do is the exercises the PT gave me and alternating with ice and heat. I went in for weekly sessions for months, but I couldn't afford the deductible so I'm only going once a month. So I'm still going, doing the exercises, and alternating the ice and heat. Very slow to recover and there's a lot of pain in that muscle. Because of the way it is, it's triggered migraines because of the pain across the top of the shoulders and the clavicle. I was dropping glasses because I had weakness in my hand. Anything I picked up would fall to the ground. I can hold a glass now, but at first it was difficult. I had a flu shot in between the doses and the lady noted that the only time she's seen this happen is when the vaccine was administered too high in the arm. Ongoing symptoms a year later and to this day.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Eye disorder, Lumbar puncture abnormal, Magnetic resonance imaging head abnormal, Multiple sclerosis, Pupillary light reflex tests abnormal
Clinical narrative: 2 weeks after the 3rd shot, on Dec 27 evening, I noticed my right eye was off and I had worn contacts that day, so I thought at first my eyes were dry. Next day, I couldn't see out of my right eye and I had significant blurred vision in right eye. I had ophthalmologist appointment already scheduled the 29th, and they said I wasn't seeing clearly out of right eye, and they said there was no infection or scarring. He put me on a dose of antiviral medications just in case it was a herpes flare and to come back in 2 weeks. It progressed quite rapidly and by the time I called ophthalmology on January 3 I said I couldn't see anything out of my right eye. I got in on Tuesday to see ophthalmology and I couldn't read the one big letter on the chart and the light wasn't getting it. I had a very insignificant reaction to light and my right eye pupil stayed big. That continued to get worse, and my ophthalmologist scheduled me for an MRI and a neurology appointment following the MRI. Another few days after, my vision continued to get worse and then starting around January 7 it started getting better. I had no other neuro symptoms such as motor problems, balance or vertigo symptoms, just diminished vision in right eye. I told ophthalmologist I had a CIS neuro episode 12 years ago in 2010 where I had a number of neuro symptoms such as double vision, vertigo, motor problems- and at time I didn't have health insurance and I had seen an ophthalmologist and they said I may have MS and I never had another episode and never sought care after that because I hadn't had any symptoms and thought it was a one and done thing. I'd also been taking increasingly good care of my health especially during the pandemic. I got an MRI and it showed no active lesions but the neurologist said that doesn't mean there wasn't active lesions it just means the MRI didn't see it There was scarring that indicated previous lesions related to 12 years ago. I did a spinal tap to compare breakdown proteins of brain myelin sheathing of nerves and apparently that was present in cerebral spinal fluid they determined I do have MS. I told neurologist it was 2 weeks today after I got vaccine and he said any significant jolt to immune system could trigger an episode. I am making an appointment to see MS specialist in a different city and going from there. My first doses were Moderna.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Scar, Vision blurred, Visual impairment
Clinical narrative: 2 weeks after the 3rd shot, on Dec 27 evening, I noticed my right eye was off and I had worn contacts that day, so I thought at first my eyes were dry. Next day, I couldn't see out of my right eye and I had significant blurred vision in right eye. I had ophthalmologist appointment already scheduled the 29th, and they said I wasn't seeing clearly out of right eye, and they said there was no infection or scarring. He put me on a dose of antiviral medications just in case it was a herpes flare and to come back in 2 weeks. It progressed quite rapidly and by the time I called ophthalmology on January 3 I said I couldn't see anything out of my right eye. I got in on Tuesday to see ophthalmology and I couldn't read the one big letter on the chart and the light wasn't getting it. I had a very insignificant reaction to light and my right eye pupil stayed big. That continued to get worse, and my ophthalmologist scheduled me for an MRI and a neurology appointment following the MRI. Another few days after, my vision continued to get worse and then starting around January 7 it started getting better. I had no other neuro symptoms such as motor problems, balance or vertigo symptoms, just diminished vision in right eye. I told ophthalmologist I had a CIS neuro episode 12 years ago in 2010 where I had a number of neuro symptoms such as double vision, vertigo, motor problems- and at time I didn't have health insurance and I had seen an ophthalmologist and they said I may have MS and I never had another episode and never sought care after that because I hadn't had any symptoms and thought it was a one and done thing. I'd also been taking increasingly good care of my health especially during the pandemic. I got an MRI and it showed no active lesions but the neurologist said that doesn't mean there wasn't active lesions it just means the MRI didn't see it There was scarring that indicated previous lesions related to 12 years ago. I did a spinal tap to compare breakdown proteins of brain myelin sheathing of nerves and apparently that was present in cerebral spinal fluid they determined I do have MS. I told neurologist it was 2 weeks today after I got vaccine and he said any significant jolt to immune system could trigger an episode. I am making an appointment to see MS specialist in a different city and going from there. My first doses were Moderna.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, Death, Dyspnoea
Clinical narrative: admitted to hospital with SOB, N/V; hypoxic; positive for COVID; septic shock, AHRF, AKI, hyperkalemia; given Decadron; intubated with mechanical ventilation; pt's condition worsened; transitioned to comfort care; pt expired in the hospital
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Hyperkalaemia, Hypoxia, Mechanical ventilation
Clinical narrative: admitted to hospital with SOB, N/V; hypoxic; positive for COVID; septic shock, AHRF, AKI, hyperkalemia; given Decadron; intubated with mechanical ventilation; pt's condition worsened; transitioned to comfort care; pt expired in the hospital
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test positive, Septic shock, Vomiting
Clinical narrative: admitted to hospital with SOB, N/V; hypoxic; positive for COVID; septic shock, AHRF, AKI, hyperkalemia; given Decadron; intubated with mechanical ventilation; pt's condition worsened; transitioned to comfort care; pt expired in the hospital
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Joint swelling, Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: Left arm began to slowly swell up over the day and about doubled in size, there was a lot of severe pain, I could not put any pressure on it.  It turned red and I could feel the swelling creeping up my shoulder to my neck.  I could not use my arm for 10 days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Left arm began to slowly swell up over the day and about doubled in size, there was a lot of severe pain, I could not put any pressure on it.  It turned red and I could feel the swelling creeping up my shoulder to my neck.  I could not use my arm for 10 days.
Age: 7.0
Sex: M
Vaccine: HPV9, MNQ, PNC13, TDAP
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: TDAP, Menactra, HPV  given on incorrect dosage schedule.   Prevnar given as an extra dose.    Child was 7 years old.  Vaccines was accepted by system.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL, CURRENTLY STILL ADMITTED
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Advised patient to sit for 15 minutes after vaccination to watch for allergic reactions. Patient left room and fainted while seated. Later learned patient had not eaten or had drink, and was nervous.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Dyspnoea, Electrocardiogram
Clinical narrative: I had shortness of breath.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle twitching
Clinical narrative: Nose is numb and twitching for over 24 hours
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Breast cancer female, Breast conserving surgery, Magnetic resonance imaging, Mammogram abnormal
Clinical narrative: I was diagnosed with breast cancer on 10/11/2021 with a routine mammogram. They did several types of Biopsies and MRIs. I had DCIS stage 0. I had a Lumpectomy and radiation. I also take a new medication to help prevent it, it is called Tamoxifen. I still have an open wound that got infected a couple of weeks ago. They had to drained it. I had home health until the end of February.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Radiotherapy, Wound, Wound drainage, Wound infection
Clinical narrative: I was diagnosed with breast cancer on 10/11/2021 with a routine mammogram. They did several types of Biopsies and MRIs. I had DCIS stage 0. I had a Lumpectomy and radiation. I also take a new medication to help prevent it, it is called Tamoxifen. I still have an open wound that got infected a couple of weeks ago. They had to drained it. I had home health until the end of February.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: pt accidentally received 3rd dose of shingrix
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Induration, Malaise, Pain, Peripheral swelling
Clinical narrative: Besides normal headache, body aches, fever, general malaise. Received inj Tuesday.  Thursday night, got hives about 3? below injunction site. Friday, arm became swollen, hard, hot, burning pain, and hive just turned into one big red area, going around my arm. Saturday, red area much worse and raised and had burning pain. Very hot. Pictures available.  Went to clinic. Was seen by physician assistant.  She advised me was a reaction to shot, not cellulitis, which I was worried about. Said I had a robust immune system.  Today is Monday. Redness has diminished, still swollen, burning, itchy. The red area was larger than the size of my hand.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Pyrexia, Skin warm, Urticaria
Clinical narrative: Besides normal headache, body aches, fever, general malaise. Received inj Tuesday.  Thursday night, got hives about 3? below injunction site. Friday, arm became swollen, hard, hot, burning pain, and hive just turned into one big red area, going around my arm. Saturday, red area much worse and raised and had burning pain. Very hot. Pictures available.  Went to clinic. Was seen by physician assistant.  She advised me was a reaction to shot, not cellulitis, which I was worried about. Said I had a robust immune system.  Today is Monday. Redness has diminished, still swollen, burning, itchy. The red area was larger than the size of my hand.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: POST VACCINE WAS CONFIRMED THAT I HAVE NOW DEVELOPED ?TINNITUS? IN BOTH EARS.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Feeling cold, Injection site mass, Injection site rash, Pain in extremity
Clinical narrative: She got her vaccine at 12:30 at pharmacy, and her arm was fine, a little sore.  Around 9:00 PM went to bed, woke up at around 4:00 Am with her right arm very very sore, very very hot, very very swollen, and a fever.  She was so cold, came down to her kitchen, got her thermometer and her temp was 100.7.  At that point she took an Aleve to bring her fever down, and went back to bed.  Saturday all day it was red, swollen, very hot to the touch.  She refers it to a baseball that is tucked under her arm, it feels lumpy like that on her upper arm and feels that was still.  She took another Aleve yesterday as well.  At 4:00 AM this morning her arm was itchy, went into the bathroom and looked at her inner arm where you would get blood drawn, and she has a rash on her right arm, and on her left arm up to my armpit where it creases where the bra strap would go.  It is red, and it was itchy this morning at 4:00 AM, tried not to scratch it, but took the Aleve.  She did not seek medical attention as she had no difficulty in breathing, no peeling of her skin, no wheezing, no chest discomfort or throat discomfort and was swallowing normal, no hoarseness, swelling or face or lips.     Her arm hurts when you touch it, is still swollen, but fever has subsided.  Feels bad due to fever, but so far today no fever.  Right now is 98 at 1:17 PM ET on 3/21/22.    Had Cosentyx on 2/21/22, which she has been on for 8+ months with no side effects.    Had first Shingrix in January with no reactions other than some redness and sore arm, and hardly felt the needle going in.  The one on Friday hurt a little bit.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Pruritus, Pyrexia, Rash, Skin warm
Clinical narrative: She got her vaccine at 12:30 at pharmacy, and her arm was fine, a little sore.  Around 9:00 PM went to bed, woke up at around 4:00 Am with her right arm very very sore, very very hot, very very swollen, and a fever.  She was so cold, came down to her kitchen, got her thermometer and her temp was 100.7.  At that point she took an Aleve to bring her fever down, and went back to bed.  Saturday all day it was red, swollen, very hot to the touch.  She refers it to a baseball that is tucked under her arm, it feels lumpy like that on her upper arm and feels that was still.  She took another Aleve yesterday as well.  At 4:00 AM this morning her arm was itchy, went into the bathroom and looked at her inner arm where you would get blood drawn, and she has a rash on her right arm, and on her left arm up to my armpit where it creases where the bra strap would go.  It is red, and it was itchy this morning at 4:00 AM, tried not to scratch it, but took the Aleve.  She did not seek medical attention as she had no difficulty in breathing, no peeling of her skin, no wheezing, no chest discomfort or throat discomfort and was swallowing normal, no hoarseness, swelling or face or lips.     Her arm hurts when you touch it, is still swollen, but fever has subsided.  Feels bad due to fever, but so far today no fever.  Right now is 98 at 1:17 PM ET on 3/21/22.    Had Cosentyx on 2/21/22, which she has been on for 8+ months with no side effects.    Had first Shingrix in January with no reactions other than some redness and sore arm, and hardly felt the needle going in.  The one on Friday hurt a little bit.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Tenderness
Clinical narrative: She got her vaccine at 12:30 at pharmacy, and her arm was fine, a little sore.  Around 9:00 PM went to bed, woke up at around 4:00 Am with her right arm very very sore, very very hot, very very swollen, and a fever.  She was so cold, came down to her kitchen, got her thermometer and her temp was 100.7.  At that point she took an Aleve to bring her fever down, and went back to bed.  Saturday all day it was red, swollen, very hot to the touch.  She refers it to a baseball that is tucked under her arm, it feels lumpy like that on her upper arm and feels that was still.  She took another Aleve yesterday as well.  At 4:00 AM this morning her arm was itchy, went into the bathroom and looked at her inner arm where you would get blood drawn, and she has a rash on her right arm, and on her left arm up to my armpit where it creases where the bra strap would go.  It is red, and it was itchy this morning at 4:00 AM, tried not to scratch it, but took the Aleve.  She did not seek medical attention as she had no difficulty in breathing, no peeling of her skin, no wheezing, no chest discomfort or throat discomfort and was swallowing normal, no hoarseness, swelling or face or lips.     Her arm hurts when you touch it, is still swollen, but fever has subsided.  Feels bad due to fever, but so far today no fever.  Right now is 98 at 1:17 PM ET on 3/21/22.    Had Cosentyx on 2/21/22, which she has been on for 8+ months with no side effects.    Had first Shingrix in January with no reactions other than some redness and sore arm, and hardly felt the needle going in.  The one on Friday hurt a little bit.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given a child pfizer dose instead of an adult dose. We spoke to the director, and he stated that it was okay to start the adult dose in 1 month. He stated the child pfizer dose would count as a booster shot.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling face, Swelling of eyelid
Clinical narrative: I received my booster on 2/25 and a few days later my face was swollen.  Mostly the area around the eyes - eyelids and below the eyes.  I was also very red.  I do not have any allergies.  I also had not introduced any new products, food, medicine, etc.   The only new thing was the moderna booster.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient received adult dose (0.3mls) of undiluted Covid19 (pfizer age 5-11) vaccine
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Cellulitis, Erythema, Feeling hot, Hypersensitivity, Swelling
Clinical narrative: Left arm extreme redness, warmth, swelling started within 1 hour of injection. Rapidly spread within 48 hours. MD examined stated likely either hypersensitivity reaction or cellulitis. Benadryl given, sx started to resolve.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Computerised tomogram, Dyspnoea, Laboratory test, Magnetic resonance imaging
Clinical narrative: I had extreme chest pain and felt like I couldn't breathe. This started about 2 weeks after my second dose of the Pfizer vaccine. I had to see several doctors and ended up being hospitalized for 4 days. Had to have multiple CT scans, MRIs, and various other tests done. Turns out it was myocarditis. I am a 22-year-old man who has never had a health issue in my life. Now I am sitting on a huge pile of medical bills that I can't afford to pay.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis
Clinical narrative: I had extreme chest pain and felt like I couldn't breathe. This started about 2 weeks after my second dose of the Pfizer vaccine. I had to see several doctors and ended up being hospitalized for 4 days. Had to have multiple CT scans, MRIs, and various other tests done. Turns out it was myocarditis. I am a 22-year-old man who has never had a health issue in my life. Now I am sitting on a huge pile of medical bills that I can't afford to pay.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Dizziness postural, Dysstasia, Head discomfort
Clinical narrative: 8:39 am-Patient brought into Covid Observation Area after reporting dizziness, nausea, "heavy head" and increased heart rate few minutes after receiving Pfizer Booster vaccination. Patient assisted to gurney, placed in Trendelenburg position. States she experienced similar sx after 1st dose, spoke to her PCP regarding nausea persisting for few days, Zofran prescribed and nausea relief noted with Zofran. Patient also reports having similar sx after 2nd dose, but "not as bad", sx occurred later that day,  took  Zofran with relief noted. Patient reports Blood sugar this morning 125, she had breakfast,  took her BP medication and a Claritin.  8:41 am- VS- BP 139/98, HR 85, RR 20, 02 SATs 98% RA  8:46 am- VS- BP 127/92, HR 93, RR 20, 02 SATs 98% RA  8:47- Attempted to raise head of bed to offer crackers, patient states "heavy head" feels worse with sitting up. Will continue to monitor.  8:54- VS: BP 125/85, HR 83, RR 20, 02 SATs 98% RA- Patient states heart rate feels normal, nausea and heavy head continues. Repositioned patient to supine, provided saltine crackers to help with nausea.   9:00 am- Patient repositioned to right side, dry heaving, spitting saliva. Reports feeling better afterwards and states stomach does not feel as "queasy".  9:19 am- VS- BP 110/79, HR 76, RR 20, 02 SATs RA- Patient reports feeling better lying on right side, states heart rate normal, "heavy head" feeling and nausea improving.   9:34 am- VS- BP 108/72, HR 76. RR 20, 02 SATs RA- Patient called her husband to pick her up.  9:50- pt sleeping  9:57 am- Orthostatic BP checks Sitting -BP 130/88, HR 77, RR 20  02 SATs 99%- reports nausea and dizziness with sitting up Standing- BP 138/94, HR 85 RR 20 02 SATs 98%- reports nausea and dizziness with standing  10:00 am- Road test- Patient ambulated several feet, with stand by assistance. Denies feeling as if she is going to faint. States she feels "dizzy" in her head, worse with turning. Patient states she will be able to ambulate at home and husband will be there to assist if needed.  10:08 am- Discharged home in stable condition, accompanied by husband who will drive her home. Patient has an in person appointment with her PCP tomorrow. Instructed to rest, take Zofran as directed,  if needed for nausea, and seek Emergent care  for any worsening symptoms. Patient and husband verbalized understanding. Provided with a work note by PA who is working in Covid Observation Area today.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Nausea, Productive cough, Retching
Clinical narrative: 8:39 am-Patient brought into Covid Observation Area after reporting dizziness, nausea, "heavy head" and increased heart rate few minutes after receiving Pfizer Booster vaccination. Patient assisted to gurney, placed in Trendelenburg position. States she experienced similar sx after 1st dose, spoke to her PCP regarding nausea persisting for few days, Zofran prescribed and nausea relief noted with Zofran. Patient also reports having similar sx after 2nd dose, but "not as bad", sx occurred later that day,  took  Zofran with relief noted. Patient reports Blood sugar this morning 125, she had breakfast,  took her BP medication and a Claritin.  8:41 am- VS- BP 139/98, HR 85, RR 20, 02 SATs 98% RA  8:46 am- VS- BP 127/92, HR 93, RR 20, 02 SATs 98% RA  8:47- Attempted to raise head of bed to offer crackers, patient states "heavy head" feels worse with sitting up. Will continue to monitor.  8:54- VS: BP 125/85, HR 83, RR 20, 02 SATs 98% RA- Patient states heart rate feels normal, nausea and heavy head continues. Repositioned patient to supine, provided saltine crackers to help with nausea.   9:00 am- Patient repositioned to right side, dry heaving, spitting saliva. Reports feeling better afterwards and states stomach does not feel as "queasy".  9:19 am- VS- BP 110/79, HR 76, RR 20, 02 SATs RA- Patient reports feeling better lying on right side, states heart rate normal, "heavy head" feeling and nausea improving.   9:34 am- VS- BP 108/72, HR 76. RR 20, 02 SATs RA- Patient called her husband to pick her up.  9:50- pt sleeping  9:57 am- Orthostatic BP checks Sitting -BP 130/88, HR 77, RR 20  02 SATs 99%- reports nausea and dizziness with sitting up Standing- BP 138/94, HR 85 RR 20 02 SATs 98%- reports nausea and dizziness with standing  10:00 am- Road test- Patient ambulated several feet, with stand by assistance. Denies feeling as if she is going to faint. States she feels "dizzy" in her head, worse with turning. Patient states she will be able to ambulate at home and husband will be there to assist if needed.  10:08 am- Discharged home in stable condition, accompanied by husband who will drive her home. Patient has an in person appointment with her PCP tomorrow. Instructed to rest, take Zofran as directed,  if needed for nausea, and seek Emergent care  for any worsening symptoms. Patient and husband verbalized understanding. Provided with a work note by PA who is working in Covid Observation Area today.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, MMRV, PNC13
Symptoms: Pyrexia, Rash
Clinical narrative: fever and rash x 4 days  after vaccines.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Bacteroides bacteraemia, Bladder catheterisation, Death, Debridement, Joint injection
Clinical narrative: Pt died on 3/3/22 in hospital.  12/17 fever, UTI. PM&R f/u, Cymbalta increased to 60 mg BID, gabapentin increased to 600 mg TID, memantine 10 BID added for neuropathic pain 12/21 bedside sacral wound debridement 12/28 wound clinic, debrided 12/31 feverx1 1/4 ? UTI, abx started, SP cath changed 1/11 recurrent fever 1/13 ID consult, vanc started, ceftriaxone stopped 1/17 1 PRBC 1/19 vanc completed, sacral wound vac placed 1/31 fever 2/1 SP catheter changed 2/3 R shoulder wound debrided, 100 ml pus 2/17 Bilat glenohumeral joint kenalog and ropivacaine injections at interventional pain clinic 2/24 septic shock, Pseudomonas UTI, Bacteroides bacteremia, transitioned to comfort care
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Neuralgia, Pyrexia, Red blood cell transfusion, Septic shock, Urinary tract infection
Clinical narrative: Pt died on 3/3/22 in hospital.  12/17 fever, UTI. PM&R f/u, Cymbalta increased to 60 mg BID, gabapentin increased to 600 mg TID, memantine 10 BID added for neuropathic pain 12/21 bedside sacral wound debridement 12/28 wound clinic, debrided 12/31 feverx1 1/4 ? UTI, abx started, SP cath changed 1/11 recurrent fever 1/13 ID consult, vanc started, ceftriaxone stopped 1/17 1 PRBC 1/19 vanc completed, sacral wound vac placed 1/31 fever 2/1 SP catheter changed 2/3 R shoulder wound debrided, 100 ml pus 2/17 Bilat glenohumeral joint kenalog and ropivacaine injections at interventional pain clinic 2/24 septic shock, Pseudomonas UTI, Bacteroides bacteremia, transitioned to comfort care
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection pseudomonal, Wound closure
Clinical narrative: Pt died on 3/3/22 in hospital.  12/17 fever, UTI. PM&R f/u, Cymbalta increased to 60 mg BID, gabapentin increased to 600 mg TID, memantine 10 BID added for neuropathic pain 12/21 bedside sacral wound debridement 12/28 wound clinic, debrided 12/31 feverx1 1/4 ? UTI, abx started, SP cath changed 1/11 recurrent fever 1/13 ID consult, vanc started, ceftriaxone stopped 1/17 1 PRBC 1/19 vanc completed, sacral wound vac placed 1/31 fever 2/1 SP catheter changed 2/3 R shoulder wound debrided, 100 ml pus 2/17 Bilat glenohumeral joint kenalog and ropivacaine injections at interventional pain clinic 2/24 septic shock, Pseudomonas UTI, Bacteroides bacteremia, transitioned to comfort care
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, HIBV
Symptoms: Extra dose administered
Clinical narrative: Two Hib containing vaccine were given to patient on the same day. Vaxelis (DTaP+Hib+IPV+HepB) and PedvaxHib were administered on 02/12/2022 by on-call MA. Vaxelis was given in left thigh and Hib in right thigh.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Neck pain, Palpitations
Clinical narrative: Heart palpitations, severe headache and neck pain.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Arthropathy, Borrelia test negative, Deformity
Clinical narrative: Already reported tinnitus which occurred after the first dose of the Covid vaccine.  This report is for a longer-term issue of joint inflammation and pain that occurred over time after the second shot.  All tests ruled out autoimmune disease, rheumatoid arthritis, lyme disease and everything else.  Joints are painful and thumb joint is now disfigured.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Immunology test normal, Rheumatoid factor negative
Clinical narrative: Already reported tinnitus which occurred after the first dose of the Covid vaccine.  This report is for a longer-term issue of joint inflammation and pain that occurred over time after the second shot.  All tests ruled out autoimmune disease, rheumatoid arthritis, lyme disease and everything else.  Joints are painful and thumb joint is now disfigured.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Influenza virus test
Clinical narrative: cough and sob, tested positive on 3/18/22 for COVID
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Pulmonary congestion, Respiratory syncytial virus test, SARS-CoV-2 test positive
Clinical narrative: cough and sob, tested positive on 3/18/22 for COVID
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache
Clinical narrative: I caught COVID-19 in November 2020 for 17 days. I had shortness of breath, dry cough, and fever. So I went to the doctor on day 15 and was prescribed me prednisone. I missed three weeks of work and had horrible headaches and brain fog and fatigue. My short term memory was terrible and struggled with trying to identify words. It had settled until I received my first dose of my vaccination on 01/28/2021 and the fatigue, headache and brain fog returned. I didn't think anything of it, but then it occurred again after my second dose but even more intense fatigue, brain fog, and headache. I still have headaches and brain fog almost three times a week now currently and taking OTC Tylenol and/or ibuprofen to help it.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Arthralgia, Asthenia, Fatigue, Headache
Clinical narrative: insomnia, bloating, headaches, fatigue, body aches, muscle aches, muscle cramping, pain at injection site, arm pain, low energy, constantly tired, joint pain, this has been going on for two weeks now
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Insomnia, Muscle spasms, Myalgia, Pain
Clinical narrative: insomnia, bloating, headaches, fatigue, body aches, muscle aches, muscle cramping, pain at injection site, arm pain, low energy, constantly tired, joint pain, this has been going on for two weeks now
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: insomnia, bloating, headaches, fatigue, body aches, muscle aches, muscle cramping, pain at injection site, arm pain, low energy, constantly tired, joint pain, this has been going on for two weeks now
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis, Chills, Exposure to SARS-CoV-2, Nasopharyngitis, Respiratory tract congestion
Clinical narrative: Had a friend stayed at home which present the exposure to COVID. Wednesday tested positive to COVID and he 02/22/2022. Urgent care for chest congestion, COVID and bronchitis and head cold. Z Pack antibiotic and quickly for 15 days Pre-existing. Dose 3 09/16/2021 FE3592. No fever some chills.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Headache, Myalgia, Tremor
Clinical narrative: Shaking, headaches, weakness, muscle aches, veins hurt, shortness of breath,
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Vascular pain
Clinical narrative: Shaking, headaches, weakness, muscle aches, veins hurt, shortness of breath,
Age: 20.0
Sex: M
Vaccine: FLU4, IPV, MNQ, TDAP
Symptoms: Erythema, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: Localized swelling, hives, redness, hot to the touch measuring 6 inches by 4 inches, itchy and sore
Age: 20.0
Sex: M
Vaccine: FLU4, IPV, MNQ, TDAP
Symptoms: Urticaria
Clinical narrative: Localized swelling, hives, redness, hot to the touch measuring 6 inches by 4 inches, itchy and sore
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given an expired dose of Moderna.  She was given the vaccine on 2/18/22 and it expired 2/10/22.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: Patient reports she had slight swelling in her throat after receiving the first dose of the Pfizer vaccine.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Wrong product administered
Clinical narrative: PATIENT IS NOT EXPERIENCING ANY SIGNIFICANT SIDE/ADVERSE EFFECTS, BUT SORE LEFT ARM. HE IS FINE OTHERWISE. HE WAS GIVEN THE COVID-19 SHOT INSTEAD OF SHINGRIX SHOT BY MISTAKE.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Ascites, Aspartate aminotransferase increased, Blood albumin normal, Blood alkaline phosphatase increased
Clinical narrative: patient developed sub acute liver failure after moderna vaccination
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin, Computerised tomogram abdomen abnormal, Gamma-glutamyltransferase increased, Hepatitis B test negative, Hepatitis C test negative
Clinical narrative: patient developed sub acute liver failure after moderna vaccination
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Immunology test normal, Scan with contrast abnormal, Subacute hepatic failure
Clinical narrative: patient developed sub acute liver failure after moderna vaccination
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Peripheral swelling, Rash
Clinical narrative: Patient had redness by the injection site.  Patient also stated her bicep is twice the size.  Lastly patient has rashes on her body
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Interchange of vaccine products
Clinical narrative: Patient received .5ml Moderna as a booster rather than .25ml. Primary vaccination was Janssen product.
Age: 60.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Atrial fibrillation, Electrocardiogram abnormal, Tachycardia, Troponin normal
Clinical narrative: Called and spoke with patient and reviewed recent records.  The patient reports she is usually in sinus rhythm and she does not think she is usually in afib but regardless had an episode of tachycardia which I presume was afib which led to ED visit.  This was on the same day as COVID and flu vaccination.  I do not know whether her symptoms are related - typically vaccines can cause tachycardia in association with other inflammatory side effects - for example, due to fever.  With the COVID vaccine it can rarely cause myocarditis a few days after vaccination but this patient's symptoms were too quick in onset and she had a negative troponin.  She is asymptomatic now.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: A Moderna Covid-19 vaccine was administered beyond the use date.  Moving forward we have clearly labeled all vaccine boxes to represent expiration date.  Also, have spoke with staff to pay closer attention to these details so this incident do not occur in the future.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Mammogram normal
Clinical narrative: Chest pain on the left side of my chest.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Erythema, Pain of skin, Skin burning sensation, Skin disorder
Clinical narrative: SLOWLY OVER A WEAK DEVELOPED EXTREME PAIN 7 BURNING ON RIGHT BACK OF HEAD FROM EAR TO THE MIDDLE 7 TOP TO BOTTOM. DEVELOPED LARGE LUMPS ON HEAD IN THAT AREA. RIGHT EAR EXTREMELY RED & PAINFUL TO TOUCH.   LASTED 2MO. GIVEN AN ANTI VIRAL DRUG. DR THOUGHT IT COULD BE SHINGLES ONLY BECAUSE OF PAIN  & THAT IT WAS ON ONE SIDE. NO SHINGLE LIKE LESIONS DEVELOPED.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia aspiration
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for aspiration pneumonia within 6 weeks of receiving covid booster vaccination.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Deafness neurosensory, Ear discomfort, Inflammation, Laboratory test normal
Clinical narrative: She got her vaccine, didn't have any issues other than her arm hurting, and no other reactions.  On 4/26/21 then she started having weird hearing in her right ear like somebody put a piece of cotton in her ear.  The next morning it was worse, and by the time she went to bed that night she could not hear anything.  The next morning she went to the ER and they did a lot of testing thinking she may have had a stroke, which was negative.  She begged them to get her an APT with an ENT which they did.  She saw the ENT, Dr. who did a lot of hearing tests.  The hearing in her right ear was wonder for her age, and now almost gone.  He said that she had sudden sensory neuronal hearing loss.  She asked him why would she have that and told him that she had the COVID vaccine, and he gave her Prednisone for that.  He ordered an MRI of her brain where the blood vessels come together to feed the ear.  They found nothing on that, her vessels were OK.  She started the Prednisone and within a 3 week time frame her hearing came back some.   She went back to see him about 2-3 weeks later for that, and then she had problems with her eyes, horizontal lines with visual thinks like a TV issue.  She was diagnosed with silent migraines that were affecting the vessels in the occipital areas of her brain.  Told him that she had COVID vaccines and that now her sensory areas of her brain were affected.  He did not do anything as she had already started the prednisone and felt that it would take care of the inflammation affecting her vision and hearing.   She is having some issues now with the hearing and going to go back to see the ENT for that.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Pain in extremity, Sensory processing disorder, Sudden hearing loss, Visual impairment
Clinical narrative: She got her vaccine, didn't have any issues other than her arm hurting, and no other reactions.  On 4/26/21 then she started having weird hearing in her right ear like somebody put a piece of cotton in her ear.  The next morning it was worse, and by the time she went to bed that night she could not hear anything.  The next morning she went to the ER and they did a lot of testing thinking she may have had a stroke, which was negative.  She begged them to get her an APT with an ENT which they did.  She saw the ENT, Dr. who did a lot of hearing tests.  The hearing in her right ear was wonder for her age, and now almost gone.  He said that she had sudden sensory neuronal hearing loss.  She asked him why would she have that and told him that she had the COVID vaccine, and he gave her Prednisone for that.  He ordered an MRI of her brain where the blood vessels come together to feed the ear.  They found nothing on that, her vessels were OK.  She started the Prednisone and within a 3 week time frame her hearing came back some.   She went back to see him about 2-3 weeks later for that, and then she had problems with her eyes, horizontal lines with visual thinks like a TV issue.  She was diagnosed with silent migraines that were affecting the vessels in the occipital areas of her brain.  Told him that she had COVID vaccines and that now her sensory areas of her brain were affected.  He did not do anything as she had already started the prednisone and felt that it would take care of the inflammation affecting her vision and hearing.   She is having some issues now with the hearing and going to go back to see the ENT for that.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Contusion, Nodule, Pain, Pain in extremity
Clinical narrative: 03/21/2022 - I started feeling pain in my leg, shoulder and arms. My legs hurt really bad when I stand up. I noticed a large knot in the muscle part of my leg which turned into a bruise.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulse absent, Pupil fixed, Respiratory failure
Clinical narrative: Found in bed with no pulses or respirations and fixed pupils
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure acute, Cardiac failure congestive, Chronic kidney disease, Death
Clinical narrative: admitted with CKD with volume overload, acute metabolic encephalopathy due to hypoxia; admitted for diuresis for acute on chronic CHF; condition worsened; placed in ICU and on a ventilator; pt improved and was moved to medical floor; extubated; respiratory status stabilized; found to be positive for COVID while in the hospital; bilateral pneumonia; started on antibiotics; guarded prognosis with severe hypoxia; intubated again and moved to ICU; status changed to DNR; pt's condition worsened and he was found deceased in the hospital
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Hypervolaemia, Hypoxia, Intensive care
Clinical narrative: admitted with CKD with volume overload, acute metabolic encephalopathy due to hypoxia; admitted for diuresis for acute on chronic CHF; condition worsened; placed in ICU and on a ventilator; pt improved and was moved to medical floor; extubated; respiratory status stabilized; found to be positive for COVID while in the hospital; bilateral pneumonia; started on antibiotics; guarded prognosis with severe hypoxia; intubated again and moved to ICU; status changed to DNR; pt's condition worsened and he was found deceased in the hospital
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation, Metabolic encephalopathy, Pneumonia, Polyuria, SARS-CoV-2 test positive
Clinical narrative: admitted with CKD with volume overload, acute metabolic encephalopathy due to hypoxia; admitted for diuresis for acute on chronic CHF; condition worsened; placed in ICU and on a ventilator; pt improved and was moved to medical floor; extubated; respiratory status stabilized; found to be positive for COVID while in the hospital; bilateral pneumonia; started on antibiotics; guarded prognosis with severe hypoxia; intubated again and moved to ICU; status changed to DNR; pt's condition worsened and he was found deceased in the hospital
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Skin warm, Swelling
Clinical narrative: Severe soreness, swelling of deltoid muscle, and warm to touch of the deltoid occurred on Friday, March 18, 2022, 3 days post-vaccination.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Laboratory test
Clinical narrative: shortness of breath, tested and admitted to hospital
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: generalized weakness 3/17/22, tested positive for covid on 3/19/22
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Azotaemia, Blood creatinine increased, COVID-19, Cardiac arrest
Clinical narrative: Pt presented to the hospital 3/7/22, reports having 5-7 day history of feeling poorly, coughing, malaise, fatigue and diarrhea.  He denies SOA, edema and fever.  End stage renal disease due to focal glomerulosclerosis with renal transplant in 2006, last creatinine was 3.3. He was found to have acute delirium and unable to complete his hemodialysis session.  He was transferred to the ICU on 3/15/22 where he was found to be hypoxic with a pulse ox in the 70s, he was encephalopathic, extremely agitated and unable to protect his airway - resulting in intubation.  CT of the Head and MRI of the brain done and were both negative. Underwent hemodialysis and uremia improved, he was getting more responsive however he sustained a pulseless electrical activity cardiac arrest.  Time of death 3/18/22 12:26pm. Previously vaccinated Moderna 2/13/21, 3/13/21, 9/4/21
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Cough, Death, Delirium, Diarrhoea
Clinical narrative: Pt presented to the hospital 3/7/22, reports having 5-7 day history of feeling poorly, coughing, malaise, fatigue and diarrhea.  He denies SOA, edema and fever.  End stage renal disease due to focal glomerulosclerosis with renal transplant in 2006, last creatinine was 3.3. He was found to have acute delirium and unable to complete his hemodialysis session.  He was transferred to the ICU on 3/15/22 where he was found to be hypoxic with a pulse ox in the 70s, he was encephalopathic, extremely agitated and unable to protect his airway - resulting in intubation.  CT of the Head and MRI of the brain done and were both negative. Underwent hemodialysis and uremia improved, he was getting more responsive however he sustained a pulseless electrical activity cardiac arrest.  Time of death 3/18/22 12:26pm. Previously vaccinated Moderna 2/13/21, 3/13/21, 9/4/21