chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: White blood cell count increased, White blood cells urine positive
Clinical narrative: Patient is an 83 y/o woman with a PMHx of Alzheimer's dementia, HTN, and CKD III. She lives at a facility in the memory care unit. There have been multiple cases of COVID-19 so residents are being tested frequently. She tested positive for COVID-19 approx 6 days ago. She has reportedly had no fever or significant respiratory symptoms. She was transported to the ED today (1/23) due to generalized weakness, lethargy, and decreased oral intake. Patient is non-verbal at baseline due to her dementia but is typically able to ambulate and able to feed herself when encouraged to do so. Over the past 2 days she has not been eating or drinking. No reports of N/V or diarrhea. Facility has been increasingly concerned about patient and asked family to come see her. When family visited patient they were concerned about how dehydrated she appeared and how weak and frail she appears. She was sent to ED for further evaluation.  Upon arrival patient was noted to be in new onset rapid atrial fibrillation with HR in the 150s. BP has been stable. She is afebrile. O2 sat high 90s on RA. CXR unremarkable. VRAD report of head CT with no acute findings. UA with trace leuk est, 10-30 WBC, 4+ bacteria. COVID positive. Labs notable for WBC 14.97, Hgb 16.7, Na 156, K 4.4, BUN 65.9, Cr 2.2, procal 0.16. She was given diltiazem bolus and started on dilt gtt in the ED. She was given a dose of ceftriaxone and 1 L LR. Hospitalist service contacted for admission.  PT IS INPATIENT AT THIS TIME.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Bladder catheterisation, COVID-19, Computerised tomogram abdomen normal, Computerised tomogram head normal
Clinical narrative: 69-year-old female brought to the emergency room by EMS.  It is my understanding that the patient was found by family to be shaking and have altered mental status.  According to nursing and the attending emergency room physician Dr. the patient was totally disoriented upon arrival and was having general body tremors.  According to nursing the patient was brought in on a non-rebreather mask.  I do not see any documented hypoxia.  At the time of my interview the patient is complaining of headache.  She thinks that it started a few days ago.  The patient is very vague on history.  She denies shortness of breath she denies cough she denies fever.  Patient has a history of chronic pain syndrome and is on morphine routinely and hydrocodone for breakthrough pain.  She is on muscle relaxants as well.  History is that at times the patient will forget that she has taken her medication and take more than she should.  It is unknown if she has done that at this time.  At the time of my interview the patient does not have any tremors.  She is currently oriented.  She does answer questions extremely vague however.  She denies tobacco use.  She denies alcohol use.  She denies illicit substance use.  I have been told that the patient has been on room air her entire up emergency room visit by the above emergency room physician however in the room the patient has oxygen by nasal cannula at 2 liters/minute.  She has had a CT head which shows no acute findings.  She has had a CTA of her chest abdomen pelvis which shows a triangular lesion in the right lung base.  There are no infiltrates consistent with COVID.  CT of the abdomen is unremarkable except for evidence of instrumentation in the urinary bladder.  The patient has had a Foley catheter placed for reasons I am unsure of.  Her COVID swab in the emergency room tonight is positive.  I have actually been asked to admit the patient because of her encephalopathy and the feeling that it is unsafe for her to return to home.  It is my understanding the patient is not on oxygen at home.  PT IS INPATIENT AT THIS TIME.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disorientation, Encephalopathy, Headache, Mental status changes, Pulmonary mass
Clinical narrative: 69-year-old female brought to the emergency room by EMS.  It is my understanding that the patient was found by family to be shaking and have altered mental status.  According to nursing and the attending emergency room physician Dr. the patient was totally disoriented upon arrival and was having general body tremors.  According to nursing the patient was brought in on a non-rebreather mask.  I do not see any documented hypoxia.  At the time of my interview the patient is complaining of headache.  She thinks that it started a few days ago.  The patient is very vague on history.  She denies shortness of breath she denies cough she denies fever.  Patient has a history of chronic pain syndrome and is on morphine routinely and hydrocodone for breakthrough pain.  She is on muscle relaxants as well.  History is that at times the patient will forget that she has taken her medication and take more than she should.  It is unknown if she has done that at this time.  At the time of my interview the patient does not have any tremors.  She is currently oriented.  She does answer questions extremely vague however.  She denies tobacco use.  She denies alcohol use.  She denies illicit substance use.  I have been told that the patient has been on room air her entire up emergency room visit by the above emergency room physician however in the room the patient has oxygen by nasal cannula at 2 liters/minute.  She has had a CT head which shows no acute findings.  She has had a CTA of her chest abdomen pelvis which shows a triangular lesion in the right lung base.  There are no infiltrates consistent with COVID.  CT of the abdomen is unremarkable except for evidence of instrumentation in the urinary bladder.  The patient has had a Foley catheter placed for reasons I am unsure of.  Her COVID swab in the emergency room tonight is positive.  I have actually been asked to admit the patient because of her encephalopathy and the feeling that it is unsafe for her to return to home.  It is my understanding the patient is not on oxygen at home.  PT IS INPATIENT AT THIS TIME.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tremor
Clinical narrative: 69-year-old female brought to the emergency room by EMS.  It is my understanding that the patient was found by family to be shaking and have altered mental status.  According to nursing and the attending emergency room physician Dr. the patient was totally disoriented upon arrival and was having general body tremors.  According to nursing the patient was brought in on a non-rebreather mask.  I do not see any documented hypoxia.  At the time of my interview the patient is complaining of headache.  She thinks that it started a few days ago.  The patient is very vague on history.  She denies shortness of breath she denies cough she denies fever.  Patient has a history of chronic pain syndrome and is on morphine routinely and hydrocodone for breakthrough pain.  She is on muscle relaxants as well.  History is that at times the patient will forget that she has taken her medication and take more than she should.  It is unknown if she has done that at this time.  At the time of my interview the patient does not have any tremors.  She is currently oriented.  She does answer questions extremely vague however.  She denies tobacco use.  She denies alcohol use.  She denies illicit substance use.  I have been told that the patient has been on room air her entire up emergency room visit by the above emergency room physician however in the room the patient has oxygen by nasal cannula at 2 liters/minute.  She has had a CT head which shows no acute findings.  She has had a CTA of her chest abdomen pelvis which shows a triangular lesion in the right lung base.  There are no infiltrates consistent with COVID.  CT of the abdomen is unremarkable except for evidence of instrumentation in the urinary bladder.  The patient has had a Foley catheter placed for reasons I am unsure of.  Her COVID swab in the emergency room tonight is positive.  I have actually been asked to admit the patient because of her encephalopathy and the feeling that it is unsafe for her to return to home.  It is my understanding the patient is not on oxygen at home.  PT IS INPATIENT AT THIS TIME.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long. We have recommended to the patient to get revaccinated.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray, Dyspnoea, Hypokalaemia, Hypomagnesaemia
Clinical narrative: 73-year-old male who was sent to our emergency room by ambulance for shortness of breath.  The patient has an extensive past medical history multiple medical problems.  He was recently admitted to this facility from 172022-1112022 for hypotension and sepsis.  Patient has a history of paraplegia.  He has a history of heart failure with reduced ejection fraction with a EF of 20%. , coronary artery disease, chronic pain syndrome, hypothyroid, and diabetes mellitus.  The patient relates the history that he had a positive COVID test at his primary care physician's office 6 days ago.  He has not been hypoxic.  He has not had any fever.  No treatment was recommended.  Patient has had his initial 2 COVID immunizations.  states he was scheduled to get the booster next week.  Workup in the emergency room tonight is essentially unrevealing.  He is not hypoxic.  His chest x-ray actually looks improved from when he was here previously.  He does have a mild hypokalemia and hypomagnesemia for which replacement has been ordered.  His main reason for admission is that he lives quite a distance away and has no ride home.  DISCHARGED 01242022: 73-year-old male who was sent to our emergency room by ambulance for shortness of breath.  The patient has an extensive past medical history multiple medical problems.  He was recently discharged on 1/11/2022 for hypotension and sepsis.  Patient has a history of paraplegia.  He has a history of heart failure with reduced ejection fraction with a EF of 20%. , coronary artery disease, chronic pain syndrome, hypothyroid, and diabetes mellitus.  The patient relates the history that he had a positive COVID test at his primary care physician's office 6 days ago.  He has not been hypoxic.  He has not had any fever.  No treatment was recommended.  Patient has had his initial 2 COVID immunizations.  He states he was scheduled to get the booster next week.  Workup in the emergency room tonight is essentially unrevealing.  He is not hypoxic.  His chest x-ray actually looks improved from when he was here previously.  He does have a mild hypokalemia and hypomagnesemia for which replacement has been ordered.  His main reason for admission is that he lives quite a distance away and has no ride home.   The morning he finally procured a ride home and wanted to leave.  His ride arrived prior to me seeing him and he left AMA.  His vitals appeared stable at that time.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Laboratory test normal, SARS-CoV-2 test positive, Sepsis
Clinical narrative: 73-year-old male who was sent to our emergency room by ambulance for shortness of breath.  The patient has an extensive past medical history multiple medical problems.  He was recently admitted to this facility from 172022-1112022 for hypotension and sepsis.  Patient has a history of paraplegia.  He has a history of heart failure with reduced ejection fraction with a EF of 20%. , coronary artery disease, chronic pain syndrome, hypothyroid, and diabetes mellitus.  The patient relates the history that he had a positive COVID test at his primary care physician's office 6 days ago.  He has not been hypoxic.  He has not had any fever.  No treatment was recommended.  Patient has had his initial 2 COVID immunizations.  states he was scheduled to get the booster next week.  Workup in the emergency room tonight is essentially unrevealing.  He is not hypoxic.  His chest x-ray actually looks improved from when he was here previously.  He does have a mild hypokalemia and hypomagnesemia for which replacement has been ordered.  His main reason for admission is that he lives quite a distance away and has no ride home.  DISCHARGED 01242022: 73-year-old male who was sent to our emergency room by ambulance for shortness of breath.  The patient has an extensive past medical history multiple medical problems.  He was recently discharged on 1/11/2022 for hypotension and sepsis.  Patient has a history of paraplegia.  He has a history of heart failure with reduced ejection fraction with a EF of 20%. , coronary artery disease, chronic pain syndrome, hypothyroid, and diabetes mellitus.  The patient relates the history that he had a positive COVID test at his primary care physician's office 6 days ago.  He has not been hypoxic.  He has not had any fever.  No treatment was recommended.  Patient has had his initial 2 COVID immunizations.  He states he was scheduled to get the booster next week.  Workup in the emergency room tonight is essentially unrevealing.  He is not hypoxic.  His chest x-ray actually looks improved from when he was here previously.  He does have a mild hypokalemia and hypomagnesemia for which replacement has been ordered.  His main reason for admission is that he lives quite a distance away and has no ride home.   The morning he finally procured a ride home and wanted to leave.  His ride arrived prior to me seeing him and he left AMA.  His vitals appeared stable at that time.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis contact, Injection site reaction, Pruritus, Urticaria
Clinical narrative: Received vaccine at ~5pm. on 1/12/2022,   Noted full body pruritus at ~10 pm.   Diffuse hives noted, but not until 1/15/22 by grandmother.  Improved with topical calmoseptine cream.  Contact dermatitis also at site of bandaid.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient was given an overdiluted 0.3mL dose. They received slightly less than 1cc of required dose. Patient waited 15 minutes in observation with no issue.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest X-ray, Chest pain, Palpitations, Paraesthesia
Clinical narrative: A week after receiving the vaccination, I began experiencing chest pain and tingling down my left arm. I could feel heart palpitations and a sense of impending doom. I waited a few days to see if the pain and feeling would subside, but it did not which led me to visit a local urgent care. They ran an EKG and took x-rays of my chest and lungs and diagnosed me with pericarditis. I was prescribed prednisone and directed to take it for 5 days.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: A week after receiving the vaccination, I began experiencing chest pain and tingling down my left arm. I could feel heart palpitations and a sense of impending doom. I waited a few days to see if the pain and feeling would subside, but it did not which led me to visit a local urgent care. They ran an EKG and took x-rays of my chest and lungs and diagnosed me with pericarditis. I was prescribed prednisone and directed to take it for 5 days.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anal incontinence, Angiogram cerebral abnormal, Asthenia, Blood glucose normal, COVID-19
Clinical narrative: 81 year old lady with PMH on HTN, DM per reports. Patient is AOx3 on exam, however her history is poor. She states she is here just because she needs to be checked up on. Says she is weak but says this is a chronic issue. Per reports, her family normally helps her out, however they have been unable to due to COVID infections. She was checked on today, found to be in bed covered in urine, feces, food, and leaning to the right. Due to a concern for a stroke she was brought to the ED. She reports no fevers, chills, ShOB, says she has had some cough from time to time that is productive of sputum. no chest pain, palpitations, no nausea, vomiting, swelling. She has constipation. no dysuria but she does have incontinence. Says her legs are weak, says they have been weak for a while, not getting around well on her own. Spoke with daughter on the phone. The patient lives with her daughter and their family who all have COVID. She states that she has been getting weaker over the past month, that she has had to help her get out of chair and to the bathroom, and she can use the bathroom on her own. The patient does not allow the patient's husband to help her too much. When her daughter was self quarantining for COVID, the patient would not allow the husband to take care of her, and due to this, she has just been sitting in chair and not doing anything for a few days. They have been trying to get her in some sort of facility, and had a home health nurse come in and evaluate her, and at that time the nurse was concerned for a stroke, thus she was brought into the ED.  On arrival, patient temperature 97.2°, heart rate 101, blood pressure 149/81. Her labs are relatively unremarkable save for a glucose of 131. UA negative. COVID+ in the ED. CXR without acute disease. CTs of the head without acute hemorrhage, does have atrophy and chronic small vessel disease, CTA of the head without any significant carotid, vertebral artery issues, does have an enlarged thyroid, does also show a PE withing the right main pulmonary artery and proximal right lower lobe segmental pulmonary arteries.  PT IS INPATIENT AT THIS TIME.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral atrophy, Cerebral small vessel ischaemic disease, Chest X-ray normal, Computerised tomogram head abnormal, Constipation
Clinical narrative: 81 year old lady with PMH on HTN, DM per reports. Patient is AOx3 on exam, however her history is poor. She states she is here just because she needs to be checked up on. Says she is weak but says this is a chronic issue. Per reports, her family normally helps her out, however they have been unable to due to COVID infections. She was checked on today, found to be in bed covered in urine, feces, food, and leaning to the right. Due to a concern for a stroke she was brought to the ED. She reports no fevers, chills, ShOB, says she has had some cough from time to time that is productive of sputum. no chest pain, palpitations, no nausea, vomiting, swelling. She has constipation. no dysuria but she does have incontinence. Says her legs are weak, says they have been weak for a while, not getting around well on her own. Spoke with daughter on the phone. The patient lives with her daughter and their family who all have COVID. She states that she has been getting weaker over the past month, that she has had to help her get out of chair and to the bathroom, and she can use the bathroom on her own. The patient does not allow the patient's husband to help her too much. When her daughter was self quarantining for COVID, the patient would not allow the husband to take care of her, and due to this, she has just been sitting in chair and not doing anything for a few days. They have been trying to get her in some sort of facility, and had a home health nurse come in and evaluate her, and at that time the nurse was concerned for a stroke, thus she was brought into the ED.  On arrival, patient temperature 97.2°, heart rate 101, blood pressure 149/81. Her labs are relatively unremarkable save for a glucose of 131. UA negative. COVID+ in the ED. CXR without acute disease. CTs of the head without acute hemorrhage, does have atrophy and chronic small vessel disease, CTA of the head without any significant carotid, vertebral artery issues, does have an enlarged thyroid, does also show a PE withing the right main pulmonary artery and proximal right lower lobe segmental pulmonary arteries.  PT IS INPATIENT AT THIS TIME.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysstasia, Embolism arterial, Exposure to SARS-CoV-2, Gait disturbance, Goitre
Clinical narrative: 81 year old lady with PMH on HTN, DM per reports. Patient is AOx3 on exam, however her history is poor. She states she is here just because she needs to be checked up on. Says she is weak but says this is a chronic issue. Per reports, her family normally helps her out, however they have been unable to due to COVID infections. She was checked on today, found to be in bed covered in urine, feces, food, and leaning to the right. Due to a concern for a stroke she was brought to the ED. She reports no fevers, chills, ShOB, says she has had some cough from time to time that is productive of sputum. no chest pain, palpitations, no nausea, vomiting, swelling. She has constipation. no dysuria but she does have incontinence. Says her legs are weak, says they have been weak for a while, not getting around well on her own. Spoke with daughter on the phone. The patient lives with her daughter and their family who all have COVID. She states that she has been getting weaker over the past month, that she has had to help her get out of chair and to the bathroom, and she can use the bathroom on her own. The patient does not allow the patient's husband to help her too much. When her daughter was self quarantining for COVID, the patient would not allow the husband to take care of her, and due to this, she has just been sitting in chair and not doing anything for a few days. They have been trying to get her in some sort of facility, and had a home health nurse come in and evaluate her, and at that time the nurse was concerned for a stroke, thus she was brought into the ED.  On arrival, patient temperature 97.2°, heart rate 101, blood pressure 149/81. Her labs are relatively unremarkable save for a glucose of 131. UA negative. COVID+ in the ED. CXR without acute disease. CTs of the head without acute hemorrhage, does have atrophy and chronic small vessel disease, CTA of the head without any significant carotid, vertebral artery issues, does have an enlarged thyroid, does also show a PE withing the right main pulmonary artery and proximal right lower lobe segmental pulmonary arteries.  PT IS INPATIENT AT THIS TIME.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Impaired self-care, Laboratory test normal, Loss of personal independence in daily activities, Muscular weakness, Posture abnormal
Clinical narrative: 81 year old lady with PMH on HTN, DM per reports. Patient is AOx3 on exam, however her history is poor. She states she is here just because she needs to be checked up on. Says she is weak but says this is a chronic issue. Per reports, her family normally helps her out, however they have been unable to due to COVID infections. She was checked on today, found to be in bed covered in urine, feces, food, and leaning to the right. Due to a concern for a stroke she was brought to the ED. She reports no fevers, chills, ShOB, says she has had some cough from time to time that is productive of sputum. no chest pain, palpitations, no nausea, vomiting, swelling. She has constipation. no dysuria but she does have incontinence. Says her legs are weak, says they have been weak for a while, not getting around well on her own. Spoke with daughter on the phone. The patient lives with her daughter and their family who all have COVID. She states that she has been getting weaker over the past month, that she has had to help her get out of chair and to the bathroom, and she can use the bathroom on her own. The patient does not allow the patient's husband to help her too much. When her daughter was self quarantining for COVID, the patient would not allow the husband to take care of her, and due to this, she has just been sitting in chair and not doing anything for a few days. They have been trying to get her in some sort of facility, and had a home health nurse come in and evaluate her, and at that time the nurse was concerned for a stroke, thus she was brought into the ED.  On arrival, patient temperature 97.2°, heart rate 101, blood pressure 149/81. Her labs are relatively unremarkable save for a glucose of 131. UA negative. COVID+ in the ED. CXR without acute disease. CTs of the head without acute hemorrhage, does have atrophy and chronic small vessel disease, CTA of the head without any significant carotid, vertebral artery issues, does have an enlarged thyroid, does also show a PE withing the right main pulmonary artery and proximal right lower lobe segmental pulmonary arteries.  PT IS INPATIENT AT THIS TIME.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Productive cough, Pulmonary embolism, SARS-CoV-2 test positive, Urinary incontinence, Urine analysis normal
Clinical narrative: 81 year old lady with PMH on HTN, DM per reports. Patient is AOx3 on exam, however her history is poor. She states she is here just because she needs to be checked up on. Says she is weak but says this is a chronic issue. Per reports, her family normally helps her out, however they have been unable to due to COVID infections. She was checked on today, found to be in bed covered in urine, feces, food, and leaning to the right. Due to a concern for a stroke she was brought to the ED. She reports no fevers, chills, ShOB, says she has had some cough from time to time that is productive of sputum. no chest pain, palpitations, no nausea, vomiting, swelling. She has constipation. no dysuria but she does have incontinence. Says her legs are weak, says they have been weak for a while, not getting around well on her own. Spoke with daughter on the phone. The patient lives with her daughter and their family who all have COVID. She states that she has been getting weaker over the past month, that she has had to help her get out of chair and to the bathroom, and she can use the bathroom on her own. The patient does not allow the patient's husband to help her too much. When her daughter was self quarantining for COVID, the patient would not allow the husband to take care of her, and due to this, she has just been sitting in chair and not doing anything for a few days. They have been trying to get her in some sort of facility, and had a home health nurse come in and evaluate her, and at that time the nurse was concerned for a stroke, thus she was brought into the ED.  On arrival, patient temperature 97.2°, heart rate 101, blood pressure 149/81. Her labs are relatively unremarkable save for a glucose of 131. UA negative. COVID+ in the ED. CXR without acute disease. CTs of the head without acute hemorrhage, does have atrophy and chronic small vessel disease, CTA of the head without any significant carotid, vertebral artery issues, does have an enlarged thyroid, does also show a PE withing the right main pulmonary artery and proximal right lower lobe segmental pulmonary arteries.  PT IS INPATIENT AT THIS TIME.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Patient was given an overdiluted 0.3mL dose. They received slightly less than 1cc of required dose. Patient waited 15 minutes in observation with no issue.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Cardiac disorder, Cardiac failure
Clinical narrative: After vaccine I lost my sense of smell and have not gained it back. After vaccine I was diagnosed with heart failure and currently taking medication daily.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Patient received Moderna booster at vaccination site, with Pfizer as primary vaccinations. She reported dizziness and left arm tingling. She is A&O x4, denies headaches, SOB, nausea and vomitting, chest pain. No signs of allergic reaction. Vitals at 10:42 am were as follows: blood pressure 189/102, heart rate 67, respirations 18, SPO2 99%. Patient stated she normally takes her blood pressure medication at 9 am and she did not this morning. Also stated after her 2nd primary Pfizer vaccination, she had to go to ER for high blood pressure (but did not know what value it was at when taken). Vitals at 10:55 am: 150/98 blood pressure, heart rate 68, respirations 18, SPO2 99%. At this time, patient said she wanted to leave. Paramedic van and she wanted to go home. Was advised by Safety officer to stay a little longer until her blood pressure decreased, but she denied. She was advised to go home and take her blood pressure medications with food when she got home and take it easy. Safety officer reviewed reasons she would need to go to the ER with her and she expressed understanding. Safety officer followed up with patient on 1/22/2022, she said she went home to take her blood pressure medication and did not need further medical attention or examination.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Headache, Nausea
Clinical narrative: Chest pain/tightness and shortness of breath started at about 24 hrs. after injection. Chest pain lasted for about 12 hours off and on (not constant). Shortness of breath lasted for about 48 hrs. These were new effects that were not experienced with the first two doses. For all 3 doses, effects were severe - fever, nausea, headache, body aches lasting from 5 hrs. after injection up through about 48 hours after injection. Effects seemed to escalate with each dose. First two doses were in March 2021. Patient is otherwise healthy and had not ever experienced chest pain or shortness of breath before.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Chest pain/tightness and shortness of breath started at about 24 hrs. after injection. Chest pain lasted for about 12 hours off and on (not constant). Shortness of breath lasted for about 48 hrs. These were new effects that were not experienced with the first two doses. For all 3 doses, effects were severe - fever, nausea, headache, body aches lasting from 5 hrs. after injection up through about 48 hours after injection. Effects seemed to escalate with each dose. First two doses were in March 2021. Patient is otherwise healthy and had not ever experienced chest pain or shortness of breath before.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Lymphadenopathy, Mammogram normal, Ultrasound breast
Clinical narrative: During a self-breast exam I had something that felt like lumps. It was my right breast at that time. I ended up having my annual within 4 weeks. My doctor also felt that lump in my breast. My lymph nodes were swollen. At that time they sent me for an ultrasound and mammogram for both breasts 4 weeks after that. By that time the swelling had gone away. I just had fatty tissue. Later on it was confirmed by the CDC that those symptoms might be related to the vaccine. I have completely recovered from this adverse event.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Infection, SARS-CoV-2 test
Clinical narrative: Breakthrough case after vaccination/asymptomatic/routine testing at nursing home
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: cough, fatigue, headache, sore throat admitted to hospital on 1/20 and discharged on 1/22
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature for too long.  We have recommended to the patient to get revaccinated.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Patient was given an overdiluted 0.3mL dose. They received slightly less than 1cc of required dose. Patient waited 15 minutes in observation with no issue.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Gastric stenosis, Gastrointestinal dilation procedure, Oesophagogastroduodenoscopy
Clinical narrative: Severe abdominal pain starting the day after the 2nd dose of Moderna.  Continuously severe abdominal pain for months.  Sought care from a gastroenterologist now have a diagnosis of gastric stenosis.  I have had 2 dilations since my 2nd vaccine.  I have another dilation scheduled next month in February 2022.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long. We have recommended to the patient to get revaccinated.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cerebrovascular accident, Death, Malaise, SARS-CoV-2 test positive
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   The individual was vaccinated with the Pfizer product on 08/31/2021 and 09/21/2021. The individual had a symptom onset of 12/04/2021 and tested positive for COVID-19 via PCR test on 12/08/2021. The individual was admitted to hospital on 12/08/2021, was transferred to a different hospital on 12/11/2021. They remained hospitalized until their death on 12/16/2021. The individual had complications of a large acute stroke.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   The individual was vaccinated with the Pfizer product on 08/31/2021 and 09/21/2021. The individual had a symptom onset of 12/04/2021 and tested positive for COVID-19 via PCR test on 12/08/2021. The individual was admitted to hospital on 12/08/2021, was transferred to a different hospital on 12/11/2021. They remained hospitalized until their death on 12/16/2021. The individual had complications of a large acute stroke.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Condition aggravated, Full blood count normal, Joint dislocation, Metabolic function test normal
Clinical narrative: Generalized seizure while at school. Self-limited, resolved without treatment. Seizure resulted in shoulder dislocation.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Urine analysis normal
Clinical narrative: Generalized seizure while at school. Self-limited, resolved without treatment. Seizure resulted in shoulder dislocation.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Pain/burning sensation at injection site, pain around rotator cuff.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy test, Allergy to animal, Swelling, Throat tightness, Urticaria
Clinical narrative: Severe allergic reaction to cats: hives, swelling, airway constriction. Hives in reaction to physical scratches continued until oral steroids were given. Continued reaction seen, even to brief exposure to cat dander. I have never reacted to cat dander before, including growing up with them and owning one for a time.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient was given an overdiluted 0.3mL dose. They received slightly less than 1cc of required dose. Patient waited 15 minutes in observation with no issue.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine kept in freezer for 3 weeks instead of 2 weeks
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Patient was given an overdiluted 0.3mL dose. They received slightly less than 1cc of required dose. Patient waited 15 minutes in observation with no issue.
Age: 62.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Arthralgia, Chills, Pyrexia, SARS-CoV-2 test
Clinical narrative: chills, fever, joint pain x 1 week
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Injection site erythema, Injection site pain, Pain in extremity
Clinical narrative: Patient received covid booster on 1/23 at pharmacy, 12 hours after developed arm pain that now has concentrated over Left lateral chest and Left upper arm .   Was seen in office on 1/25- Doctor examined, has redness at the injection site, provider stated normal neurologic exam, to give Ibuprofen Q 6-8 hours prn pain.
Age: 30.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Adverse reaction
Clinical narrative: Pharmacist gave shot intramuscular and patient feels as if shot was given incorrectly.
Age: 30.0
Sex: F
Vaccine: MMR, MMR
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: Pharmacist gave shot intramuscular and patient feels as if shot was given incorrectly.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Sleep disorder, Tinnitus
Clinical narrative: On 1/5/2022 About 4 hours after the Pfizer Booster Shot I started hearing a roaring sound in my ears which got worse as the night progressed.  Terrible sound all night long.  I called my MD and she prescribed antibiotic and steriod  for 5 days until I was able to get an appointment with an ENT doctor.  Roaring sound never went away and keeps me up at night.  I had a hearing test on 1/14/2022 and saw the ENT on 1/18/2022.  No hearing loss.  ENT prescribed 10 days of steriod and a daily Vitamin B complex tab.  Today is 1/25/2022 and I have no relief.  Actually today is a loud hissing sound in my ears/head.  I have another appointment with the ENT on 1/31/2022 for help.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient stated that she felt itchy at 9:41am. Patient was given diphenhydramine 25 mg PO at 9:42am. Patient felt better at 9:52am. Patient was monitored for 30 minutes. Patient had no issues breathing or talking. Patient reported that itchyness stopped.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19 test.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Vomiting
Clinical narrative: Patients sister called to let us know that her sister woke up at 1 am on 1/25/22 with a headache, vomitting and having trouble breathing. It was bad enough that they called an ambulance for her. The sister was not sure if it is related to her getting a booster shot on the 24th or if something else was going on but wanted to keep us in the loop.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Fatigue, Headache, Impaired work ability
Clinical narrative: I had body aches, headache, diarrhea, and fatigue. I tested positive for Covid-19 with a home test on 12/25/2021 and with a PCR test on 12/28/2021. It lasted a lot longer than I expected it to. I experienced symptoms for over 2 weeks. The symptoms were mild but I still could not go to work or do anything around the house. I did not receive any treatment. I only took Tylenol.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain, SARS-CoV-2 test positive
Clinical narrative: I had body aches, headache, diarrhea, and fatigue. I tested positive for Covid-19 with a home test on 12/25/2021 and with a PCR test on 12/28/2021. It lasted a lot longer than I expected it to. I experienced symptoms for over 2 weeks. The symptoms were mild but I still could not go to work or do anything around the house. I did not receive any treatment. I only took Tylenol.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Oligomenorrhoea
Clinical narrative: Prolonged and heavier menstruation cycles - almost 2 weeks - when normally lasts 7 days
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Urticaria
Clinical narrative: Diffuse urticaria, chest tightness
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine kept in freezer for 3 weeks instead of 2 weeks
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough case
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Wrong COVID-19 vaccine product administered to a pediatric patient.  Patient was 15 years old at the time of vaccination.  Was administered the Janssen J&J COVID vaccine product and should not have received this product.  (only Pfizer was approved for administration in < 18 years of age).  Reported via error reporting system:  "16Y/F with Turner's Syndrome, Hypothyroidism, Primary Ovarian Failure. She received J & J Vaccine for CV19 in Summer 2021. This Vaccine is NOT Approved in Individuals < 18 Years. Unsure how the Vaccine was administered to the Child as it is NOT FDA Approved for her age (only Pfizer was Approved). Mother reported to me at the January 2022 that the dr. Office mentioned it was okay to get the J&J vaccine when questioned at time of Scheduling. Of mention, the discussion came up as the mother was asking about recommendations for Booster for her during the Outpatient Endocrine Visit."
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Product administered to patient of inappropriate age
Clinical narrative: patient requested the moderna vaccine.   The MA did not check DOB at the time.  Patient was 33 weeks at the time of vaccination. patient delivered with no complications.  Baby gilr weighed 6lbs 9 ounces at birth.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong technique in product usage process
Clinical narrative: Six syringes were discovered to be empty with no vaccine in them. Administrator injected needle into left deltoid and noticed it was empty. Needle was immediately pulled out without injection. Patient allowed a second vaccination. All empty syringes were removed from vaccination area.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cystitis noninfective
Clinical narrative: Inflammation bladder (No medication). Drank water to help with baking soda it relives the acidity.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: 107.6 fever. Vomiting.  Gradually came down to 102.5 within 3 hours.  Treated with 2 liters IV hydration with vitamin C and Glutathione.  Fever now gone but can?t keep good down.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Rash erythematous, Rash maculo-papular, Rash pruritic
Clinical narrative: Rash that started morning (1/23) after vaccine was administered. Diffuse erythematous maculopapular rash.  Rash is blanchable. Patient reports it is itchy. Did not apply anything to it or take any medications.  Seen in office on 1/25- advised to try benadryl or zyrtec/claritin as needed for itching.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Product preparation error
Clinical narrative: I gave the patient pentacel, but only the diluent was given. Instead of the complete pentacel portion.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract infection, SARS-CoV-2 test negative
Clinical narrative: Long term adverse reaction began within one week of last Moderna dose.  I normally am very healthy, still able to quickly climb any of our tallest mountains, able to ride over 100 miles a week on my bike, etc.  I would have no more than 2 respiratory illnesses a year.  Since my second dose, I have had 10 upper and lower, including two severe respiratory illnesses.  My healthy norm has been reversed.  I normally have a cold, am good for 5 to 10 days, and then I catch something again.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine kept in freezer for 3 weeks instead of 2 weeks
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: delayed urticarial about 12 days after shot
Age: 17.0
Sex: M
Vaccine: UNK
Symptoms: Blood test, Dizziness, Dysstasia, Nausea, Pallor
Clinical narrative: Less than 10 min he got nausea, dizzy, turned very pale and couldn?t stand.   Laid down propped feet up and blood sugar was fine and by time they took his BP it was fine
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored for freezer temperature too long.  We have recommended to the patient to get revaccinated.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Malaise, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.  The individual was vaccinated with the Moderna product on 02/02/2021 and 03/02/2021. The individual became symptomatic for COVID-19 disease on 08/19/2021 and tested positive twice on 08/22/2021 via PCR. They were admitted to hospital on 08/23/2021 and died on later on the same day. They had experienced complications of a pulmonary embolism.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.  The individual was vaccinated with the Moderna product on 02/02/2021 and 03/02/2021. The individual became symptomatic for COVID-19 disease on 08/19/2021 and tested positive twice on 08/22/2021 via PCR. They were admitted to hospital on 08/23/2021 and died on later on the same day. They had experienced complications of a pulmonary embolism.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Musculoskeletal stiffness, Swelling of eyelid
Clinical narrative: eyes swollen shut, muscle stiffness, stomach pain
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given the second dose at 21 days vs 28 days.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given COVID vaccine that was past due it's BUD. The beyond use date for this vaccine was 1/19/22. Patient received the vaccine on 1/24/22. The patient did not have any symptoms due to this. He was called and informed that because the vaccine was after its BUD his Booster does was not valid and will need to come back to get the vaccine.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Right Bells Palsy, mild
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Malaise
Clinical narrative: Test Positive 01/07/2022  Thrusday 01/06/2022 was feeling unwell headache, cough, sore throut , fever and tired.  Day 5 started to feeling a cough pick up and day 12 nigh time coughing fit through out the night.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Test Positive 01/07/2022  Thrusday 01/06/2022 was feeling unwell headache, cough, sore throut , fever and tired.  Day 5 started to feeling a cough pick up and day 12 nigh time coughing fit through out the night.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: 12 year old immunized with Pfizer (Orange, 5-11). Parent informed; patient had no adverse effects
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Possible breakthrough infection
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram, Tinnitus
Clinical narrative: Tinnitus, started on left ear and progressed to right Year a couple days later. Last night it got louder.  Dr prescribed Medrol dose pack, which I took and finished this past Friday, but no improvement so far.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, extreme fatigue, headache, sore throat, muscle aches
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient was given an overdiluted 0.3mL dose. They received slightly less than 1cc of required dose. Patient waited 15 minutes in observation with no issue.