chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Magnetic resonance imaging head, Oversensing, Post concussion syndrome, Scan with contrast, Vertigo
Clinical narrative: I received the Pfizer covid booster in one arm, and the flu shot in the other arm on 1-13-22. I slept for 17 hours straight that weekend, only waking up to use the restroom once. The following Monday (1-17-22), I felt slight disorientation and slight vertigo, with hot/cold flashes, sweating, and general body/brain fatigue.  Starting 1-26-22, the vertigo became severe and the home epley maneuver did not resolve symptoms. General fatigue continued as well. Shortly thereafter, I started to develop post concussion syndrome-like symptoms, including, but not limited to, vestibular issues, heart rate issues, dysautonomia, overall brain fog/fatigue, focus issues, debilitating noise sensitivity, debilitating vertigo/loss of spatial awareness and proprioception, vision issues, and severe headaches.
Age: 32.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Vestibular disorder, Visual impairment
Clinical narrative: I received the Pfizer covid booster in one arm, and the flu shot in the other arm on 1-13-22. I slept for 17 hours straight that weekend, only waking up to use the restroom once. The following Monday (1-17-22), I felt slight disorientation and slight vertigo, with hot/cold flashes, sweating, and general body/brain fatigue.  Starting 1-26-22, the vertigo became severe and the home epley maneuver did not resolve symptoms. General fatigue continued as well. Shortly thereafter, I started to develop post concussion syndrome-like symptoms, including, but not limited to, vestibular issues, heart rate issues, dysautonomia, overall brain fog/fatigue, focus issues, debilitating noise sensitivity, debilitating vertigo/loss of spatial awareness and proprioception, vision issues, and severe headaches.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Malaise, Musculoskeletal discomfort, Musculoskeletal stiffness
Clinical narrative: injection site pain and left arm muscle achiness within 15 min of the injection; took one 500 mg Extra Strength Tylenol and 12.5 mg benyldryl (1/2 of a 25 mg tablet) taken at bed time (9 pm). Woke around 6 am with a general muscle stiffness, neck joint discomfort, chills, and malaise. Around 9 am took 200 mg Ibuprofen which relieved the symptoms except the injection site tenderness upon touch.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: injection site pain and left arm muscle achiness within 15 min of the injection; took one 500 mg Extra Strength Tylenol and 12.5 mg benyldryl (1/2 of a 25 mg tablet) taken at bed time (9 pm). Woke around 6 am with a general muscle stiffness, neck joint discomfort, chills, and malaise. Around 9 am took 200 mg Ibuprofen which relieved the symptoms except the injection site tenderness upon touch.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Got COVID
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Anxiety, Asthenia, Chest discomfort, Diarrhoea
Clinical narrative: Received the shot approximately 3pm. At 6:30 was so tired I had to go to bed and finally slept. Got up about 8pm. Small headacke, weakness, small problem breathing. Felt like I might fanit. Heaviness in the chest. Could feel my heart beat. Anxious. Thought maybe I may be having a panic attack, but didn't. Ringing in the ears way louder than normal. I thought I was starting to get better about 9:25 but the anxiety started again. Went back to bed felt like I was going to faint. Heart felt like it was beating faster than normal. Now a stomache ache. Felt like a panic attack Got up at 11pm. Felt better, then some diarrhea. After midnight I felt better but my tummy hurt a little. Went back to bed. Fell asleep about 1:30. Got up about 9:30. Do feel much better but not completely normal. Of course the shot site hurts.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Dyspnoea, Fatigue, Headache, Heart rate increased
Clinical narrative: Received the shot approximately 3pm. At 6:30 was so tired I had to go to bed and finally slept. Got up about 8pm. Small headacke, weakness, small problem breathing. Felt like I might fanit. Heaviness in the chest. Could feel my heart beat. Anxious. Thought maybe I may be having a panic attack, but didn't. Ringing in the ears way louder than normal. I thought I was starting to get better about 9:25 but the anxiety started again. Went back to bed felt like I was going to faint. Heart felt like it was beating faster than normal. Now a stomache ache. Felt like a panic attack Got up at 11pm. Felt better, then some diarrhea. After midnight I felt better but my tummy hurt a little. Went back to bed. Fell asleep about 1:30. Got up about 9:30. Do feel much better but not completely normal. Of course the shot site hurts.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Palpitations, Panic attack, Tinnitus
Clinical narrative: Received the shot approximately 3pm. At 6:30 was so tired I had to go to bed and finally slept. Got up about 8pm. Small headacke, weakness, small problem breathing. Felt like I might fanit. Heaviness in the chest. Could feel my heart beat. Anxious. Thought maybe I may be having a panic attack, but didn't. Ringing in the ears way louder than normal. I thought I was starting to get better about 9:25 but the anxiety started again. Went back to bed felt like I was going to faint. Heart felt like it was beating faster than normal. Now a stomache ache. Felt like a panic attack Got up at 11pm. Felt better, then some diarrhea. After midnight I felt better but my tummy hurt a little. Went back to bed. Fell asleep about 1:30. Got up about 9:30. Do feel much better but not completely normal. Of course the shot site hurts.
Age: 1.75
Sex: M
Vaccine: UNK
Symptoms: Cognitive disorder, Delirium, Erythema, Gait disturbance, Injection site erythema
Clinical narrative: Noticed his red las extremely red and hot. The next day his arm was extremely hot and red. The MMR made him almost delirious. He was not himself. Its like his whole mind just regressed. He wouldn't get out of bed and walk. He just stared off into space. Took him to the doctor for those red hot spots, doctor prescribed an antibiotic. The rash was not going away and got worse overnight. Quit antibiotic and took him his ped. Ped says that he believes it may have been from MMR vaccine. Here we are 15 days later and my son is COVERED in bumps ( looks like measles) from his neck all down his back, in his groind. His eyes are watery, feverish. The site of injection is still extremely red.
Age: 1.75
Sex: M
Vaccine: UNK
Symptoms: Lacrimation increased, Mobility decreased, Pyrexia, Rash, Skin warm
Clinical narrative: Noticed his red las extremely red and hot. The next day his arm was extremely hot and red. The MMR made him almost delirious. He was not himself. Its like his whole mind just regressed. He wouldn't get out of bed and walk. He just stared off into space. Took him to the doctor for those red hot spots, doctor prescribed an antibiotic. The rash was not going away and got worse overnight. Quit antibiotic and took him his ped. Ped says that he believes it may have been from MMR vaccine. Here we are 15 days later and my son is COVERED in bumps ( looks like measles) from his neck all down his back, in his groind. His eyes are watery, feverish. The site of injection is still extremely red.
Age: 1.75
Sex: M
Vaccine: UNK
Symptoms: Staring
Clinical narrative: Noticed his red las extremely red and hot. The next day his arm was extremely hot and red. The MMR made him almost delirious. He was not himself. Its like his whole mind just regressed. He wouldn't get out of bed and walk. He just stared off into space. Took him to the doctor for those red hot spots, doctor prescribed an antibiotic. The rash was not going away and got worse overnight. Quit antibiotic and took him his ped. Ped says that he believes it may have been from MMR vaccine. Here we are 15 days later and my son is COVERED in bumps ( looks like measles) from his neck all down his back, in his groind. His eyes are watery, feverish. The site of injection is still extremely red.
Age: 33.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given to patient; vaccine expired 1/30/23. HAVRIX second dose of active vaccine given
Age: 68.0
Sex: M
Vaccine: FLU4, PNC20
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Patient came back to pharmacy 3 days after receiving vaccines. Reported that his upper arm became red and inflamed around the injection site and spread to most of his upper arm. At the time he came to the pharmacy the redness had subsided substantially and was only faintly visible even though he reported that he was still feeling pain in the area. Patient was told to take acetaminophen or ibuprofen for the pain and to seek medical attention if symptoms persisted or worsened instead of continuing to get better. Suggest patient use ice intermittently for pain in area.  NOTE: Patient received 2 IMZ in same arm due to recent surgery on the opposite side of body.
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent Moderna vaccine was given as the primary dose instead of a monovalent vaccine. Patient is instructed to go to another pharmacy (location given) to get the monovalent vaccine at her earliest convenience.
Age: 38.0
Sex: F
Vaccine: HEPAB, HPV9
Symptoms: Rash, Rash vesicular
Clinical narrative: Patient received 2 vaccines on Monday, on Tuesday she developed a rash on her front side and it continued to spread and get worse throughout the week. By Saturday it has spread to her back and looked blistery. it resembled a shingles rash.
Age: 55.0
Sex: M
Vaccine: FLUC4
Symptoms: Dizziness, Fatigue
Clinical narrative: The patient reported feeling lightheaded 15 minutes after the vaccine. He remained in the pharmacy for 30 minutes post vaccine time and left feeling better but tired.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient is a 5 Y female  Pt came for her PFIZER MONOVALENT VACCINE 5-11y/o 2ND DOSE.  PFIZER MONOVALENT VACCINE 5-11y/o was not diluted with 1.3ml of normal saline prior to use and pt received a concentrated dose at 1604.  Dose given by LVN  PFIZER MONOVALENT VACCINE 5-11y/o LOT # GD1857 EXP 03/08/2023  No immediate adverse effect noted.   Pt full of energy skipping around the room, no palor or respiratory distress noted.   Pt was able to have a full conversation with this writer.   Dr. was notified at 1615.   Dr. said to observe her for the full 30 minutes and if she feels fine she can go home.   Mother expressed concerns for her daughter especially "at night."  Reassured her that most side effects happen in the first 30 minutes post administration and Dr. also mentioned that they should look at for a rash, respiratory distress and/or GI symptoms if she were to have any symptoms.   Manger was notified as well.  At 1640, pt VS were checked prior to leaving for home.   BP: 92/54 HR: 99  Pt reported no pain and no distress.  Apologized to the parents again for the error and informed them that the error will be documented in her chart.   Information created and reported medication error to state as well.  Copied PCP to note to inform her of the error.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Coma, Delusion, Fall, Malaise, Meningitis viral
Clinical narrative: He was not feeling well all next day, stayed in bed, the following day, he was delusional, and fell on the floor.  He was taken to hospital and diagnosed as Viral Meningitis. He reported that he slipped into coma at one point.   Hospitalized for 2 weeks.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Mobility decreased
Clinical narrative: He was not feeling well all next day, stayed in bed, the following day, he was delusional, and fell on the floor.  He was taken to hospital and diagnosed as Viral Meningitis. He reported that he slipped into coma at one point.   Hospitalized for 2 weeks.
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: Vomiting starting at 6pm and occurring occasionally through 7:30pm
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Pain, Pyrexia
Clinical narrative: Started having fever up to 38.5C with headache, body pain and strong diarrhea on February 08 around 06pm, I was taking aspirin on the 08th and 09th of February. Temperature was dropping down for few hours and then was climbing up again. On the 10th started taking Tylenol, it helped better than aspirin. At this moment the only problem I have is a bad diarrhea, it?s pouring very bad. I don?t have any pain though.
Age: 65.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Arthralgia, Arthritis, Blood test, Joint swelling, Urine analysis
Clinical narrative: Triggered swelling and inflamation and pain in many joints..
Age: 65.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Antinuclear antibody, Blood glucose, Blood iron, Blood test abnormal, Body temperature
Clinical narrative: Triggered swelling and inflamation and pain in many joints..
Age: 65.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: C-reactive protein, Complement factor C4, Gait disturbance, Haematocrit, Haemoglobin
Clinical narrative: Triggered swelling and inflamation and pain in many joints..
Age: 65.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Lymphocyte count, Mean cell haemoglobin, Mean cell haemoglobin concentration, Neutrophil count, Pyrexia
Clinical narrative: Triggered swelling and inflamation and pain in many joints..
Age: 65.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Red blood cell sedimentation rate, Red cell distribution width, Rheumatoid arthritis, Transferrin saturation, Urine analysis abnormal
Clinical narrative: Triggered swelling and inflamation and pain in many joints..
Age: 65.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Vitamin D, White blood cell count, X-ray
Clinical narrative: Triggered swelling and inflamation and pain in many joints..
Age: 80.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Expired product administered
Clinical narrative: DOSE WAS GIVEN AFTER BEYOND USE DATE OF 02/02/2023. PATIENT HAS NOT REPORTED ANY ADVERSE EVENTS OR REACTIONS.
Age: 80.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: DOSE WAS GIVEN AFTER BEYOND USE DATE OF 02/02/2023. PATIENT HAS NOT REPORTED ANY ADVERSE EVENTS OR REACTIONS.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure increased, Decreased appetite, Dizziness, Dyspnoea, Fatigue
Clinical narrative: First 3 days: Fatigue, fever, loss of appetite ( lost 6 pound) headache, heart racing, shortness of breath, dizziness.  10 days to 14 days: Continued shortness of breath, dizziness (more frequent laying down) and increased blood pressure.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Palpitations, Pyrexia, Weight decreased
Clinical narrative: First 3 days: Fatigue, fever, loss of appetite ( lost 6 pound) headache, heart racing, shortness of breath, dizziness.  10 days to 14 days: Continued shortness of breath, dizziness (more frequent laying down) and increased blood pressure.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Biopsy kidney, Blood test, Fluid retention, Furuncle
Clinical narrative: Kidney failure from  Proteinuria, MSGS, Edema, etc. Water retention causing bloating from Monday to Friday.  Large water boils all around waist region, unable to walk long distances or go to school (which was the whole point of getting vaccinated).  Stretch marks all over his body, the ones around waist are large, covering more then 75% of his waist region.  He even leaked water at one point from one of the boils for days.  Prior to the shot, patient was a perfectly healthy 21 yr old who did not do drugs or drink and had a bright future ahead of him,  Genetic testing was negative, no family history.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Gene mutation identification test negative, Laboratory test, Loss of personal independence in daily activities, Oedema
Clinical narrative: Kidney failure from  Proteinuria, MSGS, Edema, etc. Water retention causing bloating from Monday to Friday.  Large water boils all around waist region, unable to walk long distances or go to school (which was the whole point of getting vaccinated).  Stretch marks all over his body, the ones around waist are large, covering more then 75% of his waist region.  He even leaked water at one point from one of the boils for days.  Prior to the shot, patient was a perfectly healthy 21 yr old who did not do drugs or drink and had a bright future ahead of him,  Genetic testing was negative, no family history.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Proteinuria, Renal failure, Skin striae, Urine analysis, Wound secretion
Clinical narrative: Kidney failure from  Proteinuria, MSGS, Edema, etc. Water retention causing bloating from Monday to Friday.  Large water boils all around waist region, unable to walk long distances or go to school (which was the whole point of getting vaccinated).  Stretch marks all over his body, the ones around waist are large, covering more then 75% of his waist region.  He even leaked water at one point from one of the boils for days.  Prior to the shot, patient was a perfectly healthy 21 yr old who did not do drugs or drink and had a bright future ahead of him,  Genetic testing was negative, no family history.
Age: 40.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest pain, Electrocardiogram
Clinical narrative: Almost one month of left side chest pain to varying degrees starting after the 4th shot.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Back pain, Blister, Burning sensation, Pain in extremity, Pruritus
Clinical narrative: 01/20/2023 Itching and burning started on left side of lower back. Pain and burning started from left lower back to left inner thigh and left side of stomach up to umbilical. After 4-5 days blister appear from back to left inner thigh with burning and severe. Contacted doctor.
Age: 45.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site pain
Clinical narrative: Pain in right shoulder
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: DOSE WAS GIVEN AFTER THE BEYOND USE DATE. PATIENT REPORTED NO ADVERSE EVENTS.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: DOSE WAS GIVE AFTER THE BEYOND USE DATE OF 02/02/2023. PATIENT HAS NOT REPORTED ANY ADVERSE EVENTS OR REACTIONS.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Injection site pain, Injection site warmth, Livedo reticularis, Pain in jaw
Clinical narrative: Patient complains of new onset of RIGHT sided facial swelling, CONSTANT DULL ACHE of RIGHT sided upper and lower jaw and teeth, LEFT hand swelling, LEFT HAND digit swelling, numbness and tingling of LEFT HAND and LEFT DIGITS, MOTTLED skin of LEFT palm, soreness and warmth to the touch of the local injection site (LEFT deltoid),
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Paraesthesia, Peripheral swelling, Swelling face, Toothache
Clinical narrative: Patient complains of new onset of RIGHT sided facial swelling, CONSTANT DULL ACHE of RIGHT sided upper and lower jaw and teeth, LEFT hand swelling, LEFT HAND digit swelling, numbness and tingling of LEFT HAND and LEFT DIGITS, MOTTLED skin of LEFT palm, soreness and warmth to the touch of the local injection site (LEFT deltoid),
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Impaired work ability, Insomnia, Magnetic resonance imaging abnormal, Mobility decreased
Clinical narrative: 10/25/2022:  11:58 AM:  Flu shot administered in right shoulder, too high, had sharp pain.  9:00PM  Extreme pain in Rt. shoulder and upper arm, could not sleep. 11/01/2022:  Saw Dr.; started on steroid pack and Ibuprofen 800 Mg 3 x day.  Steroid did not help 11/11/2022;  Went back to Dr.:  Had x-ray taken, wanted an MRI scheduled.  Felt since this needed an MRI, I made appt with Dr., orthopedist.  Dr. put me on light duty at work.  No lifting of any kind rt. arm 11/16/2022;  saw Dr.,  did another x-ray and scheduled MRI for next Monday.  Gave me a prescription for the pain, dilaudid 2 mg. 1 tab at night to help me sleep. 11/21/2022:  MRI done. 11/23/2022; To Dr., saw, his PA.  Said there is a slight tear in the rotator cuff and severe myoedema. 11/29/2022; Saw Dr.; discussed the MRI, the severe myoedema and tears in muscle.  Gave me a steroid shot.  Placed on light duty with no lifting rt. arm for 6 wks.  Told me to take ibuprofen800 mg 3x a day. 12/14/2022; steroid shot has worn off, more pain with active movement.  Unable to raise arm to the side. 01/10/2023; Went back to Dr.; did not want to try another steroide shot; wants me to remain on light duty with weight restriction of less than 5 lbs. 01/29/2023;  Off and on intense pain in right arm, unable to lift right arm past 85-90 degrees. 02/10/2023; still having pain with movement and still taking Ibuprofen 3x a day
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Muscle oedema, Pain, Pain in extremity, Product administered at inappropriate site, Rotator cuff syndrome
Clinical narrative: 10/25/2022:  11:58 AM:  Flu shot administered in right shoulder, too high, had sharp pain.  9:00PM  Extreme pain in Rt. shoulder and upper arm, could not sleep. 11/01/2022:  Saw Dr.; started on steroid pack and Ibuprofen 800 Mg 3 x day.  Steroid did not help 11/11/2022;  Went back to Dr.:  Had x-ray taken, wanted an MRI scheduled.  Felt since this needed an MRI, I made appt with Dr., orthopedist.  Dr. put me on light duty at work.  No lifting of any kind rt. arm 11/16/2022;  saw Dr.,  did another x-ray and scheduled MRI for next Monday.  Gave me a prescription for the pain, dilaudid 2 mg. 1 tab at night to help me sleep. 11/21/2022:  MRI done. 11/23/2022; To Dr., saw, his PA.  Said there is a slight tear in the rotator cuff and severe myoedema. 11/29/2022; Saw Dr.; discussed the MRI, the severe myoedema and tears in muscle.  Gave me a steroid shot.  Placed on light duty with no lifting rt. arm for 6 wks.  Told me to take ibuprofen800 mg 3x a day. 12/14/2022; steroid shot has worn off, more pain with active movement.  Unable to raise arm to the side. 01/10/2023; Went back to Dr.; did not want to try another steroide shot; wants me to remain on light duty with weight restriction of less than 5 lbs. 01/29/2023;  Off and on intense pain in right arm, unable to lift right arm past 85-90 degrees. 02/10/2023; still having pain with movement and still taking Ibuprofen 3x a day
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: X-ray
Clinical narrative: 10/25/2022:  11:58 AM:  Flu shot administered in right shoulder, too high, had sharp pain.  9:00PM  Extreme pain in Rt. shoulder and upper arm, could not sleep. 11/01/2022:  Saw Dr.; started on steroid pack and Ibuprofen 800 Mg 3 x day.  Steroid did not help 11/11/2022;  Went back to Dr.:  Had x-ray taken, wanted an MRI scheduled.  Felt since this needed an MRI, I made appt with Dr., orthopedist.  Dr. put me on light duty at work.  No lifting of any kind rt. arm 11/16/2022;  saw Dr.,  did another x-ray and scheduled MRI for next Monday.  Gave me a prescription for the pain, dilaudid 2 mg. 1 tab at night to help me sleep. 11/21/2022:  MRI done. 11/23/2022; To Dr., saw, his PA.  Said there is a slight tear in the rotator cuff and severe myoedema. 11/29/2022; Saw Dr.; discussed the MRI, the severe myoedema and tears in muscle.  Gave me a steroid shot.  Placed on light duty with no lifting rt. arm for 6 wks.  Told me to take ibuprofen800 mg 3x a day. 12/14/2022; steroid shot has worn off, more pain with active movement.  Unable to raise arm to the side. 01/10/2023; Went back to Dr.; did not want to try another steroide shot; wants me to remain on light duty with weight restriction of less than 5 lbs. 01/29/2023;  Off and on intense pain in right arm, unable to lift right arm past 85-90 degrees. 02/10/2023; still having pain with movement and still taking Ibuprofen 3x a day
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Sensitive skin
Clinical narrative: Patient received vaccine on Saturday morning 2/4/23. Monday 2/6/23 patients skin was sensitive to the touch on the whole left side of his torso. Tuesday he started noticing the blisters  on his left back and left abdomen.  Saturday Feb. 11 patient went to urgent care and was diagnosed with Shingles. He was prescribed Valtrex and Gabapentin.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: 2/6/23 patient scheduled bivalent booster, came in brought in one immunization card , counseled on bivalent vaccine and given vaccine. Next day 2/7/23 husband came in for vaccine but had 2 immunization cards and had bivalent vaccine listed on second card already. Called Patient 2/7/23 at home and reviewed vaccine record with patient and records and had already received bivalent at another location  9/21/22. Therefore Patient received 2 doses of the bivalent covid vaccine. She was not reporting any adverse effects at the time of the phone call
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Arthralgia, Asthenia, Chest discomfort, Dizziness
Clinical narrative: Diagnosed Thyroid dysfunction.  Diagnosed with hypothyroidism.  With many symptoms.  (Weak, Dizzy, Short of Breath, racing heart, Feeling faint, Insomnia, General feeling of Unwellness,  Feeling  very sick and ill.   Heart Dull Ache Pressure 7-8 severity 1-10 scale). moderate to severe Aches and pains in joints.  Blurry vision.   Now taking Levothyroxine 50mcg.     Diagnosed High Blood Pressure.  Rapid pulse rate.   Now taking Irbesartan 150mg
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased, Hypertension, Hypothyroidism, Insomnia
Clinical narrative: Diagnosed Thyroid dysfunction.  Diagnosed with hypothyroidism.  With many symptoms.  (Weak, Dizzy, Short of Breath, racing heart, Feeling faint, Insomnia, General feeling of Unwellness,  Feeling  very sick and ill.   Heart Dull Ache Pressure 7-8 severity 1-10 scale). moderate to severe Aches and pains in joints.  Blurry vision.   Now taking Levothyroxine 50mcg.     Diagnosed High Blood Pressure.  Rapid pulse rate.   Now taking Irbesartan 150mg
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Palpitations, Thyroid disorder, Vision blurred
Clinical narrative: Diagnosed Thyroid dysfunction.  Diagnosed with hypothyroidism.  With many symptoms.  (Weak, Dizzy, Short of Breath, racing heart, Feeling faint, Insomnia, General feeling of Unwellness,  Feeling  very sick and ill.   Heart Dull Ache Pressure 7-8 severity 1-10 scale). moderate to severe Aches and pains in joints.  Blurry vision.   Now taking Levothyroxine 50mcg.     Diagnosed High Blood Pressure.  Rapid pulse rate.   Now taking Irbesartan 150mg
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Influenza virus test negative, Laryngitis, Myalgia, Oropharyngeal pain
Clinical narrative: Sore throat, cough, muscle aches, laryngitis
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Sore throat, cough, muscle aches, laryngitis
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient came to the pharmacy requesting the Covid 19 Bivalent vaccine of Moderna. The problem is that the patient received this same vaccine on November 21, 2022.  I think that the patient didn't remember and he didn't bring his vaccine card to the pharmacy. Also, the pharmacy tecnichian didn't notice that patient had the covid 19 bivalent vaccine registered in his record. The patient didn't report any adverse events.
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Pruritus, Scratch, Skin swelling, Urticaria
Clinical narrative: This is the second time I?ve had this reaction to a Moderno vaccine. About a week after getting the vaccine, I experience severe itchiness across all my skin. I break out in hives and my tattoos raise up. When I scratch, my skin welts up and stays red for a long time this has been going on for over a week and the first time it lasted about two months.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Dyspnoea
Clinical narrative: I couldn't catch my breath for 2 weeks
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Blood thyroid stimulating hormone, Chest X-ray, Differential white blood cell count, Electrocardiogram abnormal
Clinical narrative: a week after the shot, started using a wrist ECG and it displayed over many unusual rhythms. At the time, there were so many oddities, I couldn't make sense of them. This continued until May, when it was bad enough I  went to above hospital for 'palpatations'. They recorded  many PAC, PVC and  some triplets. They wanted to admit me, but I'd had enough, so we agreed on HOLTER monitor.  Symptoms resolved without additional meds, over a period of several more months.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Full blood count, Metabolic function test, Palpitations, Supraventricular extrasystoles
Clinical narrative: a week after the shot, started using a wrist ECG and it displayed over many unusual rhythms. At the time, there were so many oddities, I couldn't make sense of them. This continued until May, when it was bad enough I  went to above hospital for 'palpatations'. They recorded  many PAC, PVC and  some triplets. They wanted to admit me, but I'd had enough, so we agreed on HOLTER monitor.  Symptoms resolved without additional meds, over a period of several more months.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I, Ventricular extrasystoles
Clinical narrative: a week after the shot, started using a wrist ECG and it displayed over many unusual rhythms. At the time, there were so many oddities, I couldn't make sense of them. This continued until May, when it was bad enough I  went to above hospital for 'palpatations'. They recorded  many PAC, PVC and  some triplets. They wanted to admit me, but I'd had enough, so we agreed on HOLTER monitor.  Symptoms resolved without additional meds, over a period of several more months.
Age: 70.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Magnetic resonance imaging, Moaning, Mobility decreased, Movement disorder, Pain
Clinical narrative: Soreness at vaccination site soon after vaccination.Soreness continued to develop over next 30 hours. Evening of 09/05/2022 soreness became ache and after bedtime (around 08.30) ache became more pronounced.Overnight sleep was interrupted on turning on to left arm and interruptions became more frequent as the night progressed. Next morning upper arm felt hot and as well as the ache there was now dull throbbing all of which continued to get worse along with restricted movement and after a few weeks as it was not improving I made an appointment with my PCP. I attended on 09/30/2022 when X-rays were taken and I was referred to a sports injury specialist who I saw on 11/09/2022. Pains and aches had continued to get worse
Age: 70.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Skin warm, Sleep disorder, Vaccination site pain, X-ray
Clinical narrative: Soreness at vaccination site soon after vaccination.Soreness continued to develop over next 30 hours. Evening of 09/05/2022 soreness became ache and after bedtime (around 08.30) ache became more pronounced.Overnight sleep was interrupted on turning on to left arm and interruptions became more frequent as the night progressed. Next morning upper arm felt hot and as well as the ache there was now dull throbbing all of which continued to get worse along with restricted movement and after a few weeks as it was not improving I made an appointment with my PCP. I attended on 09/30/2022 when X-rays were taken and I was referred to a sports injury specialist who I saw on 11/09/2022. Pains and aches had continued to get worse
Age: 14.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: Arthralgia, Cardiac function test, Dizziness, Dysmenorrhoea, Fatigue
Clinical narrative: POTS like symptoms, undergoing testing for possible diagnosis of MCAS,   Heavy menstrual pain and bleeding, intensive hives and skin rashes, tachycardia, fatigue, feeling faint, migraines, light and sound sensitivity, and joint and leg pains
Age: 14.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: Heavy menstrual bleeding, Hyperacusis, Laboratory test, Migraine, Pain in extremity
Clinical narrative: POTS like symptoms, undergoing testing for possible diagnosis of MCAS,   Heavy menstrual pain and bleeding, intensive hives and skin rashes, tachycardia, fatigue, feeling faint, migraines, light and sound sensitivity, and joint and leg pains
Age: 14.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: Photophobia, Postural orthostatic tachycardia syndrome, Rash, Tachycardia, Urticaria
Clinical narrative: POTS like symptoms, undergoing testing for possible diagnosis of MCAS,   Heavy menstrual pain and bleeding, intensive hives and skin rashes, tachycardia, fatigue, feeling faint, migraines, light and sound sensitivity, and joint and leg pains
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Nerve conduction studies abnormal, Neuropathy peripheral
Clinical narrative: Started to experience tightness in both feet.  Foot Doctor sent me for a nerve conduction test where neuropathy of both feet was confirmed.  I never had an issue with this and was told I'm one of the 3-4% that has the problem for no know reason.  Still have it and according to both doctors, unlikely it will improve or go away.
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Dizziness, Electrocardiogram abnormal, Supraventricular tachycardia
Clinical narrative: Weakness, Dizziness and supraventricular tachycardia (SVT)
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Aortic valve sclerosis, Aortic valve stenosis, COVID-19, Computerised tomogram head normal
Clinical narrative: Patient is a 80 y.o. female patient of local MD with history of alzheimer's dementia, CVA, GERD, HTN and HLD presented to Medical Center with altered mental status.   Acute Metabolic Encephalopathy secondary to Covid Infection with baseline Alzheimer's Dementia Patient with decreased level of responsiveness for several hours  Family concerned for recurrent CVA  Workup including head CT generally unrevealing  Patient has not tolerated MRI previously As she has rapidly returned to normal further testing would be unlikely to alter prognosis/management  Presume due to waxing/waning of dementia, expectations discussed with family  Delirium precautions Cont home Aricept, Seroquel, Depakote, Remeron Recommend polypharmacy minimized outpatient as this may contribute Palliative care for support and goals of care, will require ongoing follow up opt. 1/17: Remains clinically stable for discharge to SNF.   Covid-19 Virus Infection Date of onset of symptoms: likely 1/6 Symptoms present on admission: covid likely source of patient's confusion Date of covid positive test: 1/9 Vaccination status: vaccinated Imaging: NA Oxygen requirements on admission: none Current oxygen requirements: none Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 1/17   Pyuria  No fever, no reports of dysuria  Culture contaminated  No plans for further abx as is clinically stable    Hx of TIA/CVA Nonfocal exam  Cont asa, statin  Normocytic Anemia Chronic, stable from prior Monitor   Hypertension BP poorly controlled in ED in setting of agitation Continue home Coreg, amlodipine, lisinopril   AV Stenosis Lower Extremity Edema Noted on TTE 10/4 BNP 450, with lower extremity edema TTE (10/4): EF 62%, moderate sclerosis of AV leaflets and mild AV stenosis Outpatient Cardiology follow-up recommended during previous admission   T2DM No current medications A1c 7.4% on 10/10 Did not require insulin last admission Monitor on serial BMPs
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Culture, Echocardiogram abnormal, Ejection fraction normal, Glycosylated haemoglobin increased
Clinical narrative: Patient is a 80 y.o. female patient of local MD with history of alzheimer's dementia, CVA, GERD, HTN and HLD presented to Medical Center with altered mental status.   Acute Metabolic Encephalopathy secondary to Covid Infection with baseline Alzheimer's Dementia Patient with decreased level of responsiveness for several hours  Family concerned for recurrent CVA  Workup including head CT generally unrevealing  Patient has not tolerated MRI previously As she has rapidly returned to normal further testing would be unlikely to alter prognosis/management  Presume due to waxing/waning of dementia, expectations discussed with family  Delirium precautions Cont home Aricept, Seroquel, Depakote, Remeron Recommend polypharmacy minimized outpatient as this may contribute Palliative care for support and goals of care, will require ongoing follow up opt. 1/17: Remains clinically stable for discharge to SNF.   Covid-19 Virus Infection Date of onset of symptoms: likely 1/6 Symptoms present on admission: covid likely source of patient's confusion Date of covid positive test: 1/9 Vaccination status: vaccinated Imaging: NA Oxygen requirements on admission: none Current oxygen requirements: none Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 1/17   Pyuria  No fever, no reports of dysuria  Culture contaminated  No plans for further abx as is clinically stable    Hx of TIA/CVA Nonfocal exam  Cont asa, statin  Normocytic Anemia Chronic, stable from prior Monitor   Hypertension BP poorly controlled in ED in setting of agitation Continue home Coreg, amlodipine, lisinopril   AV Stenosis Lower Extremity Edema Noted on TTE 10/4 BNP 450, with lower extremity edema TTE (10/4): EF 62%, moderate sclerosis of AV leaflets and mild AV stenosis Outpatient Cardiology follow-up recommended during previous admission   T2DM No current medications A1c 7.4% on 10/10 Did not require insulin last admission Monitor on serial BMPs
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Hyporesponsive to stimuli, Malaise, Mental status changes, Metabolic encephalopathy, Metabolic function test
Clinical narrative: Patient is a 80 y.o. female patient of local MD with history of alzheimer's dementia, CVA, GERD, HTN and HLD presented to Medical Center with altered mental status.   Acute Metabolic Encephalopathy secondary to Covid Infection with baseline Alzheimer's Dementia Patient with decreased level of responsiveness for several hours  Family concerned for recurrent CVA  Workup including head CT generally unrevealing  Patient has not tolerated MRI previously As she has rapidly returned to normal further testing would be unlikely to alter prognosis/management  Presume due to waxing/waning of dementia, expectations discussed with family  Delirium precautions Cont home Aricept, Seroquel, Depakote, Remeron Recommend polypharmacy minimized outpatient as this may contribute Palliative care for support and goals of care, will require ongoing follow up opt. 1/17: Remains clinically stable for discharge to SNF.   Covid-19 Virus Infection Date of onset of symptoms: likely 1/6 Symptoms present on admission: covid likely source of patient's confusion Date of covid positive test: 1/9 Vaccination status: vaccinated Imaging: NA Oxygen requirements on admission: none Current oxygen requirements: none Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 1/17   Pyuria  No fever, no reports of dysuria  Culture contaminated  No plans for further abx as is clinically stable    Hx of TIA/CVA Nonfocal exam  Cont asa, statin  Normocytic Anemia Chronic, stable from prior Monitor   Hypertension BP poorly controlled in ED in setting of agitation Continue home Coreg, amlodipine, lisinopril   AV Stenosis Lower Extremity Edema Noted on TTE 10/4 BNP 450, with lower extremity edema TTE (10/4): EF 62%, moderate sclerosis of AV leaflets and mild AV stenosis Outpatient Cardiology follow-up recommended during previous admission   T2DM No current medications A1c 7.4% on 10/10 Did not require insulin last admission Monitor on serial BMPs
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, SARS-CoV-2 test positive
Clinical narrative: Patient is a 80 y.o. female patient of local MD with history of alzheimer's dementia, CVA, GERD, HTN and HLD presented to Medical Center with altered mental status.   Acute Metabolic Encephalopathy secondary to Covid Infection with baseline Alzheimer's Dementia Patient with decreased level of responsiveness for several hours  Family concerned for recurrent CVA  Workup including head CT generally unrevealing  Patient has not tolerated MRI previously As she has rapidly returned to normal further testing would be unlikely to alter prognosis/management  Presume due to waxing/waning of dementia, expectations discussed with family  Delirium precautions Cont home Aricept, Seroquel, Depakote, Remeron Recommend polypharmacy minimized outpatient as this may contribute Palliative care for support and goals of care, will require ongoing follow up opt. 1/17: Remains clinically stable for discharge to SNF.   Covid-19 Virus Infection Date of onset of symptoms: likely 1/6 Symptoms present on admission: covid likely source of patient's confusion Date of covid positive test: 1/9 Vaccination status: vaccinated Imaging: NA Oxygen requirements on admission: none Current oxygen requirements: none Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 1/17   Pyuria  No fever, no reports of dysuria  Culture contaminated  No plans for further abx as is clinically stable    Hx of TIA/CVA Nonfocal exam  Cont asa, statin  Normocytic Anemia Chronic, stable from prior Monitor   Hypertension BP poorly controlled in ED in setting of agitation Continue home Coreg, amlodipine, lisinopril   AV Stenosis Lower Extremity Edema Noted on TTE 10/4 BNP 450, with lower extremity edema TTE (10/4): EF 62%, moderate sclerosis of AV leaflets and mild AV stenosis Outpatient Cardiology follow-up recommended during previous admission   T2DM No current medications A1c 7.4% on 10/10 Did not require insulin last admission Monitor on serial BMPs
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood glucose increased, Blood potassium decreased, COVID-19, COVID-19 pneumonia
Clinical narrative: Assessment and Plan Patient is a 77 y.o. female patient with history of COPD, IDDM. presented to Hospital with Hypoxia and multifocal covid 19 pneumonia     Covid-19 Virus Infection Date of onset of symptoms: 1/21/23 Symptoms present on admission: yes Date of covid positive test: 1/22/23 Vaccination status: vaccinated Imaging: Ct chest Oxygen requirements on admission: 2l Current oxygen requirements: 2l Medical therapy: remdesivir (given 2 doses prior to discharge) Consultants following: None Anticipated special isolation end date: TBD   Acute on chronic hypoxic respiratory failure,  Covid 19 pneumonia with hypoxia CT chest shows multifocal pneumonia without PE Start Remdesivir  IV decadron x1 in ED, with no significant hypoxia or increased work of breathing, will avoid administration of additional steroids at this time Nasal oxygen to keep saturation above 92% Patient wears 3 L nasal cannula at night at home, and states that she has been consistently wearing this during the day over the last several months Continue bronchodilator inhalers Ambulatory home oxygen evaluation showed desaturation at lowest point to 89% with rapid recovery on room air to 93%, therefore does not qualify for home oxygen around-the-clock at this time Given improvement in symptoms, patient stable for discharge Recommend PCP follow-up in approximately 1 to 2 weeks   Uncontrolled insulin-dependent type 2 diabetes mellitus with hyperglycemia On Lantus 35 unit BID, high-dose/resistant sliding scale coverage added while inpatient Likely secondary to previous administration of Decadron in emergency department Have changed patient's diet to diabetic, and did have regular diet this morning prior to change of diet Blood glucose levels improved at time of discharge   COPD  Albuterol Advair inhaler   Hypokalemia (resolved) Mild, potassium 3.4 on admission KCL po ordered Potassium 3.8 (1/24)   Essential hypertension Continue metoprolol, Aldactone
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Diabetes mellitus inadequate control, Hyperglycaemia, Hypokalaemia, Insulin-requiring type 2 diabetes mellitus
Clinical narrative: Assessment and Plan Patient is a 77 y.o. female patient with history of COPD, IDDM. presented to Hospital with Hypoxia and multifocal covid 19 pneumonia     Covid-19 Virus Infection Date of onset of symptoms: 1/21/23 Symptoms present on admission: yes Date of covid positive test: 1/22/23 Vaccination status: vaccinated Imaging: Ct chest Oxygen requirements on admission: 2l Current oxygen requirements: 2l Medical therapy: remdesivir (given 2 doses prior to discharge) Consultants following: None Anticipated special isolation end date: TBD   Acute on chronic hypoxic respiratory failure,  Covid 19 pneumonia with hypoxia CT chest shows multifocal pneumonia without PE Start Remdesivir  IV decadron x1 in ED, with no significant hypoxia or increased work of breathing, will avoid administration of additional steroids at this time Nasal oxygen to keep saturation above 92% Patient wears 3 L nasal cannula at night at home, and states that she has been consistently wearing this during the day over the last several months Continue bronchodilator inhalers Ambulatory home oxygen evaluation showed desaturation at lowest point to 89% with rapid recovery on room air to 93%, therefore does not qualify for home oxygen around-the-clock at this time Given improvement in symptoms, patient stable for discharge Recommend PCP follow-up in approximately 1 to 2 weeks   Uncontrolled insulin-dependent type 2 diabetes mellitus with hyperglycemia On Lantus 35 unit BID, high-dose/resistant sliding scale coverage added while inpatient Likely secondary to previous administration of Decadron in emergency department Have changed patient's diet to diabetic, and did have regular diet this morning prior to change of diet Blood glucose levels improved at time of discharge   COPD  Albuterol Advair inhaler   Hypokalemia (resolved) Mild, potassium 3.4 on admission KCL po ordered Potassium 3.8 (1/24)   Essential hypertension Continue metoprolol, Aldactone
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Assessment and Plan Patient is a 77 y.o. female patient with history of COPD, IDDM. presented to Hospital with Hypoxia and multifocal covid 19 pneumonia     Covid-19 Virus Infection Date of onset of symptoms: 1/21/23 Symptoms present on admission: yes Date of covid positive test: 1/22/23 Vaccination status: vaccinated Imaging: Ct chest Oxygen requirements on admission: 2l Current oxygen requirements: 2l Medical therapy: remdesivir (given 2 doses prior to discharge) Consultants following: None Anticipated special isolation end date: TBD   Acute on chronic hypoxic respiratory failure,  Covid 19 pneumonia with hypoxia CT chest shows multifocal pneumonia without PE Start Remdesivir  IV decadron x1 in ED, with no significant hypoxia or increased work of breathing, will avoid administration of additional steroids at this time Nasal oxygen to keep saturation above 92% Patient wears 3 L nasal cannula at night at home, and states that she has been consistently wearing this during the day over the last several months Continue bronchodilator inhalers Ambulatory home oxygen evaluation showed desaturation at lowest point to 89% with rapid recovery on room air to 93%, therefore does not qualify for home oxygen around-the-clock at this time Given improvement in symptoms, patient stable for discharge Recommend PCP follow-up in approximately 1 to 2 weeks   Uncontrolled insulin-dependent type 2 diabetes mellitus with hyperglycemia On Lantus 35 unit BID, high-dose/resistant sliding scale coverage added while inpatient Likely secondary to previous administration of Decadron in emergency department Have changed patient's diet to diabetic, and did have regular diet this morning prior to change of diet Blood glucose levels improved at time of discharge   COPD  Albuterol Advair inhaler   Hypokalemia (resolved) Mild, potassium 3.4 on admission KCL po ordered Potassium 3.8 (1/24)   Essential hypertension Continue metoprolol, Aldactone