chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Tremor, Vision blurred
Clinical narrative: Terrible flu like symptoms beginning the same night. Very restless sleep, terrible headache, terrible fatigue, severe body aches and aching joints. Fever, tummy ache first night all into wed. Thursday, I had terrible insomnia. Extreme panic attacks. Mild joint pain., fever..fatigue.  Starting  Friday I had  extreme fatigue, weakness in my legs that I can barely walk, restless twitching muscles, terrible nuerological symptoms. Extreme dizziness, can barely stand up. Headache, tremors, cognitive issues resembling slurred speech and seizure like activity, sensory issues, titanitus, hallucinations, angina, twitching lips. Twitching eyes, blurred vision, brain zaps, jumpy and still ongoing now on Sunday.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Somnolence
Clinical narrative: In June and July was very fatigued in the afternoon. I fell asleep driving at least once. I was getting plenty of sleep. I would nap at least 2 days a week. I normally only nap If I'm way behind on sleeve and/or sick.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Blood test, Cardiac stress test, Chest discomfort, Dyspnoea
Clinical narrative: Tightness of the chest, pain in arms, tiredness, shortness of breath and increased heartrate with normal activities e.g. cooking, walking.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Fatigue, Heart rate increased, Pain in extremity
Clinical narrative: Tightness of the chest, pain in arms, tiredness, shortness of breath and increased heartrate with normal activities e.g. cooking, walking.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Somnolence
Clinical narrative: 25% sick1 day after 1st dose.  In June and July 2021  I was very fatigued most afternoons. I was getting plenty of sleep. I fell asleep driving at least once. Almost fell asleep from driving home from work other days. I would nap at least 2 days a week.I normally only nap unless I'm behind on sleep and/or sick.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood test abnormal, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: About weeks after my 3rd vaccine dose, I was found to have anemia on a finger stick hemoglobin when I went to donate blood. I had a venous draw done later that day and confirmed the anemia.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abortion spontaneous, Haemorrhage, Injury, Pregnancy test positive, Ultrasound scan abnormal
Clinical narrative: LMP 10/06/2021  positive pregnancy test first week of December 2021 patient states bleeding from 12/7/2021-1/9/2022 consistent with miscarriage
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Asthma exercise induced, Cough, Dyspnoea, Injection site rash
Clinical narrative: - Rash in area of injection. - Heavy left arm for 2 weeks. Painful. Limited range. - Round blotch on left side of neck that hasn't gone away - Sudden onset of asthma like symptoms which started a few days after vaccination and has been worsening. Occasionally, I would have exercise-induced asthma ONLY if I exercise in cold weather. Since the vaccine, I have the same symptoms of exercise-induced asthma all day, even when indoors and working at my desk. I am constantly dry coughing now (tested COVID negative several times with PCRs and Rapid antigen tests) and have a hard time breathing normally.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Limb discomfort, Pain in extremity, Rash macular, SARS-CoV-2 test negative
Clinical narrative: - Rash in area of injection. - Heavy left arm for 2 weeks. Painful. Limited range. - Round blotch on left side of neck that hasn't gone away - Sudden onset of asthma like symptoms which started a few days after vaccination and has been worsening. Occasionally, I would have exercise-induced asthma ONLY if I exercise in cold weather. Since the vaccine, I have the same symptoms of exercise-induced asthma all day, even when indoors and working at my desk. I am constantly dry coughing now (tested COVID negative several times with PCRs and Rapid antigen tests) and have a hard time breathing normally.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram abnormal, SARS-CoV-2 test positive
Clinical narrative: Abnormal CT scan
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Back pain, COVID-19, Headache, Myalgia
Clinical narrative: Arthralgias, Back pain, myalgias, neck pain, headaches
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Neck pain, SARS-CoV-2 test positive
Clinical narrative: Arthralgias, Back pain, myalgias, neck pain, headaches
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Full blood count, Inflammatory marker test, Pruritus, Pyrexia
Clinical narrative: hives, redness of the skin, itching, swelling, fever.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urticaria
Clinical narrative: hives, redness of the skin, itching, swelling, fever.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Erythema, Pruritus, Rash macular, Urticaria
Clinical narrative: Urticaria in the whole body, red spots in the skin accompanied by itch. It appears in a region of the body and then disappears after 15 min or so and appears in a different region. Mostly in the chest, back, and arms.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, C-reactive protein, CSF test, Computerised tomogram head, Computerised tomogram thorax
Clinical narrative: Severe weakness of the upper extremities distally.  Loss of strength in hands, fingers, and wrists, symmetric.  Mild bilateral hand swelling.   Bilateral hand stiffness.  Mild weakness in shoulders.  Morbiliform rash on bilateral upper extremities.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Laboratory test, Muscular weakness, Musculoskeletal stiffness, Peripheral swelling
Clinical narrative: Severe weakness of the upper extremities distally.  Loss of strength in hands, fingers, and wrists, symmetric.  Mild bilateral hand swelling.   Bilateral hand stiffness.  Mild weakness in shoulders.  Morbiliform rash on bilateral upper extremities.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash morbilliform, Red blood cell sedimentation rate
Clinical narrative: Severe weakness of the upper extremities distally.  Loss of strength in hands, fingers, and wrists, symmetric.  Mild bilateral hand swelling.   Bilateral hand stiffness.  Mild weakness in shoulders.  Morbiliform rash on bilateral upper extremities.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Dyspnoea, Night sweats
Clinical narrative: fevers, breathing became worse , post nasal drip and nose blowing all day. cough, sore throat, poor appetite, night sweats
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: fevers, breathing became worse , post nasal drip and nose blowing all day. cough, sore throat, poor appetite, night sweats
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Aldolase, Anti-cyclic citrullinated peptide antibody, Arthralgia, Blood creatine phosphokinase, Blood uric acid
Clinical narrative: Hives all over body starting about a week following the shot, sensitivity to heat (breaking in to hives) and pressure, joint pain in both arms - at time debilitating
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Rheumatoid factor, Serology test, Temperature intolerance, Urticaria
Clinical narrative: Hives all over body starting about a week following the shot, sensitivity to heat (breaking in to hives) and pressure, joint pain in both arms - at time debilitating
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin warm, Swelling, Tenderness
Clinical narrative: I had a rash and softball size swelling for a week. The rash itched, was tender to touch and hot feeling. The swelling went down after 5 days and the rash spread down to my elbow. Started out immediately as a quarter size bump and rash and got bigger and spread.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Fatigue, Cough, SOB
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Extrasystoles
Clinical narrative: resumed my normal activities in the afternoon and began noticing in the evening while casually sitting on couch intermittent skipped heart beats , sporadic not set pattern and this lasted for about 2 weeks before subsiding - now only occur occasionally
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Constipation, Nausea, SARS-CoV-2 test positive
Clinical narrative: Abdominal pain, Constipation, Nausea and vomiting
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Abdominal pain, Constipation, Nausea and vomiting
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests abnormal, Inappropriate schedule of product administration, Tinnitus
Clinical narrative: ears ringing after the 2nd vaccine, no treatment - it is one year later and ears are still ringing tinnitus  first vaccine 12/26/2020 felt fine, second vaccine 01/27/21 earing starting ring soon after
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Heart rate irregular, Hypoaesthesia, Palpitations
Clinical narrative: Heart pain and off beat, numbing in my arms and legs for time to time, and weird heart palpitations.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Incorrect route of product administration, Lymph node pain, Lymphadenopathy, Pain
Clinical narrative: Painful and swollen lymph node under left armpit. Swollen left and painful left pectoral. Injection site was the left shoulder. Additional symptoms are HA for 24 hours.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Painful and swollen lymph node under left armpit. Swollen left and painful left pectoral. Injection site was the left shoulder. Additional symptoms are HA for 24 hours.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest X-ray, Chest pain, Chills, Dyspnoea
Clinical narrative: Chest pains was experienced suddenly around 4:25 pm today while walking dog. This was accompanied by breathing problem and extreme lower back pain. This subsided after few minutes. Then nausea and headache came. Patient walked back to car with me and after 10 min, complained of chest spasms and an uncontrollable chill and shaking occurred for few minutes which led me to call his doctor's office where a nurse advised me to take him to ER.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Headache, Laboratory test, Muscle spasms, Nausea
Clinical narrative: Chest pains was experienced suddenly around 4:25 pm today while walking dog. This was accompanied by breathing problem and extreme lower back pain. This subsided after few minutes. Then nausea and headache came. Patient walked back to car with me and after 10 min, complained of chest spasms and an uncontrollable chill and shaking occurred for few minutes which led me to call his doctor's office where a nurse advised me to take him to ER.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Chest pains was experienced suddenly around 4:25 pm today while walking dog. This was accompanied by breathing problem and extreme lower back pain. This subsided after few minutes. Then nausea and headache came. Patient walked back to car with me and after 10 min, complained of chest spasms and an uncontrollable chill and shaking occurred for few minutes which led me to call his doctor's office where a nurse advised me to take him to ER.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Musculoskeletal discomfort, Pain
Clinical narrative: Shoulder pain made worse by cold weather. Pt has no trouble rotating the arm, but his shoulder is painful, uncomfortable doing.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac monitoring, Dyspnoea, Electrocardiogram, Hypoaesthesia oral
Clinical narrative: facial swelling,  breathing labored, lips numb   suffered detached retina 7 days after vaccine
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Retinal detachment, Retinal operation, Swelling face
Clinical narrative: facial swelling,  breathing labored, lips numb   suffered detached retina 7 days after vaccine
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary, Blood creatine phosphokinase, Blood lactic acid, Blood magnesium, Blood thyroid stimulating hormone
Clinical narrative: Pericarditis occured one week (04/15/2021)after vaccine administered (04/07/2021). Symptoms experienced during this time were pain and pressure in chest, shaking, pressure in head. Symptoms lasted for approximently 6-7 months after hospital stay
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest discomfort, Chest pain, Differential white blood cell count abnormal, Echocardiogram abnormal
Clinical narrative: Pericarditis occured one week (04/15/2021)after vaccine administered (04/07/2021). Symptoms experienced during this time were pain and pressure in chest, shaking, pressure in head. Symptoms lasted for approximently 6-7 months after hospital stay
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fibrin D dimer increased, Full blood count abnormal, Head discomfort, Metabolic function test
Clinical narrative: Pericarditis occured one week (04/15/2021)after vaccine administered (04/07/2021). Symptoms experienced during this time were pain and pressure in chest, shaking, pressure in head. Symptoms lasted for approximently 6-7 months after hospital stay
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Scan with contrast, Toxicologic test abnormal, Tremor, Troponin abnormal
Clinical narrative: Pericarditis occured one week (04/15/2021)after vaccine administered (04/07/2021). Symptoms experienced during this time were pain and pressure in chest, shaking, pressure in head. Symptoms lasted for approximently 6-7 months after hospital stay
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis abnormal
Clinical narrative: Pericarditis occured one week (04/15/2021)after vaccine administered (04/07/2021). Symptoms experienced during this time were pain and pressure in chest, shaking, pressure in head. Symptoms lasted for approximently 6-7 months after hospital stay
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac failure congestive, Cardiac stress test abnormal, Chest discomfort, Computerised tomogram thorax abnormal
Clinical narrative: I experienced breathing problems 2 days after the 2nd vaccination on March 19, 2021. My doctor diagnosed me with Pulmonary Fibrosis, and changed it to Emphysema after a CT scan was taken. The radiologist described water around heart and lungs. My doctor prescribed oxygen but was ignoring my complaints. My feet and ankles were swelling and my ability to function with increased oxygen was getting worse. I was on Hospice for emphysema but had the symptoms of tightness in my chest and pain in my lungs. I went to ER on December 17th and was admitted with Congestive Heart Failure. Once they gave me treatment my symptoms were gone. No more lung pain and my breathing improved in one day after treatment. I was given a Echo Cardiogram and a nuclear stress test to confirm my condition. All symptoms I told my doctor about on 4/01/2021 were gone. I changed doctors beginning January 2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Electroencephalogram, Emphysema, Joint swelling
Clinical narrative: I experienced breathing problems 2 days after the 2nd vaccination on March 19, 2021. My doctor diagnosed me with Pulmonary Fibrosis, and changed it to Emphysema after a CT scan was taken. The radiologist described water around heart and lungs. My doctor prescribed oxygen but was ignoring my complaints. My feet and ankles were swelling and my ability to function with increased oxygen was getting worse. I was on Hospice for emphysema but had the symptoms of tightness in my chest and pain in my lungs. I went to ER on December 17th and was admitted with Congestive Heart Failure. Once they gave me treatment my symptoms were gone. No more lung pain and my breathing improved in one day after treatment. I was given a Echo Cardiogram and a nuclear stress test to confirm my condition. All symptoms I told my doctor about on 4/01/2021 were gone. I changed doctors beginning January 2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pericardial effusion, Peripheral swelling, Pleural effusion, Pulmonary pain
Clinical narrative: I experienced breathing problems 2 days after the 2nd vaccination on March 19, 2021. My doctor diagnosed me with Pulmonary Fibrosis, and changed it to Emphysema after a CT scan was taken. The radiologist described water around heart and lungs. My doctor prescribed oxygen but was ignoring my complaints. My feet and ankles were swelling and my ability to function with increased oxygen was getting worse. I was on Hospice for emphysema but had the symptoms of tightness in my chest and pain in my lungs. I went to ER on December 17th and was admitted with Congestive Heart Failure. Once they gave me treatment my symptoms were gone. No more lung pain and my breathing improved in one day after treatment. I was given a Echo Cardiogram and a nuclear stress test to confirm my condition. All symptoms I told my doctor about on 4/01/2021 were gone. I changed doctors beginning January 2022.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Foetal heart rate abnormal, Pregnancy, Rash, Ultrasound scan abnormal
Clinical narrative: Within minutes of receiving the shot I had hives on my chest and neck. The next morning they had increased and were also on my back. I took over the counter antihistamines that did not help. Over the next few days the hives also turned into a rash which covered me from my feet to the top of my neck, this lasted for 4 weeks. I also became pregnant in August 2021. Had a normal ultrasound at 6.5 weeks, then found out at my next ultrasound that I would require a D&C procedure due to there no longer being a heartbeat. It should be mentioned I have been dealing with unexplained infertility for about 2 years and also had a miscarriage January 2021.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Uterine dilation and curettage
Clinical narrative: Within minutes of receiving the shot I had hives on my chest and neck. The next morning they had increased and were also on my back. I took over the counter antihistamines that did not help. Over the next few days the hives also turned into a rash which covered me from my feet to the top of my neck, this lasted for 4 weeks. I also became pregnant in August 2021. Had a normal ultrasound at 6.5 weeks, then found out at my next ultrasound that I would require a D&C procedure due to there no longer being a heartbeat. It should be mentioned I have been dealing with unexplained infertility for about 2 years and also had a miscarriage January 2021.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient is 16 years and should not have been given the Janssen COVID-19 vaccination, but should have been given the Pfizer appropriate for his age.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, COVID-19, Critical illness, Death
Clinical narrative: diagnosed positive for COVID 6 days prior to coming to the ED; c/o increasing SOB, fever, and generalized weakness; admitted to the hospital; O2 sats between 80 - 85% on RA; Vapotherm; given remdesivir, decadron, vitamin C, zinc, Eliquis; O 2 needs worsened; requiring BiPAP at night; pt's conditioned worsened; transferred to ICU and intubated; critically ill and condition deteriorating; made comfort care and passed away in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, General physical health deterioration, Intensive care, Positive airway pressure therapy
Clinical narrative: diagnosed positive for COVID 6 days prior to coming to the ED; c/o increasing SOB, fever, and generalized weakness; admitted to the hospital; O2 sats between 80 - 85% on RA; Vapotherm; given remdesivir, decadron, vitamin C, zinc, Eliquis; O 2 needs worsened; requiring BiPAP at night; pt's conditioned worsened; transferred to ICU and intubated; critically ill and condition deteriorating; made comfort care and passed away in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: diagnosed positive for COVID 6 days prior to coming to the ED; c/o increasing SOB, fever, and generalized weakness; admitted to the hospital; O2 sats between 80 - 85% on RA; Vapotherm; given remdesivir, decadron, vitamin C, zinc, Eliquis; O 2 needs worsened; requiring BiPAP at night; pt's conditioned worsened; transferred to ICU and intubated; critically ill and condition deteriorating; made comfort care and passed away in the hospital
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Angiogram pulmonary abnormal, Anxiety, Atrial fibrillation
Clinical narrative: COVID Vaccine Breakthrough  J&J Dose 3/5/21 (1805025) COVID Positive 8/16/21  8/18/21: A 60-year-old male with history of type 2 DM, hypertension, hyperlipidemia and CAD is transferred from a local Hospital for COVID-19 pneumonia with hypoxic respiratory failure requiring endotracheal intubation mechanical ventilation.  Patient is unable to provide history as he is intubated and sedated, history is obtained from the medical records from the facility.   As per the medical records, patient presented to the facility on 08/16/2021 complaining of shortness of breath of about 1 week duration.  He was diagnosed positive with COVID-19 infection and admitted hospital as his pulse oximetry was 83%.  Patient had Johnson and Johnson vaccine in March 2021. He was requiring 10 L high-flow oxygen and then went up to 30 L oxygen to keep saturation above 90%. Initially he did not want to be intubated.  Patient was also seen by cardiologist for possible congestive heart failure, he recommended to continue on Lasix 40 mg daily. CT angio chest was done on 08/17/2021 and is reported negative for pulmonary embolism, but showed extensive bilateral areas of airspace opacification with interval worsening.   Patient was started on IV ceftriaxone 1 g Q 24 hours and Zithromax 500 mg IV Q 24 hours along with dexamethasone 8 mg IV Q 24 hours.  Remdesivir was initiated on 08/16. Baracitinib started on 08/17.   As his clinical condition worsened he was endotracheally intubated today and placed on mechanical ventilation, now on 100% FiO2.  He is on propofol for sedation, also blood pressures were low was initially started on dopamine, later switched to Levophed.   Patient is seen by me in ICU.  He is on ventilator support with 100% FiO2.  Still on Levophed support.  Sedated on propofol drip.  10/5/2021: Patient is a 65-year-old male who presented on 08/18/2021.  He was a transfer from a Hospital for COVID-19 with acute hypoxic respiratory failure requiring endotracheal intubation and mechanical ventilation.  Patient was intubated on arrival.  He remained in the ICU and was extubated on 09/03/2021.  He suffered a respiratory arrest with CPR on 09/17/2021 and was reintubated.  The patient was having trouble liver rating from the vent.  He was also struggling with dysphagia.  He therefore received a trach and PEG tube on 09/21/2021.  During the patient's stay, he also struggled with MRSA bacteremia, neutropenic fever, anxiety, atrial fibrillation, AKI with fluid volume overload requiring CRRT.  10/05/2021, the patient was discharged to another Hospital to continue attempts at weaning from the ventilator on trach collar.  Patient was discharged on IV doxycycline per ID recommendations.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Condition aggravated, Dysphagia, Dyspnoea
Clinical narrative: COVID Vaccine Breakthrough  J&J Dose 3/5/21 (1805025) COVID Positive 8/16/21  8/18/21: A 60-year-old male with history of type 2 DM, hypertension, hyperlipidemia and CAD is transferred from a local Hospital for COVID-19 pneumonia with hypoxic respiratory failure requiring endotracheal intubation mechanical ventilation.  Patient is unable to provide history as he is intubated and sedated, history is obtained from the medical records from the facility.   As per the medical records, patient presented to the facility on 08/16/2021 complaining of shortness of breath of about 1 week duration.  He was diagnosed positive with COVID-19 infection and admitted hospital as his pulse oximetry was 83%.  Patient had Johnson and Johnson vaccine in March 2021. He was requiring 10 L high-flow oxygen and then went up to 30 L oxygen to keep saturation above 90%. Initially he did not want to be intubated.  Patient was also seen by cardiologist for possible congestive heart failure, he recommended to continue on Lasix 40 mg daily. CT angio chest was done on 08/17/2021 and is reported negative for pulmonary embolism, but showed extensive bilateral areas of airspace opacification with interval worsening.   Patient was started on IV ceftriaxone 1 g Q 24 hours and Zithromax 500 mg IV Q 24 hours along with dexamethasone 8 mg IV Q 24 hours.  Remdesivir was initiated on 08/16. Baracitinib started on 08/17.   As his clinical condition worsened he was endotracheally intubated today and placed on mechanical ventilation, now on 100% FiO2.  He is on propofol for sedation, also blood pressures were low was initially started on dopamine, later switched to Levophed.   Patient is seen by me in ICU.  He is on ventilator support with 100% FiO2.  Still on Levophed support.  Sedated on propofol drip.  10/5/2021: Patient is a 65-year-old male who presented on 08/18/2021.  He was a transfer from a Hospital for COVID-19 with acute hypoxic respiratory failure requiring endotracheal intubation and mechanical ventilation.  Patient was intubated on arrival.  He remained in the ICU and was extubated on 09/03/2021.  He suffered a respiratory arrest with CPR on 09/17/2021 and was reintubated.  The patient was having trouble liver rating from the vent.  He was also struggling with dysphagia.  He therefore received a trach and PEG tube on 09/21/2021.  During the patient's stay, he also struggled with MRSA bacteremia, neutropenic fever, anxiety, atrial fibrillation, AKI with fluid volume overload requiring CRRT.  10/05/2021, the patient was discharged to another Hospital to continue attempts at weaning from the ventilator on trach collar.  Patient was discharged on IV doxycycline per ID recommendations.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Extubation, Febrile neutropenia, Gastrostomy, Haemofiltration
Clinical narrative: COVID Vaccine Breakthrough  J&J Dose 3/5/21 (1805025) COVID Positive 8/16/21  8/18/21: A 60-year-old male with history of type 2 DM, hypertension, hyperlipidemia and CAD is transferred from a local Hospital for COVID-19 pneumonia with hypoxic respiratory failure requiring endotracheal intubation mechanical ventilation.  Patient is unable to provide history as he is intubated and sedated, history is obtained from the medical records from the facility.   As per the medical records, patient presented to the facility on 08/16/2021 complaining of shortness of breath of about 1 week duration.  He was diagnosed positive with COVID-19 infection and admitted hospital as his pulse oximetry was 83%.  Patient had Johnson and Johnson vaccine in March 2021. He was requiring 10 L high-flow oxygen and then went up to 30 L oxygen to keep saturation above 90%. Initially he did not want to be intubated.  Patient was also seen by cardiologist for possible congestive heart failure, he recommended to continue on Lasix 40 mg daily. CT angio chest was done on 08/17/2021 and is reported negative for pulmonary embolism, but showed extensive bilateral areas of airspace opacification with interval worsening.   Patient was started on IV ceftriaxone 1 g Q 24 hours and Zithromax 500 mg IV Q 24 hours along with dexamethasone 8 mg IV Q 24 hours.  Remdesivir was initiated on 08/16. Baracitinib started on 08/17.   As his clinical condition worsened he was endotracheally intubated today and placed on mechanical ventilation, now on 100% FiO2.  He is on propofol for sedation, also blood pressures were low was initially started on dopamine, later switched to Levophed.   Patient is seen by me in ICU.  He is on ventilator support with 100% FiO2.  Still on Levophed support.  Sedated on propofol drip.  10/5/2021: Patient is a 65-year-old male who presented on 08/18/2021.  He was a transfer from a Hospital for COVID-19 with acute hypoxic respiratory failure requiring endotracheal intubation and mechanical ventilation.  Patient was intubated on arrival.  He remained in the ICU and was extubated on 09/03/2021.  He suffered a respiratory arrest with CPR on 09/17/2021 and was reintubated.  The patient was having trouble liver rating from the vent.  He was also struggling with dysphagia.  He therefore received a trach and PEG tube on 09/21/2021.  During the patient's stay, he also struggled with MRSA bacteremia, neutropenic fever, anxiety, atrial fibrillation, AKI with fluid volume overload requiring CRRT.  10/05/2021, the patient was discharged to another Hospital to continue attempts at weaning from the ventilator on trach collar.  Patient was discharged on IV doxycycline per ID recommendations.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Hypervolaemia, Hypotension, Intensive care, Lung opacity, Mechanical ventilation
Clinical narrative: COVID Vaccine Breakthrough  J&J Dose 3/5/21 (1805025) COVID Positive 8/16/21  8/18/21: A 60-year-old male with history of type 2 DM, hypertension, hyperlipidemia and CAD is transferred from a local Hospital for COVID-19 pneumonia with hypoxic respiratory failure requiring endotracheal intubation mechanical ventilation.  Patient is unable to provide history as he is intubated and sedated, history is obtained from the medical records from the facility.   As per the medical records, patient presented to the facility on 08/16/2021 complaining of shortness of breath of about 1 week duration.  He was diagnosed positive with COVID-19 infection and admitted hospital as his pulse oximetry was 83%.  Patient had Johnson and Johnson vaccine in March 2021. He was requiring 10 L high-flow oxygen and then went up to 30 L oxygen to keep saturation above 90%. Initially he did not want to be intubated.  Patient was also seen by cardiologist for possible congestive heart failure, he recommended to continue on Lasix 40 mg daily. CT angio chest was done on 08/17/2021 and is reported negative for pulmonary embolism, but showed extensive bilateral areas of airspace opacification with interval worsening.   Patient was started on IV ceftriaxone 1 g Q 24 hours and Zithromax 500 mg IV Q 24 hours along with dexamethasone 8 mg IV Q 24 hours.  Remdesivir was initiated on 08/16. Baracitinib started on 08/17.   As his clinical condition worsened he was endotracheally intubated today and placed on mechanical ventilation, now on 100% FiO2.  He is on propofol for sedation, also blood pressures were low was initially started on dopamine, later switched to Levophed.   Patient is seen by me in ICU.  He is on ventilator support with 100% FiO2.  Still on Levophed support.  Sedated on propofol drip.  10/5/2021: Patient is a 65-year-old male who presented on 08/18/2021.  He was a transfer from a Hospital for COVID-19 with acute hypoxic respiratory failure requiring endotracheal intubation and mechanical ventilation.  Patient was intubated on arrival.  He remained in the ICU and was extubated on 09/03/2021.  He suffered a respiratory arrest with CPR on 09/17/2021 and was reintubated.  The patient was having trouble liver rating from the vent.  He was also struggling with dysphagia.  He therefore received a trach and PEG tube on 09/21/2021.  During the patient's stay, he also struggled with MRSA bacteremia, neutropenic fever, anxiety, atrial fibrillation, AKI with fluid volume overload requiring CRRT.  10/05/2021, the patient was discharged to another Hospital to continue attempts at weaning from the ventilator on trach collar.  Patient was discharged on IV doxycycline per ID recommendations.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory arrest, Respiratory failure, Resuscitation, SARS-CoV-2 test positive, Staphylococcal bacteraemia
Clinical narrative: COVID Vaccine Breakthrough  J&J Dose 3/5/21 (1805025) COVID Positive 8/16/21  8/18/21: A 60-year-old male with history of type 2 DM, hypertension, hyperlipidemia and CAD is transferred from a local Hospital for COVID-19 pneumonia with hypoxic respiratory failure requiring endotracheal intubation mechanical ventilation.  Patient is unable to provide history as he is intubated and sedated, history is obtained from the medical records from the facility.   As per the medical records, patient presented to the facility on 08/16/2021 complaining of shortness of breath of about 1 week duration.  He was diagnosed positive with COVID-19 infection and admitted hospital as his pulse oximetry was 83%.  Patient had Johnson and Johnson vaccine in March 2021. He was requiring 10 L high-flow oxygen and then went up to 30 L oxygen to keep saturation above 90%. Initially he did not want to be intubated.  Patient was also seen by cardiologist for possible congestive heart failure, he recommended to continue on Lasix 40 mg daily. CT angio chest was done on 08/17/2021 and is reported negative for pulmonary embolism, but showed extensive bilateral areas of airspace opacification with interval worsening.   Patient was started on IV ceftriaxone 1 g Q 24 hours and Zithromax 500 mg IV Q 24 hours along with dexamethasone 8 mg IV Q 24 hours.  Remdesivir was initiated on 08/16. Baracitinib started on 08/17.   As his clinical condition worsened he was endotracheally intubated today and placed on mechanical ventilation, now on 100% FiO2.  He is on propofol for sedation, also blood pressures were low was initially started on dopamine, later switched to Levophed.   Patient is seen by me in ICU.  He is on ventilator support with 100% FiO2.  Still on Levophed support.  Sedated on propofol drip.  10/5/2021: Patient is a 65-year-old male who presented on 08/18/2021.  He was a transfer from a Hospital for COVID-19 with acute hypoxic respiratory failure requiring endotracheal intubation and mechanical ventilation.  Patient was intubated on arrival.  He remained in the ICU and was extubated on 09/03/2021.  He suffered a respiratory arrest with CPR on 09/17/2021 and was reintubated.  The patient was having trouble liver rating from the vent.  He was also struggling with dysphagia.  He therefore received a trach and PEG tube on 09/21/2021.  During the patient's stay, he also struggled with MRSA bacteremia, neutropenic fever, anxiety, atrial fibrillation, AKI with fluid volume overload requiring CRRT.  10/05/2021, the patient was discharged to another Hospital to continue attempts at weaning from the ventilator on trach collar.  Patient was discharged on IV doxycycline per ID recommendations.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Tracheostomy, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough  J&J Dose 3/5/21 (1805025) COVID Positive 8/16/21  8/18/21: A 60-year-old male with history of type 2 DM, hypertension, hyperlipidemia and CAD is transferred from a local Hospital for COVID-19 pneumonia with hypoxic respiratory failure requiring endotracheal intubation mechanical ventilation.  Patient is unable to provide history as he is intubated and sedated, history is obtained from the medical records from the facility.   As per the medical records, patient presented to the facility on 08/16/2021 complaining of shortness of breath of about 1 week duration.  He was diagnosed positive with COVID-19 infection and admitted hospital as his pulse oximetry was 83%.  Patient had Johnson and Johnson vaccine in March 2021. He was requiring 10 L high-flow oxygen and then went up to 30 L oxygen to keep saturation above 90%. Initially he did not want to be intubated.  Patient was also seen by cardiologist for possible congestive heart failure, he recommended to continue on Lasix 40 mg daily. CT angio chest was done on 08/17/2021 and is reported negative for pulmonary embolism, but showed extensive bilateral areas of airspace opacification with interval worsening.   Patient was started on IV ceftriaxone 1 g Q 24 hours and Zithromax 500 mg IV Q 24 hours along with dexamethasone 8 mg IV Q 24 hours.  Remdesivir was initiated on 08/16. Baracitinib started on 08/17.   As his clinical condition worsened he was endotracheally intubated today and placed on mechanical ventilation, now on 100% FiO2.  He is on propofol for sedation, also blood pressures were low was initially started on dopamine, later switched to Levophed.   Patient is seen by me in ICU.  He is on ventilator support with 100% FiO2.  Still on Levophed support.  Sedated on propofol drip.  10/5/2021: Patient is a 65-year-old male who presented on 08/18/2021.  He was a transfer from a Hospital for COVID-19 with acute hypoxic respiratory failure requiring endotracheal intubation and mechanical ventilation.  Patient was intubated on arrival.  He remained in the ICU and was extubated on 09/03/2021.  He suffered a respiratory arrest with CPR on 09/17/2021 and was reintubated.  The patient was having trouble liver rating from the vent.  He was also struggling with dysphagia.  He therefore received a trach and PEG tube on 09/21/2021.  During the patient's stay, he also struggled with MRSA bacteremia, neutropenic fever, anxiety, atrial fibrillation, AKI with fluid volume overload requiring CRRT.  10/05/2021, the patient was discharged to another Hospital to continue attempts at weaning from the ventilator on trach collar.  Patient was discharged on IV doxycycline per ID recommendations.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Computerised tomogram normal, Dysarthria, Facial paralysis
Clinical narrative: Approximately 10 minutes after the vaccine was administered on 4/24/21, I felt weak and tingling in my left arm. I also felt too weak to walk. I went home and rested.  Two days later on 4/26/21 after receiving the vaccine, the left side of my face was paralyzed, my speech was slurred and my vision in my left eye was blurry.  These symptoms started in the morning when I woke up and progressively got worse as the day went on. I was then admitted to the Hospital to the stroke unit for two days to be monitored. The Hospital found no evidence of any underlying conditions that would cause these reactions. The facial paralysis, vision issues, and slurred speech cleared after one week on their own.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Magnetic resonance imaging normal, Paraesthesia, Vision blurred
Clinical narrative: Approximately 10 minutes after the vaccine was administered on 4/24/21, I felt weak and tingling in my left arm. I also felt too weak to walk. I went home and rested.  Two days later on 4/26/21 after receiving the vaccine, the left side of my face was paralyzed, my speech was slurred and my vision in my left eye was blurry.  These symptoms started in the morning when I woke up and progressively got worse as the day went on. I was then admitted to the Hospital to the stroke unit for two days to be monitored. The Hospital found no evidence of any underlying conditions that would cause these reactions. The facial paralysis, vision issues, and slurred speech cleared after one week on their own.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Dizziness, Fatigue, Feeling abnormal, Headache
Clinical narrative: Dizziness, Right-sided facial numbness,  fatigue, brain fog, eye spasms, and unilateral headache. Symptoms started within a week of the booster.  Doing much better, but not yet to baseline 1/21/22.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Imaging procedure, Laboratory test, Magnetic resonance imaging, Magnetic resonance imaging head
Clinical narrative: Dizziness, Right-sided facial numbness,  fatigue, brain fog, eye spasms, and unilateral headache. Symptoms started within a week of the booster.  Doing much better, but not yet to baseline 1/21/22.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Magnetic resonance imaging, Pain in extremity, Peripheral swelling, Shoulder injury related to vaccine administration
Clinical narrative: patient saying she got the vaccine too high in the arm  and pain swelling and per MD she had SIRVA
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Deafness neurosensory, Ear discomfort, Hypoacusis, Rash
Clinical narrative: Just after the administration of the Pfizer vaccine he started to experience symptoms. A fullness sensation and decreased hearing in his right ear. Sensorineural hearing loss, worse in the right ear. Intermittent butterfly rash across his cheeks. This continues to the present and patient has now seen  ENT's and is having bloodwork of an ana sed rate and c reactive protein.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal
Clinical narrative: Just after the administration of the Pfizer vaccine he started to experience symptoms. A fullness sensation and decreased hearing in his right ear. Sensorineural hearing loss, worse in the right ear. Intermittent butterfly rash across his cheeks. This continues to the present and patient has now seen  ENT's and is having bloodwork of an ana sed rate and c reactive protein.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Blood test, Chest pain, Electrocardiogram, Magnetic resonance imaging
Clinical narrative: Chest pain went to urgent care, then advised to go to ER  EKG, MRI, engio gram 3 days of watch, blood work and care
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Deep vein thrombosis, Electrocardiogram, Pulmonary embolism, Ultrasound Doppler abnormal
Clinical narrative: Patient developed submassive pulmonary embolism and RLE DVT.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Vaccination site mass, Vaccination site pain
Clinical narrative: There area was raised, like a pimple; Arm was sore; Hair started falling out/unusual loss of hair; This spontaneous case was reported by a consumer and describes the occurrence of ALOPECIA (Hair started falling out/unusual loss of hair), VACCINATION SITE MASS (There area was raised, like a pimple) and VACCINATION SITE PAIN (Arm was sore) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 008B21A and 014M20A) for COVID-19 vaccination.     Concurrent medical conditions included Asthma (since child), Cold (Sinus causes on set 3 pets), Penicillin allergy, Drug allergy (Amoxicillin), Drug allergy (Atorvastatin) and Drug allergy (Ditropan). Concomitant products included ROSUVASTATIN and LISINOPRIL for an unknown indication.   On 28-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In March 2021, the patient experienced ALOPECIA (Hair started falling out/unusual loss of hair). On 28-Mar-2021,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced VACCINATION SITE MASS (There area was raised, like a pimple) and VACCINATION SITE PAIN (Arm was sore). At the time of the report, ALOPECIA (Hair started falling out/unusual loss of hair) and VACCINATION SITE MASS (There area was raised, like a pimple) had not resolved and VACCINATION SITE PAIN (Arm was sore) outcome was unknown.            No treatment medication was provided.  Concomitant medication included Multivitamins.  No reaction to Moderna 1, 2 and Booster dose. Notified as unusual loss of hair about 3 months after the last shot.    This case was linked to MOD-2021-395763, MOD-2021-395777, MOD-2021-395825 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 14-Jan-2022: Significant FU: Patient demographic details added, allergic condition added, medical history added, Drug start date time updated,concomitants added, event outcome updated for hair loss.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia
Clinical narrative: There area was raised, like a pimple; Arm was sore; Hair started falling out/unusual loss of hair; This spontaneous case was reported by a consumer and describes the occurrence of ALOPECIA (Hair started falling out/unusual loss of hair), VACCINATION SITE MASS (There area was raised, like a pimple) and VACCINATION SITE PAIN (Arm was sore) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 008B21A and 014M20A) for COVID-19 vaccination.     Concurrent medical conditions included Asthma (since child), Cold (Sinus causes on set 3 pets), Penicillin allergy, Drug allergy (Amoxicillin), Drug allergy (Atorvastatin) and Drug allergy (Ditropan). Concomitant products included ROSUVASTATIN and LISINOPRIL for an unknown indication.   On 28-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In March 2021, the patient experienced ALOPECIA (Hair started falling out/unusual loss of hair). On 28-Mar-2021,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced VACCINATION SITE MASS (There area was raised, like a pimple) and VACCINATION SITE PAIN (Arm was sore). At the time of the report, ALOPECIA (Hair started falling out/unusual loss of hair) and VACCINATION SITE MASS (There area was raised, like a pimple) had not resolved and VACCINATION SITE PAIN (Arm was sore) outcome was unknown.            No treatment medication was provided.  Concomitant medication included Multivitamins.  No reaction to Moderna 1, 2 and Booster dose. Notified as unusual loss of hair about 3 months after the last shot.    This case was linked to MOD-2021-395763, MOD-2021-395777, MOD-2021-395825 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 14-Jan-2022: Significant FU: Patient demographic details added, allergic condition added, medical history added, Drug start date time updated,concomitants added, event outcome updated for hair loss.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Vaccination site mass, Vaccination site pain
Clinical narrative: This spontaneous case was reported by a consumer and describes the occurrence of ALOPECIA (My hair started falling out. It's gotten worse in last month, or so./unusual loss of hair. About 3 month after my last shot , it is still going on) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 071F21A, 008B21A and 014M20A) for COVID-19 vaccination. Concurrent medical conditions included Drug allergy (Amoxicillin), Drug allergy (Atorvastatin), Drug allergy (Ditropan), Penicillin allergy (all penicillins), Sinusitis (causes on set and pets) and Asthma (Asthma since child).Concomitant products included ROSUVASTATIN and LISINOPRIL for an unknown indication.On 28-Feb-2021 at 11:30 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.On 28-Mar-2021 at 12:30 PM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form.On 02-Nov-2021 at 2:30 PM, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Nov-2021, the patient experienced ALOPECIA (My hair started falling out. It's gotten worse in last month, or so./unusual loss of hair. About 3 month after my last shot , it is still going on). At the time of the report, ALOPECIA (My hair started falling out. It's gotten worse in last month, or so./unusual loss of hair. About 3 month after my last shot , it is still going on) had not resolved.    The patient had Multivitamin at the vaccination or at the time of the adverse event.This case was linked to MOD-2021-395776, MOD-2021-395763, MOD-2021-395825 (Patient Link).Most recent FOLLOW-UP information incorporated above includes:On 14-Jan-2022: Follow-up reeived: Patient demographic details added, allergic condition added, medical history added, concomitants added, event outcome updated.