chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head abnormal, Facial paralysis, Gaze palsy, Hemianopia homonymous, Hemiparesis
Clinical narrative: Patient is a 45 year old  female with PMH of hypertension who presents to our facility by EMS for the above mentioned complaint. History is obtained from discussion with EMS personnel, ER physician, and from the patient's son . The patient is currently aphasic and not able to provide any history. The patient's boyfriend reported that the patient went shopping this afternoon. He last spoke with her on the phone at 1400. At any rate, the patient was apparently in the parking lot of a store when she had a minor fender-bender. Bystanders report she was going approximately 5 mph. EMS was alerted who found the patient unable to get out of car with aphasia, right sided weakness and facial dr  droop, left gaze deviation, right homonymous hemianopia, and right-sided neglect. Her right side is flaccid. she moves her left side spontaneously. NIHSS on my examination is 26. Noncontrast CT of the head demonstrates a left basal ganglia intraparenchymal hemorrhage, measuring 4x26 cm, with local mass effect, mild midline shift of 2mm right to left, and effacement of the left lateral ventricle. CTA of the head and neck is without large vessel occlusion, aneurysm or spot sign. Blood pressure on my examination was 201/123.   ICH score 0 on arrival to ED  The patient's son reports that his mom takes sleeping medication. He is unsure if she takes medication for hypertension. She has had all of her Covid vaccines per her son, and has not been sick recently to his knowledge.     PT REMAINS INPATIENT AT THIS TIME.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypotonia, Mobility decreased, NIH stroke scale, Neurologic neglect syndrome, Road traffic accident
Clinical narrative: Patient is a 45 year old  female with PMH of hypertension who presents to our facility by EMS for the above mentioned complaint. History is obtained from discussion with EMS personnel, ER physician, and from the patient's son . The patient is currently aphasic and not able to provide any history. The patient's boyfriend reported that the patient went shopping this afternoon. He last spoke with her on the phone at 1400. At any rate, the patient was apparently in the parking lot of a store when she had a minor fender-bender. Bystanders report she was going approximately 5 mph. EMS was alerted who found the patient unable to get out of car with aphasia, right sided weakness and facial dr  droop, left gaze deviation, right homonymous hemianopia, and right-sided neglect. Her right side is flaccid. she moves her left side spontaneously. NIHSS on my examination is 26. Noncontrast CT of the head demonstrates a left basal ganglia intraparenchymal hemorrhage, measuring 4x26 cm, with local mass effect, mild midline shift of 2mm right to left, and effacement of the left lateral ventricle. CTA of the head and neck is without large vessel occlusion, aneurysm or spot sign. Blood pressure on my examination was 201/123.   ICH score 0 on arrival to ED  The patient's son reports that his mom takes sleeping medication. He is unsure if she takes medication for hypertension. She has had all of her Covid vaccines per her son, and has not been sick recently to his knowledge.     PT REMAINS INPATIENT AT THIS TIME.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Lung disorder
Clinical narrative: Patient is a 67-year-old male with no PMH who presents to the ED complaining of SOB, fever and cough x8 days.  Patient is vaccinated against COVID. He states that he started having shortness of breath, fever and coughing on 01/21 that progressively worsened. States he tested positive for COVID on 01/21 at Community Clinic, was given azithromycin and prednisone.  On 01/26 he return to community clinic and was given Augmentin, DuoNeb, supplemental oxygen.  Patient's states that he was feeling much better until today having a acute respiratory attack or a had increased shortness of breath.  He states that after having this increased shortness of breath he was concerned and came to our facility.  DISCHARGE: Patient is a 67-year-old male with no PMH who presents to the ED complaining of SOB, fever and cough x8 days.  Patient is vaccinated against COVID. He states that he started having shortness of breath, fever and coughing on 01/21 that progressively worsened. States he tested positive for COVID on 01/21 at Community Clinic, was given azithromycin and prednisone.  On 01/26 he return to community clinic and was given Augmentin, DuoNeb, supplemental oxygen.  Patient's states that he was feeling much better until today having a acute respiratory attack or a had increased shortness of breath.  He states that after having this increased shortness of breath he was concerned and came to our facility.  Patient states he has had a fever with T-max 102.  Chest x-ray on admission showed mild peripheral airspace disease suspicious for COVID pneumonia.  Patient placed on 1.5 liters nasal cannula in the ED in increased up to 2 liters nasal cannula while in hospital.  On the day of his discharge patient was on room air in asymptomatic.  Patient was treated with IV Solu-Medrol stay due to allergy to dexamethasone.  Patient also given remdesivir, albuterol inhaler, ipratropium inhaler.  On the day patient's discharge patient was asymptomatic, stable and doing much better on room air oxygen. Discharge condition: Stable. Pt was advised to follow up with PCP in one week, and to return to the ED for further evaluation if symptoms recur, persist, or worsen. The patient voiced understanding
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: Patient is a 67-year-old male with no PMH who presents to the ED complaining of SOB, fever and cough x8 days.  Patient is vaccinated against COVID. He states that he started having shortness of breath, fever and coughing on 01/21 that progressively worsened. States he tested positive for COVID on 01/21 at Community Clinic, was given azithromycin and prednisone.  On 01/26 he return to community clinic and was given Augmentin, DuoNeb, supplemental oxygen.  Patient's states that he was feeling much better until today having a acute respiratory attack or a had increased shortness of breath.  He states that after having this increased shortness of breath he was concerned and came to our facility.  DISCHARGE: Patient is a 67-year-old male with no PMH who presents to the ED complaining of SOB, fever and cough x8 days.  Patient is vaccinated against COVID. He states that he started having shortness of breath, fever and coughing on 01/21 that progressively worsened. States he tested positive for COVID on 01/21 at Community Clinic, was given azithromycin and prednisone.  On 01/26 he return to community clinic and was given Augmentin, DuoNeb, supplemental oxygen.  Patient's states that he was feeling much better until today having a acute respiratory attack or a had increased shortness of breath.  He states that after having this increased shortness of breath he was concerned and came to our facility.  Patient states he has had a fever with T-max 102.  Chest x-ray on admission showed mild peripheral airspace disease suspicious for COVID pneumonia.  Patient placed on 1.5 liters nasal cannula in the ED in increased up to 2 liters nasal cannula while in hospital.  On the day of his discharge patient was on room air in asymptomatic.  Patient was treated with IV Solu-Medrol stay due to allergy to dexamethasone.  Patient also given remdesivir, albuterol inhaler, ipratropium inhaler.  On the day patient's discharge patient was asymptomatic, stable and doing much better on room air oxygen. Discharge condition: Stable. Pt was advised to follow up with PCP in one week, and to return to the ED for further evaluation if symptoms recur, persist, or worsen. The patient voiced understanding
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, Cardiac failure, Cardiogenic shock, Echocardiogram abnormal, Endotracheal intubation
Clinical narrative: Pt developed fulminant myocarditis. No other etiology other than recent booster vaccine has been identified. Appears to be improving at this time but is still requiring inotropic support and is intubated
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic enzyme increased, Multiple organ dysfunction syndrome, Myocarditis, Renal failure, Troponin increased
Clinical narrative: Pt developed fulminant myocarditis. No other etiology other than recent booster vaccine has been identified. Appears to be improving at this time but is still requiring inotropic support and is intubated
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lymph node pain, Lymphadenopathy, Muscular weakness, Neuralgia
Clinical narrative: Patient presented to Clinic on 2/1/22 to report she had very enlarged lymph nodes (left axillary, groin, cervical) with pain after vaccine administration. Also reports left persistent shoulder pain and weakness with nerve pain since administration. Patient states she has been receiving treatment from her primary care provider and is now requiring physical therapy treatment.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Inflammation, Urticaria
Clinical narrative: mom called our office and stated that pt. broke out in a full body hives. mom gave Benadryl and hives became less inflamed
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cellulitis, Chest X-ray normal, Chest pain, Cough
Clinical narrative: Patient received moderna vaccine on 3/8/21, 4/5/21 and 12/20/21. Found to be COVID positive on 1/20/22. Presented to ER on 1/26/22 and started to have some shortness of breath, sore  throat and cough about a week prior, was tested positive for COVID-19 on  01/20/2022.  Came back to emergency room because of on-and-off chest pain and  cough productive of occasionally yellow sputum.  No fever, chills.  No nausea,  vomiting, diarrhea.  No bleeds or melena.  His first troponin was slightly  elevated at 92 and second one is slightly more elevated at 95.7, however, his  EKG does not show any acute ST-T changes, but there are some nonspecific  abnormalities.  I doubt this is acute coronary syndrome per se.  Patient does  have an element of reproducible chest wall as well.  However, we will put him  in as an observation for now with a consult to Cardiology and check a 2D echo  this morning. Since I am not ordering any stress test so I am not keeping the  patient any n.p.o.  Please note ABG is pending as we speak.  Patient has no  fever or chills.  No abdominal pain. Was on doxycycline due to cellulitis. DIscharged 16 hours later. No COVID19 treatments.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Musculoskeletal chest pain, Oropharyngeal pain, Productive cough
Clinical narrative: Patient received moderna vaccine on 3/8/21, 4/5/21 and 12/20/21. Found to be COVID positive on 1/20/22. Presented to ER on 1/26/22 and started to have some shortness of breath, sore  throat and cough about a week prior, was tested positive for COVID-19 on  01/20/2022.  Came back to emergency room because of on-and-off chest pain and  cough productive of occasionally yellow sputum.  No fever, chills.  No nausea,  vomiting, diarrhea.  No bleeds or melena.  His first troponin was slightly  elevated at 92 and second one is slightly more elevated at 95.7, however, his  EKG does not show any acute ST-T changes, but there are some nonspecific  abnormalities.  I doubt this is acute coronary syndrome per se.  Patient does  have an element of reproducible chest wall as well.  However, we will put him  in as an observation for now with a consult to Cardiology and check a 2D echo  this morning. Since I am not ordering any stress test so I am not keeping the  patient any n.p.o.  Please note ABG is pending as we speak.  Patient has no  fever or chills.  No abdominal pain. Was on doxycycline due to cellulitis. DIscharged 16 hours later. No COVID19 treatments.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sputum discoloured, Troponin increased
Clinical narrative: Patient received moderna vaccine on 3/8/21, 4/5/21 and 12/20/21. Found to be COVID positive on 1/20/22. Presented to ER on 1/26/22 and started to have some shortness of breath, sore  throat and cough about a week prior, was tested positive for COVID-19 on  01/20/2022.  Came back to emergency room because of on-and-off chest pain and  cough productive of occasionally yellow sputum.  No fever, chills.  No nausea,  vomiting, diarrhea.  No bleeds or melena.  His first troponin was slightly  elevated at 92 and second one is slightly more elevated at 95.7, however, his  EKG does not show any acute ST-T changes, but there are some nonspecific  abnormalities.  I doubt this is acute coronary syndrome per se.  Patient does  have an element of reproducible chest wall as well.  However, we will put him  in as an observation for now with a consult to Cardiology and check a 2D echo  this morning. Since I am not ordering any stress test so I am not keeping the  patient any n.p.o.  Please note ABG is pending as we speak.  Patient has no  fever or chills.  No abdominal pain. Was on doxycycline due to cellulitis. DIscharged 16 hours later. No COVID19 treatments.
Age: 26.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal pain
Clinical narrative: Persistent Abdominal Pain
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Received full dose of Moderna booster I/O half dose
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Delivery, Premature rupture of membranes, SARS-CoV-2 test positive
Clinical narrative: Presented to Labor and delivery on 1/27/22. COVID positive on 1/16/22. gravida 4, para 2-0-1-2, She was  admitted to Labor and Delivery in latent labor with rupture of membranes,  which happened at home and she progressed to have a normal spontaneous vaginal  delivery of a live male infant weighing 8 pounds 3 ounces and the Apgars  given were 8 and 8 at 1 and 5 minutes.  She is being discharged home on  January 29, 2022 in stable condition.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: mom stated that after getting DTaP vaccine had full body hives
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Accidently Drew the 0.5 ML instead of the Child  0.25 ML.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Myalgia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Patient received TDAP (Boostrix) vaccine on 01/10/2022 and reported feeling muscle aches, severe chills, low grade fever, and headaches after vaccine. No visit to clinic or urgent care. Patient proceeded to take COVID test on 01/12/2022 and received negative results 01/14/2022. Patient reports to be asymptomatic on 01/14/2022. Per Tdap vaccine information sheet given to patient the day of vaccination on 01/10/2022 it was advised reaction was possible even though it was uncommon. Per patient's PCP no need for further testing or medications.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anal incontinence, Atrial fibrillation, Cardiac ablation, Central venous catheterisation, Chills
Clinical narrative: Moderna COVID vaccine - 1 dose in March 2021 and 1 dose in April 2021. In June 2021, pt diagnosed w/ Epstein-Barr virus. Then starting 11/1/2022, pt developed transverse infectious myelitis, L4-L5 vertebrae. Hospitalized 3 times. numbness in muscles on most of body making him unable to walk without assistance or perform activities of daily living, fecal and urinary incontinence, high fevers, shivering, and UTI with pseudomonas aeruginosa, kidney stones, ureter stent (now removed), multiple IV courses including Zosyn (3 courses). Pt has had 2 ablations for Atrifal Fibrillation since being vaccinated for COVID. Pt has home health care coming in for activities of daily living, physical therapy coming to home, psychology consult for depression coming up. Pt just got IV line PIC line put in for cefepime antibiotic infusion therapy to be given at home.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Epstein-Barr virus infection, Gait inability, Hypoaesthesia, Infusion, Loss of personal independence in daily activities
Clinical narrative: Moderna COVID vaccine - 1 dose in March 2021 and 1 dose in April 2021. In June 2021, pt diagnosed w/ Epstein-Barr virus. Then starting 11/1/2022, pt developed transverse infectious myelitis, L4-L5 vertebrae. Hospitalized 3 times. numbness in muscles on most of body making him unable to walk without assistance or perform activities of daily living, fecal and urinary incontinence, high fevers, shivering, and UTI with pseudomonas aeruginosa, kidney stones, ureter stent (now removed), multiple IV courses including Zosyn (3 courses). Pt has had 2 ablations for Atrifal Fibrillation since being vaccinated for COVID. Pt has home health care coming in for activities of daily living, physical therapy coming to home, psychology consult for depression coming up. Pt just got IV line PIC line put in for cefepime antibiotic infusion therapy to be given at home.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myelitis transverse, Nephrolithiasis, Pseudomonas infection, Pyrexia, Ureteral stent insertion
Clinical narrative: Moderna COVID vaccine - 1 dose in March 2021 and 1 dose in April 2021. In June 2021, pt diagnosed w/ Epstein-Barr virus. Then starting 11/1/2022, pt developed transverse infectious myelitis, L4-L5 vertebrae. Hospitalized 3 times. numbness in muscles on most of body making him unable to walk without assistance or perform activities of daily living, fecal and urinary incontinence, high fevers, shivering, and UTI with pseudomonas aeruginosa, kidney stones, ureter stent (now removed), multiple IV courses including Zosyn (3 courses). Pt has had 2 ablations for Atrifal Fibrillation since being vaccinated for COVID. Pt has home health care coming in for activities of daily living, physical therapy coming to home, psychology consult for depression coming up. Pt just got IV line PIC line put in for cefepime antibiotic infusion therapy to be given at home.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urinary incontinence, Urinary tract infection
Clinical narrative: Moderna COVID vaccine - 1 dose in March 2021 and 1 dose in April 2021. In June 2021, pt diagnosed w/ Epstein-Barr virus. Then starting 11/1/2022, pt developed transverse infectious myelitis, L4-L5 vertebrae. Hospitalized 3 times. numbness in muscles on most of body making him unable to walk without assistance or perform activities of daily living, fecal and urinary incontinence, high fevers, shivering, and UTI with pseudomonas aeruginosa, kidney stones, ureter stent (now removed), multiple IV courses including Zosyn (3 courses). Pt has had 2 ablations for Atrifal Fibrillation since being vaccinated for COVID. Pt has home health care coming in for activities of daily living, physical therapy coming to home, psychology consult for depression coming up. Pt just got IV line PIC line put in for cefepime antibiotic infusion therapy to be given at home.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Bradycardia, Chest pain, Fatigue, Joint swelling
Clinical narrative: After the vaccine on 5/18/21 he experienced extreme fatigue, thrombocytopenia, leukopenia, and anemia. After vaccine on 6/28/21 she experienced the same as the first vaccine + low grade fever for 5 days. After the third vaccine on 12/27/21 she experienced bradycardia (HR in the 40s). She went to the ER for chest pain on 1/2/22. Chest pain is now resolved, HR remains in the 50s, and she now is experiencing swelling in her ankles each morning.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Leukopenia, Pyrexia, Thrombocytopenia
Clinical narrative: After the vaccine on 5/18/21 he experienced extreme fatigue, thrombocytopenia, leukopenia, and anemia. After vaccine on 6/28/21 she experienced the same as the first vaccine + low grade fever for 5 days. After the third vaccine on 12/27/21 she experienced bradycardia (HR in the 40s). She went to the ER for chest pain on 1/2/22. Chest pain is now resolved, HR remains in the 50s, and she now is experiencing swelling in her ankles each morning.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure acute, Condition aggravated, Dyspnoea, Left ventricular failure
Clinical narrative: Patient received Moderna vaccine on 3/9/21 and 4/6/21. Then Pfizer vaccine on 11/9/21. Found to be COVID-19 positive on 1/19/22. Presented to ER on 1/26/22, admitted with worsening shortness of breath if unable acute on chronic diastolic heart failure. Patient was given IV Lasix, patient shortness of breath gradually improved, patient was weaned off oxygen successfully, patient had O2 works and was not needing any oxygen with exertion. Patient family wants to take patient home. Patient is doing well clinically, will discharge patient home on Lasix 40 mg B.I.D., patient also was diagnosed with UTI during this hospitalization, patient was given IV Rocephin, patient to follow-up with PCP in 2-3 days. Discharged on 1/31/22.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Patient received Moderna vaccine on 3/9/21 and 4/6/21. Then Pfizer vaccine on 11/9/21. Found to be COVID-19 positive on 1/19/22. Presented to ER on 1/26/22, admitted with worsening shortness of breath if unable acute on chronic diastolic heart failure. Patient was given IV Lasix, patient shortness of breath gradually improved, patient was weaned off oxygen successfully, patient had O2 works and was not needing any oxygen with exertion. Patient family wants to take patient home. Patient is doing well clinically, will discharge patient home on Lasix 40 mg B.I.D., patient also was diagnosed with UTI during this hospitalization, patient was given IV Rocephin, patient to follow-up with PCP in 2-3 days. Discharged on 1/31/22.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Hypotension, Interchange of vaccine products, Nausea
Clinical narrative: pt had received 2 doses of Sinopharm. Received pfizer booster today.  Pt was having nausea. Had low bp. Did not have anything to eat today.  Laid the pt down. Gave 2 glucose tablets and monitored for over 30 mins.  Was feeling better when she left.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure like phenomena
Clinical narrative: About 3 minutes after getting the shot, patient presented with seizure-like reaction but  immediately recovered ( less than a minute ). However he did not recognize his whereabouts but was able to realize it in a few seconds. Initial  blood pressure taken was 77/53 , pulse 72 . We were calling 911 but he refused .  Patient was awake , alert when he left the facility.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Alanine aminotransferase normal, Aspartate aminotransferase increased, Bladder catheterisation, Blood alkaline phosphatase normal
Clinical narrative: 83 yo F with htn , dementia at baseline non verbal wheelchair/bedbound, dm, was brought to the ED because of somnolence, fever and sob and found to have + covid 19 pna.  Was initially npo, and had foley placed and I and O cath initially.  She passed foley dc trial and passed swallow to pureed c honey thick liquid.   Throughout her hospital stay she remained non verbal at times moaning in bed, at times not.     She was seen by palliaitve care and qualifies for hospice both with and without covid 19.  Her actual o2 requirements are around 1 liter to room air.  There was discussion of custodial snf instead of home because patient is a total care needs patient, however daughter prefers for her to go home.   An outpatient life care planning eval was sent       Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Alzheimers, covid 19 pna   Complications: none
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood chloride decreased, Blood cholesterol increased, Blood creatinine normal, Blood glucose normal
Clinical narrative: 83 yo F with htn , dementia at baseline non verbal wheelchair/bedbound, dm, was brought to the ED because of somnolence, fever and sob and found to have + covid 19 pna.  Was initially npo, and had foley placed and I and O cath initially.  She passed foley dc trial and passed swallow to pureed c honey thick liquid.   Throughout her hospital stay she remained non verbal at times moaning in bed, at times not.     She was seen by palliaitve care and qualifies for hospice both with and without covid 19.  Her actual o2 requirements are around 1 liter to room air.  There was discussion of custodial snf instead of home because patient is a total care needs patient, however daughter prefers for her to go home.   An outpatient life care planning eval was sent       Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Alzheimers, covid 19 pna   Complications: none
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, Blood potassium normal, Blood sodium decreased, Blood thyroid stimulating hormone decreased, Blood triglycerides increased
Clinical narrative: 83 yo F with htn , dementia at baseline non verbal wheelchair/bedbound, dm, was brought to the ED because of somnolence, fever and sob and found to have + covid 19 pna.  Was initially npo, and had foley placed and I and O cath initially.  She passed foley dc trial and passed swallow to pureed c honey thick liquid.   Throughout her hospital stay she remained non verbal at times moaning in bed, at times not.     She was seen by palliaitve care and qualifies for hospice both with and without covid 19.  Her actual o2 requirements are around 1 liter to room air.  There was discussion of custodial snf instead of home because patient is a total care needs patient, however daughter prefers for her to go home.   An outpatient life care planning eval was sent       Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Alzheimers, covid 19 pna   Complications: none
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea increased, COVID-19 pneumonia, Carbon dioxide normal, Coagulation test, Dementia Alzheimer's type
Clinical narrative: 83 yo F with htn , dementia at baseline non verbal wheelchair/bedbound, dm, was brought to the ED because of somnolence, fever and sob and found to have + covid 19 pna.  Was initially npo, and had foley placed and I and O cath initially.  She passed foley dc trial and passed swallow to pureed c honey thick liquid.   Throughout her hospital stay she remained non verbal at times moaning in bed, at times not.     She was seen by palliaitve care and qualifies for hospice both with and without covid 19.  Her actual o2 requirements are around 1 liter to room air.  There was discussion of custodial snf instead of home because patient is a total care needs patient, however daughter prefers for her to go home.   An outpatient life care planning eval was sent       Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Alzheimers, covid 19 pna   Complications: none
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Eosinophil percentage decreased, Full blood count, Glycosylated haemoglobin increased, Haematocrit normal
Clinical narrative: 83 yo F with htn , dementia at baseline non verbal wheelchair/bedbound, dm, was brought to the ED because of somnolence, fever and sob and found to have + covid 19 pna.  Was initially npo, and had foley placed and I and O cath initially.  She passed foley dc trial and passed swallow to pureed c honey thick liquid.   Throughout her hospital stay she remained non verbal at times moaning in bed, at times not.     She was seen by palliaitve care and qualifies for hospice both with and without covid 19.  Her actual o2 requirements are around 1 liter to room air.  There was discussion of custodial snf instead of home because patient is a total care needs patient, however daughter prefers for her to go home.   An outpatient life care planning eval was sent       Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Alzheimers, covid 19 pna   Complications: none
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, High density lipoprotein decreased, International normalised ratio, Intraosseous access placement, Lipase normal
Clinical narrative: 83 yo F with htn , dementia at baseline non verbal wheelchair/bedbound, dm, was brought to the ED because of somnolence, fever and sob and found to have + covid 19 pna.  Was initially npo, and had foley placed and I and O cath initially.  She passed foley dc trial and passed swallow to pureed c honey thick liquid.   Throughout her hospital stay she remained non verbal at times moaning in bed, at times not.     She was seen by palliaitve care and qualifies for hospice both with and without covid 19.  Her actual o2 requirements are around 1 liter to room air.  There was discussion of custodial snf instead of home because patient is a total care needs patient, however daughter prefers for her to go home.   An outpatient life care planning eval was sent       Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Alzheimers, covid 19 pna   Complications: none
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test, Low density lipoprotein increased, Lymphocyte percentage decreased, Mean cell volume normal, Moaning
Clinical narrative: 83 yo F with htn , dementia at baseline non verbal wheelchair/bedbound, dm, was brought to the ED because of somnolence, fever and sob and found to have + covid 19 pna.  Was initially npo, and had foley placed and I and O cath initially.  She passed foley dc trial and passed swallow to pureed c honey thick liquid.   Throughout her hospital stay she remained non verbal at times moaning in bed, at times not.     She was seen by palliaitve care and qualifies for hospice both with and without covid 19.  Her actual o2 requirements are around 1 liter to room air.  There was discussion of custodial snf instead of home because patient is a total care needs patient, however daughter prefers for her to go home.   An outpatient life care planning eval was sent       Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Alzheimers, covid 19 pna   Complications: none
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte percentage, Neutrophil percentage increased, Nothing by mouth order, Platelet count decreased, Prothrombin time
Clinical narrative: 83 yo F with htn , dementia at baseline non verbal wheelchair/bedbound, dm, was brought to the ED because of somnolence, fever and sob and found to have + covid 19 pna.  Was initially npo, and had foley placed and I and O cath initially.  She passed foley dc trial and passed swallow to pureed c honey thick liquid.   Throughout her hospital stay she remained non verbal at times moaning in bed, at times not.     She was seen by palliaitve care and qualifies for hospice both with and without covid 19.  Her actual o2 requirements are around 1 liter to room air.  There was discussion of custodial snf instead of home because patient is a total care needs patient, however daughter prefers for her to go home.   An outpatient life care planning eval was sent       Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Alzheimers, covid 19 pna   Complications: none
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Somnolence, Swallow study, Troponin, White blood cell count normal
Clinical narrative: 83 yo F with htn , dementia at baseline non verbal wheelchair/bedbound, dm, was brought to the ED because of somnolence, fever and sob and found to have + covid 19 pna.  Was initially npo, and had foley placed and I and O cath initially.  She passed foley dc trial and passed swallow to pureed c honey thick liquid.   Throughout her hospital stay she remained non verbal at times moaning in bed, at times not.     She was seen by palliaitve care and qualifies for hospice both with and without covid 19.  Her actual o2 requirements are around 1 liter to room air.  There was discussion of custodial snf instead of home because patient is a total care needs patient, however daughter prefers for her to go home.   An outpatient life care planning eval was sent       Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Alzheimers, covid 19 pna   Complications: none
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cognitive disorder, Eye pain, Fatigue, Feeling abnormal, Headache
Clinical narrative: Pain radiating from injection site to clavicle, as of 02/01/2022, I can barely rotate head. Chronic painful headaches behind eyes - any pressure on the eye is extremely painful.  Major fatigue and foggy cognition to where it is impacting my ability to perform job functions as I could prior to the vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site pain, Mobility decreased, Ocular discomfort, Pain
Clinical narrative: Pain radiating from injection site to clavicle, as of 02/01/2022, I can barely rotate head. Chronic painful headaches behind eyes - any pressure on the eye is extremely painful.  Major fatigue and foggy cognition to where it is impacting my ability to perform job functions as I could prior to the vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Ear pain, Herpes zoster, Neck pain, Pain
Clinical narrative: Had a ache and ear ache on right side of head i also felt some small bumps on head. went to urgent care on 18 and they said it was a build up wax and got it treated with ibuprofen . head still ache and bumps got worse. on the 20TH  i went back to urgent care because symptoms got worse with shoulder and neck ache. I was diagnosed with shingles.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Had a ache and ear ache on right side of head i also felt some small bumps on head. went to urgent care on 18 and they said it was a build up wax and got it treated with ibuprofen . head still ache and bumps got worse. on the 20TH  i went back to urgent care because symptoms got worse with shoulder and neck ache. I was diagnosed with shingles.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dyspnoea, Fatigue, Glomerular filtration rate decreased, Immediate post-injection reaction
Clinical narrative: 0n 01/29/2021, Immediately after the injection, I felt shortness of breath. It lasted for the rest of the day. I woke feeling better the next morning. They were giving it at the Fire Department, I asked the EMT about the SOB, and they said since I was talking,  they said I would be okay. I did not have the SOB with dose 1 or dose 3. Like I said, the next morning it was gone.   Around 06/2021- I was having extreme fatigue, I went to my kidney doctor. They did a panel of blood work.  The GFR showed  my kidney function dropped from 24 to 18 percent. My nephrologist recommended  I get on the kidney transplant list  at the Facility and the Facility. I am in the process, I have been accepted. There are a lot of test that need to be done.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Client received the 1st COVID vaccine Moderna (Lot# 037C21A) on 09/21/2021 and the 2nd COVID vaccine Moderna (Lot#037C21A) on 10/21/2021. LVN stated when she reviewed the client's vaccination card, the second dose date appeared to be written as January, 2021. LVN stated she did not verify the date of the first dose. Client received the booster COVID vaccine Moderna (Lot#084C21A) on 02/01/22 at 12:24PM. LVN  noted after vaccinating the client, that the date of the second dose was actually 10/19/21.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, C-reactive protein, Decreased appetite, Differential white blood cell count normal, Dizziness
Clinical narrative: Symptoms started the night of the shot and have persisted since. Didnt go to school at all last week.  Feeling Dizzy, nausea, fatigue and feels like she cannot stand up sometimes.  Appetite back to normal.  Occ Headaches, pounding with some ringing.  No h/o migraines. + Myalgias.  No abdominal pain.  No diarrhea.  No chest pain + Neck pain today .  Pallor.  Took some curcumin and felt better.  Pulse ox normal at home.   Tried to go to school today but could only make it through half a day.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Fatigue, Fibrin D dimer increased, Full blood count normal, Headache
Clinical narrative: Symptoms started the night of the shot and have persisted since. Didnt go to school at all last week.  Feeling Dizzy, nausea, fatigue and feels like she cannot stand up sometimes.  Appetite back to normal.  Occ Headaches, pounding with some ringing.  No h/o migraines. + Myalgias.  No abdominal pain.  No diarrhea.  No chest pain + Neck pain today .  Pallor.  Took some curcumin and felt better.  Pulse ox normal at home.   Tried to go to school today but could only make it through half a day.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, Myalgia, Nausea, Neck pain, Pallor
Clinical narrative: Symptoms started the night of the shot and have persisted since. Didnt go to school at all last week.  Feeling Dizzy, nausea, fatigue and feels like she cannot stand up sometimes.  Appetite back to normal.  Occ Headaches, pounding with some ringing.  No h/o migraines. + Myalgias.  No abdominal pain.  No diarrhea.  No chest pain + Neck pain today .  Pallor.  Took some curcumin and felt better.  Pulse ox normal at home.   Tried to go to school today but could only make it through half a day.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Sensory disturbance
Clinical narrative: Symptoms started the night of the shot and have persisted since. Didnt go to school at all last week.  Feeling Dizzy, nausea, fatigue and feels like she cannot stand up sometimes.  Appetite back to normal.  Occ Headaches, pounding with some ringing.  No h/o migraines. + Myalgias.  No abdominal pain.  No diarrhea.  No chest pain + Neck pain today .  Pallor.  Took some curcumin and felt better.  Pulse ox normal at home.   Tried to go to school today but could only make it through half a day.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Injection site discharge, Injection site erythema, Injection site pain
Clinical narrative: First dose gave me redness, itching, burning in the area where I was Vaccinated was small. Second dose redness, itching, burning in the area where I was vaccinated bigger. Third dose redness, itching burning, hot area and secretion of clear liquid where I was vaccinated started there and then the elbow, neck, left chest and armpits.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Pruritus
Clinical narrative: First dose gave me redness, itching, burning in the area where I was Vaccinated was small. Second dose redness, itching, burning in the area where I was vaccinated bigger. Third dose redness, itching burning, hot area and secretion of clear liquid where I was vaccinated started there and then the elbow, neck, left chest and armpits.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral venous sinus thrombosis, Fatigue, Headache, Magnetic resonance imaging head normal, Magnetic resonance imaging neck
Clinical narrative: 1/1/22 Severe headache, nausea, vomiting, extreme fatigue for two days 1/7/22 Severe headache, nausea, vomiting (2 hours) 1/9/22 Severe headache, nausea, vomiting (2 hours) 1/12/22 headache, nausea, parenthesis of both arms 1/20/22 persistent headache, nausea, tingling
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia, Venogram abnormal, Vomiting
Clinical narrative: 1/1/22 Severe headache, nausea, vomiting, extreme fatigue for two days 1/7/22 Severe headache, nausea, vomiting (2 hours) 1/9/22 Severe headache, nausea, vomiting (2 hours) 1/12/22 headache, nausea, parenthesis of both arms 1/20/22 persistent headache, nausea, tingling
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: Fever, chills, cough, shortness of breath, fatigue, headache, loss of taste and smell, congestion
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Pyrexia, Respiratory tract congestion
Clinical narrative: Fever, chills, cough, shortness of breath, fatigue, headache, loss of taste and smell, congestion
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Fever, chills, cough, shortness of breath, fatigue, headache, loss of taste and smell, congestion
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac dysfunction, Cardiac failure, Catheterisation cardiac, Condition aggravated, Echocardiogram abnormal
Clinical narrative: During the weeks after vaccination, she developed muscular-like pain in the left foot. Saw physician who diagnosed possible gout or arthritis. Pain controlled with compression, but worse when compression was removed. In the following months, her heart failure condition worsened. She was diagnosed with heart failure in 2002. She had been stable with an EF>40% through early 2021. Symptoms began worsening in 2Q 2021 with ED visits and hospitalizations. She had never been admitted to hospital due to HF complications prior to 2021. ECHO performed in October showed EF 16%. She was placed on Dobutamine IV (continuous) in November. As of 1/31, her heart function appears to be improving with plan to wean to oral medications. Concerned this could be a case of cardiomyopathy related to vaccine (given the fact her condition was stable for nearly 20 years and after 6 months may be returning to prior levels).
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Myalgia, Pain in extremity
Clinical narrative: During the weeks after vaccination, she developed muscular-like pain in the left foot. Saw physician who diagnosed possible gout or arthritis. Pain controlled with compression, but worse when compression was removed. In the following months, her heart failure condition worsened. She was diagnosed with heart failure in 2002. She had been stable with an EF>40% through early 2021. Symptoms began worsening in 2Q 2021 with ED visits and hospitalizations. She had never been admitted to hospital due to HF complications prior to 2021. ECHO performed in October showed EF 16%. She was placed on Dobutamine IV (continuous) in November. As of 1/31, her heart function appears to be improving with plan to wean to oral medications. Concerned this could be a case of cardiomyopathy related to vaccine (given the fact her condition was stable for nearly 20 years and after 6 months may be returning to prior levels).
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Oropharyngeal pain
Clinical narrative: I had issue with migraine headache after my shot and after a couple of days I developed something of a sore throat and did a telehealth session and showed them my throat. Was given amoxicillin for about 10 days and it cleared up. Still had headaches but that could be from my malformation issue.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient presented to clinic for influenza vaccine and pfizer covid vaccine was given in error
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Atypical pneumonia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Coma
Clinical narrative: Received moderna vaccine on 3/17/21 and 4/14/21. COVID positive on 1/29/22. Presented to ER on 1/30/22. admitted on 1/30/2022 for presented with unresponsive state.               Found to have comatose, severe metabolic acidosis.  Hyperkalemic with EKG changes. Dialysis was done.             Acute hypoxia episode, SpO2 87-90%, did not require oxygen. comatose patient. Intubation was not done because of no CPR status. COVID-19 pneumonia, was vaccinated. CXR-bilateral consolidative changes consistent with atypical pneumonia related to COVID-19.              CT head -Extensive changes from prior left cortical stroke centered at the parietal lobe level with additional small area of involvement now visible at the posteromedial periphery of the right occipital lobe having CT characteristics of evolution of changes related to extensive cortical laminar necrosis since the prior examination.          Discussion with family.  Opted for comfort care 1/31/22. Patient is stable to be discharge to Hospice
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Cortical laminar necrosis, Dialysis, Electrocardiogram abnormal, Hyperkalaemia
Clinical narrative: Received moderna vaccine on 3/17/21 and 4/14/21. COVID positive on 1/29/22. Presented to ER on 1/30/22. admitted on 1/30/2022 for presented with unresponsive state.               Found to have comatose, severe metabolic acidosis.  Hyperkalemic with EKG changes. Dialysis was done.             Acute hypoxia episode, SpO2 87-90%, did not require oxygen. comatose patient. Intubation was not done because of no CPR status. COVID-19 pneumonia, was vaccinated. CXR-bilateral consolidative changes consistent with atypical pneumonia related to COVID-19.              CT head -Extensive changes from prior left cortical stroke centered at the parietal lobe level with additional small area of involvement now visible at the posteromedial periphery of the right occipital lobe having CT characteristics of evolution of changes related to extensive cortical laminar necrosis since the prior examination.          Discussion with family.  Opted for comfort care 1/31/22. Patient is stable to be discharge to Hospice
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Lung consolidation, Metabolic acidosis, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Received moderna vaccine on 3/17/21 and 4/14/21. COVID positive on 1/29/22. Presented to ER on 1/30/22. admitted on 1/30/2022 for presented with unresponsive state.               Found to have comatose, severe metabolic acidosis.  Hyperkalemic with EKG changes. Dialysis was done.             Acute hypoxia episode, SpO2 87-90%, did not require oxygen. comatose patient. Intubation was not done because of no CPR status. COVID-19 pneumonia, was vaccinated. CXR-bilateral consolidative changes consistent with atypical pneumonia related to COVID-19.              CT head -Extensive changes from prior left cortical stroke centered at the parietal lobe level with additional small area of involvement now visible at the posteromedial periphery of the right occipital lobe having CT characteristics of evolution of changes related to extensive cortical laminar necrosis since the prior examination.          Discussion with family.  Opted for comfort care 1/31/22. Patient is stable to be discharge to Hospice
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Condition aggravated, Fatigue, Haemoglobin decreased, Immediate post-injection reaction
Clinical narrative: I had the extreme fatigue right after the vaccine. It kept me down for a couple of days. It got better, but I am still extremely fatigue. I had some more blood work done from my nephrologist, and my hemoglobin was really low. It was below normal, like 9. My nephrologist put me on another medication, Calcitriol .25 mcg, one in the evening, Monday thru Friday. They lowered my vitamin D 1000 iu to one in the morning instead of 2 in the morning, M- F. As a result of the blood work and low hemoglobin I had to see hematologist. I received an injection, Aranesp. I had blood work done for the kidney transplant list.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased
Clinical narrative: I had the extreme fatigue right after the vaccine. It kept me down for a couple of days. It got better, but I am still extremely fatigue. I had some more blood work done from my nephrologist, and my hemoglobin was really low. It was below normal, like 9. My nephrologist put me on another medication, Calcitriol .25 mcg, one in the evening, Monday thru Friday. They lowered my vitamin D 1000 iu to one in the morning instead of 2 in the morning, M- F. As a result of the blood work and low hemoglobin I had to see hematologist. I received an injection, Aranesp. I had blood work done for the kidney transplant list.