chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Culture urine negative, Decreased appetite, Dehydration, Fatigue
Clinical narrative: Pt received her first moderna covid 19 vaccine on 3/2/2021. She never went for her second dose as she feels she went downhill since. Pt has no significant medical problems  other than chronic, mild normocytic anemia, alopecia and vit D deficiency and was on no medications prior other than vitamin D prior to admission. She considered herself active and healthy. After her vaccination she was diagnosed with 2 urinary tract infections and  she also began having poor appetite and abdominal complaints which continued to progress to the point she presented to our emergency room  on 7/25/21 after sustaining an over 20lb weight loss with complaints of poor appetite, abdominal pain, significant nausea, shaking chills, fever, blood in her stool and severe fatigue. She was also recently diagnosed with 2 urinary tract infections of which she has never had before in her life recently treated with bactrim and then ciprofloxacin antibiotics. She was admitted to the hospital with severe sepsis with wbc of 27,000 with left shift, thrombocytosis with platelets of 616,000, colitis, dehydration, metabolic encephalopathy, malnutrtition and acute kidney injury. CT of the abdomen and pelvis revealed colitis of the proximal and mid sigmoid colon. Her hospital course was protracted with initially persistent fever and sign nausea and severe fatigue. she ultimately underwent sigmoidoscopy with gastroenterology which revealed ulcerative colitis.  She was started on iv steroids and ultimately discharged home on oral steroids and rectal steroids and antibiotics to follow up with GI as out pt. she was seen throughout her hospital course by GI, general surgery and infectious disease. she denies prior hx of covid 19. she was discharged home on 8/1/21. her wbc on discharge was 10..1 but she continues to have neutrophilia and lymphopenia.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Gastroenterostomy, General physical health deterioration, Haematochezia, Incomplete course of vaccination, Lymphopenia
Clinical narrative: Pt received her first moderna covid 19 vaccine on 3/2/2021. She never went for her second dose as she feels she went downhill since. Pt has no significant medical problems  other than chronic, mild normocytic anemia, alopecia and vit D deficiency and was on no medications prior other than vitamin D prior to admission. She considered herself active and healthy. After her vaccination she was diagnosed with 2 urinary tract infections and  she also began having poor appetite and abdominal complaints which continued to progress to the point she presented to our emergency room  on 7/25/21 after sustaining an over 20lb weight loss with complaints of poor appetite, abdominal pain, significant nausea, shaking chills, fever, blood in her stool and severe fatigue. She was also recently diagnosed with 2 urinary tract infections of which she has never had before in her life recently treated with bactrim and then ciprofloxacin antibiotics. She was admitted to the hospital with severe sepsis with wbc of 27,000 with left shift, thrombocytosis with platelets of 616,000, colitis, dehydration, metabolic encephalopathy, malnutrtition and acute kidney injury. CT of the abdomen and pelvis revealed colitis of the proximal and mid sigmoid colon. Her hospital course was protracted with initially persistent fever and sign nausea and severe fatigue. she ultimately underwent sigmoidoscopy with gastroenterology which revealed ulcerative colitis.  She was started on iv steroids and ultimately discharged home on oral steroids and rectal steroids and antibiotics to follow up with GI as out pt. she was seen throughout her hospital course by GI, general surgery and infectious disease. she denies prior hx of covid 19. she was discharged home on 8/1/21. her wbc on discharge was 10..1 but she continues to have neutrophilia and lymphopenia.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Malnutrition, Metabolic encephalopathy, Nausea, Neutrophilia, Platelet count increased
Clinical narrative: Pt received her first moderna covid 19 vaccine on 3/2/2021. She never went for her second dose as she feels she went downhill since. Pt has no significant medical problems  other than chronic, mild normocytic anemia, alopecia and vit D deficiency and was on no medications prior other than vitamin D prior to admission. She considered herself active and healthy. After her vaccination she was diagnosed with 2 urinary tract infections and  she also began having poor appetite and abdominal complaints which continued to progress to the point she presented to our emergency room  on 7/25/21 after sustaining an over 20lb weight loss with complaints of poor appetite, abdominal pain, significant nausea, shaking chills, fever, blood in her stool and severe fatigue. She was also recently diagnosed with 2 urinary tract infections of which she has never had before in her life recently treated with bactrim and then ciprofloxacin antibiotics. She was admitted to the hospital with severe sepsis with wbc of 27,000 with left shift, thrombocytosis with platelets of 616,000, colitis, dehydration, metabolic encephalopathy, malnutrtition and acute kidney injury. CT of the abdomen and pelvis revealed colitis of the proximal and mid sigmoid colon. Her hospital course was protracted with initially persistent fever and sign nausea and severe fatigue. she ultimately underwent sigmoidoscopy with gastroenterology which revealed ulcerative colitis.  She was started on iv steroids and ultimately discharged home on oral steroids and rectal steroids and antibiotics to follow up with GI as out pt. she was seen throughout her hospital course by GI, general surgery and infectious disease. she denies prior hx of covid 19. she was discharged home on 8/1/21. her wbc on discharge was 10..1 but she continues to have neutrophilia and lymphopenia.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Sepsis, Sigmoidoscopy abnormal, Thrombocytosis
Clinical narrative: Pt received her first moderna covid 19 vaccine on 3/2/2021. She never went for her second dose as she feels she went downhill since. Pt has no significant medical problems  other than chronic, mild normocytic anemia, alopecia and vit D deficiency and was on no medications prior other than vitamin D prior to admission. She considered herself active and healthy. After her vaccination she was diagnosed with 2 urinary tract infections and  she also began having poor appetite and abdominal complaints which continued to progress to the point she presented to our emergency room  on 7/25/21 after sustaining an over 20lb weight loss with complaints of poor appetite, abdominal pain, significant nausea, shaking chills, fever, blood in her stool and severe fatigue. She was also recently diagnosed with 2 urinary tract infections of which she has never had before in her life recently treated with bactrim and then ciprofloxacin antibiotics. She was admitted to the hospital with severe sepsis with wbc of 27,000 with left shift, thrombocytosis with platelets of 616,000, colitis, dehydration, metabolic encephalopathy, malnutrtition and acute kidney injury. CT of the abdomen and pelvis revealed colitis of the proximal and mid sigmoid colon. Her hospital course was protracted with initially persistent fever and sign nausea and severe fatigue. she ultimately underwent sigmoidoscopy with gastroenterology which revealed ulcerative colitis.  She was started on iv steroids and ultimately discharged home on oral steroids and rectal steroids and antibiotics to follow up with GI as out pt. she was seen throughout her hospital course by GI, general surgery and infectious disease. she denies prior hx of covid 19. she was discharged home on 8/1/21. her wbc on discharge was 10..1 but she continues to have neutrophilia and lymphopenia.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, White blood cell count increased
Clinical narrative: Pt received her first moderna covid 19 vaccine on 3/2/2021. She never went for her second dose as she feels she went downhill since. Pt has no significant medical problems  other than chronic, mild normocytic anemia, alopecia and vit D deficiency and was on no medications prior other than vitamin D prior to admission. She considered herself active and healthy. After her vaccination she was diagnosed with 2 urinary tract infections and  she also began having poor appetite and abdominal complaints which continued to progress to the point she presented to our emergency room  on 7/25/21 after sustaining an over 20lb weight loss with complaints of poor appetite, abdominal pain, significant nausea, shaking chills, fever, blood in her stool and severe fatigue. She was also recently diagnosed with 2 urinary tract infections of which she has never had before in her life recently treated with bactrim and then ciprofloxacin antibiotics. She was admitted to the hospital with severe sepsis with wbc of 27,000 with left shift, thrombocytosis with platelets of 616,000, colitis, dehydration, metabolic encephalopathy, malnutrtition and acute kidney injury. CT of the abdomen and pelvis revealed colitis of the proximal and mid sigmoid colon. Her hospital course was protracted with initially persistent fever and sign nausea and severe fatigue. she ultimately underwent sigmoidoscopy with gastroenterology which revealed ulcerative colitis.  She was started on iv steroids and ultimately discharged home on oral steroids and rectal steroids and antibiotics to follow up with GI as out pt. she was seen throughout her hospital course by GI, general surgery and infectious disease. she denies prior hx of covid 19. she was discharged home on 8/1/21. her wbc on discharge was 10..1 but she continues to have neutrophilia and lymphopenia.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: An area of erythema 50 x 30 mm developed on the skin over the right deltoid nearly 6 months after the 2nd dose of Moderna. The area is slightly tender to touch. The area is slightly raised. First dose given on the right arm on 21 Jan 2021. Second dose given on left arm on 19 Feb 2021. The erythema has mild pruritis. No other systemic symptoms. No medical care sought for the erythema at this point.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Scar, Stomatitis
Clinical narrative: Sores in mouth. Mostly on roof of mouth. Very painful, lasted about 10 days and caused indents in the roof of my mouth like scars. Frequent severe headaches, happening 3-4 times a weeks, this is still on going.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: Brain fog for hours after receiving vaccine.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy artery, Blindness unilateral, Condition aggravated, Disability, Hypersomnia
Clinical narrative: HE ALREADY HAD OCASSIONAL MIGRAINES. THIS ONE STARTED AFTER THE VACCINE, AND HAS NOW BEEN 12 WEEKS +/-  THREE HOSPITALIZATIONS PLUS EMERGENCY ROOM VISITS, LOSS OF VISION IN LEFT EYE. NO RELIEF. PAIN STILL BETWEEN 8-10. BEEN ON EVERY DRUG IMAGINABLE. MANY TESTS. THEY RECENTLY TOOK A BIOPSY OF ARTERY IN HEAD. COMPLETELY DISABLED. SLEEPS AROUND THE CLOCK.  I DO NOT HAVE HIS CARD, HE DOES, the date and times are approximate.I CAN PROVIDE FURTHER INFORMATION. he is incapacitated and asleep. I can give exact dates times ets and batch number once I am contacted and hes awake
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Pain
Clinical narrative: HE ALREADY HAD OCASSIONAL MIGRAINES. THIS ONE STARTED AFTER THE VACCINE, AND HAS NOW BEEN 12 WEEKS +/-  THREE HOSPITALIZATIONS PLUS EMERGENCY ROOM VISITS, LOSS OF VISION IN LEFT EYE. NO RELIEF. PAIN STILL BETWEEN 8-10. BEEN ON EVERY DRUG IMAGINABLE. MANY TESTS. THEY RECENTLY TOOK A BIOPSY OF ARTERY IN HEAD. COMPLETELY DISABLED. SLEEPS AROUND THE CLOCK.  I DO NOT HAVE HIS CARD, HE DOES, the date and times are approximate.I CAN PROVIDE FURTHER INFORMATION. he is incapacitated and asleep. I can give exact dates times ets and batch number once I am contacted and hes awake
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Patient was given Pfizer vaccine without diluting.  Was also given 0.5ml verses the 0.3ml ordered.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Syncope, Unresponsive to stimuli, Vomiting
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: PT fainted shortly after receiving COVID vaccine. PT and mom reported after fainting that patient has a fear of needles and has a history of fainting after having blood drawn. Patient was observed for an additional 15 minutes before leaving and both PT and mom reported she felt fine and declined emergency medical attention.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Hypotension, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Adenocarcinoma, Aortic arteriosclerosis, Arteriosclerosis, Aspiration pleural cavity
Clinical narrative: Pt was vaccinated with her 2nd covid 19 vaccine on 2/19/2021. she presented to the emergency room on 7/23/21 with her daughter c/o abdominal pain, persistent nausea and poor appetite and a 20 lb weight loss since May along with new, progressive shortness of breath and fatigue. She also mentioned noticing in the last few months that her left breast seemed sore and more firm than before. She was found to have a large L sided pleural effusion. CT abdomen and pelvis revealed no significant findings to cause her symptoms other than the large pleural effusion. multiple sclerotic lesions were seen on the chest CT suggesting metastatic disease.  She underwent thorocentesis. cytology revealed  ADENOCARCINOMA likely of breast origin. she was discharged home on 7/27/21 to follow up with oncology.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Breast induration, Breast pain, Computerised tomogram abdomen abnormal, Computerised tomogram pelvis abnormal
Clinical narrative: Pt was vaccinated with her 2nd covid 19 vaccine on 2/19/2021. she presented to the emergency room on 7/23/21 with her daughter c/o abdominal pain, persistent nausea and poor appetite and a 20 lb weight loss since May along with new, progressive shortness of breath and fatigue. She also mentioned noticing in the last few months that her left breast seemed sore and more firm than before. She was found to have a large L sided pleural effusion. CT abdomen and pelvis revealed no significant findings to cause her symptoms other than the large pleural effusion. multiple sclerotic lesions were seen on the chest CT suggesting metastatic disease.  She underwent thorocentesis. cytology revealed  ADENOCARCINOMA likely of breast origin. she was discharged home on 7/27/21 to follow up with oncology.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Cytology abnormal, Decreased appetite, Dyspnoea, Fatigue
Clinical narrative: Pt was vaccinated with her 2nd covid 19 vaccine on 2/19/2021. she presented to the emergency room on 7/23/21 with her daughter c/o abdominal pain, persistent nausea and poor appetite and a 20 lb weight loss since May along with new, progressive shortness of breath and fatigue. She also mentioned noticing in the last few months that her left breast seemed sore and more firm than before. She was found to have a large L sided pleural effusion. CT abdomen and pelvis revealed no significant findings to cause her symptoms other than the large pleural effusion. multiple sclerotic lesions were seen on the chest CT suggesting metastatic disease.  She underwent thorocentesis. cytology revealed  ADENOCARCINOMA likely of breast origin. she was discharged home on 7/27/21 to follow up with oncology.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Immunohistochemistry, Metastatic neoplasm, Nausea, Nephrolithiasis, Oestrogen receptor assay positive
Clinical narrative: Pt was vaccinated with her 2nd covid 19 vaccine on 2/19/2021. she presented to the emergency room on 7/23/21 with her daughter c/o abdominal pain, persistent nausea and poor appetite and a 20 lb weight loss since May along with new, progressive shortness of breath and fatigue. She also mentioned noticing in the last few months that her left breast seemed sore and more firm than before. She was found to have a large L sided pleural effusion. CT abdomen and pelvis revealed no significant findings to cause her symptoms other than the large pleural effusion. multiple sclerotic lesions were seen on the chest CT suggesting metastatic disease.  She underwent thorocentesis. cytology revealed  ADENOCARCINOMA likely of breast origin. she was discharged home on 7/27/21 to follow up with oncology.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Umbilical hernia, Weight decreased
Clinical narrative: Pt was vaccinated with her 2nd covid 19 vaccine on 2/19/2021. she presented to the emergency room on 7/23/21 with her daughter c/o abdominal pain, persistent nausea and poor appetite and a 20 lb weight loss since May along with new, progressive shortness of breath and fatigue. She also mentioned noticing in the last few months that her left breast seemed sore and more firm than before. She was found to have a large L sided pleural effusion. CT abdomen and pelvis revealed no significant findings to cause her symptoms other than the large pleural effusion. multiple sclerotic lesions were seen on the chest CT suggesting metastatic disease.  She underwent thorocentesis. cytology revealed  ADENOCARCINOMA likely of breast origin. she was discharged home on 7/27/21 to follow up with oncology.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Chest discomfort, Chest pain, Chills, Flushing
Clinical narrative: Systemic: Abdominal Pain-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Mild, Systemic: Shakiness-Mild
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Hypotension, Nausea, Syncope, Tremor
Clinical narrative: Systemic: Abdominal Pain-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Mild, Systemic: Shakiness-Mild
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Abdominal Pain-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Mild, Systemic: Shakiness-Mild
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Electroencephalogram, Full blood count, Loss of consciousness
Clinical narrative: Systemic: Abdominal Pain-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Mild, Systemic: Shakiness-Mild
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Seizure like phenomena
Clinical narrative: Systemic: Abdominal Pain-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Mild, Systemic: Shakiness-Mild
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Error: Patient too young for vaccine administered.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling abnormal, Headache, Incomplete course of vaccination, Influenza
Clinical narrative: Received vaccine late afternoon (3PM);  came home and began feeling tired and very achy.  By 8PM, I felt as though I had the flu, severe muscle aches, terrible headache.  Tried to go to bed but the pain was so severe, I did not sleep all night.  The next day, I still felt very bad and called my rheumatologist, and they said the severe reactions were not unusual given my condition with RA.  No one advised me about the reaction I might have.  The next day I felt better, but by midmorning, again the pain became severe, and headaches returned.  It has been very bad and I will not be receiving the next dose.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pain, Sleep disorder
Clinical narrative: Received vaccine late afternoon (3PM);  came home and began feeling tired and very achy.  By 8PM, I felt as though I had the flu, severe muscle aches, terrible headache.  Tried to go to bed but the pain was so severe, I did not sleep all night.  The next day, I still felt very bad and called my rheumatologist, and they said the severe reactions were not unusual given my condition with RA.  No one advised me about the reaction I might have.  The next day I felt better, but by midmorning, again the pain became severe, and headaches returned.  It has been very bad and I will not be receiving the next dose.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Lethargy, Nausea, Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: Patient felt nauseous and vomited so I called 911 and patient was picked up by ambulance
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: She got fainted for 10 second and then regained conciousness. Store called 911 , and they come and checked her
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Rash
Clinical narrative: Unable to move arm and large rash covered entire upper arm
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Error: Patient Too Young for Vaccine Administered-
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Error: Patient Too Young for Vaccine Administered-
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Blood creatinine increased, Brain natriuretic peptide increased, Cardiac failure, Cardiovascular evaluation
Clinical narrative: Patient is a 67-year-old male with past medical history of tobacco use who initially presented to the hospital on 7/27/2021 due to complaints of shortness of breath and worsening leg swelling ongoing  and progressing for around 6 weeks and was found to have new onset heart failure.  He was vaccinated for covid 19 on 3/8/21 and otherwise has had no medical care or blood work in a long time. He was transferred to another hospital for further cardiac evaluation. He was diagnosed with. New-onset systolic and diastolic heart failure -TTE done 7/27/21 showing EF of 45% with global hypokinesis.  LVH with significant diastolic dysfunction. Troponin negative. BNP >1900 -Received diuresis with IV Lasix 40 mg IV daily with improvement in shortness of breath and LE swelling.  Subsequently held diuresis when Creatinine  trended up -Status post Right heart catheterization on 7/30 which showed normal filling pressures and borderline mild pulmonary hypertension. -Cardiology recommended Left heart catheterization but both patient and son wanted to do conservative/medical management for now due to significant kidney dysfunction and risk for being on dialysis. -He was startd on aspirin and high intensity statin. along with Toprol, Hydralazine, Imdur.  -Renal ultrasound showing medical renal disease.  Urine protein to creatinine ratio showing some proteinuria.  Anemia -likely of Chronic renal disease. hemoglobin was stable. He was discharged on 7/31/21 home to follow up with nephrology and cardiology  Pt was also complaining of new hemoptysis and cough.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac abnormal, Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal, Cough, Diastolic dysfunction
Clinical narrative: Patient is a 67-year-old male with past medical history of tobacco use who initially presented to the hospital on 7/27/2021 due to complaints of shortness of breath and worsening leg swelling ongoing  and progressing for around 6 weeks and was found to have new onset heart failure.  He was vaccinated for covid 19 on 3/8/21 and otherwise has had no medical care or blood work in a long time. He was transferred to another hospital for further cardiac evaluation. He was diagnosed with. New-onset systolic and diastolic heart failure -TTE done 7/27/21 showing EF of 45% with global hypokinesis.  LVH with significant diastolic dysfunction. Troponin negative. BNP >1900 -Received diuresis with IV Lasix 40 mg IV daily with improvement in shortness of breath and LE swelling.  Subsequently held diuresis when Creatinine  trended up -Status post Right heart catheterization on 7/30 which showed normal filling pressures and borderline mild pulmonary hypertension. -Cardiology recommended Left heart catheterization but both patient and son wanted to do conservative/medical management for now due to significant kidney dysfunction and risk for being on dialysis. -He was startd on aspirin and high intensity statin. along with Toprol, Hydralazine, Imdur.  -Renal ultrasound showing medical renal disease.  Urine protein to creatinine ratio showing some proteinuria.  Anemia -likely of Chronic renal disease. hemoglobin was stable. He was discharged on 7/31/21 home to follow up with nephrology and cardiology  Pt was also complaining of new hemoptysis and cough.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Ejection fraction decreased, Fluid overload, Haemoglobin normal
Clinical narrative: Patient is a 67-year-old male with past medical history of tobacco use who initially presented to the hospital on 7/27/2021 due to complaints of shortness of breath and worsening leg swelling ongoing  and progressing for around 6 weeks and was found to have new onset heart failure.  He was vaccinated for covid 19 on 3/8/21 and otherwise has had no medical care or blood work in a long time. He was transferred to another hospital for further cardiac evaluation. He was diagnosed with. New-onset systolic and diastolic heart failure -TTE done 7/27/21 showing EF of 45% with global hypokinesis.  LVH with significant diastolic dysfunction. Troponin negative. BNP >1900 -Received diuresis with IV Lasix 40 mg IV daily with improvement in shortness of breath and LE swelling.  Subsequently held diuresis when Creatinine  trended up -Status post Right heart catheterization on 7/30 which showed normal filling pressures and borderline mild pulmonary hypertension. -Cardiology recommended Left heart catheterization but both patient and son wanted to do conservative/medical management for now due to significant kidney dysfunction and risk for being on dialysis. -He was startd on aspirin and high intensity statin. along with Toprol, Hydralazine, Imdur.  -Renal ultrasound showing medical renal disease.  Urine protein to creatinine ratio showing some proteinuria.  Anemia -likely of Chronic renal disease. hemoglobin was stable. He was discharged on 7/31/21 home to follow up with nephrology and cardiology  Pt was also complaining of new hemoptysis and cough.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoptysis, Left ventricular failure, Left ventricular hypertrophy, Lung hyperinflation, Nephropathy
Clinical narrative: Patient is a 67-year-old male with past medical history of tobacco use who initially presented to the hospital on 7/27/2021 due to complaints of shortness of breath and worsening leg swelling ongoing  and progressing for around 6 weeks and was found to have new onset heart failure.  He was vaccinated for covid 19 on 3/8/21 and otherwise has had no medical care or blood work in a long time. He was transferred to another hospital for further cardiac evaluation. He was diagnosed with. New-onset systolic and diastolic heart failure -TTE done 7/27/21 showing EF of 45% with global hypokinesis.  LVH with significant diastolic dysfunction. Troponin negative. BNP >1900 -Received diuresis with IV Lasix 40 mg IV daily with improvement in shortness of breath and LE swelling.  Subsequently held diuresis when Creatinine  trended up -Status post Right heart catheterization on 7/30 which showed normal filling pressures and borderline mild pulmonary hypertension. -Cardiology recommended Left heart catheterization but both patient and son wanted to do conservative/medical management for now due to significant kidney dysfunction and risk for being on dialysis. -He was startd on aspirin and high intensity statin. along with Toprol, Hydralazine, Imdur.  -Renal ultrasound showing medical renal disease.  Urine protein to creatinine ratio showing some proteinuria.  Anemia -likely of Chronic renal disease. hemoglobin was stable. He was discharged on 7/31/21 home to follow up with nephrology and cardiology  Pt was also complaining of new hemoptysis and cough.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Polyuria, Proteinuria, Pulmonary hypertension, Pulmonary venous hypertension
Clinical narrative: Patient is a 67-year-old male with past medical history of tobacco use who initially presented to the hospital on 7/27/2021 due to complaints of shortness of breath and worsening leg swelling ongoing  and progressing for around 6 weeks and was found to have new onset heart failure.  He was vaccinated for covid 19 on 3/8/21 and otherwise has had no medical care or blood work in a long time. He was transferred to another hospital for further cardiac evaluation. He was diagnosed with. New-onset systolic and diastolic heart failure -TTE done 7/27/21 showing EF of 45% with global hypokinesis.  LVH with significant diastolic dysfunction. Troponin negative. BNP >1900 -Received diuresis with IV Lasix 40 mg IV daily with improvement in shortness of breath and LE swelling.  Subsequently held diuresis when Creatinine  trended up -Status post Right heart catheterization on 7/30 which showed normal filling pressures and borderline mild pulmonary hypertension. -Cardiology recommended Left heart catheterization but both patient and son wanted to do conservative/medical management for now due to significant kidney dysfunction and risk for being on dialysis. -He was startd on aspirin and high intensity statin. along with Toprol, Hydralazine, Imdur.  -Renal ultrasound showing medical renal disease.  Urine protein to creatinine ratio showing some proteinuria.  Anemia -likely of Chronic renal disease. hemoglobin was stable. He was discharged on 7/31/21 home to follow up with nephrology and cardiology  Pt was also complaining of new hemoptysis and cough.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Renal impairment, SARS-CoV-2 test negative, Troponin normal, Ultrasound Doppler, Ultrasound kidney abnormal
Clinical narrative: Patient is a 67-year-old male with past medical history of tobacco use who initially presented to the hospital on 7/27/2021 due to complaints of shortness of breath and worsening leg swelling ongoing  and progressing for around 6 weeks and was found to have new onset heart failure.  He was vaccinated for covid 19 on 3/8/21 and otherwise has had no medical care or blood work in a long time. He was transferred to another hospital for further cardiac evaluation. He was diagnosed with. New-onset systolic and diastolic heart failure -TTE done 7/27/21 showing EF of 45% with global hypokinesis.  LVH with significant diastolic dysfunction. Troponin negative. BNP >1900 -Received diuresis with IV Lasix 40 mg IV daily with improvement in shortness of breath and LE swelling.  Subsequently held diuresis when Creatinine  trended up -Status post Right heart catheterization on 7/30 which showed normal filling pressures and borderline mild pulmonary hypertension. -Cardiology recommended Left heart catheterization but both patient and son wanted to do conservative/medical management for now due to significant kidney dysfunction and risk for being on dialysis. -He was startd on aspirin and high intensity statin. along with Toprol, Hydralazine, Imdur.  -Renal ultrasound showing medical renal disease.  Urine protein to creatinine ratio showing some proteinuria.  Anemia -likely of Chronic renal disease. hemoglobin was stable. He was discharged on 7/31/21 home to follow up with nephrology and cardiology  Pt was also complaining of new hemoptysis and cough.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular hypokinesia
Clinical narrative: Patient is a 67-year-old male with past medical history of tobacco use who initially presented to the hospital on 7/27/2021 due to complaints of shortness of breath and worsening leg swelling ongoing  and progressing for around 6 weeks and was found to have new onset heart failure.  He was vaccinated for covid 19 on 3/8/21 and otherwise has had no medical care or blood work in a long time. He was transferred to another hospital for further cardiac evaluation. He was diagnosed with. New-onset systolic and diastolic heart failure -TTE done 7/27/21 showing EF of 45% with global hypokinesis.  LVH with significant diastolic dysfunction. Troponin negative. BNP >1900 -Received diuresis with IV Lasix 40 mg IV daily with improvement in shortness of breath and LE swelling.  Subsequently held diuresis when Creatinine  trended up -Status post Right heart catheterization on 7/30 which showed normal filling pressures and borderline mild pulmonary hypertension. -Cardiology recommended Left heart catheterization but both patient and son wanted to do conservative/medical management for now due to significant kidney dysfunction and risk for being on dialysis. -He was startd on aspirin and high intensity statin. along with Toprol, Hydralazine, Imdur.  -Renal ultrasound showing medical renal disease.  Urine protein to creatinine ratio showing some proteinuria.  Anemia -likely of Chronic renal disease. hemoglobin was stable. He was discharged on 7/31/21 home to follow up with nephrology and cardiology  Pt was also complaining of new hemoptysis and cough.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Flushing, Hyperhidrosis, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient complained of throat tightness and stomach tightness. He did not have trouble breathing. Epi-pen was ready to go once signs of trouble breathing presented. He did not want to wait and asked us to call 911. Upon arrival of paramedics, vitals were all normal with no signs of distress other than throat tightness. Bp and oxygen levels were all normal. Patient wanted to go to ER to rule out anaphylactic reaction.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster Given Too Early-
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT FELL IN AISLE OF STORE  A FEW STEPS AFTER LEAVING VACCINATION AREA. EMT'S RESPONDED AND TOOK VITALS. PATIENT RESPONDED WELL AND WAS ABLE TO LEAVE STORE WALKING UNDER HIS OWN POWER WITH EMT'S
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test positive, Bowel preparation, Drug hypersensitivity, Dyspnoea, Erythema
Clinical narrative: During Colonoscopy prep after drinking first 8 ounce dose of Miralax / Gatorade solution began to get hot, couldn't breath, called the doctors office, while on hold passed out and cracked open my head.  Woke up on the floor called doctors office again, Son came home called 911.  By the time I was in the ambulance I had hives over 90% of my body and skin was bright red.  They used an EPI and benadryl before transport to the ER.  Ended with  Staple in skull, stopped taking all medications.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling hot, Head injury, Loss of consciousness, Reaction to excipient, Skin laceration
Clinical narrative: During Colonoscopy prep after drinking first 8 ounce dose of Miralax / Gatorade solution began to get hot, couldn't breath, called the doctors office, while on hold passed out and cracked open my head.  Woke up on the floor called doctors office again, Son came home called 911.  By the time I was in the ambulance I had hives over 90% of my body and skin was bright red.  They used an EPI and benadryl before transport to the ER.  Ended with  Staple in skull, stopped taking all medications.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Surgical stapling, Urticaria
Clinical narrative: During Colonoscopy prep after drinking first 8 ounce dose of Miralax / Gatorade solution began to get hot, couldn't breath, called the doctors office, while on hold passed out and cracked open my head.  Woke up on the floor called doctors office again, Son came home called 911.  By the time I was in the ambulance I had hives over 90% of my body and skin was bright red.  They used an EPI and benadryl before transport to the ER.  Ended with  Staple in skull, stopped taking all medications.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Error: Patient too young for vaccine administered.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Nausea, Pyrexia
Clinical narrative: Starting at 3AM on Feb 14th 2021 I woke up with a fever of 105.  I also was very nauseated. I took advil and the fever came down to 103 but within an hour it was back to 105.  This was a Sunday so I called the the Drs office and got the dr on call.  I do not remember his name. He told me to take Tylenol and wrote me a prescription for an anti nausea drug that you put under the tongue.  The anti nausea drug worked great but the Tylenol did nothing for the fever.  The physician suggested going to the emergency room but I was too sick to wait in a lobby.  I kept taking Advil and after 12 hours my fever came down to 101.  After 19 hours I was symptom free.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Dizziness, Nausea
Clinical narrative: Minor fever, body/joint aches, cold chills, light-headed, nausea, diarrhea, vomiting.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Minor fever, body/joint aches, cold chills, light-headed, nausea, diarrhea, vomiting.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine, Pityriasis rosea, Rash
Clinical narrative: Ice pick headache daily for 1 week after first vaccine. No reoccurance after second vaccine.  Pityriasis rosea Herald patch developed 2 days after first vaccine. Rash over trunk developed over trunk of body 3 days after second vaccine. Both are still present (rash still growing) 3 weeks after second vaccine.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none at the time
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Flushing, Heart rate decreased
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness /Lightheadedness-Mild, Systemic: Flushed/Sweating-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Mild. Additional Details: Patient vomited. Face white; pulse low; SP02 okay; dizziness; sweating; gave patient water; laid him down on mat; elevated feet;  sat with him for 20 minutes; monitored SP02 and pulse several times. Patient felt better after 20 minutes. Known history per patient of having this reaction from shots.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pallor, Tremor, Vomiting
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness /Lightheadedness-Mild, Systemic: Flushed/Sweating-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Mild. Additional Details: Patient vomited. Face white; pulse low; SP02 okay; dizziness; sweating; gave patient water; laid him down on mat; elevated feet;  sat with him for 20 minutes; monitored SP02 and pulse several times. Patient felt better after 20 minutes. Known history per patient of having this reaction from shots.
Age: 58.0
Sex: F
Vaccine: MMR
Symptoms: Headache, Joint swelling
Clinical narrative: 7/30/21: LEFT ANKLE SWELLED UP AND HAD A HEADACHE. SYMPTOMS LASTED 5 DAYS (UNTIL 8/4/21)
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive for Covid 19
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Enlarged uvula, Fatigue, Mouth ulceration, Swollen tongue
Clinical narrative: Swollen Uvula, swollen tongue, ulcers in mouth and uvula, fatigue
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pyrexia
Clinical narrative: Woke up every muscle hurt I was chilled and extremely exhausted.  By 3:30-4:00 pm I ran a fever of 100.9 it finally broke about 9:30pm  I am feeling fine today August 5 2021.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Injection site soreness one day later (without redness)
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 19.0
Sex: M
Vaccine: UNK
Symptoms: Blood glucose normal, Cold sweat, Dizziness, Fall, Hyperhidrosis
Clinical narrative: After a minute of receiving the Pfizer Covid-19 vaccine, the patient felt lightheaded and proceeded to stand up and walk back to open the door to the pharmacy clinical room.  The patient passed out and fell hitting his head on the counter and then landed on the floor.  The patient lost consciousness for only a few seconds not remember or noticed hitting his head.  The patient's skin then became cold and clammy and he began sweating.  one 16 ounce water bottle was administered.  The patients feet were elevated and a pillow was placed under his head.  After 3-4 minutes he was helped up and sat down in a nearby chair.  Within a minute, the patient's face appeared pale and white.  He alerted us that he wasn't "feeling well" and wanted to lie back down.  He was then helped back down elevating his feet and placing a pillow under his head.  Vitals were administered by the Emergency team that had just arrived.  Blood sugar was normal and heart rhythms and blood pressure measured normal.   After about 10 minutes that patient felt normal and was able to stand and walk on his own.
Age: 19.0
Sex: M
Vaccine: UNK
Symptoms: Loss of consciousness, Malaise, Pallor, Peripheral coldness
Clinical narrative: After a minute of receiving the Pfizer Covid-19 vaccine, the patient felt lightheaded and proceeded to stand up and walk back to open the door to the pharmacy clinical room.  The patient passed out and fell hitting his head on the counter and then landed on the floor.  The patient lost consciousness for only a few seconds not remember or noticed hitting his head.  The patient's skin then became cold and clammy and he began sweating.  one 16 ounce water bottle was administered.  The patients feet were elevated and a pillow was placed under his head.  After 3-4 minutes he was helped up and sat down in a nearby chair.  Within a minute, the patient's face appeared pale and white.  He alerted us that he wasn't "feeling well" and wanted to lie back down.  He was then helped back down elevating his feet and placing a pillow under his head.  Vitals were administered by the Emergency team that had just arrived.  Blood sugar was normal and heart rhythms and blood pressure measured normal.   After about 10 minutes that patient felt normal and was able to stand and walk on his own.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster Given Too Early-
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling on (L)  hand 3rd and 4th digit
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Injection site bruising
Clinical narrative: Site: Bruising at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Extremely swollen and painful lymph note under arm. Golf ball sized.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dysphagia, Dyspnoea, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Additional Details: patient got vaccine at our store but called another store to report adverse reaction. other store called us to have us report allergic reaction
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Heart rate decreased, Hypotension
Clinical narrative: shortness of breath with oxygen saturation of 84% low heart rate 42 low blood pressure 90/60
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor, Syncope
Clinical narrative: AT THE END OF THE WAITING PERIOD, PATIENT BECAME PALE, VERY DIZZY AND FAINT, ALONG WITH HEAVY SWEATING.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient was given vaccine, was okay and then about 5  minutes after vaccine passed out.  We had check her vitals and blood pressure was 96/60 and hr 84 O2 sat 100
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Muscle tightness
Clinical narrative: I received second vaccine Friday 7/30/21 at 1600.  Approximately  24 hours after, I was experiencing SOB.  Intense tightening of chest muscles/ rib cage down to lower back. This continued/worsening. Sunday am  reached out to  primary Md. I was advised to go to ER. Worked up to R/O PE as well as MI. Also COVID neg.  DC on Robaxin  and ibuprofen.  SOB continues. Can not catch my breath.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash
Clinical narrative: Fever and body aches started day after injection, last for 2 days, third morning woke up with rash to both arms. Taking tylenol and benadryl.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Confusional state, Dizziness, Fatigue, Feeling cold
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: COLD AND CLAMMY SKIN-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Severe, Systemic: Visual Changes/Disturbances-Mild