chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: 49-year-old male presents for chest pain dizziness and a syncopal episode. Patient states he had a ostomy placed in November for bowel obstruction. He has noticed significant increase in the output from his ostomy. He believes he is getting dehydrated. He's having dizziness and feels like he is going to pass out when he stands up quickly. He did actually have one episode of syncope an hour ago after standing up quickly. He also admits that he said some intermittent tightness since midnight on the left side of his chest. He said some mild shortness of breath. Denies any black or bloody stools. Denies cough cold or covid symptoms. No other aggravating or alleviating factors. No other complaints
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Angiogram, Blood creatinine increased, COVID-19, Catheterisation cardiac
Clinical narrative: 90/F recently left AMA after being admitted for anemia, received PRBC. Patient was subsequently admitted to the hospital where she was evaluated for TAVR (she has severe AS) and underwent cardiac cath and CT angiogram mid december. her renal function was normal at time of discharge on 12/24. serum creatinine was 1.3 on 12/28 Her TAVR was not done because she did not do her anemia workup including colonoscopy
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Packed red blood cell transfusion, Renal function test normal, SARS-CoV-2 test positive
Clinical narrative: 90/F recently left AMA after being admitted for anemia, received PRBC. Patient was subsequently admitted to the hospital where she was evaluated for TAVR (she has severe AS) and underwent cardiac cath and CT angiogram mid december. her renal function was normal at time of discharge on 12/24. serum creatinine was 1.3 on 12/28 Her TAVR was not done because she did not do her anemia workup including colonoscopy
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Administered at age 15. At time of administration was not approved for age. No adverse symptoms identified.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Employee's mother tested positive for COVID, so she did a rapid home test and tested positive.  Asymptomatic
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Death, General physical health deterioration
Clinical narrative: Resident was on Hospice Care due to declining health.  Resident expired at 9:30am on 1/6/2022
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Chest discomfort, Dizziness, Hypoaesthesia, Pain in extremity
Clinical narrative: Pt felt lightheaded and was pale about 10 minutes following vaccine. We laid him down in trendelenberg and he began to complain of numbness and tingling in feet, legs, hands and arms. Carpal spasms began in both hands. We placed him on O2 and enougraged deep breathing, including into a paper bag. He continued to experience symptoms and then complained of abdominal pain, which progressed to chest pressure. EMS was called at that point, an IV was started. On arrival of EMS, patient was feeling slightly better and patient and his family declined transport. Vital signs were stable throughout. WIthin about one hour patient felt "100% better" and was discharged home with family. Walked to car in stable condition.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Paraesthesia
Clinical narrative: Pt felt lightheaded and was pale about 10 minutes following vaccine. We laid him down in trendelenberg and he began to complain of numbness and tingling in feet, legs, hands and arms. Carpal spasms began in both hands. We placed him on O2 and enougraged deep breathing, including into a paper bag. He continued to experience symptoms and then complained of abdominal pain, which progressed to chest pressure. EMS was called at that point, an IV was started. On arrival of EMS, patient was feeling slightly better and patient and his family declined transport. Vital signs were stable throughout. WIthin about one hour patient felt "100% better" and was discharged home with family. Walked to car in stable condition.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood potassium, COVID-19, Chest X-ray abnormal, Chills
Clinical narrative: 86 yr old male medical hx of DM, htn and afib comes in for eval of virallike symptoms, fever, chiolls, body aches, hemoptysis and hypoxia. Pt found to be covid positive. He is vaccinated. CXR revealed bilat pulm infiltrates. He was Hypoxic 85 rmbair started on NC 4L. EKG afib 160's started on cardizem gtt. Pt received IV solumedrol, rocephin and azithromax in ER as well.   During assessment in the ER the pt required additional oxygen now on nonrebreather 100% o2 sats increased to 97%, His hrremianed uncontrolled on 15 ml of cardizem gtt, pt to receive bolus will check stat cta rule out PE. Potassium replaced and will add on mag and ddimer. Pt admission upgraded to Step down
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Electrocardiogram abnormal, Haemoptysis, Hypoxia, Lung infiltration
Clinical narrative: 86 yr old male medical hx of DM, htn and afib comes in for eval of virallike symptoms, fever, chiolls, body aches, hemoptysis and hypoxia. Pt found to be covid positive. He is vaccinated. CXR revealed bilat pulm infiltrates. He was Hypoxic 85 rmbair started on NC 4L. EKG afib 160's started on cardizem gtt. Pt received IV solumedrol, rocephin and azithromax in ER as well.   During assessment in the ER the pt required additional oxygen now on nonrebreather 100% o2 sats increased to 97%, His hrremianed uncontrolled on 15 ml of cardizem gtt, pt to receive bolus will check stat cta rule out PE. Potassium replaced and will add on mag and ddimer. Pt admission upgraded to Step down
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation increased, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 86 yr old male medical hx of DM, htn and afib comes in for eval of virallike symptoms, fever, chiolls, body aches, hemoptysis and hypoxia. Pt found to be covid positive. He is vaccinated. CXR revealed bilat pulm infiltrates. He was Hypoxic 85 rmbair started on NC 4L. EKG afib 160's started on cardizem gtt. Pt received IV solumedrol, rocephin and azithromax in ER as well.   During assessment in the ER the pt required additional oxygen now on nonrebreather 100% o2 sats increased to 97%, His hrremianed uncontrolled on 15 ml of cardizem gtt, pt to receive bolus will check stat cta rule out PE. Potassium replaced and will add on mag and ddimer. Pt admission upgraded to Step down
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pregnancy test negative, Urinary tract infection, Urine analysis
Clinical narrative: Extreme dizziness (1/6/22 onset, lasting for hours at a time) Back pain (7/10 pain scale, 1/4/22 onset, lasting for 3 days) UTI (asymptomatic, unknown onset, prescribed cephalexin for 7 days)  Determined that the dizziness was from starting buspirone on 1/1/22 immediately after stopping Zoloft. Patient instructed to stop buspirone and restart Zoloft on 1/6/22. Back pain was attributed to PMS.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive on binax rapid antigent test 1/6/2022, asymptomatic
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 13 year old received the pediatric COVID 19 vaccine for her 2nd primary dose.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient 17 years old and 7 months received Moderna instead of Pfizer.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Essential tremor
Clinical narrative: Onset of Essential Tremor.  Has increased in frequency with 2nd injection on 03/10/2021 and with Booster injection on 12/22/2021. Most pronounced in left hand, noting injection was left arm. I believe it was intramuscular but cannot confirm. Injection 1 and 2 were given under auspices of local Health Department with assistance at a Church within our location.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Dizziness, Electrocardiogram normal, Fatigue, Influenza like illness
Clinical narrative: A week after receiving my booster, I woke up and felt pretty tired. I started my shower and felt like I was going to pass out. I hurried my shower and looked in the mirror and noticed my face was gray. I tried to lay down to see if that would help, but it didn't. I called my husband and he came home and called 911 for me. They took me to the Medical Center where they did a complete work up, but they were not able to find anything wrong. I did dry heave a bit, but nothing came up. I was released to go home and eventually started feeling better. A couple of days ago, I started my period and I woke up with severe uterine pain. I usually have normal cycles without this type of pain. I took Tylenol and felt like I was okay. I felt better so I went to work. While inside performing my job I started feeling light headed and took a step outside for about ten minutes. I wasn't feeling any better so I called work and they told me to stop work for the day. I had to call out of work yesterday because I was experiencing a fever the night before and felt like I had flu symptoms. My fever didn't go above 99 degrees and the following day, I felt normal.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Pyrexia, Retching, Urine analysis normal, Uterine pain
Clinical narrative: A week after receiving my booster, I woke up and felt pretty tired. I started my shower and felt like I was going to pass out. I hurried my shower and looked in the mirror and noticed my face was gray. I tried to lay down to see if that would help, but it didn't. I called my husband and he came home and called 911 for me. They took me to the Medical Center where they did a complete work up, but they were not able to find anything wrong. I did dry heave a bit, but nothing came up. I was released to go home and eventually started feeling better. A couple of days ago, I started my period and I woke up with severe uterine pain. I usually have normal cycles without this type of pain. I took Tylenol and felt like I was okay. I felt better so I went to work. While inside performing my job I started feeling light headed and took a step outside for about ten minutes. I wasn't feeling any better so I called work and they told me to stop work for the day. I had to call out of work yesterday because I was experiencing a fever the night before and felt like I had flu symptoms. My fever didn't go above 99 degrees and the following day, I felt normal.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood potassium increased, Body temperature increased, Chest X-ray abnormal, Culture
Clinical narrative: This is a 71 year old male with PMH/PSH below presents to the ED for evaluation of altered mental status. Pt appears lethergic. All information obtained from the medical records and nursing. As per the record, EMS was called after missing a dialysis appointment. Patient has a left arm fistula for dialysis access. In the ED patient was afebrile. T-max 101. Vitals stable. Initial chemistry was hemolyzed. Repeat chemistry shows potassium of 6.0., creatinine 7.2. Patient has scheduled home dialysis on Tu, Thurs, Sat. As per Home Dialysis nurse, patient had missed his last dialysis treatment since Friday. In the ED, patient was pan-cultured and was started on Levaquin empirically. Chest x-ray shows Bilateral infiltrates with no effusions. Patient is currently getting hemodialysis.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Haemodialysis, Lethargy, Lung infiltration, Medical device site fistula, Mental status changes
Clinical narrative: This is a 71 year old male with PMH/PSH below presents to the ED for evaluation of altered mental status. Pt appears lethergic. All information obtained from the medical records and nursing. As per the record, EMS was called after missing a dialysis appointment. Patient has a left arm fistula for dialysis access. In the ED patient was afebrile. T-max 101. Vitals stable. Initial chemistry was hemolyzed. Repeat chemistry shows potassium of 6.0., creatinine 7.2. Patient has scheduled home dialysis on Tu, Thurs, Sat. As per Home Dialysis nurse, patient had missed his last dialysis treatment since Friday. In the ED, patient was pan-cultured and was started on Levaquin empirically. Chest x-ray shows Bilateral infiltrates with no effusions. Patient is currently getting hemodialysis.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Therapy interrupted
Clinical narrative: This is a 71 year old male with PMH/PSH below presents to the ED for evaluation of altered mental status. Pt appears lethergic. All information obtained from the medical records and nursing. As per the record, EMS was called after missing a dialysis appointment. Patient has a left arm fistula for dialysis access. In the ED patient was afebrile. T-max 101. Vitals stable. Initial chemistry was hemolyzed. Repeat chemistry shows potassium of 6.0., creatinine 7.2. Patient has scheduled home dialysis on Tu, Thurs, Sat. As per Home Dialysis nurse, patient had missed his last dialysis treatment since Friday. In the ED, patient was pan-cultured and was started on Levaquin empirically. Chest x-ray shows Bilateral infiltrates with no effusions. Patient is currently getting hemodialysis.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: None, employee was being tested as part of community exposure.  Asymptomatic
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Loss of consciousness, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough-  94y.o. female who presented to the hospital on 12/22/2021 with loss of consciousness, found down by her home care nurse. EMS brought her to ED. She was awake but confused. Incidentally found to be COVID positive. Denies cough or SOB, on Room air.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Vaccinated: 10:51AM Reaction: 11:14AM 23 minutes after receiving 1st dose Pfizer, pt reported feeling like she was going numb.  Vitals: 143/92, 72, 16, 100% O2 Patient was given crackers, rested, and felt better. Patient was stable and released from vaccination site.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Gait inability, Hypotension, Hypoxia, Lethargy
Clinical narrative: Patient states that over the last few days she has been feeling well, with no fever or chills, shortness of breath, cough, abdominal pain, dysuria, aches or pains out of the ordinary, diarrhea.  She has been eating normally and has started no other new medications.  She did recently return from a visit to family out of state.  She otherwise went to a local pharmacy for a "booster" immunization against COVID-19.  Due to the episode last May, she received the Moderna COVID-19 immunization yesterday.  That happened around noon.  Into the evening the patient started to feel somewhat chilled, and blood pressure was running a bit lower.  Later her daughter checked on her around 10:00 and the patient was febrile, lethargic and hypotensive.  Daughter states the patient was unable to ambulate, thus EMS was contacted and she was brought to the ER by ambulance
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient states that over the last few days she has been feeling well, with no fever or chills, shortness of breath, cough, abdominal pain, dysuria, aches or pains out of the ordinary, diarrhea.  She has been eating normally and has started no other new medications.  She did recently return from a visit to family out of state.  She otherwise went to a local pharmacy for a "booster" immunization against COVID-19.  Due to the episode last May, she received the Moderna COVID-19 immunization yesterday.  That happened around noon.  Into the evening the patient started to feel somewhat chilled, and blood pressure was running a bit lower.  Later her daughter checked on her around 10:00 and the patient was febrile, lethargic and hypotensive.  Daughter states the patient was unable to ambulate, thus EMS was contacted and she was brought to the ER by ambulance
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electric shock sensation, Fatigue, Feeling abnormal, Injection site pain
Clinical narrative: First 24hr symptoms (no concern at time): - Moderate ache/pain in injection site arm ~4hrs after injection - Fever starting ~12hrs after injection leading to rough sleep through night (reached and held 101dF for ~6hrs) - Body aches ~14-48hrs after injection  Beyond 24hr symptoms (concerning): - Severe migraine/headache pain toward front of head/behind eyes lasting 20+hrs (I infrequently suffer painful migraines and this one took the all-time miserable record for intensity and longevity) - Generalised body pain/aches/fatigue for ~2.5days  - Extreme restless leg sensations starting in AM of day 2 and continued for 48hrs - Severe brain fog and what I can only describe as brain "Zingers" with a periodic sensation (every 5-10mins) of an electrical zap coming from the back of my head and causing an unusual vertigo/dizzy and muddy thinking (this was very alarming and unlike anything I've ever felt in my life).  This continued for before slowing fading.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Pain, Pyrexia, Restless legs syndrome, Sleep disorder
Clinical narrative: First 24hr symptoms (no concern at time): - Moderate ache/pain in injection site arm ~4hrs after injection - Fever starting ~12hrs after injection leading to rough sleep through night (reached and held 101dF for ~6hrs) - Body aches ~14-48hrs after injection  Beyond 24hr symptoms (concerning): - Severe migraine/headache pain toward front of head/behind eyes lasting 20+hrs (I infrequently suffer painful migraines and this one took the all-time miserable record for intensity and longevity) - Generalised body pain/aches/fatigue for ~2.5days  - Extreme restless leg sensations starting in AM of day 2 and continued for 48hrs - Severe brain fog and what I can only describe as brain "Zingers" with a periodic sensation (every 5-10mins) of an electrical zap coming from the back of my head and causing an unusual vertigo/dizzy and muddy thinking (this was very alarming and unlike anything I've ever felt in my life).  This continued for before slowing fading.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Thinking abnormal, Vertigo
Clinical narrative: First 24hr symptoms (no concern at time): - Moderate ache/pain in injection site arm ~4hrs after injection - Fever starting ~12hrs after injection leading to rough sleep through night (reached and held 101dF for ~6hrs) - Body aches ~14-48hrs after injection  Beyond 24hr symptoms (concerning): - Severe migraine/headache pain toward front of head/behind eyes lasting 20+hrs (I infrequently suffer painful migraines and this one took the all-time miserable record for intensity and longevity) - Generalised body pain/aches/fatigue for ~2.5days  - Extreme restless leg sensations starting in AM of day 2 and continued for 48hrs - Severe brain fog and what I can only describe as brain "Zingers" with a periodic sensation (every 5-10mins) of an electrical zap coming from the back of my head and causing an unusual vertigo/dizzy and muddy thinking (this was very alarming and unlike anything I've ever felt in my life).  This continued for before slowing fading.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Joint noise, Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: Normal pain at injection site; however, two days after shot I woke up with both shoulder joints hurting and left shoulder would pop (click) if I raised it at all. After a week the pain moved to the bends of my arm along with the shoulder joints still hurting. The left bend of my arm stopped hurting and after 6 visits to the chiropractor with adjustments and therapy they were able to get my shoulders to stop hurting. However, my left bend of my arm has not stopped hurting yet.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Disorientation, Dyspnoea, Exposure to SARS-CoV-2, Fall
Clinical narrative: Per patient, she fell and hit her head on a coffee table earlier today, she is unclear how she fell. Patient denied LOC, chest pain, and dizziness prior to event. Patient also c/o difficulty breathing this morning, which was new for her. Prior to today she felt like her usual self. She sleeps with 1 pillow and denies any orthopnea or LE edema.   For collateral information, daughter was contacted. Daughter states that patient was disoriented this morning. Pt is able to answer questions appropriately but daughter feels she is still not at her baseline. Patient lives with daughter, but does not leave the house. Pt did have a sick contact on Christmas Eve (daughter's boyfriend tested COVID positive 12/28) and patient's grandson is visiting from out of state (no symptoms).   Patient and daughter deny fevers, CP, cough, appetite changes, n/v/d. Patient's daughter states that patient was SOB at home.  Pt is COVID vaccinated x2 and also received influenza vaccine this year.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, SARS-CoV-2 test positive
Clinical narrative: Per patient, she fell and hit her head on a coffee table earlier today, she is unclear how she fell. Patient denied LOC, chest pain, and dizziness prior to event. Patient also c/o difficulty breathing this morning, which was new for her. Prior to today she felt like her usual self. She sleeps with 1 pillow and denies any orthopnea or LE edema.   For collateral information, daughter was contacted. Daughter states that patient was disoriented this morning. Pt is able to answer questions appropriately but daughter feels she is still not at her baseline. Patient lives with daughter, but does not leave the house. Pt did have a sick contact on Christmas Eve (daughter's boyfriend tested COVID positive 12/28) and patient's grandson is visiting from out of state (no symptoms).   Patient and daughter deny fevers, CP, cough, appetite changes, n/v/d. Patient's daughter states that patient was SOB at home.  Pt is COVID vaccinated x2 and also received influenza vaccine this year.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Menstrual disorder
Clinical narrative: With each vaccine, (I have had both shots and the booster) I have had reactions with my menstrual cycle.  Once my cycle was finished, I would start again a week later.  And since my booster on 11/19/2021, my period has almost been non stop at this point.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Condition aggravated, SARS-CoV-2 test positive, Seizure
Clinical narrative: 12/29/2021: Event occurred after 2nd vaccine.    40-year-old male history of EtOH abuse with a history of seizures and DTs otherwise healthy presents emergency department for witnessed seizure that occurred earlier tonight.  Not on any nausea or vomiting at this time.  No fever or chills.  No chest pain or shortness of breath.  No other complaints.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna Booster was administered after 12 hours of puncture. Moderna vial from 1/5/2022 that had first puncture at 0830; booster dose was giving to a patient 1/6/2022 at 1030. Patient was monitored 15-25 minutes after administration and denied any adverse effects or symptoms. Patient will be made aware and Moderna manufacturer was called and report was filed.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cytokine increased, Feeling abnormal, Full blood count normal, Headache, Metabolic function test normal
Clinical narrative: brain fog memory issues, chronic headaches diffuse unremitting in nature. Aggravated by physical activity
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral atrophy, Chest X-ray abnormal, Computerised tomogram head abnormal, Confusional state, Cough
Clinical narrative: 85-year-old female with a PMH of Parkinson's disease and arthritis who presents with 1 week cough, nausea and vomiting. Has been exposed to family members at home positive for COVID-19. She took an at home tested few days ago which is reported as inconclusive. Daughter also reports a fall about 2 weeks ago with head injury which she was not evaluated for. Daughter reports increasing confusion over the last couple of days unsure if this is related. She is vaccinated for COVID-19.  In the ED, documented VS on arrival are 118/61, heart rate 87, RR 20, O2 sat 95% on room air with a temp of 97.5° her O2 sat did drop to 89-90% and she was started on 2 L of O2. CTH shows chronic changes with cerebral loss but no acute pathology. CXR reported as bilateral airspace disease, official report still pending, but appears minimal to my eyes. She was given sepsis bolus fluids as well as Decadron and Zofran. She developed a wheeze and was treated with albuterol. She is admitted to medical for further evaluation and treatment pending ID consult
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fall, Head injury, Lung disorder, Nausea
Clinical narrative: 85-year-old female with a PMH of Parkinson's disease and arthritis who presents with 1 week cough, nausea and vomiting. Has been exposed to family members at home positive for COVID-19. She took an at home tested few days ago which is reported as inconclusive. Daughter also reports a fall about 2 weeks ago with head injury which she was not evaluated for. Daughter reports increasing confusion over the last couple of days unsure if this is related. She is vaccinated for COVID-19.  In the ED, documented VS on arrival are 118/61, heart rate 87, RR 20, O2 sat 95% on room air with a temp of 97.5° her O2 sat did drop to 89-90% and she was started on 2 L of O2. CTH shows chronic changes with cerebral loss but no acute pathology. CXR reported as bilateral airspace disease, official report still pending, but appears minimal to my eyes. She was given sepsis bolus fluids as well as Decadron and Zofran. She developed a wheeze and was treated with albuterol. She is admitted to medical for further evaluation and treatment pending ID consult
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, SARS-CoV-2 test positive, Sepsis, Vomiting, Wheezing
Clinical narrative: 85-year-old female with a PMH of Parkinson's disease and arthritis who presents with 1 week cough, nausea and vomiting. Has been exposed to family members at home positive for COVID-19. She took an at home tested few days ago which is reported as inconclusive. Daughter also reports a fall about 2 weeks ago with head injury which she was not evaluated for. Daughter reports increasing confusion over the last couple of days unsure if this is related. She is vaccinated for COVID-19.  In the ED, documented VS on arrival are 118/61, heart rate 87, RR 20, O2 sat 95% on room air with a temp of 97.5° her O2 sat did drop to 89-90% and she was started on 2 L of O2. CTH shows chronic changes with cerebral loss but no acute pathology. CXR reported as bilateral airspace disease, official report still pending, but appears minimal to my eyes. She was given sepsis bolus fluids as well as Decadron and Zofran. She developed a wheeze and was treated with albuterol. She is admitted to medical for further evaluation and treatment pending ID consult
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Chills, Computerised tomogram, Diarrhoea
Clinical narrative: HEADACHE, FEVER, CHILLS, NAUSEA, DIAHRREA,  BODY ACHES, PALPITATIONS, CHEST PRESSURE
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Headache, Nausea, Pain, Palpitations
Clinical narrative: HEADACHE, FEVER, CHILLS, NAUSEA, DIAHRREA,  BODY ACHES, PALPITATIONS, CHEST PRESSURE
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: HEADACHE, FEVER, CHILLS, NAUSEA, DIAHRREA,  BODY ACHES, PALPITATIONS, CHEST PRESSURE
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: COVID+ WITH MINIMUM SYMPTOMS    COUGH NASAL CONGESTION SORE THROAT
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Grimacing, Headache, Heart rate irregular, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: Patient winced upon injection, stiffened up for approximately 1 to 2 seconds then passed out.  Woke up immediately. Felt nauseous which passed then developed a headache.  EMS was called.  Vitals good except irregular heartbeat detected.  Went home with family, advised to follow-up with physician.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient winced upon injection, stiffened up for approximately 1 to 2 seconds then passed out.  Woke up immediately. Felt nauseous which passed then developed a headache.  EMS was called.  Vitals good except irregular heartbeat detected.  Went home with family, advised to follow-up with physician.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Inflammatory marker test, Mobility decreased, Myalgia, Product administered at inappropriate site
Clinical narrative: overall chronic muscle body aches since getting vaccine booster with particular pain and loss of movement in shoulders. Vaccine shot was given very high up on arm almost on shoulder.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Facial spasm, Movement disorder, Muscle contracture, Muscular weakness, Nervous system disorder
Clinical narrative: First two weeks- muscle weakness and soreness in limbs (arms and legs) and throat inflammation.   December 2021- neuropathy in face/neck involuntary spasms in face. Tongue swelling. No sensation in hands and feet.  Brain is constantly telling muscles to contract which further confirms it?s a neurological issue caused by this vaccine. Had no  issues with movement nor any central nervous system problems prior to this vaccine.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Neurological symptom, Neuropathy peripheral, Pain in extremity, Pharyngeal inflammation, Sensory loss
Clinical narrative: First two weeks- muscle weakness and soreness in limbs (arms and legs) and throat inflammation.   December 2021- neuropathy in face/neck involuntary spasms in face. Tongue swelling. No sensation in hands and feet.  Brain is constantly telling muscles to contract which further confirms it?s a neurological issue caused by this vaccine. Had no  issues with movement nor any central nervous system problems prior to this vaccine.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: First two weeks- muscle weakness and soreness in limbs (arms and legs) and throat inflammation.   December 2021- neuropathy in face/neck involuntary spasms in face. Tongue swelling. No sensation in hands and feet.  Brain is constantly telling muscles to contract which further confirms it?s a neurological issue caused by this vaccine. Had no  issues with movement nor any central nervous system problems prior to this vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product administration error
Clinical narrative: Administration error : Vaccination (booster) was given to patient 5 mins before expiration date.
Age: 19.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Seizure
Clinical narrative: PATIENT had a seizure episode for about 15 seconds near the inside of the pharmacy. After patient had come back with consciousness, he explained that this hasnt happened since he was 15. Patient did not acknowledge that he had a history of seizures on the pre-check health list.
Age: 59.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Eye irritation, Eye pain, Ophthalmic herpes zoster
Clinical narrative: 2 weeks later my right eye began to hurt and get irritated. After 10 days I went to the emergency room. They said I had shingles in my right eye.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Pain in extremity, Pruritus, Urticaria
Clinical narrative: Initially in the first 3-5 days sore arm, mild headache and upset stomach. 11 days later began itching all over. With itching getting welts and hives. Pressure sensitive. Improves with ice or cold compress. PCP recommended antihistamine and Pepcid AC which I have been taking for 3 days without significant relief. Anti itch cream temporarily helpful. Hydrocortisone cream tried once immediately made the hives worse.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID after being vaccinated with 3 doses.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, Hypoxia, Mechanical ventilation, Positive airway pressure therapy
Clinical narrative: Admitted through ED from her nursing home after being found to be hypoxic.  Patient went into respiratory failure.  Provider note below:  "Severe respiratory failure, with existing care limitations DNR, no re-intubation. Unable to come off BiPAP support for any length of time despite HFNC, essentially using BiPAP in this manner equates to mechanical ventilation. Discussed with Guardianship case manager who was in agreement with Comfort focused care. Discussed with patient's family who were also in agreement. Orders placed and palliative treatment for symptoms related to end of life initiated, bipap discontinued ~6:30 pm. Notified by RN patient died at 6:53 PM on 1/5/2022."
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Admitted through ED from her nursing home after being found to be hypoxic.  Patient went into respiratory failure.  Provider note below:  "Severe respiratory failure, with existing care limitations DNR, no re-intubation. Unable to come off BiPAP support for any length of time despite HFNC, essentially using BiPAP in this manner equates to mechanical ventilation. Discussed with Guardianship case manager who was in agreement with Comfort focused care. Discussed with patient's family who were also in agreement. Orders placed and palliative treatment for symptoms related to end of life initiated, bipap discontinued ~6:30 pm. Notified by RN patient died at 6:53 PM on 1/5/2022."
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna inadvertently given to 17yo patient.  Moderna is only approved for >18yo.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Feeling hot, Myalgia
Clinical narrative: Shivering, feeling hot, muscle/ joint pain
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysgeusia, Headache, Pyrexia
Clinical narrative: Metallic taste, low grade fever, and severe headache.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adverse reaction, Blood pressure increased, Chills, Dysgeusia, Fatigue
Clinical narrative: Metallic taste, low grade fever, and severe headache.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hyperpyrexia, Hypertension, Immediate post-injection reaction, Incorrect dose administered
Clinical narrative: Metallic taste, low grade fever, and severe headache.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Product preparation issue
Clinical narrative: Metallic taste, low grade fever, and severe headache.
Age: 3.0
Sex: F
Vaccine: FLUN4
Symptoms: Expired product administered
Clinical narrative: Screening questions for patient completed. Administered FluMist to patient 0.1 mL to each nostril. Scanned medication for documentation. This nurse observed medication had expired. Medication documented as given and Immunization Nurse notified. Remainder of expired vaccine removed from fridge and given to pharmacy for disposal. Mother of patient notified.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral, Ear discomfort, Tinnitus
Clinical narrative: Left ear hearing ?loss? ? like clogged hearing when on an airplane. Severe Tinnitus, ringing and buzzing.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: asymptomatic
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Respiratory failure
Clinical narrative: admitted with COVID and respiratory failure on 1/5/22 .  Had Moderna Vaccine 1- 8/10/21  and 2- 9/10/21
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: The next day, I had lymph nodes that were swollen and it went on for five days.
Age: 73.0
Sex: F
Vaccine: FLUA4
Symptoms: Neuropathy peripheral, Vasculitis
Clinical narrative: Developed severe vasculitis 12 hours after getting the vaccine and subsequent neuropathy in both feet
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Fall, Flushing, Hyperhidrosis
Clinical narrative: 5 minutes after 1st dose Pfizer, patient experienced high anxiety leading to vasovagal episode. Patient reported flushing/sweating and dizziness that led to patient falling forward from his chair, face first into the ground. Patient was transported to bay on wheelchair.  Vitals: @16:41: 129/83, 75, 30 -> @16:44: 111/75, 78, 24 -> 17:12: 119/74, 84, 20 Vitals stable. Patient slowly regained consciousness, diaphoretic oriented with full motor control. Hyperventilation subsided. O2 stable. Patient given juice and crackers and continued resting. Patient was released from vaccination site once stable at 17:25.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperventilation, Presyncope
Clinical narrative: 5 minutes after 1st dose Pfizer, patient experienced high anxiety leading to vasovagal episode. Patient reported flushing/sweating and dizziness that led to patient falling forward from his chair, face first into the ground. Patient was transported to bay on wheelchair.  Vitals: @16:41: 129/83, 75, 30 -> @16:44: 111/75, 78, 24 -> 17:12: 119/74, 84, 20 Vitals stable. Patient slowly regained consciousness, diaphoretic oriented with full motor control. Hyperventilation subsided. O2 stable. Patient given juice and crackers and continued resting. Patient was released from vaccination site once stable at 17:25.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Pain, Scar
Clinical narrative: I received my first Covid-19 shot on 02/19/21 on 03/23/21 I received my second shot. On 09/24/21 I developed shingles on my left side of my body (neck and shoulder). I have had no history of shingles and no other reason to have shingles at 28 years old. At the time of this report I still have scaring from the shingles on my neck and shoulder.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nasopharyngitis, SARS-CoV-2 test
Clinical narrative: Employee had cold symptoms
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: Muscle aches, runny nose, sore throat, and fever.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: 13 year old patient received the Pfizer pediatric vaccine indicated for children ages 5 to 11 years old. Patient did not experience any adverse reaction at time of or after vaccination.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Interchange of vaccine products, Mydriasis, Syncope
Clinical narrative: Pt fainted in our observation area approximately 10 minutes after receiving his Pfizer booster (previously had 2 doses of Moderna with no problems). He laid on the floor for about 10 minutes more (was "out" for less than 1 minute) and we provided water and cold compresses for him. We got him sitting  in the chair once he felt better (was profusely sweating and dilated pupils). He left about 5 minutes later and was feeling better. He was accompanied by his mon and brother.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac ablation, Cardiac flutter, Cardiac monitoring, Cardiac pacemaker insertion
Clinical narrative: This may just be coincidental but the infrequent (several times a year) arrhythmia became more sustained and frequent at the end of February, just days after my vaccine. I ended up wearing a monitor, getting an ablation in August  for a flutter and then, after wearing a monitor again and the discovery that my heart paused during a day when I was experiencing arrhythmia I received a pacemaker two weeks ago.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Sinus arrest
Clinical narrative: This may just be coincidental but the infrequent (several times a year) arrhythmia became more sustained and frequent at the end of February, just days after my vaccine. I ended up wearing a monitor, getting an ablation in August  for a flutter and then, after wearing a monitor again and the discovery that my heart paused during a day when I was experiencing arrhythmia I received a pacemaker two weeks ago.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Pain, Pyrexia
Clinical narrative: I had sever pain in my entire body , fever and chill at the same time, I couldnt sit on my bot for three days. I called the clinic and I told them but they said there is nothing they could provide but pain medications.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Peripheral coldness, Pyrexia
Clinical narrative: After the vaccine I had a light headache. Around 3:00 in the morning my feet got really cold and my hands became really cold. I was shivering, and I started to shake. This last until about 7:00 in the morning. I had a fever and body aches. After the body shaking the fever and the headaches continued. The shaking wasn't like shivering, I experienced uncontrollable shaking.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Tremor
Clinical narrative: After the vaccine I had a light headache. Around 3:00 in the morning my feet got really cold and my hands became really cold. I was shivering, and I started to shake. This last until about 7:00 in the morning. I had a fever and body aches. After the body shaking the fever and the headaches continued. The shaking wasn't like shivering, I experienced uncontrollable shaking.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling jittery, Flushing, Nausea
Clinical narrative: Noted flushing of the ears, neck, and chest. She described feeling some dizziness, jittery, and nausea.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Decreased appetite, Eczema, Fatigue
Clinical narrative: Headache: onset 8 hours after booster dose, lasted for 72 hours, moderate in severity.  Left adnexal lymphadenopathy  : vaccine given in L deltoid, onset within 8 hours after booster dose, lasted for 5-7 days,  moderate to severe swelling, looked like a chicken egg protruding from armpit.  Fatigue: onset 8-12 hours after booster dose, lasted 3-4 days, moderate-to-severe.  Full body arthralgia: onset 8-12 hours after booster dose, severe, lasted for 4-5 days, pain felt in back, hips, legs, neck, hands, nearly every joint.  Nausea and loss of appetite: onset 24  hours post booster, lasted for 2-3 days, moderate severity.  Eczema on webbing between fingers bilaterally: onset 1 week after booster dose, lasted 2 weeks, moderate severity. Delayed LH surge: onset 19 days after booster, cycle day 1 on 12/18/2021, typically have LH surge on day 14-15 of menstrual cycle, LH surge delayed to cycle day 17.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Nausea, Neck pain, Ovulation disorder
Clinical narrative: Headache: onset 8 hours after booster dose, lasted for 72 hours, moderate in severity.  Left adnexal lymphadenopathy  : vaccine given in L deltoid, onset within 8 hours after booster dose, lasted for 5-7 days,  moderate to severe swelling, looked like a chicken egg protruding from armpit.  Fatigue: onset 8-12 hours after booster dose, lasted 3-4 days, moderate-to-severe.  Full body arthralgia: onset 8-12 hours after booster dose, severe, lasted for 4-5 days, pain felt in back, hips, legs, neck, hands, nearly every joint.  Nausea and loss of appetite: onset 24  hours post booster, lasted for 2-3 days, moderate severity.  Eczema on webbing between fingers bilaterally: onset 1 week after booster dose, lasted 2 weeks, moderate severity. Delayed LH surge: onset 19 days after booster, cycle day 1 on 12/18/2021, typically have LH surge on day 14-15 of menstrual cycle, LH surge delayed to cycle day 17.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Headache: onset 8 hours after booster dose, lasted for 72 hours, moderate in severity.  Left adnexal lymphadenopathy  : vaccine given in L deltoid, onset within 8 hours after booster dose, lasted for 5-7 days,  moderate to severe swelling, looked like a chicken egg protruding from armpit.  Fatigue: onset 8-12 hours after booster dose, lasted 3-4 days, moderate-to-severe.  Full body arthralgia: onset 8-12 hours after booster dose, severe, lasted for 4-5 days, pain felt in back, hips, legs, neck, hands, nearly every joint.  Nausea and loss of appetite: onset 24  hours post booster, lasted for 2-3 days, moderate severity.  Eczema on webbing between fingers bilaterally: onset 1 week after booster dose, lasted 2 weeks, moderate severity. Delayed LH surge: onset 19 days after booster, cycle day 1 on 12/18/2021, typically have LH surge on day 14-15 of menstrual cycle, LH surge delayed to cycle day 17.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Agonal respiration, Aspartate aminotransferase increased, Blood culture positive, Blood glucose normal
Clinical narrative: Pfizer x2 vaccinated patient admitted through ED due to hypoxia.  Patient died during admission for COVID/hypoxia.  Provider discharge note below:  "75 YO year old male with past medical history of arthritis, myasthenia gravis. He is presenting to  Hospital per direction of PCP due to low oxygen saturation.    Per discussion with patient and wife, his symptoms started on 11/28/21 with URI symptoms. His cough progressed with some mucopurulent sputum. He worked, as a vet, up until 12/9/21, when his shortness of breath made it too difficult to continue working. He came to the emergency department on 12/10 and was noted to be hypoxic at that time. He received dexamethasone and supplemental O2, which improved his dyspnea temporarily. His symptoms again worsened and he called his PCP just prior to arrival. Per PCP note, patient was saturating between 73% and 83%. He was advised to come to the emergency department.    On initial vitals significant for hypoxia of 72% on 3.0 lpm. His SpO2 was improved to 98% on 15 lpm NRB. Other vitals were unremarkable. CBC demonstrated normocytic anemia at baseline and left shift. Chemistries demonstrated mild hyperglycemia of 132 and isolated elevation of AST. BNP was elevated at 1544. pCT was mildly elevated at 0.14. Troponin delta was negative. D-dimer was elevated at 2200.    1. Acute hypoxic respiratory failure: due to COVID-19. Pt remains on HFNC 40L @ 100% FiO2. S/p 6 day course of ceftriaxone and doxycycline. 1/2 initial  blood cultures positive for staph epi. This is likely a contaminant but was covered with antibiotics and repeat cultures were negative. Leukocytosis down trended, repeat CXR was stable appearing. In the early morning of 12/31, patient was found to have pulled his mask off and unresponsive. STAT ABG revealed pH 6.97, lactate of 14.3. telemetry w/ v-tach. Patient was placed back on mask and given 2 amps of bicarb with improvement in oxygenation and cardiac rhythm. Subsequent rapid response was called about 2 hours later where patient was exhibiting agonal breathing, then expired shortly after. "