chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hilar lymphadenopathy, Hyperhidrosis, Hypotension, Lung infiltration, Pneumonia
Clinical narrative: Moderna Dose 1 2/3/21 (012M20A) Moderna Dose 2 3/3/21 (022M20A) COVID Positive 1/14/22  1/14/22: 44-year-old female with rheumatoid arthritis and dermatomyositis on DMARDs, seizure disorder, migraine, tobacco abuse presented with cough and shortness of breath. Patient reports symptoms started about 1 month ago with cough productive of whitish sputum associated with fever and upper respiratory symptoms.  Since that time she has completed 3 courses of antibiotics with Keflex, doxycycline and azithromycin with some improvement of her symptoms when she takes antibiotics , symptoms return within a couple days of completing the antibiotics course.  Most recently started levofloxacin which made her feel worse with numbness and tingling, worsening shortness of breath and dizziness.  Continued to have cough productive of whitish sputum, diaphoresis and  fever.  Tested negative for COVID-19.  Denies chest pain, orthopnea PND or leg swelling.  No recent travel, works as  maintenance security supervisor in a large facility.  In the emergency room patient had a T-max of 101.7°, blood pressure was 82/55 she is requiring 2 L of oxygen.  Chest CT showed no pulmonary embolism noted extensive bilateral pneumonia concerning for COVID-19 with reactive hilar lymph nodes,  2 centimetre right hepatic lobe nodule.  Patient received Zosyn and vancomycin, IV fluids in the emergency room.  Hypotension improved after IV fluid and Solu-Cortef.  1/16/22: 44-year-old female with a history of rheumatoid arthritis and amount to myositis on DMARDs, seizure disorder, tobacco use presented with cough and SOB of over a month duration but has been prescribed for different antibiotics at various times with resolution of symptoms but there was recurrence of symptoms few days before presenting to the ER.  CT scan the chest contrast revealed extensive bilateral infiltrates concerning for viral pneumonitis.  She was admitted for bilateral pneumonia and commenced on IV antibiotics Zosyn and vancomycin.  The following morning COVID-19 PCR came back positive.  However Sao2 remains perfectly normal at 96-97% on room air, no complaint of SOB though she is still have cough productive of scanty sputum.  On re-evaluation this morning she voiced no new complaint and actually feels much better.  She will be discharged home on her pre-admission medications and in addition I will give a prescription of Ceftin for additional 5 days.  She will follow up with PCP in a week.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, Respiratory symptom, SARS-CoV-2 test positive, Scan with contrast abnormal
Clinical narrative: Moderna Dose 1 2/3/21 (012M20A) Moderna Dose 2 3/3/21 (022M20A) COVID Positive 1/14/22  1/14/22: 44-year-old female with rheumatoid arthritis and dermatomyositis on DMARDs, seizure disorder, migraine, tobacco abuse presented with cough and shortness of breath. Patient reports symptoms started about 1 month ago with cough productive of whitish sputum associated with fever and upper respiratory symptoms.  Since that time she has completed 3 courses of antibiotics with Keflex, doxycycline and azithromycin with some improvement of her symptoms when she takes antibiotics , symptoms return within a couple days of completing the antibiotics course.  Most recently started levofloxacin which made her feel worse with numbness and tingling, worsening shortness of breath and dizziness.  Continued to have cough productive of whitish sputum, diaphoresis and  fever.  Tested negative for COVID-19.  Denies chest pain, orthopnea PND or leg swelling.  No recent travel, works as  maintenance security supervisor in a large facility.  In the emergency room patient had a T-max of 101.7°, blood pressure was 82/55 she is requiring 2 L of oxygen.  Chest CT showed no pulmonary embolism noted extensive bilateral pneumonia concerning for COVID-19 with reactive hilar lymph nodes,  2 centimetre right hepatic lobe nodule.  Patient received Zosyn and vancomycin, IV fluids in the emergency room.  Hypotension improved after IV fluid and Solu-Cortef.  1/16/22: 44-year-old female with a history of rheumatoid arthritis and amount to myositis on DMARDs, seizure disorder, tobacco use presented with cough and SOB of over a month duration but has been prescribed for different antibiotics at various times with resolution of symptoms but there was recurrence of symptoms few days before presenting to the ER.  CT scan the chest contrast revealed extensive bilateral infiltrates concerning for viral pneumonitis.  She was admitted for bilateral pneumonia and commenced on IV antibiotics Zosyn and vancomycin.  The following morning COVID-19 PCR came back positive.  However Sao2 remains perfectly normal at 96-97% on room air, no complaint of SOB though she is still have cough productive of scanty sputum.  On re-evaluation this morning she voiced no new complaint and actually feels much better.  She will be discharged home on her pre-admission medications and in addition I will give a prescription of Ceftin for additional 5 days.  She will follow up with PCP in a week.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Sputum discoloured, Symptom recurrence
Clinical narrative: Moderna Dose 1 2/3/21 (012M20A) Moderna Dose 2 3/3/21 (022M20A) COVID Positive 1/14/22  1/14/22: 44-year-old female with rheumatoid arthritis and dermatomyositis on DMARDs, seizure disorder, migraine, tobacco abuse presented with cough and shortness of breath. Patient reports symptoms started about 1 month ago with cough productive of whitish sputum associated with fever and upper respiratory symptoms.  Since that time she has completed 3 courses of antibiotics with Keflex, doxycycline and azithromycin with some improvement of her symptoms when she takes antibiotics , symptoms return within a couple days of completing the antibiotics course.  Most recently started levofloxacin which made her feel worse with numbness and tingling, worsening shortness of breath and dizziness.  Continued to have cough productive of whitish sputum, diaphoresis and  fever.  Tested negative for COVID-19.  Denies chest pain, orthopnea PND or leg swelling.  No recent travel, works as  maintenance security supervisor in a large facility.  In the emergency room patient had a T-max of 101.7°, blood pressure was 82/55 she is requiring 2 L of oxygen.  Chest CT showed no pulmonary embolism noted extensive bilateral pneumonia concerning for COVID-19 with reactive hilar lymph nodes,  2 centimetre right hepatic lobe nodule.  Patient received Zosyn and vancomycin, IV fluids in the emergency room.  Hypotension improved after IV fluid and Solu-Cortef.  1/16/22: 44-year-old female with a history of rheumatoid arthritis and amount to myositis on DMARDs, seizure disorder, tobacco use presented with cough and SOB of over a month duration but has been prescribed for different antibiotics at various times with resolution of symptoms but there was recurrence of symptoms few days before presenting to the ER.  CT scan the chest contrast revealed extensive bilateral infiltrates concerning for viral pneumonitis.  She was admitted for bilateral pneumonia and commenced on IV antibiotics Zosyn and vancomycin.  The following morning COVID-19 PCR came back positive.  However Sao2 remains perfectly normal at 96-97% on room air, no complaint of SOB though she is still have cough productive of scanty sputum.  On re-evaluation this morning she voiced no new complaint and actually feels much better.  She will be discharged home on her pre-admission medications and in addition I will give a prescription of Ceftin for additional 5 days.  She will follow up with PCP in a week.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Aspiration pleural cavity, Asthenia, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient received pfizer vaccine on 5/5/21, 5/26/21 and 12/8/21. Presented to ER on 6/16/22 and found to be COVID positive. Patient is a 64-year-old male with past medical significant for chronic diastolic CHF, paroxysmal atrial fibrillation on Xarelto admitted on June 16th with generalized weakness x 3 days.  CT angio chest was done which showed no evidence of PE, but showed cardiomegaly with evidence of right heart failure and pulmonary edema.  Ground-glass opacities typical for COVID-19 pneumonia, large layering right pleural effusion and small left pleural effusion was also seen.  Patient underwent thoracentesis and 1850 mL fluid was removed.  Patient oxygen was gradually tapered down and now is doing well on room air.   Has finished course of IV Rocephin, doxycycline  for COVID pneumonia. Discharged on room air on 6/29/22
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Lung opacity, Pleural effusion, Pulmonary oedema, Right ventricular failure
Clinical narrative: Patient received pfizer vaccine on 5/5/21, 5/26/21 and 12/8/21. Presented to ER on 6/16/22 and found to be COVID positive. Patient is a 64-year-old male with past medical significant for chronic diastolic CHF, paroxysmal atrial fibrillation on Xarelto admitted on June 16th with generalized weakness x 3 days.  CT angio chest was done which showed no evidence of PE, but showed cardiomegaly with evidence of right heart failure and pulmonary edema.  Ground-glass opacities typical for COVID-19 pneumonia, large layering right pleural effusion and small left pleural effusion was also seen.  Patient underwent thoracentesis and 1850 mL fluid was removed.  Patient oxygen was gradually tapered down and now is doing well on room air.   Has finished course of IV Rocephin, doxycycline  for COVID pneumonia. Discharged on room air on 6/29/22
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient received pfizer vaccine on 5/5/21, 5/26/21 and 12/8/21. Presented to ER on 6/16/22 and found to be COVID positive. Patient is a 64-year-old male with past medical significant for chronic diastolic CHF, paroxysmal atrial fibrillation on Xarelto admitted on June 16th with generalized weakness x 3 days.  CT angio chest was done which showed no evidence of PE, but showed cardiomegaly with evidence of right heart failure and pulmonary edema.  Ground-glass opacities typical for COVID-19 pneumonia, large layering right pleural effusion and small left pleural effusion was also seen.  Patient underwent thoracentesis and 1850 mL fluid was removed.  Patient oxygen was gradually tapered down and now is doing well on room air.   Has finished course of IV Rocephin, doxycycline  for COVID pneumonia. Discharged on room air on 6/29/22
Age: 13.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Tdap vaccine given at this visit. Tdap vaccine also previously placed at another facility on 09/25/2020.
Age: 16.0
Sex: M
Vaccine: HEPA, HPV9, MENB, MNQ
Symptoms: Blood pressure decreased, Dizziness, Nausea, Pallor
Clinical narrative: After all 4 vaccines were given pt become dizzy and really pale in the face. He then stated he felt like he was going to vomit. Blood pressure was taken and it was very low 86/46
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fatigue, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction or event to the vaccine. I tested positive COVID-19 on 05/23. I took a home test for COVID-19. I started out with a head cold, no temperature, weak and tired. I contacted my primary care doctor via tele visit. They offered the prescription PAXLOVID but declined to take it. I was instructed that if I felt worse to go to the emergency room.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Joint swelling, Mobility decreased, Pain
Clinical narrative: I had a similar experience with the 2nd vaccination. I had swelling in both wrists with pain associated. I also had swelling in my left ankle. They put me on metformin. Then I was given a standby prescription by my rheumatologist for prednisone if the situation happened again. After the 4th vaccine I had the same symptoms and used the prednisone prescription to combat it. The worst thing was that I was not bale to walk properly and do any kind of activity using my wrists and it stopped me from doing my normal routine. The pain and swelling is gone.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Acute kidney injury, Atelectasis, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: Patient received moderna vaccine on 1/22/21, 2/19/21 and 10/22/21. Presented to ER on 6/19/22 and found to be COVID19 positive. Initial admission patient acute kidney injury abnormal LFT.  Bilirubin was normal alk phos was 61. Patient was found to have problem the COVID positive but due to his abnormal labs, see rounding MD note, not a candidate for remdesivir at that time.  Was treated with Decadron. Patient condition fluctuated.  He also was hypotensive and little bit of shock.  Treated with appropriate measures at that time.  He had improved for couple days then again started getting worse. 48 hours prior to this patient again started having experiences significant increased amount of shortness of breath.  Chest x-ray still shows infiltrate. Patient remains afebrile Patient does not want BiPAP and wanted more comfort measures and was placed on comfort measures.  Due to severity of shortness of breath and distress, patient was placed on IV morphine drip. He expired today as expected. This morning when I saw him, at that time patient was comfortable.  Mild tachypnea but no distress.  Not much respond to any verbal stimuli suggesting that he was comfortable overall. Yesterday was very restless and very uncomfortable. He expired 7/1/22 as expected under proper comfort measures.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Death, Discomfort, Dyspnoea
Clinical narrative: Patient received moderna vaccine on 1/22/21, 2/19/21 and 10/22/21. Presented to ER on 6/19/22 and found to be COVID19 positive. Initial admission patient acute kidney injury abnormal LFT.  Bilirubin was normal alk phos was 61. Patient was found to have problem the COVID positive but due to his abnormal labs, see rounding MD note, not a candidate for remdesivir at that time.  Was treated with Decadron. Patient condition fluctuated.  He also was hypotensive and little bit of shock.  Treated with appropriate measures at that time.  He had improved for couple days then again started getting worse. 48 hours prior to this patient again started having experiences significant increased amount of shortness of breath.  Chest x-ray still shows infiltrate. Patient remains afebrile Patient does not want BiPAP and wanted more comfort measures and was placed on comfort measures.  Due to severity of shortness of breath and distress, patient was placed on IV morphine drip. He expired today as expected. This morning when I saw him, at that time patient was comfortable.  Mild tachypnea but no distress.  Not much respond to any verbal stimuli suggesting that he was comfortable overall. Yesterday was very restless and very uncomfortable. He expired 7/1/22 as expected under proper comfort measures.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Hyporesponsive to stimuli, Hypotension, Laboratory test abnormal, Liver function test abnormal, Lung infiltration
Clinical narrative: Patient received moderna vaccine on 1/22/21, 2/19/21 and 10/22/21. Presented to ER on 6/19/22 and found to be COVID19 positive. Initial admission patient acute kidney injury abnormal LFT.  Bilirubin was normal alk phos was 61. Patient was found to have problem the COVID positive but due to his abnormal labs, see rounding MD note, not a candidate for remdesivir at that time.  Was treated with Decadron. Patient condition fluctuated.  He also was hypotensive and little bit of shock.  Treated with appropriate measures at that time.  He had improved for couple days then again started getting worse. 48 hours prior to this patient again started having experiences significant increased amount of shortness of breath.  Chest x-ray still shows infiltrate. Patient remains afebrile Patient does not want BiPAP and wanted more comfort measures and was placed on comfort measures.  Due to severity of shortness of breath and distress, patient was placed on IV morphine drip. He expired today as expected. This morning when I saw him, at that time patient was comfortable.  Mild tachypnea but no distress.  Not much respond to any verbal stimuli suggesting that he was comfortable overall. Yesterday was very restless and very uncomfortable. He expired 7/1/22 as expected under proper comfort measures.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress, Restlessness, SARS-CoV-2 test positive, Shock, Tachypnoea
Clinical narrative: Patient received moderna vaccine on 1/22/21, 2/19/21 and 10/22/21. Presented to ER on 6/19/22 and found to be COVID19 positive. Initial admission patient acute kidney injury abnormal LFT.  Bilirubin was normal alk phos was 61. Patient was found to have problem the COVID positive but due to his abnormal labs, see rounding MD note, not a candidate for remdesivir at that time.  Was treated with Decadron. Patient condition fluctuated.  He also was hypotensive and little bit of shock.  Treated with appropriate measures at that time.  He had improved for couple days then again started getting worse. 48 hours prior to this patient again started having experiences significant increased amount of shortness of breath.  Chest x-ray still shows infiltrate. Patient remains afebrile Patient does not want BiPAP and wanted more comfort measures and was placed on comfort measures.  Due to severity of shortness of breath and distress, patient was placed on IV morphine drip. He expired today as expected. This morning when I saw him, at that time patient was comfortable.  Mild tachypnea but no distress.  Not much respond to any verbal stimuli suggesting that he was comfortable overall. Yesterday was very restless and very uncomfortable. He expired 7/1/22 as expected under proper comfort measures.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood creatine phosphokinase increased, COVID-19, Chest X-ray abnormal, Confusional state
Clinical narrative: Patient received moderna vaccine on 1/19/21, 2/18/21, and 11/3/21. Presented to ER on 6/21/22 and found to be COVID19 positive. presented to the hospital on 6/21/22 after he was found on the ground at home and unable to get up.  Pt had last been seen on 6/19/22 prior to this.  Pt noted to have had generalized asthenia, with some confusion and suspected acute metabolic encephalopathy.     He tested positive for COVID-19 and generalized asthenia suspected to be secondary to COVID-19 infection.  Labs mostly unremarkable except mild rhabdomyolysis with CK of 3455.  Patient had intermittent cough, but has been saturating above 90 % on room air.   Pt had Mild rhabdomyolysis which did not cause AKI . CK trended down. Patient tolerating PO well.    He did not meet criteria for Remdesevir.  CXR 06/21 and 06/25/22 were similar, mostly showing chronic interstitial changes. No focal consolidation mentioned. Due to excessive coughing with noted sputum discoloration 06/25/22, azithromycin and Cephalexin added through 6/30 to cover any superimposed developing bacteria pneumonia.   Patient has Severe malnutrition in context of chronic illness related to physiological illness. Dietician evaluated patient . Currently on general diet with protein shake once daily.  Encouraged increased PO intake.     PT/OT recommending SNF.  Pt to follow up with PCP after discharge.  Discharged on 7/2/2
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Interstitial lung disease, Laboratory test abnormal, Malnutrition, Metabolic encephalopathy, Pneumonia bacterial
Clinical narrative: Patient received moderna vaccine on 1/19/21, 2/18/21, and 11/3/21. Presented to ER on 6/21/22 and found to be COVID19 positive. presented to the hospital on 6/21/22 after he was found on the ground at home and unable to get up.  Pt had last been seen on 6/19/22 prior to this.  Pt noted to have had generalized asthenia, with some confusion and suspected acute metabolic encephalopathy.     He tested positive for COVID-19 and generalized asthenia suspected to be secondary to COVID-19 infection.  Labs mostly unremarkable except mild rhabdomyolysis with CK of 3455.  Patient had intermittent cough, but has been saturating above 90 % on room air.   Pt had Mild rhabdomyolysis which did not cause AKI . CK trended down. Patient tolerating PO well.    He did not meet criteria for Remdesevir.  CXR 06/21 and 06/25/22 were similar, mostly showing chronic interstitial changes. No focal consolidation mentioned. Due to excessive coughing with noted sputum discoloration 06/25/22, azithromycin and Cephalexin added through 6/30 to cover any superimposed developing bacteria pneumonia.   Patient has Severe malnutrition in context of chronic illness related to physiological illness. Dietician evaluated patient . Currently on general diet with protein shake once daily.  Encouraged increased PO intake.     PT/OT recommending SNF.  Pt to follow up with PCP after discharge.  Discharged on 7/2/2
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Rhabdomyolysis, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Patient received moderna vaccine on 1/19/21, 2/18/21, and 11/3/21. Presented to ER on 6/21/22 and found to be COVID19 positive. presented to the hospital on 6/21/22 after he was found on the ground at home and unable to get up.  Pt had last been seen on 6/19/22 prior to this.  Pt noted to have had generalized asthenia, with some confusion and suspected acute metabolic encephalopathy.     He tested positive for COVID-19 and generalized asthenia suspected to be secondary to COVID-19 infection.  Labs mostly unremarkable except mild rhabdomyolysis with CK of 3455.  Patient had intermittent cough, but has been saturating above 90 % on room air.   Pt had Mild rhabdomyolysis which did not cause AKI . CK trended down. Patient tolerating PO well.    He did not meet criteria for Remdesevir.  CXR 06/21 and 06/25/22 were similar, mostly showing chronic interstitial changes. No focal consolidation mentioned. Due to excessive coughing with noted sputum discoloration 06/25/22, azithromycin and Cephalexin added through 6/30 to cover any superimposed developing bacteria pneumonia.   Patient has Severe malnutrition in context of chronic illness related to physiological illness. Dietician evaluated patient . Currently on general diet with protein shake once daily.  Encouraged increased PO intake.     PT/OT recommending SNF.  Pt to follow up with PCP after discharge.  Discharged on 7/2/2
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Musculoskeletal stiffness, Sensation of foreign body, Swelling
Clinical narrative: I felt like I had a stiff neck one morning when I woke up. 2 days later I had swelling and a lump on the left side of my neck. I called my doctor, and they did an examination. I am going to see an oncologist on 7/19/2022 and an ENT doctor on 7/20/2022. The lump is pretty visual from my ear down to my throat.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure
Clinical narrative: He had 3 grandma seizures , he was seizures free for 2 years prior to that it was well under control.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated x2 (Pfizer: 05/19/2021, 06/12/2021)  Patient admitted to hospital and tested positive for COVID on 7/5/22
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Heart rate increased, Lung disorder
Clinical narrative: VACCINE was given by local rite aid.  about 8 hours after given, developed higher heart rate and feeling that she had 'sand' in her lungs and felt harder to breathe.  has felt fatigued.  slight headache. no fevers (99.1 in office). Seen in office and heartrate varied from 107 to 120, normal respiratory rate and normal pulse ox. Normal lung and cardiac exam other than heart rate. Advised fluids, rest and ibuprofen and close monitoring for now,
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Parent/guardian provided the incorrect date of birth of 6/1/2016 when the patient registered and received a COVID-19 vaccine which would make their age 5 years old at the time.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Ear pain, Nasopharyngitis
Clinical narrative: I started with a sore throat and then my ear was hurting with chills and a high fever and a cough. And only the coughing is still here, my throat and ear are still bothering me but it feels like I just have a cold.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I started with a sore throat and then my ear was hurting with chills and a high fever and a cough. And only the coughing is still here, my throat and ear are still bothering me but it feels like I just have a cold.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: On May17, 2022 I developed a sore throat which developed into symptoms of a head cold by the next morning.  I tested negative on 2 home tests but I had been exposed to Covid at a family wedding on Saturday May 14th so I went for a PCR test on May 18th and received a positive result on May 20th.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Brain natriuretic peptide increased, COVID-19, Cardiomegaly
Clinical narrative: Patient received moderna vaccine on 1/19/22 and the pfizer vaccine on 1/26/21, 2/15/21 and 5/25/22. Presented to ER on 6/20/22 and found to be COVID positive. admitted for fever caused by cellulitis of the right lower extremity vs UTI vs COVID-19, and AKI. On initial presentation patients vitals were stable. Labs showed leukocytosis, elevated inflammatory markers, UA showing 3+ LE, elevated BNP, and elevated Cr at 2.1 COVID-19 positive (6/20/2022). CXR showed pulmonary vascular congestion and bilateral lower extremity dopplers were negative for DVT. Patient was admitted for further management for right lower extremity cellulitis, UTI, COVID-19, and AKI. For COVID-19 patient was initially saturating well on room with no difficulty not requiring any oxygen. A few days after being admitted patient was having shortness of breathing requiring supplemental oxygen. While being placed on oxygen she continued to saturate >95% and was weaned down. CXR's were repeated more than once that was not showing pneumonia, but eventually showed a new consolidation that was suspicious for pneumonia and increased pulmonary edema. Patient was already being treated with clindamycin which gave coverage for pneumonia. Patient received a one time dose of lasix for pulmonary edema. Respiratory status was monitored throughout admission where patient would need up to 4LNC with worsening shortness of breath. Patient was treated with decadron for up to 3 days. She was continuously weaned off oxygen throughout her stay. Prior to discharge, patient was saturating at 89-90% on room air. Due to patients returning to a nursing home, a 6 minute oxygen walk was not required due to nursing home having there own protocol. Discharged on 6/28/22
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Chest X-ray abnormal, Dyspnoea, Inflammatory marker increased, Leukocytosis
Clinical narrative: Patient received moderna vaccine on 1/19/22 and the pfizer vaccine on 1/26/21, 2/15/21 and 5/25/22. Presented to ER on 6/20/22 and found to be COVID positive. admitted for fever caused by cellulitis of the right lower extremity vs UTI vs COVID-19, and AKI. On initial presentation patients vitals were stable. Labs showed leukocytosis, elevated inflammatory markers, UA showing 3+ LE, elevated BNP, and elevated Cr at 2.1 COVID-19 positive (6/20/2022). CXR showed pulmonary vascular congestion and bilateral lower extremity dopplers were negative for DVT. Patient was admitted for further management for right lower extremity cellulitis, UTI, COVID-19, and AKI. For COVID-19 patient was initially saturating well on room with no difficulty not requiring any oxygen. A few days after being admitted patient was having shortness of breathing requiring supplemental oxygen. While being placed on oxygen she continued to saturate >95% and was weaned down. CXR's were repeated more than once that was not showing pneumonia, but eventually showed a new consolidation that was suspicious for pneumonia and increased pulmonary edema. Patient was already being treated with clindamycin which gave coverage for pneumonia. Patient received a one time dose of lasix for pulmonary edema. Respiratory status was monitored throughout admission where patient would need up to 4LNC with worsening shortness of breath. Patient was treated with decadron for up to 3 days. She was continuously weaned off oxygen throughout her stay. Prior to discharge, patient was saturating at 89-90% on room air. Due to patients returning to a nursing home, a 6 minute oxygen walk was not required due to nursing home having there own protocol. Discharged on 6/28/22
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary congestion, Pulmonary oedema, Pyrexia, SARS-CoV-2 test positive, Ultrasound Doppler normal
Clinical narrative: Patient received moderna vaccine on 1/19/22 and the pfizer vaccine on 1/26/21, 2/15/21 and 5/25/22. Presented to ER on 6/20/22 and found to be COVID positive. admitted for fever caused by cellulitis of the right lower extremity vs UTI vs COVID-19, and AKI. On initial presentation patients vitals were stable. Labs showed leukocytosis, elevated inflammatory markers, UA showing 3+ LE, elevated BNP, and elevated Cr at 2.1 COVID-19 positive (6/20/2022). CXR showed pulmonary vascular congestion and bilateral lower extremity dopplers were negative for DVT. Patient was admitted for further management for right lower extremity cellulitis, UTI, COVID-19, and AKI. For COVID-19 patient was initially saturating well on room with no difficulty not requiring any oxygen. A few days after being admitted patient was having shortness of breathing requiring supplemental oxygen. While being placed on oxygen she continued to saturate >95% and was weaned down. CXR's were repeated more than once that was not showing pneumonia, but eventually showed a new consolidation that was suspicious for pneumonia and increased pulmonary edema. Patient was already being treated with clindamycin which gave coverage for pneumonia. Patient received a one time dose of lasix for pulmonary edema. Respiratory status was monitored throughout admission where patient would need up to 4LNC with worsening shortness of breath. Patient was treated with decadron for up to 3 days. She was continuously weaned off oxygen throughout her stay. Prior to discharge, patient was saturating at 89-90% on room air. Due to patients returning to a nursing home, a 6 minute oxygen walk was not required due to nursing home having there own protocol. Discharged on 6/28/22
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine analysis abnormal, Urine leukocyte esterase positive
Clinical narrative: Patient received moderna vaccine on 1/19/22 and the pfizer vaccine on 1/26/21, 2/15/21 and 5/25/22. Presented to ER on 6/20/22 and found to be COVID positive. admitted for fever caused by cellulitis of the right lower extremity vs UTI vs COVID-19, and AKI. On initial presentation patients vitals were stable. Labs showed leukocytosis, elevated inflammatory markers, UA showing 3+ LE, elevated BNP, and elevated Cr at 2.1 COVID-19 positive (6/20/2022). CXR showed pulmonary vascular congestion and bilateral lower extremity dopplers were negative for DVT. Patient was admitted for further management for right lower extremity cellulitis, UTI, COVID-19, and AKI. For COVID-19 patient was initially saturating well on room with no difficulty not requiring any oxygen. A few days after being admitted patient was having shortness of breathing requiring supplemental oxygen. While being placed on oxygen she continued to saturate >95% and was weaned down. CXR's were repeated more than once that was not showing pneumonia, but eventually showed a new consolidation that was suspicious for pneumonia and increased pulmonary edema. Patient was already being treated with clindamycin which gave coverage for pneumonia. Patient received a one time dose of lasix for pulmonary edema. Respiratory status was monitored throughout admission where patient would need up to 4LNC with worsening shortness of breath. Patient was treated with decadron for up to 3 days. She was continuously weaned off oxygen throughout her stay. Prior to discharge, patient was saturating at 89-90% on room air. Due to patients returning to a nursing home, a 6 minute oxygen walk was not required due to nursing home having there own protocol. Discharged on 6/28/22
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Began persistent cough two days post vaccine.  Cough and congestion began shortly afterwards (1 week) and persisted until testing positive (clinic PCR test) May 9, 2022, severe symptoms began May 3, 2022 and lasted till May 13, 2022.  Most symptoms have subsided.  Severe fatigue persists till today.  I have never experienced fatigue like this before.  Doctor prescribed steroid with no positive effect. Prior to testing positive with PCR test, I tested negative on home tests including first day of severe symptoms.  I tested positive on home test same day as clinic PCR test.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, Computerised tomogram head normal, Laboratory test normal, Metamorphopsia, Migraine
Clinical narrative: I started having tingling almost immediately down my arm and left abdomen and leg for about 15 minutes after getting the vaccine. I was being observed so the doctor who administered had me wait an additional 30 minutes after to make sure I wasn't reacting to it and then dismissed me. The next morning, I had continued tingling  on my left side and burning sensation in my lips. I called my PCP and told me to come in immediately; she wrote an order for me to get a CT scan to make sure I didn't have a stroke. They also prescribed me Plavix to make sure it wasn't something stroke-related. Two days later, the same thing happened again so this time I went to the emergency room. They did CT scan, throat test, and blood cultures. Everything came back fine. While I was there, I saw three specialists; they assumed I was having side effects from the vaccine and discharged me. On the way home, I started having distorted vision. They suggested me to see an ophthalmologist, orthopedist, and neurologist. The ophthalmologist asked my symptoms and informed me it sounds as if I was suffering from migraine headaches. The orthopedist told me I was cleared and fine and should see a neurologist if things progress. By the time I saw my neurologist, the symptoms had began subsiding, but didn't think the vaccine caused the migraine headaches but the vaccine triggered migraines. The doctor prescribed me additional medication, but I didn't take it. Everything subsided on their own as time progressed and went back to normal. But, the symptoms came back mildly when I received my first and second booster; my doctor re-prescribed additional medication, but I still rather not take it.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Oral discomfort, Paraesthesia
Clinical narrative: I started having tingling almost immediately down my arm and left abdomen and leg for about 15 minutes after getting the vaccine. I was being observed so the doctor who administered had me wait an additional 30 minutes after to make sure I wasn't reacting to it and then dismissed me. The next morning, I had continued tingling  on my left side and burning sensation in my lips. I called my PCP and told me to come in immediately; she wrote an order for me to get a CT scan to make sure I didn't have a stroke. They also prescribed me Plavix to make sure it wasn't something stroke-related. Two days later, the same thing happened again so this time I went to the emergency room. They did CT scan, throat test, and blood cultures. Everything came back fine. While I was there, I saw three specialists; they assumed I was having side effects from the vaccine and discharged me. On the way home, I started having distorted vision. They suggested me to see an ophthalmologist, orthopedist, and neurologist. The ophthalmologist asked my symptoms and informed me it sounds as if I was suffering from migraine headaches. The orthopedist told me I was cleared and fine and should see a neurologist if things progress. By the time I saw my neurologist, the symptoms had began subsiding, but didn't think the vaccine caused the migraine headaches but the vaccine triggered migraines. The doctor prescribed me additional medication, but I didn't take it. Everything subsided on their own as time progressed and went back to normal. But, the symptoms came back mildly when I received my first and second booster; my doctor re-prescribed additional medication, but I still rather not take it.
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Bell's palsy
Clinical narrative: Bells Palsy: Valacyclovir 1g x 1 dose Pt prescribed Prednisone 20 mg  tab, starting 3 tabs per day - tapered down over 9 days Tears Naturale Ophthal = 1 gtts to  L eye, TID
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, General physical health deterioration, Leg amputation
Clinical narrative: 12/8/21 pt admitted to hospital from  Medical Center with dx of LLE BKA; infection following a procedure; tested positive for COVID on 1/11/22; pneumonia due to COVID; pt's condition worsened and he was admitted to another hospital (no records received from them); pt was dc'd on 1/25/22 to facility with hospice care where he expired on 1/27/22.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Post procedural infection, SARS-CoV-2 test positive
Clinical narrative: 12/8/21 pt admitted to hospital from  Medical Center with dx of LLE BKA; infection following a procedure; tested positive for COVID on 1/11/22; pneumonia due to COVID; pt's condition worsened and he was admitted to another hospital (no records received from them); pt was dc'd on 1/25/22 to facility with hospice care where he expired on 1/27/22.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood culture negative, Blood lactic acid normal, Blood urea nitrogen/creatinine ratio
Clinical narrative: Patient received moderna vaccine on 4/2/21 and 5/7/21. Presented to ER on 6/26/22 and found to be COVID positive. Presented to the ED with complaints of diarrhea that started 4 days ago. In the emergency room patient's blood pressure was on the softer side at 99/69.  She received 2 1 L boluses.  She was found to have a creatinine of 3.4, and a BUN to creatinine ratio 15. CBC was within normal limits.  Lactic acid was normal.  Procal was elevated at 0.25.  Blood cultures, stool culture, C diff, and should go were collected in the ED.  Patient was also found to be positive for COVID.  Lungs were clear on examination. She remained afebrile and vital signs stable throughout hospital course.  Diarrhea resolved.  Before discharge blood culture showing no growth for 1 day stool culture showing no growth for 1 day.  C diff was negative.  Urine studies were consistent with a pre renal etiology for her AKI.  There was no respiratory compromise at any point.  Discharged on 6/28/22.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Clostridium test negative, Culture stool negative, Diarrhoea, Full blood count normal
Clinical narrative: Patient received moderna vaccine on 4/2/21 and 5/7/21. Presented to ER on 6/26/22 and found to be COVID positive. Presented to the ED with complaints of diarrhea that started 4 days ago. In the emergency room patient's blood pressure was on the softer side at 99/69.  She received 2 1 L boluses.  She was found to have a creatinine of 3.4, and a BUN to creatinine ratio 15. CBC was within normal limits.  Lactic acid was normal.  Procal was elevated at 0.25.  Blood cultures, stool culture, C diff, and should go were collected in the ED.  Patient was also found to be positive for COVID.  Lungs were clear on examination. She remained afebrile and vital signs stable throughout hospital course.  Diarrhea resolved.  Before discharge blood culture showing no growth for 1 day stool culture showing no growth for 1 day.  C diff was negative.  Urine studies were consistent with a pre renal etiology for her AKI.  There was no respiratory compromise at any point.  Discharged on 6/28/22.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Procalcitonin increased, SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: Patient received moderna vaccine on 4/2/21 and 5/7/21. Presented to ER on 6/26/22 and found to be COVID positive. Presented to the ED with complaints of diarrhea that started 4 days ago. In the emergency room patient's blood pressure was on the softer side at 99/69.  She received 2 1 L boluses.  She was found to have a creatinine of 3.4, and a BUN to creatinine ratio 15. CBC was within normal limits.  Lactic acid was normal.  Procal was elevated at 0.25.  Blood cultures, stool culture, C diff, and should go were collected in the ED.  Patient was also found to be positive for COVID.  Lungs were clear on examination. She remained afebrile and vital signs stable throughout hospital course.  Diarrhea resolved.  Before discharge blood culture showing no growth for 1 day stool culture showing no growth for 1 day.  C diff was negative.  Urine studies were consistent with a pre renal etiology for her AKI.  There was no respiratory compromise at any point.  Discharged on 6/28/22.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood urine, Culture urine negative, Dysuria, Micturition urgency, Pain
Clinical narrative: pain and burning on urination (dysuria), urinary urgency within 18 hours of receiving vaccination
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Protein urine, Urine analysis, Urine leukocyte esterase
Clinical narrative: pain and burning on urination (dysuria), urinary urgency within 18 hours of receiving vaccination
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood gases abnormal, Blood pH normal, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient received moderna vaccine on 2/13/21 and 3/13/21. Presented to ER on 6/28/22 and found to be COVID positive. Admitted on 06/28/2022 on account of worsening mental status changes and generalized weakness. In the emergency room, he tested positive to COVID-19.  Chest x-ray and chest CT were negative for evidence of pneumonia. There is concern for possible meningitis. Patient has been started on broad-spectrum IV antibiotics.  Was also started on remdesivir and Decadron for possible COVID-19 pneumonia with hypoxia.  ABG showed pH 7.4, PO2 70, pCO2 30. Patient upgraded to ICU status due to obtundation. Pulmonology/critical care, and infectious disease consulted. IR consulted for LP; attempted 4 times but was a dry tap. Eventually accepted, Intensivist, and was transferred in stable condition on 6/30/22.  Patent's wife/POA, agreeable.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax normal, Depressed level of consciousness, Hypopnoea, Hypoxia, Intensive care
Clinical narrative: Patient received moderna vaccine on 2/13/21 and 3/13/21. Presented to ER on 6/28/22 and found to be COVID positive. Admitted on 06/28/2022 on account of worsening mental status changes and generalized weakness. In the emergency room, he tested positive to COVID-19.  Chest x-ray and chest CT were negative for evidence of pneumonia. There is concern for possible meningitis. Patient has been started on broad-spectrum IV antibiotics.  Was also started on remdesivir and Decadron for possible COVID-19 pneumonia with hypoxia.  ABG showed pH 7.4, PO2 70, pCO2 30. Patient upgraded to ICU status due to obtundation. Pulmonology/critical care, and infectious disease consulted. IR consulted for LP; attempted 4 times but was a dry tap. Eventually accepted, Intensivist, and was transferred in stable condition on 6/30/22.  Patent's wife/POA, agreeable.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Lumbar puncture, Mental status changes, PCO2 decreased, PO2 decreased, SARS-CoV-2 test positive
Clinical narrative: Patient received moderna vaccine on 2/13/21 and 3/13/21. Presented to ER on 6/28/22 and found to be COVID positive. Admitted on 06/28/2022 on account of worsening mental status changes and generalized weakness. In the emergency room, he tested positive to COVID-19.  Chest x-ray and chest CT were negative for evidence of pneumonia. There is concern for possible meningitis. Patient has been started on broad-spectrum IV antibiotics.  Was also started on remdesivir and Decadron for possible COVID-19 pneumonia with hypoxia.  ABG showed pH 7.4, PO2 70, pCO2 30. Patient upgraded to ICU status due to obtundation. Pulmonology/critical care, and infectious disease consulted. IR consulted for LP; attempted 4 times but was a dry tap. Eventually accepted, Intensivist, and was transferred in stable condition on 6/30/22.  Patent's wife/POA, agreeable.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given an unauthorized COVID-19 for her age at the time of vaccination. The parent/guardian provided the incorrect date of birth 7/16/2016 which would have made her at least 5 years old at the time.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Foetal growth restriction, Foetal heart rate abnormal, Human chorionic gonadotropin normal, In vitro fertilisation
Clinical narrative: I had a frozen embryo transfer on May 24th. The embryo was 5 days and PGA tested. It was successful. I had 3 really good HCG measurements with the last on June 8th being  2500 mIU/ml. An ultrasound was performed on June 20th, the embryo measured 4mm. There was no heart beat yet. A second ultrasound was performed on June 27th. There was no heart beat and the yolk sac was gone. It was considered a missed miscarriage. A third ultrasound confirmed that growth had stopped at 6 weeks 2 days.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound antenatal screen abnormal
Clinical narrative: I had a frozen embryo transfer on May 24th. The embryo was 5 days and PGA tested. It was successful. I had 3 really good HCG measurements with the last on June 8th being  2500 mIU/ml. An ultrasound was performed on June 20th, the embryo measured 4mm. There was no heart beat yet. A second ultrasound was performed on June 27th. There was no heart beat and the yolk sac was gone. It was considered a missed miscarriage. A third ultrasound confirmed that growth had stopped at 6 weeks 2 days.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: About 3-5 minutes after vaccination, mother told vaccinator that patient was feeling nauseous.  Patient was up and walking at the time. Patient assisted in a chair into reclining position until nausea subsided.  Pt did not pass out, did not fall, and did not vomit.  Patient spoke with staff throughout event and she reported nausea subsided within 2-3 minutes, no other effects noted or reported.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Dysphonia, Dyspnoea
Clinical narrative: I contracted COVID-19 on 06/11/2022 with symptoms of sore throat, congestion, sneezing, itchy eyes, raspy voice, chest tightness, shortness of breathe, fever of 101.5 at highest point, fatigue, and cough. I was prescribed Paxlovid 06/13/2022 during a telemedicine visit. I began to feel better once I began taking the Paxlovid, but a week after I finished my doses my symptoms rebounded and I continued to test positive for 3 weeks from onset. My symptoms did not resolve until 06/30/2022. I am still experiencing lingering symptoms of a raspy voice, chest tightness, shortness of breathe, and fatigue.