chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Continuous haemodiafiltration, Cough, Death, Dyspnoea, End stage renal disease
Clinical narrative: 8/25/21 Pt was seen by PCP office for cough and loss of taste. Was positive for SARS-CoV-2 8/29/21 He presented to the ED w/ worsening cough and SOB. RA pulse ox was 85%. He was admitted. Hospital course as below. Family did change his care to comfort care and the patient died on 9/4/21 Patient is a 66 year old male with a history of end-stage renal disease requiring hemodialysis, chronic systolic heart failure with LVEF 20%, chronic hypotension, anemia of chronic disease, secondary hyperparathyroidism, DVT who was admitted on August 28 for acute hypoxemic respiratory failure, Covid pneumonia, and fluid volume overload.  Nephrology was consulted with management of hemodialysis while hospitalized.  Infectious disease was consulted.  He was started on IV steroids, IV remdesivir, and daily inflammatory markers.  The patient experienced worsening hypoxemia and respiratory failure requiring high flow nasal cannula.  He required escalating requirements on high flow nasal cannula and was transferred to the intensive care unit on 9/2/2021.  Critical care was consulted for management.  Palliative care was consulted for goals of care discussion with no changes in plan of care.  On 9/3/2021, the patient deteriorated requiring endotracheal intubation and mechanical ventilation.  He was placed in the prone position due to hypoxemia.  He developed severe acidosis.  Temporary HD catheter was placed.  This evening, he had continued acidosis with increasing vasopressor requirements.  The case was discussed with nephrology and he was started on CVVHD.  There were complications with initiation of CVVHD as multiple filters clotted off after initiation.  The patient developed progressive hypotension and shock requiring max dosing of norepinephrine, phenylephrine, vasopressin, epinephrine.  He received a total of 6 A of sodium bicarb.  The patient's deteriorating condition was discussed with his daughters.  He was transitioned to a DNR CCA.  The patient expired cessation of vital signs on 9/4/2021 at 1:10am.    Discharge Diagnoses: Acute hypoxemic respiratory failure Covid pneumonia ESRD HD dependent Shock Systolic heart failure with LVEF 20% OSA on CPAP
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Haemoglobin decreased, Hypervolaemia, Hypotension
Clinical narrative: 8/25/21 Pt was seen by PCP office for cough and loss of taste. Was positive for SARS-CoV-2 8/29/21 He presented to the ED w/ worsening cough and SOB. RA pulse ox was 85%. He was admitted. Hospital course as below. Family did change his care to comfort care and the patient died on 9/4/21 Patient is a 66 year old male with a history of end-stage renal disease requiring hemodialysis, chronic systolic heart failure with LVEF 20%, chronic hypotension, anemia of chronic disease, secondary hyperparathyroidism, DVT who was admitted on August 28 for acute hypoxemic respiratory failure, Covid pneumonia, and fluid volume overload.  Nephrology was consulted with management of hemodialysis while hospitalized.  Infectious disease was consulted.  He was started on IV steroids, IV remdesivir, and daily inflammatory markers.  The patient experienced worsening hypoxemia and respiratory failure requiring high flow nasal cannula.  He required escalating requirements on high flow nasal cannula and was transferred to the intensive care unit on 9/2/2021.  Critical care was consulted for management.  Palliative care was consulted for goals of care discussion with no changes in plan of care.  On 9/3/2021, the patient deteriorated requiring endotracheal intubation and mechanical ventilation.  He was placed in the prone position due to hypoxemia.  He developed severe acidosis.  Temporary HD catheter was placed.  This evening, he had continued acidosis with increasing vasopressor requirements.  The case was discussed with nephrology and he was started on CVVHD.  There were complications with initiation of CVVHD as multiple filters clotted off after initiation.  The patient developed progressive hypotension and shock requiring max dosing of norepinephrine, phenylephrine, vasopressin, epinephrine.  He received a total of 6 A of sodium bicarb.  The patient's deteriorating condition was discussed with his daughters.  He was transitioned to a DNR CCA.  The patient expired cessation of vital signs on 9/4/2021 at 1:10am.    Discharge Diagnoses: Acute hypoxemic respiratory failure Covid pneumonia ESRD HD dependent Shock Systolic heart failure with LVEF 20% OSA on CPAP
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammatory marker test, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Intensive care
Clinical narrative: 8/25/21 Pt was seen by PCP office for cough and loss of taste. Was positive for SARS-CoV-2 8/29/21 He presented to the ED w/ worsening cough and SOB. RA pulse ox was 85%. He was admitted. Hospital course as below. Family did change his care to comfort care and the patient died on 9/4/21 Patient is a 66 year old male with a history of end-stage renal disease requiring hemodialysis, chronic systolic heart failure with LVEF 20%, chronic hypotension, anemia of chronic disease, secondary hyperparathyroidism, DVT who was admitted on August 28 for acute hypoxemic respiratory failure, Covid pneumonia, and fluid volume overload.  Nephrology was consulted with management of hemodialysis while hospitalized.  Infectious disease was consulted.  He was started on IV steroids, IV remdesivir, and daily inflammatory markers.  The patient experienced worsening hypoxemia and respiratory failure requiring high flow nasal cannula.  He required escalating requirements on high flow nasal cannula and was transferred to the intensive care unit on 9/2/2021.  Critical care was consulted for management.  Palliative care was consulted for goals of care discussion with no changes in plan of care.  On 9/3/2021, the patient deteriorated requiring endotracheal intubation and mechanical ventilation.  He was placed in the prone position due to hypoxemia.  He developed severe acidosis.  Temporary HD catheter was placed.  This evening, he had continued acidosis with increasing vasopressor requirements.  The case was discussed with nephrology and he was started on CVVHD.  There were complications with initiation of CVVHD as multiple filters clotted off after initiation.  The patient developed progressive hypotension and shock requiring max dosing of norepinephrine, phenylephrine, vasopressin, epinephrine.  He received a total of 6 A of sodium bicarb.  The patient's deteriorating condition was discussed with his daughters.  He was transitioned to a DNR CCA.  The patient expired cessation of vital signs on 9/4/2021 at 1:10am.    Discharge Diagnoses: Acute hypoxemic respiratory failure Covid pneumonia ESRD HD dependent Shock Systolic heart failure with LVEF 20% OSA on CPAP
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Mechanical ventilation, Platelet count normal, Pleural effusion, SARS-CoV-2 test positive
Clinical narrative: 8/25/21 Pt was seen by PCP office for cough and loss of taste. Was positive for SARS-CoV-2 8/29/21 He presented to the ED w/ worsening cough and SOB. RA pulse ox was 85%. He was admitted. Hospital course as below. Family did change his care to comfort care and the patient died on 9/4/21 Patient is a 66 year old male with a history of end-stage renal disease requiring hemodialysis, chronic systolic heart failure with LVEF 20%, chronic hypotension, anemia of chronic disease, secondary hyperparathyroidism, DVT who was admitted on August 28 for acute hypoxemic respiratory failure, Covid pneumonia, and fluid volume overload.  Nephrology was consulted with management of hemodialysis while hospitalized.  Infectious disease was consulted.  He was started on IV steroids, IV remdesivir, and daily inflammatory markers.  The patient experienced worsening hypoxemia and respiratory failure requiring high flow nasal cannula.  He required escalating requirements on high flow nasal cannula and was transferred to the intensive care unit on 9/2/2021.  Critical care was consulted for management.  Palliative care was consulted for goals of care discussion with no changes in plan of care.  On 9/3/2021, the patient deteriorated requiring endotracheal intubation and mechanical ventilation.  He was placed in the prone position due to hypoxemia.  He developed severe acidosis.  Temporary HD catheter was placed.  This evening, he had continued acidosis with increasing vasopressor requirements.  The case was discussed with nephrology and he was started on CVVHD.  There were complications with initiation of CVVHD as multiple filters clotted off after initiation.  The patient developed progressive hypotension and shock requiring max dosing of norepinephrine, phenylephrine, vasopressin, epinephrine.  He received a total of 6 A of sodium bicarb.  The patient's deteriorating condition was discussed with his daughters.  He was transitioned to a DNR CCA.  The patient expired cessation of vital signs on 9/4/2021 at 1:10am.    Discharge Diagnoses: Acute hypoxemic respiratory failure Covid pneumonia ESRD HD dependent Shock Systolic heart failure with LVEF 20% OSA on CPAP
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Shock, White blood cell count decreased
Clinical narrative: 8/25/21 Pt was seen by PCP office for cough and loss of taste. Was positive for SARS-CoV-2 8/29/21 He presented to the ED w/ worsening cough and SOB. RA pulse ox was 85%. He was admitted. Hospital course as below. Family did change his care to comfort care and the patient died on 9/4/21 Patient is a 66 year old male with a history of end-stage renal disease requiring hemodialysis, chronic systolic heart failure with LVEF 20%, chronic hypotension, anemia of chronic disease, secondary hyperparathyroidism, DVT who was admitted on August 28 for acute hypoxemic respiratory failure, Covid pneumonia, and fluid volume overload.  Nephrology was consulted with management of hemodialysis while hospitalized.  Infectious disease was consulted.  He was started on IV steroids, IV remdesivir, and daily inflammatory markers.  The patient experienced worsening hypoxemia and respiratory failure requiring high flow nasal cannula.  He required escalating requirements on high flow nasal cannula and was transferred to the intensive care unit on 9/2/2021.  Critical care was consulted for management.  Palliative care was consulted for goals of care discussion with no changes in plan of care.  On 9/3/2021, the patient deteriorated requiring endotracheal intubation and mechanical ventilation.  He was placed in the prone position due to hypoxemia.  He developed severe acidosis.  Temporary HD catheter was placed.  This evening, he had continued acidosis with increasing vasopressor requirements.  The case was discussed with nephrology and he was started on CVVHD.  There were complications with initiation of CVVHD as multiple filters clotted off after initiation.  The patient developed progressive hypotension and shock requiring max dosing of norepinephrine, phenylephrine, vasopressin, epinephrine.  He received a total of 6 A of sodium bicarb.  The patient's deteriorating condition was discussed with his daughters.  He was transitioned to a DNR CCA.  The patient expired cessation of vital signs on 9/4/2021 at 1:10am.    Discharge Diagnoses: Acute hypoxemic respiratory failure Covid pneumonia ESRD HD dependent Shock Systolic heart failure with LVEF 20% OSA on CPAP
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: THE JANSSEN COVID 19 VACCINE THAT WAS ADMINISTERED TO THIS PATIENT EXPIRED 2 DAYS BEFORE THE ADMINISTRATION DATE. THE BEYOND USE DATE WAS OMITTED ON THE LAST BOX CONTAINING THE VACCINE VIAL. I ASSUMED IT WAS STILL IN DATE WHEN I PULLED THE PRODUCT. EXPIRED VACCINE IS USUALLY NOT STORED IN THAT SPECIFIC REFRIGERATOR. I WAS THE ONLY PHARMACIST AND WE WERE BUSY. THAT SPECIFIC REFRIGERATOR WAS WHERE IN DATE CURRENT VACCINES ARE TYPICALLY STORED.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abnormal loss of weight, Asthenia, Balance disorder, Chills, Dizziness postural
Clinical narrative: Patient's significant other brought him into the hospital because of severe headache and right-sided numbness. Patient had been feeling numb from the right mid forearm distally and from the lower third of the right leg distally since yesterday at 4:30pm. The numbness is described as constant, with no relieving factors, no exacerbating factors. He has waning and waxing episodes. He had difficulty walking because of losing balance today. He has had headache for 2 days, the headache is constant, better with the sumatriptan, exacerbated with loud noises, non-progressive, 10 out of 10 pain level when he came to the ED. Pressure and throbbing-like in nature and localized on the right side of the head. Patient's significant other states that yesterday at approx 5:30pm, she heard a thud sound in the kitchen and found patient lying on the floor responsive. Patient says they opened the refrigerator  and then next thing they knew, they woke up lying on the floor. He has been having exertional dyspnea since yesterday. He has been feeling more warm than usual for 1 week but did not check his temperature at home. He has been having chills and shivers from time to time over the past week. He feels dizzy while standing up. He has generalized weakness. He lost 8 lbs unintentionally in the past month.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea exertional, Fall, Feeling hot, Gait disturbance, Head discomfort
Clinical narrative: Patient's significant other brought him into the hospital because of severe headache and right-sided numbness. Patient had been feeling numb from the right mid forearm distally and from the lower third of the right leg distally since yesterday at 4:30pm. The numbness is described as constant, with no relieving factors, no exacerbating factors. He has waning and waxing episodes. He had difficulty walking because of losing balance today. He has had headache for 2 days, the headache is constant, better with the sumatriptan, exacerbated with loud noises, non-progressive, 10 out of 10 pain level when he came to the ED. Pressure and throbbing-like in nature and localized on the right side of the head. Patient's significant other states that yesterday at approx 5:30pm, she heard a thud sound in the kitchen and found patient lying on the floor responsive. Patient says they opened the refrigerator  and then next thing they knew, they woke up lying on the floor. He has been having exertional dyspnea since yesterday. He has been feeling more warm than usual for 1 week but did not check his temperature at home. He has been having chills and shivers from time to time over the past week. He feels dizzy while standing up. He has generalized weakness. He lost 8 lbs unintentionally in the past month.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Hypoaesthesia
Clinical narrative: Patient's significant other brought him into the hospital because of severe headache and right-sided numbness. Patient had been feeling numb from the right mid forearm distally and from the lower third of the right leg distally since yesterday at 4:30pm. The numbness is described as constant, with no relieving factors, no exacerbating factors. He has waning and waxing episodes. He had difficulty walking because of losing balance today. He has had headache for 2 days, the headache is constant, better with the sumatriptan, exacerbated with loud noises, non-progressive, 10 out of 10 pain level when he came to the ED. Pressure and throbbing-like in nature and localized on the right side of the head. Patient's significant other states that yesterday at approx 5:30pm, she heard a thud sound in the kitchen and found patient lying on the floor responsive. Patient says they opened the refrigerator  and then next thing they knew, they woke up lying on the floor. He has been having exertional dyspnea since yesterday. He has been feeling more warm than usual for 1 week but did not check his temperature at home. He has been having chills and shivers from time to time over the past week. He feels dizzy while standing up. He has generalized weakness. He lost 8 lbs unintentionally in the past month.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Feeling abnormal, Impaired work ability
Clinical narrative: Woke up shivering uncontrollably for one hour. Wrapped self in blankets then woke up one hour later with night sweats. While awake in the middle of the night, when standing I became nauseous and light headed. The next day I was extremely exhausted and my whole body aches. Every move I made hurt and I had to leave work after 2 hours due to the inability to function at normal capacity secondary to pain and fatigue. Did not feel normal again until 7 PM the next day.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Night sweats, Pain
Clinical narrative: Woke up shivering uncontrollably for one hour. Wrapped self in blankets then woke up one hour later with night sweats. While awake in the middle of the night, when standing I became nauseous and light headed. The next day I was extremely exhausted and my whole body aches. Every move I made hurt and I had to leave work after 2 hours due to the inability to function at normal capacity secondary to pain and fatigue. Did not feel normal again until 7 PM the next day.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Renal pain, X-ray normal
Clinical narrative: I was extremely tired the first day. The next morning my kidneys were really hurting, especially my left one. It had been damaged in a previous surgery. It has been hurting since the vaccine quite a bit. I went to see my urologist yesterday and he said that if it continued more than a couple of weeks then he would like to do a CAT scan. They did not give me any medications. They did an x-ray on Wednesday, the day before I saw my doctor. The x-ray came back normal.
Age: 11.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMRV
Symptoms: No adverse event
Clinical narrative: He has not had an adverse yet, CNP went into the room with the patient and patients father and explained what vaccines were given and possible outcomes given.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: PATIENT REPORTS HAVING SWELLING, REDNESS, SORENESS AND SKIN BEING WARM TO THE TOUCH BENEATH THE INJECTION SITE 24 HOURS AFTER INJECTION. SHE ALSO REPORTED BEING FAITGUED AND EXPERIENCING MUSCLE PAIN. PATIENT WILL CONTINUE TO MONITOR REACTION AND SEEK IMMEDIATE MEDICAL HELP IF SYMPTOMS PERSIST OR WORSEN.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: PATIENT REPORTS HAVING SWELLING, REDNESS, SORENESS AND SKIN BEING WARM TO THE TOUCH BENEATH THE INJECTION SITE 24 HOURS AFTER INJECTION. SHE ALSO REPORTED BEING FAITGUED AND EXPERIENCING MUSCLE PAIN. PATIENT WILL CONTINUE TO MONITOR REACTION AND SEEK IMMEDIATE MEDICAL HELP IF SYMPTOMS PERSIST OR WORSEN.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Echocardiogram, Laboratory test
Clinical narrative: Pt had CP and shortness of breath , dizziness started 24hr after moderna #1, 2 weeks ago now.  Treated with steroids x 2 weeks but still having pain.  Worse when lying down - Acute idiopathic pericarditis  - Primary
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pericarditis
Clinical narrative: Pt had CP and shortness of breath , dizziness started 24hr after moderna #1, 2 weeks ago now.  Treated with steroids x 2 weeks but still having pain.  Worse when lying down - Acute idiopathic pericarditis  - Primary
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Asthenia, Bedridden, Chest X-ray, Dyspnoea
Clinical narrative: Pt had CP and shortness of breath , dizziness started 24hr after moderna #1, 2 weeks ago now.  Treated with steroids x 2 weeks but still having pain.  Worse when lying down - Acute idiopathic pericarditis  - Primary
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Fatigue, Inflammation, Malaise
Clinical narrative: Pt had CP and shortness of breath , dizziness started 24hr after moderna #1, 2 weeks ago now.  Treated with steroids x 2 weeks but still having pain.  Worse when lying down - Acute idiopathic pericarditis  - Primary
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Pericarditis, Product dose omission issue
Clinical narrative: Pt had CP and shortness of breath , dizziness started 24hr after moderna #1, 2 weeks ago now.  Treated with steroids x 2 weeks but still having pain.  Worse when lying down - Acute idiopathic pericarditis  - Primary
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus
Clinical narrative: Woke up early at around 7am feeling itchy, but there was no visible reaction such as rash or a hives or a rash. About 30 minutes later I was having issues taking deep breaths which led to difficulty breathing entirely. Got dressed in about 5 minutes and alerted my father that I needed to go to the hospital because of the breathing difficulty. We arrived at the hospital close to 8am where I was taken back within 2 minutes. Standard bloodwork was ran and I was given a prescription for diphenhydrAMINE 25mg CAP, FAMOTIDINE 40mg TAB, predniSONE 20mg TAB, and an Epipen; as they thought I was having an allergic reaction. Was discharged the same day at roughly 10:40 am
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: diarea days 3,4 and 5 after injection
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong patient received product
Clinical narrative: Nurse was administering Covid vaccines at the local Nursing home and their staff was taking this nurse to the residents to administer the vaccine and took this nurse to the wrong resident. Nurse administered the Covid vaccine to the resident and later that evening the Nursing home called our Administrator, and informed her of the incident, taking responsibility for the incident. They had completed all of the paperwork prior vaccines being given.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cardioversion, Death, Malaise, Myocardial infarction
Clinical narrative: Patient began complaining about not feeling well. He was nauseated and began throwing up and going to the bathroom.  That continued off and on all night.  Around 6:30 - 6am the next morning he said he was feeling somewhat better but was very weak.  H e went back to  bed.  We checked on him around lunch time lying on his bed with his phone in his hand.  He appeared to be trying to text.  I checked on him a few minutes later and he had not moved.  I checked and saw he wasn't breathing.  At that time he had a heart beat.   We called 911 and I started CPR and continued for approx 25 until paramedics arrived.  They bagged him and used defibrillator but could not bring him back.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Respiratory arrest, Resuscitation, Vomiting
Clinical narrative: Patient began complaining about not feeling well. He was nauseated and began throwing up and going to the bathroom.  That continued off and on all night.  Around 6:30 - 6am the next morning he said he was feeling somewhat better but was very weak.  H e went back to  bed.  We checked on him around lunch time lying on his bed with his phone in his hand.  He appeared to be trying to text.  I checked on him a few minutes later and he had not moved.  I checked and saw he wasn't breathing.  At that time he had a heart beat.   We called 911 and I started CPR and continued for approx 25 until paramedics arrived.  They bagged him and used defibrillator but could not bring him back.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Aspartate aminotransferase, Blood albumin, Blood bilirubin, Blood calcium, Blood chloride
Clinical narrative: High Fever, mouth blisters, mouth sores, sore throat
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine, Blood electrolytes, Blood glucose, Blood potassium, Blood sodium
Clinical narrative: High Fever, mouth blisters, mouth sores, sore throat
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Blood urea, C-reactive protein, Carbon dioxide, Culture throat
Clinical narrative: High Fever, mouth blisters, mouth sores, sore throat
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Epstein-Barr virus antibody, Full blood count, Liver function test, Oral mucosal blistering
Clinical narrative: High Fever, mouth blisters, mouth sores, sore throat
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Red blood cell sedimentation rate, SARS-CoV-2 test, Stomatitis
Clinical narrative: High Fever, mouth blisters, mouth sores, sore throat
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Streptococcus test, Urine analysis
Clinical narrative: High Fever, mouth blisters, mouth sores, sore throat
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Bacteraemia, Bladder catheterisation, COVID-19, Fall
Clinical narrative: Pt. presented to EC on 4/29/2021 due to falls at a rehab. facility; pt. w/ chronic Foley, Dx. w/ UTI & bacteremia, AKI; discharged to ECF on 05/21/21 in stable condition.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Pt. presented to EC on 4/29/2021 due to falls at a rehab. facility; pt. w/ chronic Foley, Dx. w/ UTI & bacteremia, AKI; discharged to ECF on 05/21/21 in stable condition.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received two doses of the Pfizer COVID-19 Vaccine. Pt was offered the vaccine during his daughter's visit and was administered the vaccine. The paperwork was placed in the box for the covid vaccine clinic and the RN running the clinic was paged. After two patient identifiers were done and the patient was administered the   COVID vaccine, the patient stated he already got a vaccine today.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Lymphadenopathy
Clinical narrative: 11 am vaccine given, by 5 pm there was a huge knot/ swollen lymph node with a red circle around it.   Iced area the swollen area, and Tylenol
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia
Clinical narrative: Patient stated they experienced a metallic taste in their mouth and was feeling dizzy. Patient's son felt uneasy and requested EMS  services. EMS arrived and checked vital signs, patient cleared by EMS and headed home after waiting for 30 minutes.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient was here for her 2nd Moderna vaccination, along with her son who was receiving his 2nd Pfizer. Pt was given Pfizer vaccination for her 2nd dose. Patient waited her 15-20 minutes post vaccination time, no signs or symptoms of reaction.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Headache, Nasal congestion, Pyrexia
Clinical narrative: Started 09/6/2021 PM excessive sneezing, nasal congestion, chills, fever and head ache that progressively worsen   09/08/2021 tela health visit with doctor then had a drive up test for COVID negative, family members and friend was testing positive and spoke with her physician for a re- test recommended, 5 days later 09/15/2021 COVID tested positive.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sneezing
Clinical narrative: Started 09/6/2021 PM excessive sneezing, nasal congestion, chills, fever and head ache that progressively worsen   09/08/2021 tela health visit with doctor then had a drive up test for COVID negative, family members and friend was testing positive and spoke with her physician for a re- test recommended, 5 days later 09/15/2021 COVID tested positive.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Blood culture negative, Blood potassium decreased, Blood sodium decreased
Clinical narrative: Onset the next day w/ low grade fever,  cough, extreme fatigue, HA. Symptoms persisted, plus suppressed appetite.  Came to our office for appt on 3/29 /21 and was sent to ER with SaO2 of 84%. Inpatient from 3/29/21 to 4/1/21. Treated for acute respiratory failure, "covid pneumonia" secondary to covid. Treated with Remdesivir, dexamethasone, lovenox,  and azithromycin. Azith was discontinued because they thought the pna was viral rather than bacterial. She was discharged home on BID albuterol, a medrol dosepak and continuous oxygen at 2LPM. Pt was told that they suspected she had asymptomatic covid prior to vaccination.  Her symptoms improved and she discontinued daytime oxygen on 5/17/21 , but night time O2 was still indicated.  By  6/29/21 she felt she was back to baseline with the exception of nocturnal hypoxia. As of today, 9/24/21, she remains on supplemental night time oxygen. Nocturnal oximetry is pending.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Decreased appetite, Electrocardiogram
Clinical narrative: Onset the next day w/ low grade fever,  cough, extreme fatigue, HA. Symptoms persisted, plus suppressed appetite.  Came to our office for appt on 3/29 /21 and was sent to ER with SaO2 of 84%. Inpatient from 3/29/21 to 4/1/21. Treated for acute respiratory failure, "covid pneumonia" secondary to covid. Treated with Remdesivir, dexamethasone, lovenox,  and azithromycin. Azith was discontinued because they thought the pna was viral rather than bacterial. She was discharged home on BID albuterol, a medrol dosepak and continuous oxygen at 2LPM. Pt was told that they suspected she had asymptomatic covid prior to vaccination.  Her symptoms improved and she discontinued daytime oxygen on 5/17/21 , but night time O2 was still indicated.  By  6/29/21 she felt she was back to baseline with the exception of nocturnal hypoxia. As of today, 9/24/21, she remains on supplemental night time oxygen. Nocturnal oximetry is pending.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer, Full blood count, Headache, Hypoxia
Clinical narrative: Onset the next day w/ low grade fever,  cough, extreme fatigue, HA. Symptoms persisted, plus suppressed appetite.  Came to our office for appt on 3/29 /21 and was sent to ER with SaO2 of 84%. Inpatient from 3/29/21 to 4/1/21. Treated for acute respiratory failure, "covid pneumonia" secondary to covid. Treated with Remdesivir, dexamethasone, lovenox,  and azithromycin. Azith was discontinued because they thought the pna was viral rather than bacterial. She was discharged home on BID albuterol, a medrol dosepak and continuous oxygen at 2LPM. Pt was told that they suspected she had asymptomatic covid prior to vaccination.  Her symptoms improved and she discontinued daytime oxygen on 5/17/21 , but night time O2 was still indicated.  By  6/29/21 she felt she was back to baseline with the exception of nocturnal hypoxia. As of today, 9/24/21, she remains on supplemental night time oxygen. Nocturnal oximetry is pending.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Metabolic function test, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Onset the next day w/ low grade fever,  cough, extreme fatigue, HA. Symptoms persisted, plus suppressed appetite.  Came to our office for appt on 3/29 /21 and was sent to ER with SaO2 of 84%. Inpatient from 3/29/21 to 4/1/21. Treated for acute respiratory failure, "covid pneumonia" secondary to covid. Treated with Remdesivir, dexamethasone, lovenox,  and azithromycin. Azith was discontinued because they thought the pna was viral rather than bacterial. She was discharged home on BID albuterol, a medrol dosepak and continuous oxygen at 2LPM. Pt was told that they suspected she had asymptomatic covid prior to vaccination.  Her symptoms improved and she discontinued daytime oxygen on 5/17/21 , but night time O2 was still indicated.  By  6/29/21 she felt she was back to baseline with the exception of nocturnal hypoxia. As of today, 9/24/21, she remains on supplemental night time oxygen. Nocturnal oximetry is pending.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative, Troponin I normal
Clinical narrative: Onset the next day w/ low grade fever,  cough, extreme fatigue, HA. Symptoms persisted, plus suppressed appetite.  Came to our office for appt on 3/29 /21 and was sent to ER with SaO2 of 84%. Inpatient from 3/29/21 to 4/1/21. Treated for acute respiratory failure, "covid pneumonia" secondary to covid. Treated with Remdesivir, dexamethasone, lovenox,  and azithromycin. Azith was discontinued because they thought the pna was viral rather than bacterial. She was discharged home on BID albuterol, a medrol dosepak and continuous oxygen at 2LPM. Pt was told that they suspected she had asymptomatic covid prior to vaccination.  Her symptoms improved and she discontinued daytime oxygen on 5/17/21 , but night time O2 was still indicated.  By  6/29/21 she felt she was back to baseline with the exception of nocturnal hypoxia. As of today, 9/24/21, she remains on supplemental night time oxygen. Nocturnal oximetry is pending.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: approx. 4 days following this 3rd dose of the Moderna vaccine, an itchy rash appeared at the injection site (upper right arm) which had been painful/swollen for 3-4 days.  Shortly thereafter, the rash appeared on my upper right thigh (inner and outer) as well as right buttock.  It also appeared to a lesser extent on my right ankle, as well as on my lower back.  The rash also occurred on my outer and inner left thigh.  Saw the dermatologist today and he suggested either a shot of Kenalog (which i declined) or topical cream to apply 2X/day. I don't know the cream name, but will pick it up tomorrow.  Note: i've had no changes to diet, supplements, or lotions.  .  On 08/26/21, recvd cortisone shot in left shoulder joint
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: approx. 4 days following this 3rd dose of the Moderna vaccine, an itchy rash appeared at the injection site (upper right arm) which had been painful/swollen for 3-4 days.  Shortly thereafter, the rash appeared on my upper right thigh (inner and outer) as well as right buttock.  It also appeared to a lesser extent on my right ankle, as well as on my lower back.  The rash also occurred on my outer and inner left thigh.  Saw the dermatologist today and he suggested either a shot of Kenalog (which i declined) or topical cream to apply 2X/day. I don't know the cream name, but will pick it up tomorrow.  Note: i've had no changes to diet, supplements, or lotions.  .  On 08/26/21, recvd cortisone shot in left shoulder joint
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Employee given expired flu vaccination.  Expiration date of 06/30/21.  No signs or symptoms reported thus far.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Feeling abnormal, Hyperhidrosis, Nausea, Pain
Clinical narrative: Severe body aches and fever for 2 days.  For 12 days I sweated profusely.  Itched behind knees and on thighs.  Right elbow had a weird sensation like my elbow was going to stop working.  To this day my calves ache and ankles ache (off and on).  Ankles feel like they are going to stop working.   I feel like I'm going to be sick/nausea (comes and goes) Just weird stuff that never happened before and continues off and on to this day.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Pyrexia, Sensory disturbance
Clinical narrative: Severe body aches and fever for 2 days.  For 12 days I sweated profusely.  Itched behind knees and on thighs.  Right elbow had a weird sensation like my elbow was going to stop working.  To this day my calves ache and ankles ache (off and on).  Ankles feel like they are going to stop working.   I feel like I'm going to be sick/nausea (comes and goes) Just weird stuff that never happened before and continues off and on to this day.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Heart rate increased, Heart rate irregular
Clinical narrative: Patient experienced irregular (fast) heartbeats around 6 months ago. Seemed to resolve, then started again 1 week after 1st COVID vaccination.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Bedridden, Blood thyroid stimulating hormone, Fatigue, Full blood count, Headache
Clinical narrative: I got a flu shot midday Friday 9/18/21 and within an hour or two I started feeling very bad (headache, generalized aching, severe fatigue) which left me bedridden until Monday when I felt a little better and could do a few chores but I am still sick with pain control requiring Tylenol in am, Lyrica in afternoon and morphine in evening.   No respiratory symptoms, vital signs normal, lab (ordered by Dr) shows CBC chemistry panel TSH and sed rate all normal.  Vital signs all normal. I have had flu shots every year for many years with no reaction; I doubt it is   an infectious disease? I have no fever or respiratory symptoms and have been away from home very little and then always masked.  A flare of my neuropathy?  I have an autonomic neuropathy which has been very stable.    I am a retired physician.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Illness, Laboratory test, Laboratory test normal, Pain
Clinical narrative: I got a flu shot midday Friday 9/18/21 and within an hour or two I started feeling very bad (headache, generalized aching, severe fatigue) which left me bedridden until Monday when I felt a little better and could do a few chores but I am still sick with pain control requiring Tylenol in am, Lyrica in afternoon and morphine in evening.   No respiratory symptoms, vital signs normal, lab (ordered by Dr) shows CBC chemistry panel TSH and sed rate all normal.  Vital signs all normal. I have had flu shots every year for many years with no reaction; I doubt it is   an infectious disease? I have no fever or respiratory symptoms and have been away from home very little and then always masked.  A flare of my neuropathy?  I have an autonomic neuropathy which has been very stable.    I am a retired physician.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Pain in arm since 09/03.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Immediate post-injection reaction, Migraine, Nausea, Tinnitus
Clinical narrative: Immediate nausea, vertigo, tinnitus, severe fatigue, migraine, blurred vision.  These have persisted since vaccination administration.  Vertigo and blurred vision persists, tinnitus daily but not continuous, severe fatigue, and daily migraine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vision blurred
Clinical narrative: Immediate nausea, vertigo, tinnitus, severe fatigue, migraine, blurred vision.  These have persisted since vaccination administration.  Vertigo and blurred vision persists, tinnitus daily but not continuous, severe fatigue, and daily migraine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Balance disorder, Breast pain, Discomfort, Fatigue
Clinical narrative: My breast got so sore with the Moderna Dose 1 which I received in my Left arm. I have fibroids in my chest. So I received the Moderna  Dose 2 in my right arm and I did not have that problem. Not very long after the 2nd shot I got the flu, around the end of May. They tested for COVID-19 and it was negative. So they decided it was the flu. It has progressively gotten worse. I don't know if its long-hauler symptoms because I have had COVID1- 19 twice. I started to feel like I had mono. I feel like I weighed a ton. It takes every ounce of energy to lift my arm. I am tired all the time. I am a singer, and I would do an exercise with my lungs, before having COVID-19 ,  now I have trouble doing the exercise.   I have headaches. I have a broken neck which causes me to have headaches. They did a procedure where they killed the nerves. But this is a different kind of headache. The kind of headache you get when you have mono. My migraines have increased. For a while I was having them everyday. I have been able to slow the headaches down. I now walk like a drunken sailor, I have a hard time getting my balance. I have trouble finding words.  I don't know what is causing this. It might be the vaccine. It might be the flu or having the COVID-19. My dreams have changed since I have had COVID-19. I had COVID-19 in November and I had the vaccines in March . My dreams have become far more realistic. I was sent to a Psychologist . They said I do not have Alzheimer or Dementia . They can't explain the changes in my dreams. They are not nightmares. They are just dreams. I am not blaming it on  the vaccines. I would just like to feel better.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Influenza, Migraine, Uterine leiomyoma
Clinical narrative: My breast got so sore with the Moderna Dose 1 which I received in my Left arm. I have fibroids in my chest. So I received the Moderna  Dose 2 in my right arm and I did not have that problem. Not very long after the 2nd shot I got the flu, around the end of May. They tested for COVID-19 and it was negative. So they decided it was the flu. It has progressively gotten worse. I don't know if its long-hauler symptoms because I have had COVID1- 19 twice. I started to feel like I had mono. I feel like I weighed a ton. It takes every ounce of energy to lift my arm. I am tired all the time. I am a singer, and I would do an exercise with my lungs, before having COVID-19 ,  now I have trouble doing the exercise.   I have headaches. I have a broken neck which causes me to have headaches. They did a procedure where they killed the nerves. But this is a different kind of headache. The kind of headache you get when you have mono. My migraines have increased. For a while I was having them everyday. I have been able to slow the headaches down. I now walk like a drunken sailor, I have a hard time getting my balance. I have trouble finding words.  I don't know what is causing this. It might be the vaccine. It might be the flu or having the COVID-19. My dreams have changed since I have had COVID-19. I had COVID-19 in November and I had the vaccines in March . My dreams have become far more realistic. I was sent to a Psychologist . They said I do not have Alzheimer or Dementia . They can't explain the changes in my dreams. They are not nightmares. They are just dreams. I am not blaming it on  the vaccines. I would just like to feel better.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Heart rate increased
Clinical narrative: Patient reported during immunization screening on Sept 22 when in clinic to receive Varicella vaccine that he was worried he had myocarditis from Covid19 vaccination received 9/10/21 and wanted to know if he should get dose 2.  He stated he had an elevated heart rate of 80-100 bpm and had called an ask a nurse line at the clinic after the vaccination.  He received the Varicella vaccine without inicdence.  Upon checking records, doctor from facility had tried to call patient back on 9/11/21 but patient didn't have voicemail and didn't return call to clinic.  Patient called clinic on 9/24/21 and had experienced chest pain again and asked to see a provider.  He was examined by NP that day.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient has multiple allergies. 50 mg PO  Benadryl given ten minutes prior to vaccine. Patient was observed in the EMS room for 30 minutes afterwards.  No reaction observed. Patient states she felt fine and left.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Was given an expired dose, no reactions
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pruritus, Urticaria, Urticaria chronic
Clinical narrative: I?ve developed chronic urticaria, it?s lasted since September 4th and it comes and goes all over my body in the form of itchy lacy hives. Initially it was treated by my doctor with a steroid shot, that didn?t work. Then I was given 6 days of prednisone and steroid cream by the walk in clinic. That didn?t work. They are all over my body and it?s making daily life very tough with the terrible itching. It will show up in one place, then disappear and show up somewhere else. Everywhere from my face, arms, neck, back, legs, hands, etc it?s miserable.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral, Magnetic resonance imaging head abnormal, Transient ischaemic attack, Vertebral artery dissection
Clinical narrative: Vertebral Artery Dissection and subsequent TIA
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Employee given expired flu vaccination.  Expiration date of 06/30/21.  No signs or symptoms reported thus far.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram, Echocardiogram, Headache, Malaise
Clinical narrative: Pt received vaccine 20Sept21, started having symptoms 21Sept21 vaccine including  substernal CP 3/10, HA, generally "feeling sick".  Denies SOB.  Pt went to ER 22Sept21 for ongoing CP,  dx with Pericarditis.  Pt prescribed Ibuprofen and Colchicine, has not yet picked up medications as of this writing.  Pt only ongoing symptoms is still CP, 3/10, substernal, has not changed in nature.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, X-ray
Clinical narrative: Pt received vaccine 20Sept21, started having symptoms 21Sept21 vaccine including  substernal CP 3/10, HA, generally "feeling sick".  Denies SOB.  Pt went to ER 22Sept21 for ongoing CP,  dx with Pericarditis.  Pt prescribed Ibuprofen and Colchicine, has not yet picked up medications as of this writing.  Pt only ongoing symptoms is still CP, 3/10, substernal, has not changed in nature.