chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspepsia, Endoscopy, Gastrooesophageal reflux disease, Hepatobiliary scan
Clinical narrative: Changes in GI tract. Frequent nausea, vomiting, changes in bowel habits (constantly constipated or having diarrhea).  Usually sick for 3-4 days at a time, every few weeks. Starts with nausea, then vomiting, and diarrhea. In between these episodes, I am usually constipated.  Events started roughly 6 hours after receiving the vaccine. Prior to this, no GI issues.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count increased, Malaise, Nausea, Throat irritation, Ultrasound abdomen normal
Clinical narrative: Changes in GI tract. Frequent nausea, vomiting, changes in bowel habits (constantly constipated or having diarrhea).  Usually sick for 3-4 days at a time, every few weeks. Starts with nausea, then vomiting, and diarrhea. In between these episodes, I am usually constipated.  Events started roughly 6 hours after receiving the vaccine. Prior to this, no GI issues.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Changes in GI tract. Frequent nausea, vomiting, changes in bowel habits (constantly constipated or having diarrhea).  Usually sick for 3-4 days at a time, every few weeks. Starts with nausea, then vomiting, and diarrhea. In between these episodes, I am usually constipated.  Events started roughly 6 hours after receiving the vaccine. Prior to this, no GI issues.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after the limit to use the vaccine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis, COVID-19, Fatigue, SARS-CoV-2 test positive, Sinusitis
Clinical narrative: Omicron SARS CoV-2 infection; bronchitis, sinusitis and fatigue for 10 days.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Client reports she developed numb feeling across her face 30 minutes post vaccination, lasting a few hours.  Resolved without intervention.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Herpes zoster, Oral herpes, SARS-CoV-2 test positive, Streptococcal infection
Clinical narrative: about a week and a half after taking the booster shot, 3rd covid vaccine, i began to get cold sores none stop. I f/u with my dr on 11/17 about cold sores. On 11/24, I was diagnosed with shingles. The day after to completed treatment for shingles, I was diagnosed with strep on 12/2. On 12/23, i tested positive for covid, whole time, expect when I was on shingle medication, I've been having multiple cold sores on my mouth, nostrils, corners of my mouth/ & face.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: The pediatric pfizer vial was not diluted. Patient received 0.2mls of the undiluted immunization.  The vaccine was given around 2:30pm. When error was discovered, patient's mother was contacted around 7:00pm . She stated that the patient was not exhibiting any significant side effects.  Patient's mother states she would consider taking the patient to a physician the following day.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after the limit to use the vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: syncope- did not fall she was seated. vitals were stable.  regained consciousness
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dosage administered
Clinical narrative: Incorrect dosage given. She was given booster shot dosing at 0.25mL when patient was supposed to get second shot dose (0.5mL).
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: About 4 days after being vaccinated, I started having random stinging pains in different areas of my legs, mostly back of calfs, behind knees and thighs; and my upper arms. Feeling of losing circulation to my legs occured, to the point they felt like they were falling aslleep. That would happen while standing, sitting, laying down. Numbess in lower extremeties. Its difficult to walk at times, especially from sitting to standing and walking. Feeling of loss of circuation would make it difficult.  I woke up a few days ago with my left hand, two fingers numb. Ive never had this occur before.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Aortic arteriosclerosis, Aspiration, Atelectasis, Atrial enlargement
Clinical narrative: Patient discharged after 2 days in hospital. Patient is a 79 y.o. male with PMHx of BPH, Nicotine dependence, CAD s/p stenting in 2020 admitted due to COVID-19 pneumonia. Symptoms present for 37 days. CXR demonstrated bibasilar pneumonia. CTA demonstrated no PE, Bronchitis with LLL mucous plugging with infection, Opacities in RLL, New RUL 9mm nodule, small right pleural effusion, right hilar and mediastinal adenopathy. He was treated with decadron for 3 days. He did initially require 2L via NC of supplemental oxygen but was able to be quickly weaned to room air. He improved both clinically and in lab findings prior to discharge. He was discharged home in stable condition to complete 10 day decadron course.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchial secretion retention, Bronchial wall thickening, Bronchitis, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient discharged after 2 days in hospital. Patient is a 79 y.o. male with PMHx of BPH, Nicotine dependence, CAD s/p stenting in 2020 admitted due to COVID-19 pneumonia. Symptoms present for 37 days. CXR demonstrated bibasilar pneumonia. CTA demonstrated no PE, Bronchitis with LLL mucous plugging with infection, Opacities in RLL, New RUL 9mm nodule, small right pleural effusion, right hilar and mediastinal adenopathy. He was treated with decadron for 3 days. He did initially require 2L via NC of supplemental oxygen but was able to be quickly weaned to room air. He improved both clinically and in lab findings prior to discharge. He was discharged home in stable condition to complete 10 day decadron course.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Coronary artery disease, Cough, Dyspnoea, Emphysema
Clinical narrative: Patient discharged after 2 days in hospital. Patient is a 79 y.o. male with PMHx of BPH, Nicotine dependence, CAD s/p stenting in 2020 admitted due to COVID-19 pneumonia. Symptoms present for 37 days. CXR demonstrated bibasilar pneumonia. CTA demonstrated no PE, Bronchitis with LLL mucous plugging with infection, Opacities in RLL, New RUL 9mm nodule, small right pleural effusion, right hilar and mediastinal adenopathy. He was treated with decadron for 3 days. He did initially require 2L via NC of supplemental oxygen but was able to be quickly weaned to room air. He improved both clinically and in lab findings prior to discharge. He was discharged home in stable condition to complete 10 day decadron course.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hepatic lesion, Hilar lymphadenopathy, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Patient discharged after 2 days in hospital. Patient is a 79 y.o. male with PMHx of BPH, Nicotine dependence, CAD s/p stenting in 2020 admitted due to COVID-19 pneumonia. Symptoms present for 37 days. CXR demonstrated bibasilar pneumonia. CTA demonstrated no PE, Bronchitis with LLL mucous plugging with infection, Opacities in RLL, New RUL 9mm nodule, small right pleural effusion, right hilar and mediastinal adenopathy. He was treated with decadron for 3 days. He did initially require 2L via NC of supplemental oxygen but was able to be quickly weaned to room air. He improved both clinically and in lab findings prior to discharge. He was discharged home in stable condition to complete 10 day decadron course.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Intervertebral disc degeneration, Legionella test, Lung opacity, Lymphadenopathy mediastinal, Osteopenia
Clinical narrative: Patient discharged after 2 days in hospital. Patient is a 79 y.o. male with PMHx of BPH, Nicotine dependence, CAD s/p stenting in 2020 admitted due to COVID-19 pneumonia. Symptoms present for 37 days. CXR demonstrated bibasilar pneumonia. CTA demonstrated no PE, Bronchitis with LLL mucous plugging with infection, Opacities in RLL, New RUL 9mm nodule, small right pleural effusion, right hilar and mediastinal adenopathy. He was treated with decadron for 3 days. He did initially require 2L via NC of supplemental oxygen but was able to be quickly weaned to room air. He improved both clinically and in lab findings prior to discharge. He was discharged home in stable condition to complete 10 day decadron course.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural calcification, Pleural effusion, Pleural fibrosis, Pneumonia, Pulmonary fibrosis
Clinical narrative: Patient discharged after 2 days in hospital. Patient is a 79 y.o. male with PMHx of BPH, Nicotine dependence, CAD s/p stenting in 2020 admitted due to COVID-19 pneumonia. Symptoms present for 37 days. CXR demonstrated bibasilar pneumonia. CTA demonstrated no PE, Bronchitis with LLL mucous plugging with infection, Opacities in RLL, New RUL 9mm nodule, small right pleural effusion, right hilar and mediastinal adenopathy. He was treated with decadron for 3 days. He did initially require 2L via NC of supplemental oxygen but was able to be quickly weaned to room air. He improved both clinically and in lab findings prior to discharge. He was discharged home in stable condition to complete 10 day decadron course.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary mass, Pulmonary oedema, SARS-CoV-2 test positive, Scan with contrast abnormal, Scoliosis
Clinical narrative: Patient discharged after 2 days in hospital. Patient is a 79 y.o. male with PMHx of BPH, Nicotine dependence, CAD s/p stenting in 2020 admitted due to COVID-19 pneumonia. Symptoms present for 37 days. CXR demonstrated bibasilar pneumonia. CTA demonstrated no PE, Bronchitis with LLL mucous plugging with infection, Opacities in RLL, New RUL 9mm nodule, small right pleural effusion, right hilar and mediastinal adenopathy. He was treated with decadron for 3 days. He did initially require 2L via NC of supplemental oxygen but was able to be quickly weaned to room air. He improved both clinically and in lab findings prior to discharge. He was discharged home in stable condition to complete 10 day decadron course.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Splenic granuloma, Streptococcus test negative, Vertebral wedging
Clinical narrative: Patient discharged after 2 days in hospital. Patient is a 79 y.o. male with PMHx of BPH, Nicotine dependence, CAD s/p stenting in 2020 admitted due to COVID-19 pneumonia. Symptoms present for 37 days. CXR demonstrated bibasilar pneumonia. CTA demonstrated no PE, Bronchitis with LLL mucous plugging with infection, Opacities in RLL, New RUL 9mm nodule, small right pleural effusion, right hilar and mediastinal adenopathy. He was treated with decadron for 3 days. He did initially require 2L via NC of supplemental oxygen but was able to be quickly weaned to room air. He improved both clinically and in lab findings prior to discharge. He was discharged home in stable condition to complete 10 day decadron course.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after the limit to use the vaccine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site swelling, Lymphadenopathy, Migraine, Mouth ulceration
Clinical narrative: Severe lymph node swelling under left armpit (left arm injection site), mouth ulcers, thrush/white patches on both tonsils, migraine, fever, nausea, severe fatigue - still continuous 49 hours later (current time)
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Oral candidiasis, Pyrexia, Tonsillar disorder
Clinical narrative: Severe lymph node swelling under left armpit (left arm injection site), mouth ulcers, thrush/white patches on both tonsils, migraine, fever, nausea, severe fatigue - still continuous 49 hours later (current time)
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Palpitations
Clinical narrative: Shortness of breath while exercising outdoors happening on 6 separate occasions. Currently exercise 4-7days per week with no previous shortness of breath events. No previous Covid diagnosis   Additionally, heart palpitations while working out not experienced before
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Vertigo
Clinical narrative: Waves of dizziness, wooziness, vertigo and fatigue. Beginning 3 days post-injection, lasting about 4 days.
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site pain, Injection site swelling, Neuralgia, Pain
Clinical narrative: Localized swelling at injection site with soreness. 24 hours post injection, began to develop pain  with movement on ulnar side of left hand involving the small and ring finger. 36 hours post injection pain also in wrist with movement, 60 hours post injection, pain also involving the ulnar nerve up to humerus. Radiating pain spread across hand to middle, index fingers and thumb with and without movement. Dr. prescribed prednisone on 1/18/22; started in pm. 1/19/22 am symptoms began resolving. Followed with appointment with Dr. on 1/19/22
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Localized swelling at injection site with soreness. 24 hours post injection, began to develop pain  with movement on ulnar side of left hand involving the small and ring finger. 36 hours post injection pain also in wrist with movement, 60 hours post injection, pain also involving the ulnar nerve up to humerus. Radiating pain spread across hand to middle, index fingers and thumb with and without movement. Dr. prescribed prednisone on 1/18/22; started in pm. 1/19/22 am symptoms began resolving. Followed with appointment with Dr. on 1/19/22
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Loss of consciousness
Clinical narrative: I passed out and when taken to emergency room, they discovered low sodium level, which I had never happened. After couple days it worsened and became very low.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after the limit to use the vaccine.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Pyrexia
Clinical narrative: Extremely high resting rate - 130-140bpm while sleeping.  Fever of 102F, chills.  Fever disappeared at about 2pm on the 19th but came back at 8pm.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: I WAS SUPPOSED TO GIVE HER A COVID JANNSEN IMMUNIZATION BUT I GAVE HER THE PFIZER BY MISTAKE. WHEN I DISCOVERED MY ERROR, I CONTACTED MY REGIONAL MANAGER, WHO HAD ME CONTACT OUR CLINICAL PEOPLE TO SEE WHAT TO DO. THEY INFORMED ME THAT I COULD HAVE HER COME IN FOR THE CORRECT  IMMUNIZATION WITH NO WAITING PERIOD, I CONTACTED HER AND SHE WAS FINE, NO ISSUES, NO SIDE EFFECTS, AND AGREED TO COME IN AT HER CONVENIENCE TO GET THE CORRECT ONE.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Ear discomfort, Ear disorder, Ear pain, Headache
Clinical narrative: I received J&J vaccine after 6 days of receiving the vaccine I got very bad headaches and my left leg getting num have difficulty of eating and drinking I felt like it?s a lump in my throat my left ear got problem when I move around my left ear gets hurt and feel like a airplane feeling that air stock in my ear
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypophagia, Sensation of foreign body
Clinical narrative: I received J&J vaccine after 6 days of receiving the vaccine I got very bad headaches and my left leg getting num have difficulty of eating and drinking I felt like it?s a lump in my throat my left ear got problem when I move around my left ear gets hurt and feel like a airplane feeling that air stock in my ear
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Back pain, Blood test normal, Computerised tomogram normal
Clinical narrative: Left side back pain in the middle of the night. Woke up vomiting and nauseous with a bad headache feeling light headed. My body was very weak and achy. I ran a fever reaching 101.3. My belly was tender to the touch the pain along with the back pain hurt so bad I was in tears thinking I may have had a kidney infection, as it felt like one in the past. Ct scan, X-ray and blood work all seemed to come back normal and they determined I may just be having a bad reaction to my second dose of the vaccine. After leaving the hospital I just slept because I was so fatigued, woken back up by the back and belly pain as the meds wore off and my eyes were now swollen as well. I have absolutely no energy. Still monitoring symptoms.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye swelling, Fatigue, Headache, Nausea
Clinical narrative: Left side back pain in the middle of the night. Woke up vomiting and nauseous with a bad headache feeling light headed. My body was very weak and achy. I ran a fever reaching 101.3. My belly was tender to the touch the pain along with the back pain hurt so bad I was in tears thinking I may have had a kidney infection, as it felt like one in the past. Ct scan, X-ray and blood work all seemed to come back normal and they determined I may just be having a bad reaction to my second dose of the vaccine. After leaving the hospital I just slept because I was so fatigued, woken back up by the back and belly pain as the meds wore off and my eyes were now swollen as well. I have absolutely no energy. Still monitoring symptoms.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Tearfulness, Tenderness, Urine analysis normal
Clinical narrative: Left side back pain in the middle of the night. Woke up vomiting and nauseous with a bad headache feeling light headed. My body was very weak and achy. I ran a fever reaching 101.3. My belly was tender to the touch the pain along with the back pain hurt so bad I was in tears thinking I may have had a kidney infection, as it felt like one in the past. Ct scan, X-ray and blood work all seemed to come back normal and they determined I may just be having a bad reaction to my second dose of the vaccine. After leaving the hospital I just slept because I was so fatigued, woken back up by the back and belly pain as the meds wore off and my eyes were now swollen as well. I have absolutely no energy. Still monitoring symptoms.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, X-ray normal
Clinical narrative: Left side back pain in the middle of the night. Woke up vomiting and nauseous with a bad headache feeling light headed. My body was very weak and achy. I ran a fever reaching 101.3. My belly was tender to the touch the pain along with the back pain hurt so bad I was in tears thinking I may have had a kidney infection, as it felt like one in the past. Ct scan, X-ray and blood work all seemed to come back normal and they determined I may just be having a bad reaction to my second dose of the vaccine. After leaving the hospital I just slept because I was so fatigued, woken back up by the back and belly pain as the meds wore off and my eyes were now swollen as well. I have absolutely no energy. Still monitoring symptoms.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after the limit to use the vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Rash, Ultrasound scan
Clinical narrative: Rash and severe stomach pains
Age: 35.0
Sex: U
Vaccine: COVID19, FLUR4
Symptoms: Bell's palsy, Facial paralysis, Facial paresis, Magnetic resonance imaging head
Clinical narrative: Bell?s Palsy. Slight drooping on right side of face observed by family within 2 weeks of vaccines. Significant experience of facial weakness/paralysis experienced on 5 weeks later and Bell?s Palsy diagnosed during Emergency Room visit.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: I WAS SUPPOSED TO GIVE HER A JANNSEN IMMUNIZATION BUT I MISTAKENLY GAVE HER THE PFIZER ONE INSTEAD. WHEN I DISCOVERED MY ERROR I CONTACTED MY REGIONAL MANAGER WHO TOLD ME TO CONTACT OUR CLINICAL PEOPLE, WHO STATED THE I COULD GIVE HER THE CORRECT IMMUNIZATION WITH NO WAIT TIME. I CONTACTED HER AND INFORMED OF THE MISTAKE, SHE STATED SHE WAS FINE, NO SIDE EFFECTS, AND SHE WOULD COME IN AT HER CONVENIENCE TO GET THE CORRECT ONE.
Age: 58.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19, FLUC3
Symptoms: Atelectasis, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: Patient discharged after 2 days. Patient is a 58-year-old male admitted for COVID pneumonia.     Patient with past medical history of moderate chronic obstructive pulmonary disease with recent COVID infection.  Patient had been placed on prednisone in the outpatient setting.  Patient now presenting to the emergency department with worsening symptoms shortness of breath, cough and congestion.  Patient vaccinated including booster.  In the emergency department, patient was hemodynamically stable, with desaturations noted 87% with ambulation and was placed on 2 L nasal cannula.  Chest x-ray showed left basilar atelectasis versus scarring.  Labs with mild hyponatremia, otherwise unremarkable.  The patient was admitted for COVID pneumonia, with steroids increased dexamethasone 6 mg. Patient did well, remained stable on 2 L nasal cannula and was discharged home on home oxygen.  At time of discharge the patient had vital signs within normal limits, and was comfortable with discharge plan home.
Age: 58.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19, FLUC3
Symptoms: Dyspnoea, Hyponatraemia, Hypoxia, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Patient discharged after 2 days. Patient is a 58-year-old male admitted for COVID pneumonia.     Patient with past medical history of moderate chronic obstructive pulmonary disease with recent COVID infection.  Patient had been placed on prednisone in the outpatient setting.  Patient now presenting to the emergency department with worsening symptoms shortness of breath, cough and congestion.  Patient vaccinated including booster.  In the emergency department, patient was hemodynamically stable, with desaturations noted 87% with ambulation and was placed on 2 L nasal cannula.  Chest x-ray showed left basilar atelectasis versus scarring.  Labs with mild hyponatremia, otherwise unremarkable.  The patient was admitted for COVID pneumonia, with steroids increased dexamethasone 6 mg. Patient did well, remained stable on 2 L nasal cannula and was discharged home on home oxygen.  At time of discharge the patient had vital signs within normal limits, and was comfortable with discharge plan home.
Age: 58.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19, FLUC3
Symptoms: Laboratory test abnormal, Oxygen saturation decreased, Pulmonary fibrosis, Respiratory syncytial virus test negative, Respiratory tract congestion
Clinical narrative: Patient discharged after 2 days. Patient is a 58-year-old male admitted for COVID pneumonia.     Patient with past medical history of moderate chronic obstructive pulmonary disease with recent COVID infection.  Patient had been placed on prednisone in the outpatient setting.  Patient now presenting to the emergency department with worsening symptoms shortness of breath, cough and congestion.  Patient vaccinated including booster.  In the emergency department, patient was hemodynamically stable, with desaturations noted 87% with ambulation and was placed on 2 L nasal cannula.  Chest x-ray showed left basilar atelectasis versus scarring.  Labs with mild hyponatremia, otherwise unremarkable.  The patient was admitted for COVID pneumonia, with steroids increased dexamethasone 6 mg. Patient did well, remained stable on 2 L nasal cannula and was discharged home on home oxygen.  At time of discharge the patient had vital signs within normal limits, and was comfortable with discharge plan home.
Age: 58.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19, FLUC3
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient discharged after 2 days. Patient is a 58-year-old male admitted for COVID pneumonia.     Patient with past medical history of moderate chronic obstructive pulmonary disease with recent COVID infection.  Patient had been placed on prednisone in the outpatient setting.  Patient now presenting to the emergency department with worsening symptoms shortness of breath, cough and congestion.  Patient vaccinated including booster.  In the emergency department, patient was hemodynamically stable, with desaturations noted 87% with ambulation and was placed on 2 L nasal cannula.  Chest x-ray showed left basilar atelectasis versus scarring.  Labs with mild hyponatremia, otherwise unremarkable.  The patient was admitted for COVID pneumonia, with steroids increased dexamethasone 6 mg. Patient did well, remained stable on 2 L nasal cannula and was discharged home on home oxygen.  At time of discharge the patient had vital signs within normal limits, and was comfortable with discharge plan home.
Age: 58.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19, FLUC3
Symptoms: COVID-19 pneumonia, Chest X-ray, Laboratory test, Oxygen saturation, Polymerase chain reaction
Clinical narrative: Patient discharged after 2 days. Patient is a 58-year-old male admitted for COVID pneumonia.     Patient with past medical history of moderate chronic obstructive pulmonary disease with recent COVID infection.  Patient had been placed on prednisone in the outpatient setting.  Patient now presenting to the emergency department with worsening symptoms shortness of breath, cough and congestion.  Patient vaccinated including booster.  In the emergency department, patient was hemodynamically stable, with desaturations noted 87% with ambulation and was placed on 2 L nasal cannula.  Chest x-ray showed left basilar atelectasis versus scarring.  Labs with mild hyponatremia, otherwise unremarkable.  The patient was admitted for COVID pneumonia, with steroids increased dexamethasone 6 mg. Patient did well, remained stable on 2 L nasal cannula and was discharged home on home oxygen.  At time of discharge the patient had vital signs within normal limits, and was comfortable with discharge plan home.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after the limit to use the vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered after administration deadline.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Atrial fibrillation, Coronary arterial stent insertion, Dizziness, Fatigue
Clinical narrative: On 13th day after injection started to have periods of lightheadness, dizziness, and overall tired.  This continued until I passed out on February 8th, hit my head on cement floor due to being atril fibrillation and was taken to hospital.  On February had a heart attack, Acute ST elevation myocardial infarction (STEMI) of inferior wall, and a total of 3 stents put in on that day and the next.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Loss of consciousness, Myocardial infarction
Clinical narrative: On 13th day after injection started to have periods of lightheadness, dizziness, and overall tired.  This continued until I passed out on February 8th, hit my head on cement floor due to being atril fibrillation and was taken to hospital.  On February had a heart attack, Acute ST elevation myocardial infarction (STEMI) of inferior wall, and a total of 3 stents put in on that day and the next.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac discomfort, Headache, Heart rate increased, Lymphadenopathy, Pain
Clinical narrative: Injection arm sore, body ache, high fever for a day, arm pit lymph node swollen, headache, increased heart beat.  Low fever and headache again after five days, heart not comfortable
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Injection arm sore, body ache, high fever for a day, arm pit lymph node swollen, headache, increased heart beat.  Low fever and headache again after five days, heart not comfortable
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Cough, Headache, Illness, Malaise
Clinical narrative: Sore Throat, Headaches, Chills, Runny Nose, Mild Cough, Body Aches; Lasted 9+ days; Did not realize how sick I was or what was happening. Had significant difficulty locating test.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oropharyngeal pain, Pain, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Sore Throat, Headaches, Chills, Runny Nose, Mild Cough, Body Aches; Lasted 9+ days; Did not realize how sick I was or what was happening. Had significant difficulty locating test.
Age: 13.0
Sex: F
Vaccine: COVID19, FLU4, HPV9
Symptoms: Expired product administered, No adverse event
Clinical narrative: The third dose of Pfizer covid vaccine was 1 day past the "beyond use date".  The patient has not reported any adverse reactions.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Presyncope
Clinical narrative: Pharmacist went over form with patient. She circled "heart" but said it was just hypertension. She thinks she may be prediabetic, but not confirmed with doctor yet.  Administered dose of Moderna Booster 0.25mL. Patient felt ok during administration and was advised to wait 15 minutes in the chairs next to the pharmacy per CDC guidline. Pharmacist went to check on patient at about 10 minutes, she was gone. Patient came back to pharmacy a few minutes later and said she'd almost fainted while trying to check out her purchases. Pharmacist had her sit down and got some water for her. Patient then went to Health machine and checked her BP with pharmacist -was 181/115. Advised pt to sit still for 5 minutes and try again - then was 153/??. Patient decided she wanted to go to urgent care, was advised by pharmacist to have someone else drive, grand daughter came and took patient to uc. Patient called later and said urgent care was not concerned by her reaction to the vaccine and advised her on some things to look for and sent her home.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered after use limitation expiration date.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio, Angiogram pulmonary abnormal, Anion gap, Aspartate aminotransferase normal
Clinical narrative: Patient currently inpatient at 8 days. Patient is a 69 y.o. male with history of intraventricular hemorrhage due to AVM s/p repair, type 2 diabetes mellitus, hypertension, hyperlipidemia and depression who presents today with shortness of breath.  He was vaccinated for COVID-19 in February and March 2021.  No booster.  His daughter contracted COVID-19 on Christmas, and was quarantining/isolating in their home.  He believes that he avoided all contact with her following her diagnosis, but he states that he began to develop symptoms 15 days ago.  He reports decreased oral intake, cough, nausea with vomiting and fever.  As the cough persisted, he began to produce more sputum. Fever and generalized weakness persisted.  Over the last week, he has felt more short of breath.  His daughter and spouse have been urging him to be seen for the last week, but he has refused.  Over the last 24 hours, his spouse and daughter noted that he couldn't move or walk without feeling markedly short of breath, so insisted he come to the ED.  He has been taking over-the-counter cough and cold medicine at home with minimal relief.  He does admit to worsening headache over the last few months.  His daughter is quite concerned about this, given his history of AVM, which was discovered around 12 years ago and treated by Neurosurgery.   In the ED, he was febrile up to 38.8° C, tachypneic and tachycardic.  Venous blood gas showed pH of 7.52, pCO2 38 pO2 <20.  Labs showed CRP 296.8, lactic acid 3.2-- >1.2-- >1.3, procalcitonin 0.22, WBC count 10.5, BUN 22, Cr 0.87.  COVID-19 testing positive.  He was markedly hypoxemic in the emergency department, and placed on high-flow nasal cannula with FiO2 0.80, flow rate 35 L. he was given 1 g of Tylenol, 2 L of IV fluids and 6 mg of Decadron.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal
Clinical narrative: Patient currently inpatient at 8 days. Patient is a 69 y.o. male with history of intraventricular hemorrhage due to AVM s/p repair, type 2 diabetes mellitus, hypertension, hyperlipidemia and depression who presents today with shortness of breath.  He was vaccinated for COVID-19 in February and March 2021.  No booster.  His daughter contracted COVID-19 on Christmas, and was quarantining/isolating in their home.  He believes that he avoided all contact with her following her diagnosis, but he states that he began to develop symptoms 15 days ago.  He reports decreased oral intake, cough, nausea with vomiting and fever.  As the cough persisted, he began to produce more sputum. Fever and generalized weakness persisted.  Over the last week, he has felt more short of breath.  His daughter and spouse have been urging him to be seen for the last week, but he has refused.  Over the last 24 hours, his spouse and daughter noted that he couldn't move or walk without feeling markedly short of breath, so insisted he come to the ED.  He has been taking over-the-counter cough and cold medicine at home with minimal relief.  He does admit to worsening headache over the last few months.  His daughter is quite concerned about this, given his history of AVM, which was discovered around 12 years ago and treated by Neurosurgery.   In the ED, he was febrile up to 38.8° C, tachypneic and tachycardic.  Venous blood gas showed pH of 7.52, pCO2 38 pO2 <20.  Labs showed CRP 296.8, lactic acid 3.2-- >1.2-- >1.3, procalcitonin 0.22, WBC count 10.5, BUN 22, Cr 0.87.  COVID-19 testing positive.  He was markedly hypoxemic in the emergency department, and placed on high-flow nasal cannula with FiO2 0.80, flow rate 35 L. he was given 1 g of Tylenol, 2 L of IV fluids and 6 mg of Decadron.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood culture negative, Blood glucose increased, Blood lactic acid
Clinical narrative: Patient currently inpatient at 8 days. Patient is a 69 y.o. male with history of intraventricular hemorrhage due to AVM s/p repair, type 2 diabetes mellitus, hypertension, hyperlipidemia and depression who presents today with shortness of breath.  He was vaccinated for COVID-19 in February and March 2021.  No booster.  His daughter contracted COVID-19 on Christmas, and was quarantining/isolating in their home.  He believes that he avoided all contact with her following her diagnosis, but he states that he began to develop symptoms 15 days ago.  He reports decreased oral intake, cough, nausea with vomiting and fever.  As the cough persisted, he began to produce more sputum. Fever and generalized weakness persisted.  Over the last week, he has felt more short of breath.  His daughter and spouse have been urging him to be seen for the last week, but he has refused.  Over the last 24 hours, his spouse and daughter noted that he couldn't move or walk without feeling markedly short of breath, so insisted he come to the ED.  He has been taking over-the-counter cough and cold medicine at home with minimal relief.  He does admit to worsening headache over the last few months.  His daughter is quite concerned about this, given his history of AVM, which was discovered around 12 years ago and treated by Neurosurgery.   In the ED, he was febrile up to 38.8° C, tachypneic and tachycardic.  Venous blood gas showed pH of 7.52, pCO2 38 pO2 <20.  Labs showed CRP 296.8, lactic acid 3.2-- >1.2-- >1.3, procalcitonin 0.22, WBC count 10.5, BUN 22, Cr 0.87.  COVID-19 testing positive.  He was markedly hypoxemic in the emergency department, and placed on high-flow nasal cannula with FiO2 0.80, flow rate 35 L. he was given 1 g of Tylenol, 2 L of IV fluids and 6 mg of Decadron.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pH increased, Blood potassium normal, Blood sodium normal, Blood urea increased, C-reactive protein increased
Clinical narrative: Patient currently inpatient at 8 days. Patient is a 69 y.o. male with history of intraventricular hemorrhage due to AVM s/p repair, type 2 diabetes mellitus, hypertension, hyperlipidemia and depression who presents today with shortness of breath.  He was vaccinated for COVID-19 in February and March 2021.  No booster.  His daughter contracted COVID-19 on Christmas, and was quarantining/isolating in their home.  He believes that he avoided all contact with her following her diagnosis, but he states that he began to develop symptoms 15 days ago.  He reports decreased oral intake, cough, nausea with vomiting and fever.  As the cough persisted, he began to produce more sputum. Fever and generalized weakness persisted.  Over the last week, he has felt more short of breath.  His daughter and spouse have been urging him to be seen for the last week, but he has refused.  Over the last 24 hours, his spouse and daughter noted that he couldn't move or walk without feeling markedly short of breath, so insisted he come to the ED.  He has been taking over-the-counter cough and cold medicine at home with minimal relief.  He does admit to worsening headache over the last few months.  His daughter is quite concerned about this, given his history of AVM, which was discovered around 12 years ago and treated by Neurosurgery.   In the ED, he was febrile up to 38.8° C, tachypneic and tachycardic.  Venous blood gas showed pH of 7.52, pCO2 38 pO2 <20.  Labs showed CRP 296.8, lactic acid 3.2-- >1.2-- >1.3, procalcitonin 0.22, WBC count 10.5, BUN 22, Cr 0.87.  COVID-19 testing positive.  He was markedly hypoxemic in the emergency department, and placed on high-flow nasal cannula with FiO2 0.80, flow rate 35 L. he was given 1 g of Tylenol, 2 L of IV fluids and 6 mg of Decadron.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Carbon dioxide normal, Cerebral atrophy, Computerised tomogram head abnormal
Clinical narrative: Patient currently inpatient at 8 days. Patient is a 69 y.o. male with history of intraventricular hemorrhage due to AVM s/p repair, type 2 diabetes mellitus, hypertension, hyperlipidemia and depression who presents today with shortness of breath.  He was vaccinated for COVID-19 in February and March 2021.  No booster.  His daughter contracted COVID-19 on Christmas, and was quarantining/isolating in their home.  He believes that he avoided all contact with her following her diagnosis, but he states that he began to develop symptoms 15 days ago.  He reports decreased oral intake, cough, nausea with vomiting and fever.  As the cough persisted, he began to produce more sputum. Fever and generalized weakness persisted.  Over the last week, he has felt more short of breath.  His daughter and spouse have been urging him to be seen for the last week, but he has refused.  Over the last 24 hours, his spouse and daughter noted that he couldn't move or walk without feeling markedly short of breath, so insisted he come to the ED.  He has been taking over-the-counter cough and cold medicine at home with minimal relief.  He does admit to worsening headache over the last few months.  His daughter is quite concerned about this, given his history of AVM, which was discovered around 12 years ago and treated by Neurosurgery.   In the ED, he was febrile up to 38.8° C, tachypneic and tachycardic.  Venous blood gas showed pH of 7.52, pCO2 38 pO2 <20.  Labs showed CRP 296.8, lactic acid 3.2-- >1.2-- >1.3, procalcitonin 0.22, WBC count 10.5, BUN 22, Cr 0.87.  COVID-19 testing positive.  He was markedly hypoxemic in the emergency department, and placed on high-flow nasal cannula with FiO2 0.80, flow rate 35 L. he was given 1 g of Tylenol, 2 L of IV fluids and 6 mg of Decadron.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Craniotomy, Dyspnoea, Dyspnoea exertional, Encephalomalacia
Clinical narrative: Patient currently inpatient at 8 days. Patient is a 69 y.o. male with history of intraventricular hemorrhage due to AVM s/p repair, type 2 diabetes mellitus, hypertension, hyperlipidemia and depression who presents today with shortness of breath.  He was vaccinated for COVID-19 in February and March 2021.  No booster.  His daughter contracted COVID-19 on Christmas, and was quarantining/isolating in their home.  He believes that he avoided all contact with her following her diagnosis, but he states that he began to develop symptoms 15 days ago.  He reports decreased oral intake, cough, nausea with vomiting and fever.  As the cough persisted, he began to produce more sputum. Fever and generalized weakness persisted.  Over the last week, he has felt more short of breath.  His daughter and spouse have been urging him to be seen for the last week, but he has refused.  Over the last 24 hours, his spouse and daughter noted that he couldn't move or walk without feeling markedly short of breath, so insisted he come to the ED.  He has been taking over-the-counter cough and cold medicine at home with minimal relief.  He does admit to worsening headache over the last few months.  His daughter is quite concerned about this, given his history of AVM, which was discovered around 12 years ago and treated by Neurosurgery.   In the ED, he was febrile up to 38.8° C, tachypneic and tachycardic.  Venous blood gas showed pH of 7.52, pCO2 38 pO2 <20.  Labs showed CRP 296.8, lactic acid 3.2-- >1.2-- >1.3, procalcitonin 0.22, WBC count 10.5, BUN 22, Cr 0.87.  COVID-19 testing positive.  He was markedly hypoxemic in the emergency department, and placed on high-flow nasal cannula with FiO2 0.80, flow rate 35 L. he was given 1 g of Tylenol, 2 L of IV fluids and 6 mg of Decadron.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fibrin D dimer increased, Globulin, Glomerular filtration rate normal, Goitre
Clinical narrative: Patient currently inpatient at 8 days. Patient is a 69 y.o. male with history of intraventricular hemorrhage due to AVM s/p repair, type 2 diabetes mellitus, hypertension, hyperlipidemia and depression who presents today with shortness of breath.  He was vaccinated for COVID-19 in February and March 2021.  No booster.  His daughter contracted COVID-19 on Christmas, and was quarantining/isolating in their home.  He believes that he avoided all contact with her following her diagnosis, but he states that he began to develop symptoms 15 days ago.  He reports decreased oral intake, cough, nausea with vomiting and fever.  As the cough persisted, he began to produce more sputum. Fever and generalized weakness persisted.  Over the last week, he has felt more short of breath.  His daughter and spouse have been urging him to be seen for the last week, but he has refused.  Over the last 24 hours, his spouse and daughter noted that he couldn't move or walk without feeling markedly short of breath, so insisted he come to the ED.  He has been taking over-the-counter cough and cold medicine at home with minimal relief.  He does admit to worsening headache over the last few months.  His daughter is quite concerned about this, given his history of AVM, which was discovered around 12 years ago and treated by Neurosurgery.   In the ED, he was febrile up to 38.8° C, tachypneic and tachycardic.  Venous blood gas showed pH of 7.52, pCO2 38 pO2 <20.  Labs showed CRP 296.8, lactic acid 3.2-- >1.2-- >1.3, procalcitonin 0.22, WBC count 10.5, BUN 22, Cr 0.87.  COVID-19 testing positive.  He was markedly hypoxemic in the emergency department, and placed on high-flow nasal cannula with FiO2 0.80, flow rate 35 L. he was given 1 g of Tylenol, 2 L of IV fluids and 6 mg of Decadron.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Headache, Hypophagia, Hypoxia
Clinical narrative: Patient currently inpatient at 8 days. Patient is a 69 y.o. male with history of intraventricular hemorrhage due to AVM s/p repair, type 2 diabetes mellitus, hypertension, hyperlipidemia and depression who presents today with shortness of breath.  He was vaccinated for COVID-19 in February and March 2021.  No booster.  His daughter contracted COVID-19 on Christmas, and was quarantining/isolating in their home.  He believes that he avoided all contact with her following her diagnosis, but he states that he began to develop symptoms 15 days ago.  He reports decreased oral intake, cough, nausea with vomiting and fever.  As the cough persisted, he began to produce more sputum. Fever and generalized weakness persisted.  Over the last week, he has felt more short of breath.  His daughter and spouse have been urging him to be seen for the last week, but he has refused.  Over the last 24 hours, his spouse and daughter noted that he couldn't move or walk without feeling markedly short of breath, so insisted he come to the ED.  He has been taking over-the-counter cough and cold medicine at home with minimal relief.  He does admit to worsening headache over the last few months.  His daughter is quite concerned about this, given his history of AVM, which was discovered around 12 years ago and treated by Neurosurgery.   In the ED, he was febrile up to 38.8° C, tachypneic and tachycardic.  Venous blood gas showed pH of 7.52, pCO2 38 pO2 <20.  Labs showed CRP 296.8, lactic acid 3.2-- >1.2-- >1.3, procalcitonin 0.22, WBC count 10.5, BUN 22, Cr 0.87.  COVID-19 testing positive.  He was markedly hypoxemic in the emergency department, and placed on high-flow nasal cannula with FiO2 0.80, flow rate 35 L. he was given 1 g of Tylenol, 2 L of IV fluids and 6 mg of Decadron.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Lung consolidation, Lung disorder, Lung opacity
Clinical narrative: Patient currently inpatient at 8 days. Patient is a 69 y.o. male with history of intraventricular hemorrhage due to AVM s/p repair, type 2 diabetes mellitus, hypertension, hyperlipidemia and depression who presents today with shortness of breath.  He was vaccinated for COVID-19 in February and March 2021.  No booster.  His daughter contracted COVID-19 on Christmas, and was quarantining/isolating in their home.  He believes that he avoided all contact with her following her diagnosis, but he states that he began to develop symptoms 15 days ago.  He reports decreased oral intake, cough, nausea with vomiting and fever.  As the cough persisted, he began to produce more sputum. Fever and generalized weakness persisted.  Over the last week, he has felt more short of breath.  His daughter and spouse have been urging him to be seen for the last week, but he has refused.  Over the last 24 hours, his spouse and daughter noted that he couldn't move or walk without feeling markedly short of breath, so insisted he come to the ED.  He has been taking over-the-counter cough and cold medicine at home with minimal relief.  He does admit to worsening headache over the last few months.  His daughter is quite concerned about this, given his history of AVM, which was discovered around 12 years ago and treated by Neurosurgery.   In the ED, he was febrile up to 38.8° C, tachypneic and tachycardic.  Venous blood gas showed pH of 7.52, pCO2 38 pO2 <20.  Labs showed CRP 296.8, lactic acid 3.2-- >1.2-- >1.3, procalcitonin 0.22, WBC count 10.5, BUN 22, Cr 0.87.  COVID-19 testing positive.  He was markedly hypoxemic in the emergency department, and placed on high-flow nasal cannula with FiO2 0.80, flow rate 35 L. he was given 1 g of Tylenol, 2 L of IV fluids and 6 mg of Decadron.