chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Asthenia, Brain natriuretic peptide increased, COVID-19, Chills
Clinical narrative: Patient with single J+J COVID vaccination who admitted to hospital with COVID detected test, cough, weakness.  Provider d/c summary below:  "87 year old female with a history of MI, coronary artery stenosis with stent placement, bronchial cancer, hypertension, atrial fibrillation, and T2DM who presents with 2 day history of generalized body aches. She has also had a non-productive cough, chills and malaise. She denies any shortness of breath, chest pain, headaches, or N/V/D, leg swelling, pain with inspiration, abdominal pain, problems with urination or stooling.  She says that her daughter had similar symptoms about a week ago and that the patient was around her frequently. She says that she was recently hospitalized for a heart attack and dual stent placement. She has been taking all of her medications but has not tried anything over the counter to help with her symptoms. She denies any smoking, alcohol consumption or drug use.    In the ED, patient hemodynamically stable.  Labs notable for elevated troponin at 384 and BNP 26140. With concern for NSTEMI, patient given full dose aspirin and started on heparin gtt. Patient is fully vaccinated and subsequently tested positive for COVID-19.  Patient admitted to the general medicine service for evaluation and further management. Cardiology was consulted for further management and assess possible catheterization versus medical therapy. Since she is fully vaccinated for COVID and she did not experience respiratory symptoms, will hold on antivirals on discharge. Her heparin drip was discontinued and patient does not need further anticoagulation at this time. Therapies recommend home physical therapy so she will have home care services. Patient improved and discharged in stable condition. She is to hold on losartan given softer blood pressures, defer to cardiology when to resume medication. Her home amlodipine and lopressor were discontinued. She is to start Metoprolol succinate. Rx sent to patient's pharmacy. She is to continue her other home medications as prescribed. Follow up with PCP and cardiology as able."
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Malaise, Myocardial infarction, Pain, SARS-CoV-2 test positive
Clinical narrative: Patient with single J+J COVID vaccination who admitted to hospital with COVID detected test, cough, weakness.  Provider d/c summary below:  "87 year old female with a history of MI, coronary artery stenosis with stent placement, bronchial cancer, hypertension, atrial fibrillation, and T2DM who presents with 2 day history of generalized body aches. She has also had a non-productive cough, chills and malaise. She denies any shortness of breath, chest pain, headaches, or N/V/D, leg swelling, pain with inspiration, abdominal pain, problems with urination or stooling.  She says that her daughter had similar symptoms about a week ago and that the patient was around her frequently. She says that she was recently hospitalized for a heart attack and dual stent placement. She has been taking all of her medications but has not tried anything over the counter to help with her symptoms. She denies any smoking, alcohol consumption or drug use.    In the ED, patient hemodynamically stable.  Labs notable for elevated troponin at 384 and BNP 26140. With concern for NSTEMI, patient given full dose aspirin and started on heparin gtt. Patient is fully vaccinated and subsequently tested positive for COVID-19.  Patient admitted to the general medicine service for evaluation and further management. Cardiology was consulted for further management and assess possible catheterization versus medical therapy. Since she is fully vaccinated for COVID and she did not experience respiratory symptoms, will hold on antivirals on discharge. Her heparin drip was discontinued and patient does not need further anticoagulation at this time. Therapies recommend home physical therapy so she will have home care services. Patient improved and discharged in stable condition. She is to hold on losartan given softer blood pressures, defer to cardiology when to resume medication. Her home amlodipine and lopressor were discontinued. She is to start Metoprolol succinate. Rx sent to patient's pharmacy. She is to continue her other home medications as prescribed. Follow up with PCP and cardiology as able."
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Stent placement, Troponin increased
Clinical narrative: Patient with single J+J COVID vaccination who admitted to hospital with COVID detected test, cough, weakness.  Provider d/c summary below:  "87 year old female with a history of MI, coronary artery stenosis with stent placement, bronchial cancer, hypertension, atrial fibrillation, and T2DM who presents with 2 day history of generalized body aches. She has also had a non-productive cough, chills and malaise. She denies any shortness of breath, chest pain, headaches, or N/V/D, leg swelling, pain with inspiration, abdominal pain, problems with urination or stooling.  She says that her daughter had similar symptoms about a week ago and that the patient was around her frequently. She says that she was recently hospitalized for a heart attack and dual stent placement. She has been taking all of her medications but has not tried anything over the counter to help with her symptoms. She denies any smoking, alcohol consumption or drug use.    In the ED, patient hemodynamically stable.  Labs notable for elevated troponin at 384 and BNP 26140. With concern for NSTEMI, patient given full dose aspirin and started on heparin gtt. Patient is fully vaccinated and subsequently tested positive for COVID-19.  Patient admitted to the general medicine service for evaluation and further management. Cardiology was consulted for further management and assess possible catheterization versus medical therapy. Since she is fully vaccinated for COVID and she did not experience respiratory symptoms, will hold on antivirals on discharge. Her heparin drip was discontinued and patient does not need further anticoagulation at this time. Therapies recommend home physical therapy so she will have home care services. Patient improved and discharged in stable condition. She is to hold on losartan given softer blood pressures, defer to cardiology when to resume medication. Her home amlodipine and lopressor were discontinued. She is to start Metoprolol succinate. Rx sent to patient's pharmacy. She is to continue her other home medications as prescribed. Follow up with PCP and cardiology as able."
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Asthenia, Brain natriuretic peptide, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Patient with single J+J COVID vaccination who admitted to hospital with COVID detected test, cough, weakness.  Provider d/c summary below:  "87 year old female with a history of MI, coronary artery stenosis with stent placement, bronchial cancer, hypertension, atrial fibrillation, and T2DM who presents with 2 day history of generalized body aches. She has also had a non-productive cough, chills and malaise. She denies any shortness of breath, chest pain, headaches, or N/V/D, leg swelling, pain with inspiration, abdominal pain, problems with urination or stooling.  She says that her daughter had similar symptoms about a week ago and that the patient was around her frequently. She says that she was recently hospitalized for a heart attack and dual stent placement. She has been taking all of her medications but has not tried anything over the counter to help with her symptoms. She denies any smoking, alcohol consumption or drug use.    In the ED, patient hemodynamically stable.  Labs notable for elevated troponin at 384 and BNP 26140. With concern for NSTEMI, patient given full dose aspirin and started on heparin gtt. Patient is fully vaccinated and subsequently tested positive for COVID-19.  Patient admitted to the general medicine service for evaluation and further management. Cardiology was consulted for further management and assess possible catheterization versus medical therapy. Since she is fully vaccinated for COVID and she did not experience respiratory symptoms, will hold on antivirals on discharge. Her heparin drip was discontinued and patient does not need further anticoagulation at this time. Therapies recommend home physical therapy so she will have home care services. Patient improved and discharged in stable condition. She is to hold on losartan given softer blood pressures, defer to cardiology when to resume medication. Her home amlodipine and lopressor were discontinued. She is to start Metoprolol succinate. Rx sent to patient's pharmacy. She is to continue her other home medications as prescribed. Follow up with PCP and cardiology as able."
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Cough, Glomerular filtration rate, Malaise, Myocardial infarction
Clinical narrative: Patient with single J+J COVID vaccination who admitted to hospital with COVID detected test, cough, weakness.  Provider d/c summary below:  "87 year old female with a history of MI, coronary artery stenosis with stent placement, bronchial cancer, hypertension, atrial fibrillation, and T2DM who presents with 2 day history of generalized body aches. She has also had a non-productive cough, chills and malaise. She denies any shortness of breath, chest pain, headaches, or N/V/D, leg swelling, pain with inspiration, abdominal pain, problems with urination or stooling.  She says that her daughter had similar symptoms about a week ago and that the patient was around her frequently. She says that she was recently hospitalized for a heart attack and dual stent placement. She has been taking all of her medications but has not tried anything over the counter to help with her symptoms. She denies any smoking, alcohol consumption or drug use.    In the ED, patient hemodynamically stable.  Labs notable for elevated troponin at 384 and BNP 26140. With concern for NSTEMI, patient given full dose aspirin and started on heparin gtt. Patient is fully vaccinated and subsequently tested positive for COVID-19.  Patient admitted to the general medicine service for evaluation and further management. Cardiology was consulted for further management and assess possible catheterization versus medical therapy. Since she is fully vaccinated for COVID and she did not experience respiratory symptoms, will hold on antivirals on discharge. Her heparin drip was discontinued and patient does not need further anticoagulation at this time. Therapies recommend home physical therapy so she will have home care services. Patient improved and discharged in stable condition. She is to hold on losartan given softer blood pressures, defer to cardiology when to resume medication. Her home amlodipine and lopressor were discontinued. She is to start Metoprolol succinate. Rx sent to patient's pharmacy. She is to continue her other home medications as prescribed. Follow up with PCP and cardiology as able."
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, SARS-CoV-2 test, SARS-CoV-2 test positive, Stent placement, Troponin
Clinical narrative: Patient with single J+J COVID vaccination who admitted to hospital with COVID detected test, cough, weakness.  Provider d/c summary below:  "87 year old female with a history of MI, coronary artery stenosis with stent placement, bronchial cancer, hypertension, atrial fibrillation, and T2DM who presents with 2 day history of generalized body aches. She has also had a non-productive cough, chills and malaise. She denies any shortness of breath, chest pain, headaches, or N/V/D, leg swelling, pain with inspiration, abdominal pain, problems with urination or stooling.  She says that her daughter had similar symptoms about a week ago and that the patient was around her frequently. She says that she was recently hospitalized for a heart attack and dual stent placement. She has been taking all of her medications but has not tried anything over the counter to help with her symptoms. She denies any smoking, alcohol consumption or drug use.    In the ED, patient hemodynamically stable.  Labs notable for elevated troponin at 384 and BNP 26140. With concern for NSTEMI, patient given full dose aspirin and started on heparin gtt. Patient is fully vaccinated and subsequently tested positive for COVID-19.  Patient admitted to the general medicine service for evaluation and further management. Cardiology was consulted for further management and assess possible catheterization versus medical therapy. Since she is fully vaccinated for COVID and she did not experience respiratory symptoms, will hold on antivirals on discharge. Her heparin drip was discontinued and patient does not need further anticoagulation at this time. Therapies recommend home physical therapy so she will have home care services. Patient improved and discharged in stable condition. She is to hold on losartan given softer blood pressures, defer to cardiology when to resume medication. Her home amlodipine and lopressor were discontinued. She is to start Metoprolol succinate. Rx sent to patient's pharmacy. She is to continue her other home medications as prescribed. Follow up with PCP and cardiology as able."
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: Patient with single J+J COVID vaccination who admitted to hospital with COVID detected test, cough, weakness.  Provider d/c summary below:  "87 year old female with a history of MI, coronary artery stenosis with stent placement, bronchial cancer, hypertension, atrial fibrillation, and T2DM who presents with 2 day history of generalized body aches. She has also had a non-productive cough, chills and malaise. She denies any shortness of breath, chest pain, headaches, or N/V/D, leg swelling, pain with inspiration, abdominal pain, problems with urination or stooling.  She says that her daughter had similar symptoms about a week ago and that the patient was around her frequently. She says that she was recently hospitalized for a heart attack and dual stent placement. She has been taking all of her medications but has not tried anything over the counter to help with her symptoms. She denies any smoking, alcohol consumption or drug use.    In the ED, patient hemodynamically stable.  Labs notable for elevated troponin at 384 and BNP 26140. With concern for NSTEMI, patient given full dose aspirin and started on heparin gtt. Patient is fully vaccinated and subsequently tested positive for COVID-19.  Patient admitted to the general medicine service for evaluation and further management. Cardiology was consulted for further management and assess possible catheterization versus medical therapy. Since she is fully vaccinated for COVID and she did not experience respiratory symptoms, will hold on antivirals on discharge. Her heparin drip was discontinued and patient does not need further anticoagulation at this time. Therapies recommend home physical therapy so she will have home care services. Patient improved and discharged in stable condition. She is to hold on losartan given softer blood pressures, defer to cardiology when to resume medication. Her home amlodipine and lopressor were discontinued. She is to start Metoprolol succinate. Rx sent to patient's pharmacy. She is to continue her other home medications as prescribed. Follow up with PCP and cardiology as able."
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: no sx
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Death, Endotracheal intubation
Clinical narrative: pt was seen by an urgent care doctor in the patient's home and was dx with COVID and UTI; given doxycycline; no improvements; sx worsened; more weak and confused, fever, a lot of secretions in oropharynx; wife concerned and brought him to ED; was intubated due to excess secretions and concern of aspiration; started on remdesivir and dexamethasone; DNR; pt passed away in the hospital; death certificate and med records submitted to info@vaers.org
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Increased upper airway secretion, Pyrexia, Urinary tract infection
Clinical narrative: pt was seen by an urgent care doctor in the patient's home and was dx with COVID and UTI; given doxycycline; no improvements; sx worsened; more weak and confused, fever, a lot of secretions in oropharynx; wife concerned and brought him to ED; was intubated due to excess secretions and concern of aspiration; started on remdesivir and dexamethasone; DNR; pt passed away in the hospital; death certificate and med records submitted to info@vaers.org
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient's mother stated that she noticed redness, swelling, and warmth to injection site about 24 hours after DTAP vaccine was administered. Patient was taken to local ER when the mother noticed that pt was having a reaction. No medication was given or prescribed by ER. Pt's mother stated that they told her to continue using ice packs. Redness and swelling decreased significantly on 05/05/2022 as per the pt's mother.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper
Clinical narrative: Upper abdominal pain; on and off since receiving vaccine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Chest X-ray normal, Chest pain, Chills, Cough
Clinical narrative: I started with a sore throat, headache, chills, body aches, fever, runny nose and fatigue. The fever lasted for 9 days and the headache and cough stuck around, The chest pain and breathing became hard on day 7. I went to the doctor they completed an EKG and chest x-ray. The x-ray was clear but the EKG was not. I went to a cardiologist and had a echocardiogram which was also clear. I went to the pulmonologist and had full blood panel with my primary care doctor and it was determined that I had a vitamin deficiency. My primary care doctor put me on a inhaler that was not effective. The pulmonologist prescribed a Trelegy which has been helping with my breathing. I have been on it for 5 or 6 weeks. The doctors have advised that I have long COVID-19. I crash at least once a week. I continue to have cough and feel tired and fatigued.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Electrocardiogram abnormal, Fatigue, Headache
Clinical narrative: I started with a sore throat, headache, chills, body aches, fever, runny nose and fatigue. The fever lasted for 9 days and the headache and cough stuck around, The chest pain and breathing became hard on day 7. I went to the doctor they completed an EKG and chest x-ray. The x-ray was clear but the EKG was not. I went to a cardiologist and had a echocardiogram which was also clear. I went to the pulmonologist and had full blood panel with my primary care doctor and it was determined that I had a vitamin deficiency. My primary care doctor put me on a inhaler that was not effective. The pulmonologist prescribed a Trelegy which has been helping with my breathing. I have been on it for 5 or 6 weeks. The doctors have advised that I have long COVID-19. I crash at least once a week. I continue to have cough and feel tired and fatigued.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypovitaminosis, Oropharyngeal pain, Pain, Post-acute COVID-19 syndrome, Pyrexia
Clinical narrative: I started with a sore throat, headache, chills, body aches, fever, runny nose and fatigue. The fever lasted for 9 days and the headache and cough stuck around, The chest pain and breathing became hard on day 7. I went to the doctor they completed an EKG and chest x-ray. The x-ray was clear but the EKG was not. I went to a cardiologist and had a echocardiogram which was also clear. I went to the pulmonologist and had full blood panel with my primary care doctor and it was determined that I had a vitamin deficiency. My primary care doctor put me on a inhaler that was not effective. The pulmonologist prescribed a Trelegy which has been helping with my breathing. I have been on it for 5 or 6 weeks. The doctors have advised that I have long COVID-19. I crash at least once a week. I continue to have cough and feel tired and fatigued.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: I started with a sore throat, headache, chills, body aches, fever, runny nose and fatigue. The fever lasted for 9 days and the headache and cough stuck around, The chest pain and breathing became hard on day 7. I went to the doctor they completed an EKG and chest x-ray. The x-ray was clear but the EKG was not. I went to a cardiologist and had a echocardiogram which was also clear. I went to the pulmonologist and had full blood panel with my primary care doctor and it was determined that I had a vitamin deficiency. My primary care doctor put me on a inhaler that was not effective. The pulmonologist prescribed a Trelegy which has been helping with my breathing. I have been on it for 5 or 6 weeks. The doctors have advised that I have long COVID-19. I crash at least once a week. I continue to have cough and feel tired and fatigued.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abnormal behaviour, Asthenia, COVID-19, Confusional state, Dehydration
Clinical narrative: Resident had no po intake or urinary output on 4/21-22/2022. Resident unable to comprehend using a straw or chewing food. Slept for over 24 hours and unable to hold up her head. Resident was transported to hospital at that time where she was diagnosed with Covid, pneumonia and sepsis. Discharge noted septic shock, hyernatremia, dehydration, weakness & metabolic encphalopathy overlying advance dementia. Prior to be sent to hospital on 4/22/2022, resident was having increased confusion and tearfulness. Increased behaviors noted on 4/4/22, with increase in Depakote. Fall on 3/30/22.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fall, Hypernatraemia, Hypersomnia, Hypophagia, Metabolic encephalopathy
Clinical narrative: Resident had no po intake or urinary output on 4/21-22/2022. Resident unable to comprehend using a straw or chewing food. Slept for over 24 hours and unable to hold up her head. Resident was transported to hospital at that time where she was diagnosed with Covid, pneumonia and sepsis. Discharge noted septic shock, hyernatremia, dehydration, weakness & metabolic encphalopathy overlying advance dementia. Prior to be sent to hospital on 4/22/2022, resident was having increased confusion and tearfulness. Increased behaviors noted on 4/4/22, with increase in Depakote. Fall on 3/30/22.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Muscular weakness, Pneumonia, SARS-CoV-2 test positive, Sepsis, Septic shock
Clinical narrative: Resident had no po intake or urinary output on 4/21-22/2022. Resident unable to comprehend using a straw or chewing food. Slept for over 24 hours and unable to hold up her head. Resident was transported to hospital at that time where she was diagnosed with Covid, pneumonia and sepsis. Discharge noted septic shock, hyernatremia, dehydration, weakness & metabolic encphalopathy overlying advance dementia. Prior to be sent to hospital on 4/22/2022, resident was having increased confusion and tearfulness. Increased behaviors noted on 4/4/22, with increase in Depakote. Fall on 3/30/22.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tearfulness, Urine output decreased
Clinical narrative: Resident had no po intake or urinary output on 4/21-22/2022. Resident unable to comprehend using a straw or chewing food. Slept for over 24 hours and unable to hold up her head. Resident was transported to hospital at that time where she was diagnosed with Covid, pneumonia and sepsis. Discharge noted septic shock, hyernatremia, dehydration, weakness & metabolic encphalopathy overlying advance dementia. Prior to be sent to hospital on 4/22/2022, resident was having increased confusion and tearfulness. Increased behaviors noted on 4/4/22, with increase in Depakote. Fall on 3/30/22.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine past 30 days in refrigerator
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient received the 1st dose J&J on 4/28/21, 1st dose booster Moderna 3/25/22, and 2nd booster Moderna 5/6/22.  No adverse reactions reported.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive pt that was fully vaccinate
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None, vaccine beyond 30 days in fridge.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure immeasurable, Cardiac arrest, Cardiac pacemaker insertion, Cardioversion, Heart rate irregular
Clinical narrative: Collapse with sudden cardiac arrest- no heartbeat and no blood pressure detected.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart valve replacement, Resuscitation, Syncope, Transcatheter aortic valve implantation
Clinical narrative: Collapse with sudden cardiac arrest- no heartbeat and no blood pressure detected.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Mobility decreased, Pain, Peripheral swelling
Clinical narrative: I had a high fever of 104F for three days that didn't go down. I had rash on my arm and it was very swollen and red. The arm pain got progressively worse. I had headaches and body aches. I couldn't get out of bed for days. I called the pharmacy and they told me to go to the urgent care.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: I had a high fever of 104F for three days that didn't go down. I had rash on my arm and it was very swollen and red. The arm pain got progressively worse. I had headaches and body aches. I couldn't get out of bed for days. I called the pharmacy and they told me to go to the urgent care.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Contusion, Ecchymosis, Epistaxis, Hypertension
Clinical narrative: Patient with 2 Moderna COVID vaccinations who admitted to hospital with rectal bleeding and had an incidental positive COVID test.  No s/s of respiratory distress during admission.  Provider discharge note below:  "Brief Summary of Hospital Stay:  Patient is a 69 YO female presented with rectal bleeding, epistaxis and extensive bruising. Labs notable for pancytopenia with severe thrombocytopenia. During her hospitalization stay, she was started on Cefepime for prophylaxis and also received Filgrastim and Rituxan per guidance of her Oncologist. Home Eliquis was held. After few days of hospitalization, her bleeding has resolved, ecchymosis improved with resolving pancytopenia. On day of discharge, she received her dose df weekly Rituxan. Her vitals remain stable and she remained symptom free.    Issues Requiring Follow Up: Pancytopenia: follow up with Doctor: determine safe time to re start Eliquis for prior DVT Hypertension: started on Norvasc: follow up with PCP"
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test abnormal, Pancytopenia, Rectal haemorrhage, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: Patient with 2 Moderna COVID vaccinations who admitted to hospital with rectal bleeding and had an incidental positive COVID test.  No s/s of respiratory distress during admission.  Provider discharge note below:  "Brief Summary of Hospital Stay:  Patient is a 69 YO female presented with rectal bleeding, epistaxis and extensive bruising. Labs notable for pancytopenia with severe thrombocytopenia. During her hospitalization stay, she was started on Cefepime for prophylaxis and also received Filgrastim and Rituxan per guidance of her Oncologist. Home Eliquis was held. After few days of hospitalization, her bleeding has resolved, ecchymosis improved with resolving pancytopenia. On day of discharge, she received her dose df weekly Rituxan. Her vitals remain stable and she remained symptom free.    Issues Requiring Follow Up: Pancytopenia: follow up with Doctor: determine safe time to re start Eliquis for prior DVT Hypertension: started on Norvasc: follow up with PCP"
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Influenza like illness, Vaccine breakthrough infection
Clinical narrative: After receiving the fourth dose, I had severe flu like symptoms that lasted about 5 days. Then, two weeks after receiving my 4th dose of the Moderna Vaccine, I had a breakthrough case of COVID-19.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired at time of administration, it was past the 10 weeks in fridge.  Vaccine expired on 3/30/22.  Patient has been advised that cdc recommends re-vaccination, she is thinking about it and will get back with me.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Borrelia test negative, Chest X-ray normal, Fatigue
Clinical narrative: Initially after receiving the vaccine I had tiredness, joint pain, and muscle aches. These symptoms were greater and lasted longer than the previous COVID-19 vaccines I've taken. 3 weeks after getting the vaccine I went to the ER. On May 2, 2022, I had to go to the ER because I had a very high fever. I was given and prescribed 650mg-700mg of Tylenol. I had a couple of days of tiredness with that as well. The fever resolved itself, and it went away.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test negative, Laboratory test normal, Myalgia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Initially after receiving the vaccine I had tiredness, joint pain, and muscle aches. These symptoms were greater and lasted longer than the previous COVID-19 vaccines I've taken. 3 weeks after getting the vaccine I went to the ER. On May 2, 2022, I had to go to the ER because I had a very high fever. I was given and prescribed 650mg-700mg of Tylenol. I had a couple of days of tiredness with that as well. The fever resolved itself, and it went away.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Initially after receiving the vaccine I had tiredness, joint pain, and muscle aches. These symptoms were greater and lasted longer than the previous COVID-19 vaccines I've taken. 3 weeks after getting the vaccine I went to the ER. On May 2, 2022, I had to go to the ER because I had a very high fever. I was given and prescribed 650mg-700mg of Tylenol. I had a couple of days of tiredness with that as well. The fever resolved itself, and it went away.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Peripheral swelling
Clinical narrative: I started to experience swelling in my left calf about a month after the vaccination. It still happens.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Lymph node pain, Lymphadenopathy
Clinical narrative: Approximately, two weeks after the vaccine, my lymph nodes on the side of my head under my sideburn, next to my ears, started to swell. They were painful to touch, I sought care at the clinic. The doctor looked at them and took a blood sample to determine if it was related to something else. My results were normal, and was told to allow it time to disappear. The swelling went down and I have not had a problem with them since June 2021.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Two weeks post the booster shot I started getting hives over body, starting on back of neck and back then moved to stomach arms and legs as well. Started out very itchy but that improved but going on 3 months with hives and no history of hives either myself or immediate family.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea
Clinical narrative: Hospitalization for shortness of breath due to Covid diagnoses 10 days before admission on dates 04/28/2022- 04/30/2022.  Treated with dexamethasone, Remdesivir, Duoneb as needed,  Levaquin daily, zinc, vitamin C an vitamin D3
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Decreased appetite, Headache, Mobility decreased, Pain
Clinical narrative: 12 hours later I had a fever, aches and pains, headache, and I was in bed for a few days. I also had stomach pain and thought it was weird because vaccine goes to weak areas and I've had gastritis before. I lost my appetite as well. Symptoms lasted for 3 days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 12 hours later I had a fever, aches and pains, headache, and I was in bed for a few days. I also had stomach pain and thought it was weird because vaccine goes to weak areas and I've had gastritis before. I lost my appetite as well. Symptoms lasted for 3 days.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Gout, Joint swelling, Mobility decreased
Clinical narrative: 2 days after vaccination, the patient reported redness, swelling and pain of the ankle with no prior  hx of gout. His Dr. diagnosed him with gout and began tx with Naproxen and Colchicine. Pt described great improvement of mobility and pain after ice and medication started. Pt denied any hx of gout or contributing factors for a flare up , (ie) indulgence of red meat, beer , shellfish etc.. Pt stated his only contributing factor was the Moderna booster 2 days prior. He stated he had taken Moderna for every vaccination, This was his 4th shot total and the only time he developed symptoms of gout.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Caesarean section, Delivery, Dyspnoea, Exposure during pregnancy, Peripartum cardiomyopathy
Clinical narrative: Patient was diagnosed with peripartum cardiomyopathy roughly within a month of receiving her Covid vaccine.  She does report significant shortness of breath prior to delivery via C-section.  She reports that she received her Covid vaccine in September 2021 while pregnant.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Pain in extremity, Pyrexia, Syncope
Clinical narrative: 2ND BOOSTER, TYPICAL SORE ARM, THEN ON 05/07, FEAVERISH AND NO ENERGY, ON 05/08, UNDERTOOK OUTDOOR YARDWORK (DURING WARM WEATHER), AT DINNER ON 05/08, FAINTED AT DINNER TABLE.   SO, FEEL IT MAY BE A COMBINATION OF THE VACCINATION AND OUTDOOR WORK?   BUT, HAVE NEVER HAD THIS EXPERIENCE BEFORE, SO FEEL THAT THE VACCINATION MUST HAVE BEEN A FACTOR
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for COVID on dates  05/02/2022- 05/08/2022. ?Treated with Duoneb as needed, Vitamin C 500mg PO daily, baricitinib 4mg PO daily, ceftriaxone 1g IV daily, Vitamin D3 25mcg  PO daily, dexamethasone 6mg IV daily, azithromycin 500mg IV daily, zinc 50mg PO daily.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Decreased appetite, Fatigue, Headache, Night sweats
Clinical narrative: 12 hours after vaccine I had the same reaction as the 1st dose. I had fever and that fever included night sweats, body aches, headache, stomach pain, tiredness, and loss of appetite. Symptoms lasted for 3 days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: 12 hours after vaccine I had the same reaction as the 1st dose. I had fever and that fever included night sweats, body aches, headache, stomach pain, tiredness, and loss of appetite. Symptoms lasted for 3 days.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Cardiac arrest, Cardio-respiratory arrest, Cough
Clinical narrative: Pfizer COVID vac #1 given on 2/10/21, lot # EL3246; Pfizer COVID vac #2 given on 3/3/21, lot #EN5318; pt had a positive COVID home test 3 days before coming to ED; 2/3/22 pt presents to ED with SOB the night before, decreased UOP, even though drinking the same amount of fluids, fever, non-productive cough, dyspnea; admitted; 2/4/22 positive COVID test; acute on chronic renal failure; at first, did not need O2 supplementation, but later needed O2 was required; code blue called due to pt being unresponsive and pulseless, asystole; CPR and ACLS protocol; intubated; remained asystole and pt expired in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Endotracheal intubation, Life support, Pulse absent
Clinical narrative: Pfizer COVID vac #1 given on 2/10/21, lot # EL3246; Pfizer COVID vac #2 given on 3/3/21, lot #EN5318; pt had a positive COVID home test 3 days before coming to ED; 2/3/22 pt presents to ED with SOB the night before, decreased UOP, even though drinking the same amount of fluids, fever, non-productive cough, dyspnea; admitted; 2/4/22 positive COVID test; acute on chronic renal failure; at first, did not need O2 supplementation, but later needed O2 was required; code blue called due to pt being unresponsive and pulseless, asystole; CPR and ACLS protocol; intubated; remained asystole and pt expired in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Resuscitation, SARS-CoV-2 test positive, Unresponsive to stimuli, Urine output decreased
Clinical narrative: Pfizer COVID vac #1 given on 2/10/21, lot # EL3246; Pfizer COVID vac #2 given on 3/3/21, lot #EN5318; pt had a positive COVID home test 3 days before coming to ED; 2/3/22 pt presents to ED with SOB the night before, decreased UOP, even though drinking the same amount of fluids, fever, non-productive cough, dyspnea; admitted; 2/4/22 positive COVID test; acute on chronic renal failure; at first, did not need O2 supplementation, but later needed O2 was required; code blue called due to pt being unresponsive and pulseless, asystole; CPR and ACLS protocol; intubated; remained asystole and pt expired in the hospital
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: event occurred after 2nd vaccine; breakthrough case admission
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test normal, Blood thyroid stimulating hormone normal, Cardiac disorder, Cardiac stress test normal
Clinical narrative: 6 days later began having heart problems. First onset  test on AFib, went to ER. AFib confirmed by EKG. Symptoms resolved after receiving diltiazem. Later that week had normal stress test and normal echo. Ruled out heart attack.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: 6 days later began having heart problems. First onset  test on AFib, went to ER. AFib confirmed by EKG. Symptoms resolved after receiving diltiazem. Later that week had normal stress test and normal echo. Ruled out heart attack.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic aneurysm, Bicuspid aortic valve, Cardiac imaging procedure abnormal, Cardiac murmur, Electrocardiogram abnormal
Clinical narrative: I had normal aches and pains but when I went in to my immunologist, he said I had a heart murmur. Otherwise, I just had normal symptoms. Until I went to him, I didn't know I had this. Said my aortic valve was bicuspid and had an aneurysm.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: I had normal aches and pains but when I went in to my immunologist, he said I had a heart murmur. Otherwise, I just had normal symptoms. Until I went to him, I didn't know I had this. Said my aortic valve was bicuspid and had an aneurysm.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombectomy, Thrombosis
Clinical narrative: Blood Clot in Left Leg
Age: 66.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Arthralgia, Arthritis, Blood test abnormal, Haemoglobin decreased, Joint swelling
Clinical narrative: Around November 7, I got up in the morning and my right knee was swollen. I thought it was from overworking, so I wrapped it and took Aleve. After a week, the swelling went down but it was still achy and everything. It got to the point where I took Aleve or ibuprofen, it became tolerable. March 18, 2022. I finally decided to go to an orthopedic surgeon because it was still aching. An x-ray showed that there was some arthritis there and he prescribed prednisone and stuff to get the joint pain down and the swelling. I had to go to a doctor on April 10, 2022, more prednisone and that was an ER visit. Prednisone and cream to put on the joint. I ended up going to the hospital because I was in a lot of pain with my knee and that was on April 17, 2022. They gave me more prednisone. April 19, 2022, I went back and I had an episode where every joint in my body was hurting. According to the orthopedic doctor, he said it looked like I had rheumatoid arthritis, and that I was having a flare up. One of the first things he asked was if I had my booster vaccine. And it has us thinking about how this started in November. Doctor said we don't have all the facts, but he noted he had seen an increase with arthritis and RA. Currently taking arthritis strength Tylenol a couple times a day, 30mg prednisone, daily medications. It's pretty much under control, but this morning the knee is throbbing and a couple other joints are hurting. There are good days and bad days.
Age: 66.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Pain, Rheumatoid arthritis, X-ray limb abnormal
Clinical narrative: Around November 7, I got up in the morning and my right knee was swollen. I thought it was from overworking, so I wrapped it and took Aleve. After a week, the swelling went down but it was still achy and everything. It got to the point where I took Aleve or ibuprofen, it became tolerable. March 18, 2022. I finally decided to go to an orthopedic surgeon because it was still aching. An x-ray showed that there was some arthritis there and he prescribed prednisone and stuff to get the joint pain down and the swelling. I had to go to a doctor on April 10, 2022, more prednisone and that was an ER visit. Prednisone and cream to put on the joint. I ended up going to the hospital because I was in a lot of pain with my knee and that was on April 17, 2022. They gave me more prednisone. April 19, 2022, I went back and I had an episode where every joint in my body was hurting. According to the orthopedic doctor, he said it looked like I had rheumatoid arthritis, and that I was having a flare up. One of the first things he asked was if I had my booster vaccine. And it has us thinking about how this started in November. Doctor said we don't have all the facts, but he noted he had seen an increase with arthritis and RA. Currently taking arthritis strength Tylenol a couple times a day, 30mg prednisone, daily medications. It's pretty much under control, but this morning the knee is throbbing and a couple other joints are hurting. There are good days and bad days.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for COVID on dates 05/04/2022- 05/08/2022.  Treated with vitamin D, zinc, vitamin C, dexamethasone IV.  Didn't meet criteria for Remdesivir.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE AT THIS TIME
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Laboratory test abnormal, Postictal state, Resuscitation, Seizure
Clinical narrative: Description of the event per the emergency room note from 3/23/22. Patient had his COVID vaccination on 3/23/22 and he then went grocery shopping where he began having a seizure. He had full body convulsions which lasted for a few minutes followed by postictal state. His wife did CPR for approximately 1 minute. He did miss a dose of his Depakote within the past day or 2. This is only the 2nd seizure has has had in the past 10 years.  He had some GI symptoms last week but these have resolved.  Upon arrival to the ER patient had returned to his baseline. His valproic acid level was low in the ER.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Balance disorder, Blood pressure abnormal, Dizziness, Vertigo
Clinical narrative: It started twos after getting the vaccine. It started occasionally dizziness from April-December 2021. In December I started having Vertigo problems. An the balancing in January-March 2022. I had to go to the ER December 31, 2021 my blood pressure and balancing was off. I thought I was having a stroke. The ER doctor stated that I was having an anxiety attack. They prescribe me something for the Vertigo.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: None, vaccine beyond 30 days in refrigerator
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Peripheral vascular disorder
Clinical narrative: Came to hospital for PVD needed vascular surgery and was swabbed for screening, asymptomaic. Pt discharged to alf
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None at this time
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Visual field defect
Clinical narrative: Blind spots in both eyes, started with five spots total, multiple in right eye and multiple in left eye, started out as black spots and faded after several days to grey spots, one spot in each eye remains, spots are constant and do not float.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Malaise
Clinical narrative: I contracted COVID-19 on 4/26/2022 with symptoms of sore throat, fatigue, diarrhea, myalgia, cough, and I was ill for 10 days. I was prescribed Paxlovid on 4/29/2022, and I have fully recovered with all symptoms resolved.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 4/26/2022 with symptoms of sore throat, fatigue, diarrhea, myalgia, cough, and I was ill for 10 days. I was prescribed Paxlovid on 4/29/2022, and I have fully recovered with all symptoms resolved.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Headache, Illness, Memory impairment
Clinical narrative: Non-Stop ringing in my right ear, dizziness, forgetfulness, fogginess   Doctor stated there is no treatment available.  Since there has not been enough research, they believe it is not linked to COVID.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vertigo
Clinical narrative: Non-Stop ringing in my right ear, dizziness, forgetfulness, fogginess   Doctor stated there is no treatment available.  Since there has not been enough research, they believe it is not linked to COVID.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: covid pneumonia 5/8/22