chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood electrolytes normal, Blood folate normal, Blood thyroid stimulating hormone normal, COVID-19, Computerised tomogram head normal
Clinical narrative: Apparently he in March after receiving her 1st COVID vaccine patient began to forget things and was somewhat confused and disoriented at times.  She has some good days and bad days.  April 15 she got her 2nd shot a COVID vaccine and became increasingly confused and disoriented per the son was at bedside.  They took her in to be evaluated I a complete workup including MRI head CT a TSH and other lab work was done which was negative.  She did not have a UTI either.  Apparently 2 weeks ago her daughter came and abruptly discontinued her Lexapro.  There have been no other complaints at this timeAn EEG was done with no signs of seizures on this admission.  Also, workup for any encephalopathy was not revealing.  No electrolyte abnormalities.  No signs of any infection.  All the blood work done on this admission was unrevealing.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Disorientation, Electroencephalogram normal, Magnetic resonance imaging head normal, Memory impairment
Clinical narrative: Apparently he in March after receiving her 1st COVID vaccine patient began to forget things and was somewhat confused and disoriented at times.  She has some good days and bad days.  April 15 she got her 2nd shot a COVID vaccine and became increasingly confused and disoriented per the son was at bedside.  They took her in to be evaluated I a complete workup including MRI head CT a TSH and other lab work was done which was negative.  She did not have a UTI either.  Apparently 2 weeks ago her daughter came and abruptly discontinued her Lexapro.  There have been no other complaints at this timeAn EEG was done with no signs of seizures on this admission.  Also, workup for any encephalopathy was not revealing.  No electrolyte abnormalities.  No signs of any infection.  All the blood work done on this admission was unrevealing.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Thyroxine free normal, Urine analysis normal, Vitamin B12 normal
Clinical narrative: Apparently he in March after receiving her 1st COVID vaccine patient began to forget things and was somewhat confused and disoriented at times.  She has some good days and bad days.  April 15 she got her 2nd shot a COVID vaccine and became increasingly confused and disoriented per the son was at bedside.  They took her in to be evaluated I a complete workup including MRI head CT a TSH and other lab work was done which was negative.  She did not have a UTI either.  Apparently 2 weeks ago her daughter came and abruptly discontinued her Lexapro.  There have been no other complaints at this timeAn EEG was done with no signs of seizures on this admission.  Also, workup for any encephalopathy was not revealing.  No electrolyte abnormalities.  No signs of any infection.  All the blood work done on this admission was unrevealing.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: hospitalized twice for covid.  Break thru covid case
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: this patient is immunocompromised and presented for the 3rd COVID vaccination.  Past 2 doses were Moderna: dose 1, 1/15/2021, dose 2, 2/15/2021.  Unknown lot as they were given at the local department of health.  Received Pfizer in error for 3rd dose.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: 8/18/21: The patient has been states that he brought her into the emergency room primarily due to her complaints of progressive back pain over the past 30 days.  He was concerned that she had some symptoms that were consistent with COVID-19 and requested that she be tested.  She tested positive for COVID-19 in the ER. Note: patient had Moderna Covid-19 vaccine on 3/17/21 and 4/14/21.  Diagnosed with viral pneumonia related to Covid 19.  Discharged on 8/24/21.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Positive Covid Test, headache, cough, sore throat.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient of Hospice who requested to have Covid Vaccine. Our Community Paramedic, took the vaccine to the Hospice on 9/2/2021.  He administered the vaccine and waited 15 minutes to observe for reactions. No adverse reactions were noted. The following morning we received a call from the nurse at the Hospice House that pt was pronounced deceased on 9/3/2021 in early am.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Headache, Pain, Pyrexia
Clinical narrative: headache, body ache , chills, slight fever, runny nose,
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: headache, body ache , chills, slight fever, runny nose,
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Confusional state, Dementia, General physical health deterioration
Clinical narrative: 80 years old female who has past medical history significant for history of advanced dementia, COVID-19 infection and afterwards has declined significantly, completely confused most of the days, significantly lethargic and was sent to the hospital where she was noted to have significant hypernatremia and also acute kidney injury and was recommended admission.  Patient is however unable to give any further details of the history and daughter does not know exactly the details of her last few days of history.  Patient is completely confused and demented and unable to give any review of system  Vitals & Measurements (Last Charted)  T: 97.9 °F(Oral)  TMIN: 96.5 °F(Oral)  TMAX: 97.9 °F(Oral)  HR: 68  RR: 11  BP: 129/69  SpO2: 98%  WT: 43.6 kg  BMI: 18.15
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypernatraemia, Lethargy
Clinical narrative: 80 years old female who has past medical history significant for history of advanced dementia, COVID-19 infection and afterwards has declined significantly, completely confused most of the days, significantly lethargic and was sent to the hospital where she was noted to have significant hypernatremia and also acute kidney injury and was recommended admission.  Patient is however unable to give any further details of the history and daughter does not know exactly the details of her last few days of history.  Patient is completely confused and demented and unable to give any review of system  Vitals & Measurements (Last Charted)  T: 97.9 °F(Oral)  TMIN: 96.5 °F(Oral)  TMAX: 97.9 °F(Oral)  HR: 68  RR: 11  BP: 129/69  SpO2: 98%  WT: 43.6 kg  BMI: 18.15
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Condition aggravated, Confusional state, General physical health deterioration
Clinical narrative: 80 years old female who has past medical history significant for history of advanced dementia, COVID-19 infection and afterwards has declined significantly, completely confused most of the days, significantly lethargic and was sent to the hospital where she was noted to have significant hypernatremia and also acute kidney injury and was recommended admission.  Patient is however unable to give any further details of the history and daughter does not know exactly the details of her last few days of history.  Patient is completely confused and demented and unable to give any review of system  Vitals & Measurements (Last Charted)  T: 97.9 °F(Oral)  TMIN: 96.5 °F(Oral)  TMAX: 97.9 °F(Oral)  HR: 68  RR: 11  BP: 129/69  SpO2: 98%  WT: 43.6 kg  BMI: 18.15
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face, Swelling of eyelid
Clinical narrative: Pt reports starting 9/3 c/o his eyelids and face became swollen. Pt states the eye lid swelling got better but they are still swollen. Pt states he went to ED and urgent care today at noon time and waited but left before they can get his information and evaluated. Advised pt to go back to ED to get evaluated
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Blood test, COVID-19, Feeling abnormal, Pain in extremity
Clinical narrative: I had no major symptoms after the vaccine, except a little sore arm on day 3, which lasted for 48 hours and  resolved. On  8/30/2021- I had seizure like symptoms and developed brain fog and lost my memory. Even though I was awake, I was unresponsive  and my husband called the ambulance. I was taken to the ER. They did a Covid test and I was positive for COVID. I was admitted to the hospital and stayed 3 days in the hospital. I had severe brain fog and cannot remember much. I had no other symptoms except brain fog. I was discharged on Wednesday 9/1/2021 when my brain fog improved. I have been in quarantine at home, resting and my brain fog has resolved. I am to follow up with a neurologist.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Seizure like phenomena, Unresponsive to stimuli
Clinical narrative: I had no major symptoms after the vaccine, except a little sore arm on day 3, which lasted for 48 hours and  resolved. On  8/30/2021- I had seizure like symptoms and developed brain fog and lost my memory. Even though I was awake, I was unresponsive  and my husband called the ambulance. I was taken to the ER. They did a Covid test and I was positive for COVID. I was admitted to the hospital and stayed 3 days in the hospital. I had severe brain fog and cannot remember much. I had no other symptoms except brain fog. I was discharged on Wednesday 9/1/2021 when my brain fog improved. I have been in quarantine at home, resting and my brain fog has resolved. I am to follow up with a neurologist.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lipoma, Ultrasound scan
Clinical narrative: Lipoma on torso/trunk under left arm
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Ear swelling, Pharyngeal swelling, Pyrexia, Swelling, Tenderness
Clinical narrative: Side that I   received the vaccine on, side of neck blew up like a balloon. From my ear to the middle of my throat.  Too drink of orange juice and it burned like crazy on that side. Very painful to touch. Went down in 5 hours after applying cold wash cloth constantly.  Anything heavier hurt.  Slight fever
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Side that I   received the vaccine on, side of neck blew up like a balloon. From my ear to the middle of my throat.  Too drink of orange juice and it burned like crazy on that side. Very painful to touch. Went down in 5 hours after applying cold wash cloth constantly.  Anything heavier hurt.  Slight fever
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Bradycardia, COVID-19, Cardiac failure
Clinical narrative: patient had COVID-19 positive test 8/23/21, acute respiratory failure with hypoxia, COVID 19 infection, encephalopathy, bradycardia, shock. anion gap metabolic acidosis with poor respiratory compensation, COPD, AKI on probable CKD, transaminitis, and decompensated right heart failure with cor pulmonale and volume overload.  Pt intubated on arrival for marked worsening of his encephalopathy. Likely etiology d/f decompensated right heart failure with pulmonary edema and possible Covid pneumonitis.  Shock now resolved. Respiratory status and AKI now improved with diuresis, and extubated 9/7.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chronic kidney disease, Chronic obstructive pulmonary disease, Cor pulmonale, Encephalopathy, Endotracheal intubation
Clinical narrative: patient had COVID-19 positive test 8/23/21, acute respiratory failure with hypoxia, COVID 19 infection, encephalopathy, bradycardia, shock. anion gap metabolic acidosis with poor respiratory compensation, COPD, AKI on probable CKD, transaminitis, and decompensated right heart failure with cor pulmonale and volume overload.  Pt intubated on arrival for marked worsening of his encephalopathy. Likely etiology d/f decompensated right heart failure with pulmonary edema and possible Covid pneumonitis.  Shock now resolved. Respiratory status and AKI now improved with diuresis, and extubated 9/7.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extubation, Hypervolaemia, Metabolic acidosis, Polyuria, Pulmonary oedema
Clinical narrative: patient had COVID-19 positive test 8/23/21, acute respiratory failure with hypoxia, COVID 19 infection, encephalopathy, bradycardia, shock. anion gap metabolic acidosis with poor respiratory compensation, COPD, AKI on probable CKD, transaminitis, and decompensated right heart failure with cor pulmonale and volume overload.  Pt intubated on arrival for marked worsening of his encephalopathy. Likely etiology d/f decompensated right heart failure with pulmonary edema and possible Covid pneumonitis.  Shock now resolved. Respiratory status and AKI now improved with diuresis, and extubated 9/7.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory disorder, Right ventricular failure, SARS-CoV-2 test positive, Shock, Transaminases increased
Clinical narrative: patient had COVID-19 positive test 8/23/21, acute respiratory failure with hypoxia, COVID 19 infection, encephalopathy, bradycardia, shock. anion gap metabolic acidosis with poor respiratory compensation, COPD, AKI on probable CKD, transaminitis, and decompensated right heart failure with cor pulmonale and volume overload.  Pt intubated on arrival for marked worsening of his encephalopathy. Likely etiology d/f decompensated right heart failure with pulmonary edema and possible Covid pneumonitis.  Shock now resolved. Respiratory status and AKI now improved with diuresis, and extubated 9/7.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: No period since receiving shot - was completely regular prior -
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Loss of consciousness
Clinical narrative: Five minutes after vaccination the patient passed out. She lost consciousness for less than one minute. She continued breathing the entire time. The pharmacist guided her to lay on the floor and elevated her feet. After a couple of minutes the patient felt good enough to sit up and start talking. She was offered a sugary beverage to sip on. EMTs responded and checked the patient's blood sugar which was 104.  After 30 minutes the patient was able to walk out to her vehicles where a family member took her home to rest.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Electrocardiogram, Hypertension, Paraesthesia
Clinical narrative: after the vaccination same day i had tingling in my arms and legs and sharp pain in my chest and contacting my doctor the next day and they told me to go to there and they did the ekg and then i went to the doctor and they did the blood work. i still have the tingling in my legs and my blood pressure is really high
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Joint range of motion decreased, Musculoskeletal stiffness, Pain
Clinical narrative: Stiffness in left shoulder with pain that gradually increased until it has progressed to chronic pain, weakness with very limited range of motion.
Age: 49.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Dizziness, Headache, Injection site erythema, Injection site induration
Clinical narrative: Developed severe body aches, headache, dizziness, convulsive chills, and a large baseball size welt at the site of the injection. The welt was red and hard to the touch. The patient treated with home cares. His symptoms are now resolved, except for the welt, which is improving.
Age: 49.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site nodule, Pain
Clinical narrative: Developed severe body aches, headache, dizziness, convulsive chills, and a large baseball size welt at the site of the injection. The welt was red and hard to the touch. The patient treated with home cares. His symptoms are now resolved, except for the welt, which is improving.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Acute myocardial infarction, Akinesia, Catheterisation cardiac abnormal, Coronary artery stenosis
Clinical narrative: heart attack 12 hours after shot
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Myocardial infarction
Clinical narrative: heart attack 12 hours after shot
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received a dose of expired Moderna Covid vaccine. No adverse reaction noted or reported.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Blood creatinine increased, Blood sodium decreased, Diarrhoea
Clinical narrative: Myalgias, Diarrhea, Weakness Acute kidney injury, Hyponatremia
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Myalgia
Clinical narrative: Myalgias, Diarrhea, Weakness Acute kidney injury, Hyponatremia
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Influenza A virus test negative, Influenza B virus test, Pain
Clinical narrative: patient is having mild cough and minor aches and pains
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: patient is having mild cough and minor aches and pains
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac disorder, Chills, Condition aggravated, Pyrexia, Respiratory disorder
Clinical narrative: Chills from fever-like  Heart muscle tighten (excessive caffeine effects) , difficult breathing
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: No adverse events at time of vaccination on 1/14/201 and 2/11/2021.  Reporting a positive Covid-19 breakthrough case.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Apnoea, Cough, Death, Delirium
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/6/2021 and 3/27/2021. Patient started having cough and sneezing around 8/11 after going out of town.  She then developed nausea, vomiting, and diarrhea on 8/12.  Patient presented to ED on 8/17, o2 sat was 75% on room air.  She was placed on a non-rebreather but was saturating at 100%. Imaging showed multifocal pneumonia. Patient was treated with dexamethasone, remdesivir, and baricitinib . Patient continued to experience respiratory failure. Patient developed AKI and acute delirium and was unable to safely swallow. Dobhoff tube was placed, and she received enteral nutrition. She developed worsening hypoxia on 8/25/21. Patient continued to have acute worsening of breathing, became apneic, and expired on 8/25/21.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dysphagia, Dyspnoea, Hypoxia, Nausea
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/6/2021 and 3/27/2021. Patient started having cough and sneezing around 8/11 after going out of town.  She then developed nausea, vomiting, and diarrhea on 8/12.  Patient presented to ED on 8/17, o2 sat was 75% on room air.  She was placed on a non-rebreather but was saturating at 100%. Imaging showed multifocal pneumonia. Patient was treated with dexamethasone, remdesivir, and baricitinib . Patient continued to experience respiratory failure. Patient developed AKI and acute delirium and was unable to safely swallow. Dobhoff tube was placed, and she received enteral nutrition. She developed worsening hypoxia on 8/25/21. Patient continued to have acute worsening of breathing, became apneic, and expired on 8/25/21.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, Respiratory failure, Sneezing, Vomiting
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/6/2021 and 3/27/2021. Patient started having cough and sneezing around 8/11 after going out of town.  She then developed nausea, vomiting, and diarrhea on 8/12.  Patient presented to ED on 8/17, o2 sat was 75% on room air.  She was placed on a non-rebreather but was saturating at 100%. Imaging showed multifocal pneumonia. Patient was treated with dexamethasone, remdesivir, and baricitinib . Patient continued to experience respiratory failure. Patient developed AKI and acute delirium and was unable to safely swallow. Dobhoff tube was placed, and she received enteral nutrition. She developed worsening hypoxia on 8/25/21. Patient continued to have acute worsening of breathing, became apneic, and expired on 8/25/21.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Exactly 7 days after injection, I've developed an itchy, red, raised rash at & around the injection site. It is slightly larger than a quarter in size. I also feel slightly dizzy & tingly, especially in my feet & lower extremities.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Exactly 7 days after injection, I've developed an itchy, red, raised rash at & around the injection site. It is slightly larger than a quarter in size. I also feel slightly dizzy & tingly, especially in my feet & lower extremities.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, Pyrexia
Clinical narrative: Breakthrough Covid-19 First Dose 01/27/2021 79-year-old male who presents to the ER for shortness of breath, cough and fever. He was a bit hypoxic on arrival.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid-19 First Dose 01/27/2021 79-year-old male who presents to the ER for shortness of breath, cough and fever. He was a bit hypoxic on arrival.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received the COVID vaccines on 2/14/21 and 3/9/21. He was admitted to the hospital on 8/17/2021 with a Dx of COVID-19
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bacteraemia, Blood culture positive, Cardiac failure congestive, Computerised tomogram thorax, Cough
Clinical narrative: Had COVID 19 in November 2020 and again in May 2021. Came to hospital with complaint of worsening shortness of breath associated with cough and sputum expectoration. Recently discharged for recurrent pneumonia. WBC 20. Started on ceftriaxone, azithromycin and dexamethasone. Placed on 2L NC. Diagnosed with community acquired bacterial pneumonia. Had VRE bacteremia. Switched to daptomycin and discharged on linezolid x 10 days. Readmitted on 5/29/21 with SOB, cough, and new left-sided pneumonia. Discharged 6/9/21. Admitted again on 6/10/21 for aspiration pneumonia and CHF exacerbation. Placed on unasyn and discharged on augmentin. Admitted again on 6/28/21 for sepsis secondary to pneumonia. Went comfort measures at this time and discharged  with hospice. Died 7/15/21
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Enterococcal infection, Pneumonia, Pneumonia aspiration
Clinical narrative: Had COVID 19 in November 2020 and again in May 2021. Came to hospital with complaint of worsening shortness of breath associated with cough and sputum expectoration. Recently discharged for recurrent pneumonia. WBC 20. Started on ceftriaxone, azithromycin and dexamethasone. Placed on 2L NC. Diagnosed with community acquired bacterial pneumonia. Had VRE bacteremia. Switched to daptomycin and discharged on linezolid x 10 days. Readmitted on 5/29/21 with SOB, cough, and new left-sided pneumonia. Discharged 6/9/21. Admitted again on 6/10/21 for aspiration pneumonia and CHF exacerbation. Placed on unasyn and discharged on augmentin. Admitted again on 6/28/21 for sepsis secondary to pneumonia. Went comfort measures at this time and discharged  with hospice. Died 7/15/21
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia bacterial, Productive cough, Sepsis, White blood cell count increased
Clinical narrative: Had COVID 19 in November 2020 and again in May 2021. Came to hospital with complaint of worsening shortness of breath associated with cough and sputum expectoration. Recently discharged for recurrent pneumonia. WBC 20. Started on ceftriaxone, azithromycin and dexamethasone. Placed on 2L NC. Diagnosed with community acquired bacterial pneumonia. Had VRE bacteremia. Switched to daptomycin and discharged on linezolid x 10 days. Readmitted on 5/29/21 with SOB, cough, and new left-sided pneumonia. Discharged 6/9/21. Admitted again on 6/10/21 for aspiration pneumonia and CHF exacerbation. Placed on unasyn and discharged on augmentin. Admitted again on 6/28/21 for sepsis secondary to pneumonia. Went comfort measures at this time and discharged  with hospice. Died 7/15/21
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Still have Pain at injection sites  4 months later
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Swelling
Clinical narrative: received vaccine and approximately 12 hours later large amount of swelling in right armpit- same side as injection.  this swelling was painful and persisted for 72 hours with the large amount of swelling, and now is a small amount and much less painful
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive Covid result
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Erythema, Laboratory test, Malaise, Pain in extremity
Clinical narrative: After my first vaccination, my hand started to tingle, and I got a sharp pain in my head. I was moved to a triage room and given Benadryl. I was sent to the ER and stayed for 3 hours. After the second shot, I had the same thing. My arm hurt for a long time; it was tender, hot, and red for 2-3 weeks. After a few days, the tingling stopped, and the pain stopped in my head. In July, I got sick and tested negative for COVID, but I had an upper respiratory virus. I was prescribed a Medrol pack, inhaler, and an antibiotic.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin, Skin warm, Urine analysis, Viral upper respiratory tract infection
Clinical narrative: After my first vaccination, my hand started to tingle, and I got a sharp pain in my head. I was moved to a triage room and given Benadryl. I was sent to the ER and stayed for 3 hours. After the second shot, I had the same thing. My arm hurt for a long time; it was tender, hot, and red for 2-3 weeks. After a few days, the tingling stopped, and the pain stopped in my head. In July, I got sick and tested negative for COVID, but I had an upper respiratory virus. I was prescribed a Medrol pack, inhaler, and an antibiotic.
Age: 35.0
Sex: M
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site swelling, Pain in extremity
Clinical narrative: Patient states that he began to have R arm soreness, and swelling to the injection site  after couple hours of vaccine administration. But after 48 hours he had limited ROM to Rshoulder, Pain level at 8/10, swelling, and soreness
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient was administered 1 ml, dose is 0.5 ml
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Menstruation delayed, Menstruation irregular
Clinical narrative: In April I started having strange spotting. I?ve never had spotting issues before. It spotted a bit, and my cycle was delayed. In May it spotted again mid cycles and delayed. It skipped June and July. I did not get another cycle until late august. I went to my primary care, and they said as long as I had my cycle currently, I should be fine as long as no more symptoms continue. They had heard similar cases of other vaccine recipients. I intend it get it checked at an OB/GYN.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Pain
Clinical narrative: Later that day my arm got super sore.  On 7/4 I started aching all over, was very fatigued, ran a fever of 102.6 and developed an intense headache.  A cough developed.  7/6 I visited my PCP because I was hurting so bad and the symptoms weren't getting any better.  There had a COVID test done and it was positive and on 7/8 I had the infusion to treat for the COVID-19.  The cough and fatigued lingered for another 2 weeks and finally the symptoms dimished.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Later that day my arm got super sore.  On 7/4 I started aching all over, was very fatigued, ran a fever of 102.6 and developed an intense headache.  A cough developed.  7/6 I visited my PCP because I was hurting so bad and the symptoms weren't getting any better.  There had a COVID test done and it was positive and on 7/8 I had the infusion to treat for the COVID-19.  The cough and fatigued lingered for another 2 weeks and finally the symptoms dimished.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Flu like symptoms, Injection site swelling, redness, warm to the touch
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Muscle twitching, Pruritus
Clinical narrative: First three days after taking the 1st dose: Injection site pain On Day 10: pain in the shoulder joints, itchy patches of skin between my shoulder blades, and a nerve twitch between my shoulder blades  I took Tylenol and Advil.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Received COVID vaccines on 4/2/21 and 4/23/21 and was admitted to the hospital on 8/26/21 for COVID-19.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Fever, cough
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold
Clinical narrative: After 2nd shot of Moderna COVID-19 vaccine, I had chills all night long. Then started experiencing chills and feeling cold at night thereafter; seems like most nights I would feel cold. This has never happened before and is still ongoing.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient was administered 1 ml, dose is 0.5 ml
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Condition aggravated, Headache, Ovarian cyst, Pyrexia
Clinical narrative: Saturday and Sunday, I had severe headache (didn't get out of bed). I had a fever of over 103. It got up to 103.8. Those both lasted about a day and a half together.  Monday, I was back at work. I still had a low fever but it was fine by lunchtime. Just took Tylenol for symptoms - it helped some with the fever but it did not help with the headache which was there for a full 2 days. I had a doctor visit last week (on Sept 2) -  I had severe pain in my lower left abdomen (noticed on Sept 1) - and I have an ovarian cyst. It was determined a  year ago but it is much bigger now than it was before and so I have been in a lot of pain. Just OTC medication - like Aleve. The  pain was pretty consistent for about 48 hours but now it's fine.  The doctor will just watch it.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound abdomen abnormal
Clinical narrative: Saturday and Sunday, I had severe headache (didn't get out of bed). I had a fever of over 103. It got up to 103.8. Those both lasted about a day and a half together.  Monday, I was back at work. I still had a low fever but it was fine by lunchtime. Just took Tylenol for symptoms - it helped some with the fever but it did not help with the headache which was there for a full 2 days. I had a doctor visit last week (on Sept 2) -  I had severe pain in my lower left abdomen (noticed on Sept 1) - and I have an ovarian cyst. It was determined a  year ago but it is much bigger now than it was before and so I have been in a lot of pain. Just OTC medication - like Aleve. The  pain was pretty consistent for about 48 hours but now it's fine.  The doctor will just watch it.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Malaise, Nausea, Vomiting
Clinical narrative: Nausea Dizzy Vomiting Treatment was just to get out of heat, into air-conditioning and sleep. Outcome, after about 6 hours, no more Nausea but did not feel well for a few days.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage
Clinical narrative: Bleeding every2-3 weeks and would last over a week. Lasted until July when birth control dose was increased
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pain in extremity, Paraesthesia, Peripheral swelling
Clinical narrative: patient experienced tingling and swelling on the injection arm after she got home. Pain in arm and swelling from the injection site to the index finger. she came for her 2nd dose on 09/07/2021, was given benadryl before receiving 2nd dose.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test false positive, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: 5. COVID 19 positive by PCR - she has been adequately immunized with Moderna vaccine on 3/18/21 with the 2nd dose on 4/16/21 - she is afebrile and hemodynamically stable.  Her oxygen saturation is 98% on room air.  She does not have any respiratory symptoms.  Her lungs are completely clear on examination - she has likely been exposed for this might be a false positive - given the lack of lung findings MD held off on a chest x-ray at current time Repeat Covid testing was completed, both a repeat of the Abbott test as well as a Cephaid test both were negative, showing initially this was likely a false positive, this patient is fully vaccinated for several months
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot
Clinical narrative: Pt reported feeling hot and a little light headed, approximately 6 minutes after vaccination.  Pt reported not eating before vaccine, Pt vitals at 1:01 pm were BP : 110/78, HR : 88, Temp. : 98 and oxygen : 99% . Pt was given water and light snack. Last Vitals taken at 1:24 pm BP : 110/72, HR : 80, Temp : 97.7 and oxygen 99%.  All other set of vitals were within normal range> PT reported feeling better and was cleared by Clinical Staff
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Sensation of foreign body, Urticaria
Clinical narrative: Pt received dose 1 of 2 Moderna. Pt has a history of hives with influenza vaccine. Encouraged patient to wait in clinic lobby for 30 minutes after immunization was administered. At 20 minute wait time, pt developed hives on chest, abdominal pain, and sensation of "lump in throat". EMS activated, IV started, and 0.3mg epinephrine/ 50mg Benadryl/ 20mg famotidine administered.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness postural, Immediate post-injection reaction, Vomiting
Clinical narrative: Immediately after receiving dose, patient began to feel dizzy, then had an emesis and felt sick to her stomach. Patient laid down down on exam table and vital signs were monitored for 15 minutes. After 15 minutes, patient stated she felt better and was able to sit up and walk around. Observed patient for 15 more minutes before she left.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Mobility decreased, Rectal haemorrhage, SARS-CoV-2 test positive
Clinical narrative: 8/4/21: presented to the ED for evaluation of generalized weakness and bright red rectal bleeding for 1 day. patient is usually able to ambulate and stand however after waking up yesterday morning patient had significant generalized weakness and was unable to get up from her bed. Tested positive for covid-19 on 8/5/21.  Note: patient previously vaccinated with Pfizer COVID-19 vaccine: First Dose: 04/17/21 Lot Number EP7534; Second Dose: 05/08/21 Lot Number EW0171 Treated for generalized weakness. Was not treated for any Covid related diagnoses.  8/5/21: Discharged
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Animal bite, Arthralgia, Asthenia, Bacterial test negative, Blood test normal
Clinical narrative: I got bit by a dog on my right middle finger on October 24th 2018. Prior to this I was normal. I went to an occupational health center and received a TdaP vaccine that afternoon. The bite was superficial and healed without incident. Clinical signs started within a couple days of vaccination with numbness to my pinky and lateral surface of my vaccinated arm. Then a week later I developed severe neck pain and weakness in my right arm and down my legs.  I went to an ER and was told to just rest. My limbs would fall asleep and felt difficult to move and at times even though i was trying to move my arms, they wouldnt go.  I also developed weakness and couldnt lift things that I was able to in the past.   Around October 30th I developed shifting joint pain (large and small joints) that lasted about 6 months (although progressively improved).  I was placed on ibuprofen from a rheumatologist. Around November 30th I developed trouble breathing and was eventually diagnosed with vocal cord dysfunction. I saw two pulmonologists and was placed on inhaled steroids, spiriva, albuterol, amoxilcillin for 2 weeks and oral steroids for 2 months, none of which led to any improvement. I frequented the ER multiple times but treatments never helped.  I then went to an ENT around march 2020 and was diagnosed with VCD And placed on doxy for 6 weeks in case of a lyme component. It did not help. I developed an enlarged axillary and submandibular lymph node on the right. My right armpit was uncomfortable. About 1.5 years later the joint pain and neurological weakness subsided. The lymph nodes are shrinking as of 9/2021 and my breathing has improved although VCD signs are still present
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Borrelia test negative, Computerised tomogram thorax normal, Condition aggravated, Discomfort, Dyspnoea
Clinical narrative: I got bit by a dog on my right middle finger on October 24th 2018. Prior to this I was normal. I went to an occupational health center and received a TdaP vaccine that afternoon. The bite was superficial and healed without incident. Clinical signs started within a couple days of vaccination with numbness to my pinky and lateral surface of my vaccinated arm. Then a week later I developed severe neck pain and weakness in my right arm and down my legs.  I went to an ER and was told to just rest. My limbs would fall asleep and felt difficult to move and at times even though i was trying to move my arms, they wouldnt go.  I also developed weakness and couldnt lift things that I was able to in the past.   Around October 30th I developed shifting joint pain (large and small joints) that lasted about 6 months (although progressively improved).  I was placed on ibuprofen from a rheumatologist. Around November 30th I developed trouble breathing and was eventually diagnosed with vocal cord dysfunction. I saw two pulmonologists and was placed on inhaled steroids, spiriva, albuterol, amoxilcillin for 2 weeks and oral steroids for 2 months, none of which led to any improvement. I frequented the ER multiple times but treatments never helped.  I then went to an ENT around march 2020 and was diagnosed with VCD And placed on doxy for 6 weeks in case of a lyme component. It did not help. I developed an enlarged axillary and submandibular lymph node on the right. My right armpit was uncomfortable. About 1.5 years later the joint pain and neurological weakness subsided. The lymph nodes are shrinking as of 9/2021 and my breathing has improved although VCD signs are still present
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Laryngoscopy abnormal, Lymphadenopathy, Magnetic resonance imaging head normal, Mammogram normal
Clinical narrative: I got bit by a dog on my right middle finger on October 24th 2018. Prior to this I was normal. I went to an occupational health center and received a TdaP vaccine that afternoon. The bite was superficial and healed without incident. Clinical signs started within a couple days of vaccination with numbness to my pinky and lateral surface of my vaccinated arm. Then a week later I developed severe neck pain and weakness in my right arm and down my legs.  I went to an ER and was told to just rest. My limbs would fall asleep and felt difficult to move and at times even though i was trying to move my arms, they wouldnt go.  I also developed weakness and couldnt lift things that I was able to in the past.   Around October 30th I developed shifting joint pain (large and small joints) that lasted about 6 months (although progressively improved).  I was placed on ibuprofen from a rheumatologist. Around November 30th I developed trouble breathing and was eventually diagnosed with vocal cord dysfunction. I saw two pulmonologists and was placed on inhaled steroids, spiriva, albuterol, amoxilcillin for 2 weeks and oral steroids for 2 months, none of which led to any improvement. I frequented the ER multiple times but treatments never helped.  I then went to an ENT around march 2020 and was diagnosed with VCD And placed on doxy for 6 weeks in case of a lyme component. It did not help. I developed an enlarged axillary and submandibular lymph node on the right. My right armpit was uncomfortable. About 1.5 years later the joint pain and neurological weakness subsided. The lymph nodes are shrinking as of 9/2021 and my breathing has improved although VCD signs are still present
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Mobility decreased, Muscular weakness, Neck pain, Nervous system disorder, Parasitic blood test negative
Clinical narrative: I got bit by a dog on my right middle finger on October 24th 2018. Prior to this I was normal. I went to an occupational health center and received a TdaP vaccine that afternoon. The bite was superficial and healed without incident. Clinical signs started within a couple days of vaccination with numbness to my pinky and lateral surface of my vaccinated arm. Then a week later I developed severe neck pain and weakness in my right arm and down my legs.  I went to an ER and was told to just rest. My limbs would fall asleep and felt difficult to move and at times even though i was trying to move my arms, they wouldnt go.  I also developed weakness and couldnt lift things that I was able to in the past.   Around October 30th I developed shifting joint pain (large and small joints) that lasted about 6 months (although progressively improved).  I was placed on ibuprofen from a rheumatologist. Around November 30th I developed trouble breathing and was eventually diagnosed with vocal cord dysfunction. I saw two pulmonologists and was placed on inhaled steroids, spiriva, albuterol, amoxilcillin for 2 weeks and oral steroids for 2 months, none of which led to any improvement. I frequented the ER multiple times but treatments never helped.  I then went to an ENT around march 2020 and was diagnosed with VCD And placed on doxy for 6 weeks in case of a lyme component. It did not help. I developed an enlarged axillary and submandibular lymph node on the right. My right armpit was uncomfortable. About 1.5 years later the joint pain and neurological weakness subsided. The lymph nodes are shrinking as of 9/2021 and my breathing has improved although VCD signs are still present
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Pulmonary function test normal, Rheumatoid factor negative, Ultrasound scan abnormal, Vocal cord dysfunction
Clinical narrative: I got bit by a dog on my right middle finger on October 24th 2018. Prior to this I was normal. I went to an occupational health center and received a TdaP vaccine that afternoon. The bite was superficial and healed without incident. Clinical signs started within a couple days of vaccination with numbness to my pinky and lateral surface of my vaccinated arm. Then a week later I developed severe neck pain and weakness in my right arm and down my legs.  I went to an ER and was told to just rest. My limbs would fall asleep and felt difficult to move and at times even though i was trying to move my arms, they wouldnt go.  I also developed weakness and couldnt lift things that I was able to in the past.   Around October 30th I developed shifting joint pain (large and small joints) that lasted about 6 months (although progressively improved).  I was placed on ibuprofen from a rheumatologist. Around November 30th I developed trouble breathing and was eventually diagnosed with vocal cord dysfunction. I saw two pulmonologists and was placed on inhaled steroids, spiriva, albuterol, amoxilcillin for 2 weeks and oral steroids for 2 months, none of which led to any improvement. I frequented the ER multiple times but treatments never helped.  I then went to an ENT around march 2020 and was diagnosed with VCD And placed on doxy for 6 weeks in case of a lyme component. It did not help. I developed an enlarged axillary and submandibular lymph node on the right. My right armpit was uncomfortable. About 1.5 years later the joint pain and neurological weakness subsided. The lymph nodes are shrinking as of 9/2021 and my breathing has improved although VCD signs are still present
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood test normal, Computerised tomogram abnormal, Functional gastrointestinal disorder, Hepatic steatosis
Clinical narrative: After dinner about 2 hours I got sick.  About an hour after that I vomit and had really bad pain. The next day I could not hold down food or water.  I was nausea 24 for hours a day. I still can not keep any thing down or eat solid foods.  I have lost 30 lbs. because of this.  I have bowel problems now. So I decide to got the doctor about.  They did blood work, normal.  They did CT scan, result a fatty liver.  In November I am schedule to GI doctor.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pain, Vomiting, Weight decreased
Clinical narrative: After dinner about 2 hours I got sick.  About an hour after that I vomit and had really bad pain. The next day I could not hold down food or water.  I was nausea 24 for hours a day. I still can not keep any thing down or eat solid foods.  I have lost 30 lbs. because of this.  I have bowel problems now. So I decide to got the doctor about.  They did blood work, normal.  They did CT scan, result a fatty liver.  In November I am schedule to GI doctor.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood test, Cognitive disorder, Fall, Tremor
Clinical narrative: Loss of balance, falls, hand tremors and cognitive digression.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: fatigue,  body aches
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hypoaesthesia, Reduced facial expression, Staring, Tremor
Clinical narrative: Patient arrived into  vaccine cloinic accompanied by ex boyfriend. Patient made staff aware that she was previously hospitalized for flu vaccine in the past. Patient verbalized "pre-medicating" with Allegra PO prior to arriving at the vaccination clinic. Therefore, patient was brought to stretcher in our obsevation area to be monitored by RN's during and after her vaccine administration. After receiving her first dose of the Pfizer vaccine in her right deltoid, patient was communicating and laughing appropriately with staff with no signs of difficulty breathing A/O x3 at this time. Patient verbalizing feeling warm. Water offered to patient. Ice Pack provided. Approximately 7 minutes after vaccine administration patient had a visibly blank stare with no facial expression. Patient's body was then observed to start mildly shaking motion which staf then turned patient to her side. 911 called. Epinephrine 0,3mg administered as ordered per protocol to left thigh. VS taken , oxygen administered via rebreather mask at max amount. After approx. 2-3 minutes  patient opened her eyes and was slowly able to respond to some questions such as her name. Patient responded appropriately. Patient stated she had some numbness on her right side. She made good eye contact. Paramedics and fire department arrived and took her via gurney to ER.