chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypersomnia, Malaise, Nausea, Ocular discomfort
Clinical narrative: On 6/12/2022, I woke up with a pounding, severe headache.  I also had pressure in the ears and behind the eyes, congestion, body aches, and fever. I didn't take my temperature, but I'm certain that I had a fever, since I had chills and was sweating. I was extremely fatigued and slept until noon; this is unusual for me, since I'm usually up at 6 AM. On 6/13/2022, I had nausea with diarrhea. I never threw up, however, and I took an anti-nausea pill. My throat also felt scratchy and I would sometimes cough, but the cough wasn't constant. I also had no appetite, and at the time of this writing, I have not had an appetite since 6/12/2022. On the morning of 6/12/2022, I took a home test for COVID, and the result was positive. Later that afternoon, I took a PCR test at pharmacy, and it also yielded a positive result. I called my doctor's office on 6/13/2022 to notify him of my diagnosis via the receptionist, and I have not heard back from him. On the afternoon of 6/13/2022, I experienced an increase in head pressure, an increase in nausea, a constantly runny nose; at the time of this writing, the symptoms have continued in conjunction with diarrhea and fatigue. I have not vomited at any point, however. On 6/14/2022, I had abdominal pain, which consisted of sharp stomach pains. In 2019, I had a gastric sleeve surgically inserted; I don't know if this is in any way related to the abdominal pain, but I mention it, as I had never experienced the pain until I was infected with COVID. At 4 AM on 6/15/2022, I woke up with a dry cough. From 4 AM to about 5 AM, the cough was constant. After I took Tylenol, though, it became intermittent. Since I have been sick, I have taken Tylenol every 4-5 hours and anti-nausea medicine. The Tylenol helps reduce the head pain and pressure, though it doesn't completely alleviate it. The Tylenol alleviated much of the cough. It also made the body aches much less intense. I only take the anti-nausea medicine PRN, so I have only taken two doses: once on 6/13/2022 and once on 6/14/2022. It provided immediate relief for the nausea, though it didn't help the abdominal pain.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paranasal sinus discomfort, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: On 6/12/2022, I woke up with a pounding, severe headache.  I also had pressure in the ears and behind the eyes, congestion, body aches, and fever. I didn't take my temperature, but I'm certain that I had a fever, since I had chills and was sweating. I was extremely fatigued and slept until noon; this is unusual for me, since I'm usually up at 6 AM. On 6/13/2022, I had nausea with diarrhea. I never threw up, however, and I took an anti-nausea pill. My throat also felt scratchy and I would sometimes cough, but the cough wasn't constant. I also had no appetite, and at the time of this writing, I have not had an appetite since 6/12/2022. On the morning of 6/12/2022, I took a home test for COVID, and the result was positive. Later that afternoon, I took a PCR test at pharmacy, and it also yielded a positive result. I called my doctor's office on 6/13/2022 to notify him of my diagnosis via the receptionist, and I have not heard back from him. On the afternoon of 6/13/2022, I experienced an increase in head pressure, an increase in nausea, a constantly runny nose; at the time of this writing, the symptoms have continued in conjunction with diarrhea and fatigue. I have not vomited at any point, however. On 6/14/2022, I had abdominal pain, which consisted of sharp stomach pains. In 2019, I had a gastric sleeve surgically inserted; I don't know if this is in any way related to the abdominal pain, but I mention it, as I had never experienced the pain until I was infected with COVID. At 4 AM on 6/15/2022, I woke up with a dry cough. From 4 AM to about 5 AM, the cough was constant. After I took Tylenol, though, it became intermittent. Since I have been sick, I have taken Tylenol every 4-5 hours and anti-nausea medicine. The Tylenol helps reduce the head pain and pressure, though it doesn't completely alleviate it. The Tylenol alleviated much of the cough. It also made the body aches much less intense. I only take the anti-nausea medicine PRN, so I have only taken two doses: once on 6/13/2022 and once on 6/14/2022. It provided immediate relief for the nausea, though it didn't help the abdominal pain.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: On 6/12/2022, I woke up with a pounding, severe headache.  I also had pressure in the ears and behind the eyes, congestion, body aches, and fever. I didn't take my temperature, but I'm certain that I had a fever, since I had chills and was sweating. I was extremely fatigued and slept until noon; this is unusual for me, since I'm usually up at 6 AM. On 6/13/2022, I had nausea with diarrhea. I never threw up, however, and I took an anti-nausea pill. My throat also felt scratchy and I would sometimes cough, but the cough wasn't constant. I also had no appetite, and at the time of this writing, I have not had an appetite since 6/12/2022. On the morning of 6/12/2022, I took a home test for COVID, and the result was positive. Later that afternoon, I took a PCR test at pharmacy, and it also yielded a positive result. I called my doctor's office on 6/13/2022 to notify him of my diagnosis via the receptionist, and I have not heard back from him. On the afternoon of 6/13/2022, I experienced an increase in head pressure, an increase in nausea, a constantly runny nose; at the time of this writing, the symptoms have continued in conjunction with diarrhea and fatigue. I have not vomited at any point, however. On 6/14/2022, I had abdominal pain, which consisted of sharp stomach pains. In 2019, I had a gastric sleeve surgically inserted; I don't know if this is in any way related to the abdominal pain, but I mention it, as I had never experienced the pain until I was infected with COVID. At 4 AM on 6/15/2022, I woke up with a dry cough. From 4 AM to about 5 AM, the cough was constant. After I took Tylenol, though, it became intermittent. Since I have been sick, I have taken Tylenol every 4-5 hours and anti-nausea medicine. The Tylenol helps reduce the head pain and pressure, though it doesn't completely alleviate it. The Tylenol alleviated much of the cough. It also made the body aches much less intense. I only take the anti-nausea medicine PRN, so I have only taken two doses: once on 6/13/2022 and once on 6/14/2022. It provided immediate relief for the nausea, though it didn't help the abdominal pain.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Pt to ED 5/5 by EMS for lightheaded. Pt with mild labored breathing, chest symmetrical, A&Ox3, sepsis BPA firing, no S/S of acute distress noted. 5/6 Patient oxygen dropped to lows 80s while on 6L nasal cannula. Oxygen increased to 15L . Pt COVID+ 5/5, maintained on Zosyn and vancomycin, azithromycin, remdesivir. 5/9 pt A&ox2 but forgetfull, on 12L HF and BIPAP at HS, no distress noted. 5/10 Multiple episodes of bradycardia, denies pain, appears pale and fatigue, bipap remains. 5/12 shortness of breath, on bipap, no complaints. 5/13 Pt oriented, denies pain, 7L high flow continued tolerating well, VSS. 5/17 A/ox4, no distress. 5/19 Patient AOx4 on 4L nasal cannula. Pt discharged 5/21.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Memory impairment, Oxygen saturation decreased, Pallor, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 5/5 by EMS for lightheaded. Pt with mild labored breathing, chest symmetrical, A&Ox3, sepsis BPA firing, no S/S of acute distress noted. 5/6 Patient oxygen dropped to lows 80s while on 6L nasal cannula. Oxygen increased to 15L . Pt COVID+ 5/5, maintained on Zosyn and vancomycin, azithromycin, remdesivir. 5/9 pt A&ox2 but forgetfull, on 12L HF and BIPAP at HS, no distress noted. 5/10 Multiple episodes of bradycardia, denies pain, appears pale and fatigue, bipap remains. 5/12 shortness of breath, on bipap, no complaints. 5/13 Pt oriented, denies pain, 7L high flow continued tolerating well, VSS. 5/17 A/ox4, no distress. 5/19 Patient AOx4 on 4L nasal cannula. Pt discharged 5/21.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Pt to ED 5/5 by EMS for lightheaded. Pt with mild labored breathing, chest symmetrical, A&Ox3, sepsis BPA firing, no S/S of acute distress noted. 5/6 Patient oxygen dropped to lows 80s while on 6L nasal cannula. Oxygen increased to 15L . Pt COVID+ 5/5, maintained on Zosyn and vancomycin, azithromycin, remdesivir. 5/9 pt A&ox2 but forgetfull, on 12L HF and BIPAP at HS, no distress noted. 5/10 Multiple episodes of bradycardia, denies pain, appears pale and fatigue, bipap remains. 5/12 shortness of breath, on bipap, no complaints. 5/13 Pt oriented, denies pain, 7L high flow continued tolerating well, VSS. 5/17 A/ox4, no distress. 5/19 Patient AOx4 on 4L nasal cannula. Pt discharged 5/21.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Conversion disorder, Crying, Delusion, Depersonalisation/derealisation disorder
Clinical narrative: During the observation period after receiving the Covid Vaccine, Patient suddenly said to me (her father) that she didn?t feel well and she instantly passed out and collapsed.  She woke up after a few seconds and seized a bit as she was coming to.  Medical professionals onsite at the vaccination clinic monitored her vitals but had no definitive diagnosis after her incident.   She was a little loopy and tired and confused for a long while afterwards.   That evening she wasn?t herself still and she suddenly escalated into full delusions and hallucinations and wild mood swings from laughter to hysterical crying.  We took her to the local ER, and she was given a sedative to calm her and some fluids.  They performed extensive tests with no conclusions.  This reaction and behavior had never occurred in her life up to this point.  Now since then, she has had probably 10 similar episodes since then with about half requiring an ER visit.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Hallucination, Inappropriate affect, Laboratory test
Clinical narrative: During the observation period after receiving the Covid Vaccine, Patient suddenly said to me (her father) that she didn?t feel well and she instantly passed out and collapsed.  She woke up after a few seconds and seized a bit as she was coming to.  Medical professionals onsite at the vaccination clinic monitored her vitals but had no definitive diagnosis after her incident.   She was a little loopy and tired and confused for a long while afterwards.   That evening she wasn?t herself still and she suddenly escalated into full delusions and hallucinations and wild mood swings from laughter to hysterical crying.  We took her to the local ER, and she was given a sedative to calm her and some fluids.  They performed extensive tests with no conclusions.  This reaction and behavior had never occurred in her life up to this point.  Now since then, she has had probably 10 similar episodes since then with about half requiring an ER visit.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Malaise, Mood swings, Seizure, Syncope
Clinical narrative: During the observation period after receiving the Covid Vaccine, Patient suddenly said to me (her father) that she didn?t feel well and she instantly passed out and collapsed.  She woke up after a few seconds and seized a bit as she was coming to.  Medical professionals onsite at the vaccination clinic monitored her vitals but had no definitive diagnosis after her incident.   She was a little loopy and tired and confused for a long while afterwards.   That evening she wasn?t herself still and she suddenly escalated into full delusions and hallucinations and wild mood swings from laughter to hysterical crying.  We took her to the local ER, and she was given a sedative to calm her and some fluids.  They performed extensive tests with no conclusions.  This reaction and behavior had never occurred in her life up to this point.  Now since then, she has had probably 10 similar episodes since then with about half requiring an ER visit.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given the pediatric dose and formulation for the second booster instead of the adult.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Paraesthesia
Clinical narrative: Patient described burning and tingling in right arm down to fingertips that lasted about 10 minutes.  Symptoms resolved without intervention.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Tested positive and was hospitalized with COVID pneumonia
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Ear pain, Exposure to SARS-CoV-2, Fatigue, Headache
Clinical narrative: Break though COVID-19 Case: I was exposed by my husband. I had nasal congestion, sore throat and ear pain which is the same symptoms my husband was experiencing. On 6/05/2022 I decided to test for COVID-19 using a home rapid test which was negative.  My symptoms stayed the same until 06/08/2022.  On 06/08/2022 I started to have neck pain, congestion, body aches, fatigue and my headaches were intense. I decided to go to a clinic to do a PCR test. The next day I received my tests results on the following day.   I felt worse on 06/09/2022 and had a tele visit with another clinic. They discussed my symptoms. I did another home test with the provider online and it came back positive. i was prescribed Paxlovid. I felt progressively better by 06/11/2022. I do have a little it of symptoms, but not what they were. I did test again today 06/15/2022 and it came back positive.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Neck pain, Oropharyngeal pain, Pain, Respiratory tract congestion
Clinical narrative: Break though COVID-19 Case: I was exposed by my husband. I had nasal congestion, sore throat and ear pain which is the same symptoms my husband was experiencing. On 6/05/2022 I decided to test for COVID-19 using a home rapid test which was negative.  My symptoms stayed the same until 06/08/2022.  On 06/08/2022 I started to have neck pain, congestion, body aches, fatigue and my headaches were intense. I decided to go to a clinic to do a PCR test. The next day I received my tests results on the following day.   I felt worse on 06/09/2022 and had a tele visit with another clinic. They discussed my symptoms. I did another home test with the provider online and it came back positive. i was prescribed Paxlovid. I felt progressively better by 06/11/2022. I do have a little it of symptoms, but not what they were. I did test again today 06/15/2022 and it came back positive.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Break though COVID-19 Case: I was exposed by my husband. I had nasal congestion, sore throat and ear pain which is the same symptoms my husband was experiencing. On 6/05/2022 I decided to test for COVID-19 using a home rapid test which was negative.  My symptoms stayed the same until 06/08/2022.  On 06/08/2022 I started to have neck pain, congestion, body aches, fatigue and my headaches were intense. I decided to go to a clinic to do a PCR test. The next day I received my tests results on the following day.   I felt worse on 06/09/2022 and had a tele visit with another clinic. They discussed my symptoms. I did another home test with the provider online and it came back positive. i was prescribed Paxlovid. I felt progressively better by 06/11/2022. I do have a little it of symptoms, but not what they were. I did test again today 06/15/2022 and it came back positive.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient received 0.2ml of undiluted orange cap (5-11yr) Pfizer Covid-19 vaccine.  The patient's guardian was notified later the same day when the error was discovered.  Situation explained to parent and all questions answered to their satisfaction. Dr. notified. Parents encouraged to reach out to PCP or HCF for further questions or concerns. Parent verbalized understanding and has no further concerns at this time.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Hypersomnia, Injection site pain, Injection site swelling
Clinical narrative: woke at 3:30 with severe nausea, vomiting followed, fever, body aches, exhaustion, injection site pain, diarreaha, slept most of the following day....on day two (evening) following shot, arm swelled in a big ball shape at injection site, big red rash, and hot to touch....this laster for 3.5 days, is largely resolved as of this morning
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Rash, Skin warm
Clinical narrative: woke at 3:30 with severe nausea, vomiting followed, fever, body aches, exhaustion, injection site pain, diarreaha, slept most of the following day....on day two (evening) following shot, arm swelled in a big ball shape at injection site, big red rash, and hot to touch....this laster for 3.5 days, is largely resolved as of this morning
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: woke at 3:30 with severe nausea, vomiting followed, fever, body aches, exhaustion, injection site pain, diarreaha, slept most of the following day....on day two (evening) following shot, arm swelled in a big ball shape at injection site, big red rash, and hot to touch....this laster for 3.5 days, is largely resolved as of this morning
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TD
Symptoms: Nausea, Pallor
Clinical narrative: I had an 11 year old male here in clinic for routine immunizations. He was given TD, MCV4 and HPV #1 at 9:20am and within 1-2 minutes while still in my office he became nauseated and his facial color went pale.  I had two other nurses assist with getting him to lie down and elevate his feet; he was able to talk to us about how he was feeling. Vitals taken at 9:22am B\P 110/80 Pulse: 75. We then had his sit up after a few minutes  and took his B/P 115/75 and his color started to return to normal and he was no longer nauseated. We then had his stand to retake his B/P 108/60 Pulse 68. He was alert and talking and able to walk out with his mom.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia
Clinical narrative: He got his vaccine, the first time he felt like he had fever, the others one he did not have any reaction.  He was already stressed out about getting it.  After his first booster he had what seemed like Bell's palsy.  About 2 weeks after this vaccine his face started drooping down again like with the 1st booster.  He read about other people with the same reaction and wanting to report this.  He told his doctor about what was going on, and it has now improved, and has numbness on the right side of his face, the left side he can poke and feel it, but is afraid it may be permanent.  He has a FU with his doctor in the near future.    He has noticed that the condition comes and goes, but the numbness is pretty consistent.  The drooping subsides almost immediately as he does slap his face to get the muscles to move and then it recurs on it's own.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Heart rate increased, Myalgia
Clinical narrative: Experienced joint and muscle pain, fatigue, headache and elevated heart rate and palpitations for about 12 hours. Experienced low fever for about three hours, towards the end of symptoms.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Experienced joint and muscle pain, fatigue, headache and elevated heart rate and palpitations for about 12 hours. Experienced low fever for about three hours, towards the end of symptoms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Dyspnoea, Fatigue, Pyrexia
Clinical narrative: 6/12/22- began feeling fatigued and weak. Cough, SOB, and fever began after.  Treatment includes: Dexamethasone, Remdesivir, oxygen, and IV fluids.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Patient received 0.2ml of undiluted Pfizer (5-11yr) Covid-19 vaccine. Spoke with patient's guardian when error was discovered. Situation explained to parent and all questions answered to their satisfaction. Dr. was notified. Parents encouraged to reach out to PCP or health facility for further questions or concerns. Parent verbalized understanding and has no further concerns at this time.
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Bladder catheterisation, Bladder irrigation, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient presented to the medical center on 6/8/2022 complaining of change in mental status, hematuria and SOB. Patient was a memory care resident who was initially brought to  the ED on 06/07 due to hematuria.  Patient had indwelling Foley catheter due to urinary retention. Foley catheter was exchanged and he was sent back to the memory care facility. Patient was brought back to ER again with recurrent hematuria and change in mental status. His vitals were stable. He was slightly tachypneic. Chest x-ray was suggestive of worsening congestive heart failure with increasing edema as well as increasing bilateral infiltrates suggestive of bilateral pneumonia. He was COVID positive. ED physician discussed patient with cardiologist, considering hematuria no anticoagulation/antiplatelets, continue beta-blockers. Hospitalist team was called to admit patient for further management. Patient with Bilateral COVID-19 pneumonia. This likely triggered his change in mental status and pulmonary congestion. Remdesivir not started as noted CKD with creatinine clearance less than 30.  Supportive care was provided. Suspected UTI due to indwelling Foley catheter with gross hematuria. Foley catheter was exchanged on 06/07 on the initial ED visit. Persistent hematuria. Patient had CBI started in the ED with some improvement. When CBI was stopped in the ED hematuria recurred. Patient was started on vancomycin cefepime. NSTEMI.  Known CAD.  Likely triggered by acute infectious process as discussed above. Metoprolol was started in the ED. No anticoagulation or antiplatelets agents due to gross hematuria. Patient was admitted to floor. Physician was called to patient room due to patient being found unresponsive. Patient died 6/9/2022 at 19:55
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac failure congestive, Chest X-ray abnormal, Chronic kidney disease, Condition aggravated, Creatinine renal clearance decreased
Clinical narrative: Patient presented to the medical center on 6/8/2022 complaining of change in mental status, hematuria and SOB. Patient was a memory care resident who was initially brought to  the ED on 06/07 due to hematuria.  Patient had indwelling Foley catheter due to urinary retention. Foley catheter was exchanged and he was sent back to the memory care facility. Patient was brought back to ER again with recurrent hematuria and change in mental status. His vitals were stable. He was slightly tachypneic. Chest x-ray was suggestive of worsening congestive heart failure with increasing edema as well as increasing bilateral infiltrates suggestive of bilateral pneumonia. He was COVID positive. ED physician discussed patient with cardiologist, considering hematuria no anticoagulation/antiplatelets, continue beta-blockers. Hospitalist team was called to admit patient for further management. Patient with Bilateral COVID-19 pneumonia. This likely triggered his change in mental status and pulmonary congestion. Remdesivir not started as noted CKD with creatinine clearance less than 30.  Supportive care was provided. Suspected UTI due to indwelling Foley catheter with gross hematuria. Foley catheter was exchanged on 06/07 on the initial ED visit. Persistent hematuria. Patient had CBI started in the ED with some improvement. When CBI was stopped in the ED hematuria recurred. Patient was started on vancomycin cefepime. NSTEMI.  Known CAD.  Likely triggered by acute infectious process as discussed above. Metoprolol was started in the ED. No anticoagulation or antiplatelets agents due to gross hematuria. Patient was admitted to floor. Physician was called to patient room due to patient being found unresponsive. Patient died 6/9/2022 at 19:55
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Dyspnoea, Haematuria, Laboratory test, Lung infiltration
Clinical narrative: Patient presented to the medical center on 6/8/2022 complaining of change in mental status, hematuria and SOB. Patient was a memory care resident who was initially brought to  the ED on 06/07 due to hematuria.  Patient had indwelling Foley catheter due to urinary retention. Foley catheter was exchanged and he was sent back to the memory care facility. Patient was brought back to ER again with recurrent hematuria and change in mental status. His vitals were stable. He was slightly tachypneic. Chest x-ray was suggestive of worsening congestive heart failure with increasing edema as well as increasing bilateral infiltrates suggestive of bilateral pneumonia. He was COVID positive. ED physician discussed patient with cardiologist, considering hematuria no anticoagulation/antiplatelets, continue beta-blockers. Hospitalist team was called to admit patient for further management. Patient with Bilateral COVID-19 pneumonia. This likely triggered his change in mental status and pulmonary congestion. Remdesivir not started as noted CKD with creatinine clearance less than 30.  Supportive care was provided. Suspected UTI due to indwelling Foley catheter with gross hematuria. Foley catheter was exchanged on 06/07 on the initial ED visit. Persistent hematuria. Patient had CBI started in the ED with some improvement. When CBI was stopped in the ED hematuria recurred. Patient was started on vancomycin cefepime. NSTEMI.  Known CAD.  Likely triggered by acute infectious process as discussed above. Metoprolol was started in the ED. No anticoagulation or antiplatelets agents due to gross hematuria. Patient was admitted to floor. Physician was called to patient room due to patient being found unresponsive. Patient died 6/9/2022 at 19:55
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mental status changes, Oedema, Pneumonia, Pulmonary congestion, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the medical center on 6/8/2022 complaining of change in mental status, hematuria and SOB. Patient was a memory care resident who was initially brought to  the ED on 06/07 due to hematuria.  Patient had indwelling Foley catheter due to urinary retention. Foley catheter was exchanged and he was sent back to the memory care facility. Patient was brought back to ER again with recurrent hematuria and change in mental status. His vitals were stable. He was slightly tachypneic. Chest x-ray was suggestive of worsening congestive heart failure with increasing edema as well as increasing bilateral infiltrates suggestive of bilateral pneumonia. He was COVID positive. ED physician discussed patient with cardiologist, considering hematuria no anticoagulation/antiplatelets, continue beta-blockers. Hospitalist team was called to admit patient for further management. Patient with Bilateral COVID-19 pneumonia. This likely triggered his change in mental status and pulmonary congestion. Remdesivir not started as noted CKD with creatinine clearance less than 30.  Supportive care was provided. Suspected UTI due to indwelling Foley catheter with gross hematuria. Foley catheter was exchanged on 06/07 on the initial ED visit. Persistent hematuria. Patient had CBI started in the ED with some improvement. When CBI was stopped in the ED hematuria recurred. Patient was started on vancomycin cefepime. NSTEMI.  Known CAD.  Likely triggered by acute infectious process as discussed above. Metoprolol was started in the ED. No anticoagulation or antiplatelets agents due to gross hematuria. Patient was admitted to floor. Physician was called to patient room due to patient being found unresponsive. Patient died 6/9/2022 at 19:55
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tachypnoea, Unresponsive to stimuli, Urinary retention, Urinary tract infection, Urine analysis
Clinical narrative: Patient presented to the medical center on 6/8/2022 complaining of change in mental status, hematuria and SOB. Patient was a memory care resident who was initially brought to  the ED on 06/07 due to hematuria.  Patient had indwelling Foley catheter due to urinary retention. Foley catheter was exchanged and he was sent back to the memory care facility. Patient was brought back to ER again with recurrent hematuria and change in mental status. His vitals were stable. He was slightly tachypneic. Chest x-ray was suggestive of worsening congestive heart failure with increasing edema as well as increasing bilateral infiltrates suggestive of bilateral pneumonia. He was COVID positive. ED physician discussed patient with cardiologist, considering hematuria no anticoagulation/antiplatelets, continue beta-blockers. Hospitalist team was called to admit patient for further management. Patient with Bilateral COVID-19 pneumonia. This likely triggered his change in mental status and pulmonary congestion. Remdesivir not started as noted CKD with creatinine clearance less than 30.  Supportive care was provided. Suspected UTI due to indwelling Foley catheter with gross hematuria. Foley catheter was exchanged on 06/07 on the initial ED visit. Persistent hematuria. Patient had CBI started in the ED with some improvement. When CBI was stopped in the ED hematuria recurred. Patient was started on vancomycin cefepime. NSTEMI.  Known CAD.  Likely triggered by acute infectious process as discussed above. Metoprolol was started in the ED. No anticoagulation or antiplatelets agents due to gross hematuria. Patient was admitted to floor. Physician was called to patient room due to patient being found unresponsive. Patient died 6/9/2022 at 19:55
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: 11 year old child received 12 and up Pfizer.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: 15 minutes after vaccine pt said had numbness and tingling in left arm with no other symptomes, pt waited additional 15 minutes and said felt better and ok then left. Pt advised if gets worse or not gone after 1 day to see Dr.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient received 0.2ml of undiluted Pfizer (5-11yr) Covid-19 vaccine. Spoke with patient's guardian when error was discovered. Situation explained to parent and all questions answered to their satisfaction. Dr. notified. Parents encouraged to reach out to PCP or Medical Center for further questions or concerns. Parent verbalized understanding and has no further concerns at this time.
Age: 89.0
Sex: U
Vaccine: COVID19
Symptoms: Cough, Respiratory disorder, Wheezing
Clinical narrative: resp, cough wheeze
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 11/18/22, LOT #32030BD; 1/12/22 pt had a positive COVID test ordered. 1/16/22 pt had a second positive COVID test at Medical Center, dc'd from hospital to another Hospital on 1/19/22; COVID PNA for dyspnea; pt passed away in the hospice facility on 1/23/22
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 7 year old given a 12 and older dose of vaccine
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Chills, Cough, Headache
Clinical narrative: 05/01/2022 Vaccination 06/10/2022 I started to experience chills, sore throat, coughing, headache, temp 99.5, achy, joint pain and sinus pressure  Took a COVID test middle of the night; COVID+ *taking Paxlovid. Still waiting to retest
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Paranasal sinus discomfort, SARS-CoV-2 test positive
Clinical narrative: 05/01/2022 Vaccination 06/10/2022 I started to experience chills, sore throat, coughing, headache, temp 99.5, achy, joint pain and sinus pressure  Took a COVID test middle of the night; COVID+ *taking Paxlovid. Still waiting to retest
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: It is possible that the vaccine administered was an expired one. The reason we are suspecting this is because we had recently received two different shipments of the COVID Pediatric Vaccine (5 - 11 year olds - Orange Cap). One was in Feb of 2022 (expired), and one was in April of 2022 (valid until 7/6/22). The two different shipments unfortunately have exact identical lot numbers and NDC numbers - and were inadvertently intermingled in storage to the point of being unable to tell which was which. We discovered this a few days after the administration.   When we reached out to the family afterwards - the mom relayed to us that patient did not have any notable reactions to the vaccine shot that day or afterwards.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy lymph gland, Computerised tomogram, Follicular lymphoma, Laboratory test, Magnetic resonance imaging
Clinical narrative: follicular lymphoma indolent
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Positron emission tomogram, Surgery, Ultrasound lymph nodes
Clinical narrative: follicular lymphoma indolent
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise lack of, Vertigo
Clinical narrative: Started having strong episodes of vertigo while doing yoga, when turning my face to the right and looking at the ceiling at the same time (so that my face was turned to the right and up). I had to stop the routine and did a few other exercises (child pose) to end the routine. Also every time I turned in bed to the opposite side I had vertigo. The vertigo lasted for one week and a half. I may have some little remaining effects of the vertigo but they don't impede my activities. I did not go to the hospital as I was waiting one week to see if there were changes in the vertigo. I don't suffer from vertigo on a regular basis, so the only thing I could associate with the vertigo was the vaccine.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Expired product administered, Fatigue
Clinical narrative: It is possible that the vaccine administered was an expired one. The reason we are suspecting this is because we had recently received two different shipments of the COVID Pediatric Vaccine (5 - 11 year olds - Orange Cap). One was in Feb of 2022 (expired), and one was in April of 2022 (valid until 7/6/22). The two different shipments unfortunately have exact identical lot numbers and NDC numbers - and were inadvertently intermingled in storage to the point of being unable to tell which was which. We discovered this a few days after the administration.   When we reached out to the family afterwards - the mom relayed to us that patient exhibited mild symptoms of dizziness and fatigue for one day after the shot.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient was administered a concentrated dose of 0.2mL vaccine.  No adverse effects noted.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia
Clinical narrative: Severe deltoid pain x 4days
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Hypoaesthesia, Loss of consciousness, Syncope
Clinical narrative: Client presented to Church on 06/14/2022 to receive first dose of Pfizer Covid-19 vaccine. At 01:19pm RN, Administered Pfizer Covid-19 vaccine (Lot# FK9895). At 01:24pm client fainted and fell over from chair and hit his head. Vitals at 01:25pm oxygen 99, pulse 62 taken by RN, Meg Aquinde. At 01:25pm RPH, site lead called 911. At 01:27pm client regained consciousness, alert and oriented stated to RN, I feel numbness in my left arm? before falling. At 01:35pm paramedics arrived at 01:37pm BP was 122/77. Client refused transport to ER. At 01:55pm client left facility with a steady gait.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Menstruation irregular, Pain in extremity
Clinical narrative: irregular menstral cycle sore arm red at injection site
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Atrioventricular block complete, Cardiac pacemaker insertion, Cardioversion, Hypertension
Clinical narrative: MYOCARDITIS resulting in complete heart block. Continuous defibrillator machines require from approx. 60 minutes.  Emergency external pacemaker installation required, followed by permanent pacemaker the next day.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Ultrasound scan, X-ray
Clinical narrative: MYOCARDITIS resulting in complete heart block. Continuous defibrillator machines require from approx. 60 minutes.  Emergency external pacemaker installation required, followed by permanent pacemaker the next day.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Irritability
Clinical narrative: Patient states she was experiencing slight mental fogginess for Wednesday 6/8/22 and Thursday 6/9/22 which has since cleared.  She stated she is normally a very calm person but since the vaccine she gets very upset at the slightest provication.  She stated that she has had nothing different in activity, food or medication  that would contribute to either event.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Apathy, Arteriogram coronary normal, Chest discomfort, Fatigue, Gait disturbance
Clinical narrative: Beginning spring 0f 2021 I began tp experience periods of escalating fatigue, head pressure and instability.  These occurred randomly and lasted 2-3 days.   Sometimes on day 3, I found it difficult to motivate myself to get out of bed.   Blood tests were run but no causal results were found.  30 days after my second booster I was admitted to the hospital for a suspected MI.  The symptoms were minor chest pressure lasting over 30 minutes followed up with the discovery of elevated Troponin.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Head discomfort, Mobility decreased, Troponin increased
Clinical narrative: Beginning spring 0f 2021 I began tp experience periods of escalating fatigue, head pressure and instability.  These occurred randomly and lasted 2-3 days.   Sometimes on day 3, I found it difficult to motivate myself to get out of bed.   Blood tests were run but no causal results were found.  30 days after my second booster I was admitted to the hospital for a suspected MI.  The symptoms were minor chest pressure lasting over 30 minutes followed up with the discovery of elevated Troponin.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Immunisation reaction, Pyrexia, SARS-CoV-2 test negative, Supraventricular tachycardia
Clinical narrative: I had sudden onset of a rapid heart rate, it started at 170 and went up. I called an ambulance and was admitted and I also had a fever of 101.  I was discharged 3 hours later and advised to seek care from a cardiologist. On my discharge paperwork it shows diagnoses of Supraventricular tachycardia and severe adverse event to COVID-19 vaccine. I have pending appointments with a cardiologist and my primary care physician.
Age: 58.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Asthenia, Blood glucose increased, Fatigue, Myalgia
Clinical narrative: Patient described feeling weak, with muscle aches, and tiredness.  He also described significantly increased blood sugar.  He normally uses 0.8 unit/hr in his pump, but had to increase by 20-25 units over the course of the day to keep blood sugar controlled.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Aphonia, Condition aggravated, Mouth swelling
Clinical narrative: tingling  and swelling in face and mouth, tongue peeling, loss of smell and taste, neuromuscular systems  got worse, lost voice for weeks
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Neuromyopathy, Paraesthesia, Paraesthesia oral, Swelling face, Tongue exfoliation
Clinical narrative: tingling  and swelling in face and mouth, tongue peeling, loss of smell and taste, neuromuscular systems  got worse, lost voice for weeks
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Acute Pulmonary Embolism
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: PATIENT IS UNDER AGE 50 AND IS NOT IMMUNOCOMPROMISED OR TAKING ANY OTHER MEDICATIONS THAT WOULD WEAKEN HIS IMMUNE SYSTEM.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Head discomfort, Pulmonary congestion, Rhinorrhoea
Clinical narrative: I started with some sneezing about a week and they was followed the next day with a really bad runny noes and head congestion I got a scratchy throat with a dry cough and that went on Thursday and Friday, I tested positive Friday and got paxlosive. I started to get a little bit of chest congestion and that went into Saturday and Sunday. And then I started to feel better the running nose stopped and I still had a cough but no scratchy throat. Today I feel okay but I still have chest congestion and a cough. I never had a fever.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing, Throat irritation
Clinical narrative: I started with some sneezing about a week and they was followed the next day with a really bad runny noes and head congestion I got a scratchy throat with a dry cough and that went on Thursday and Friday, I tested positive Friday and got paxlosive. I started to get a little bit of chest congestion and that went into Saturday and Sunday. And then I started to feel better the running nose stopped and I still had a cough but no scratchy throat. Today I feel okay but I still have chest congestion and a cough. I never had a fever.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Skin indentation, Ultrasound scan abnormal
Clinical narrative: Mark on arm since August 2021 with INDENTATION increasing. Burning sensation since its been probed over the lat couple weeks
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Diet refusal, Dysphagia
Clinical narrative: 12/12/21 pt had a positive COVID test in Health and Rehab Center; cough; not SOB initially; breathing became labored with O2 sat of 88% on RA; placed on 2L O2 via NC; sent to ED then returned back to facility on the same day; family desired to transition pt to palliative care; over time, pt began to not eat, drink, or take meds; zinc and dexamethasone ordered for pt, but unable to swallow meds; pt continued to decline and passed away in the facility.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fluid intake reduced, General physical health deterioration, Refusal of treatment by patient, SARS-CoV-2 test positive
Clinical narrative: 12/12/21 pt had a positive COVID test in Health and Rehab Center; cough; not SOB initially; breathing became labored with O2 sat of 88% on RA; placed on 2L O2 via NC; sent to ED then returned back to facility on the same day; family desired to transition pt to palliative care; over time, pt began to not eat, drink, or take meds; zinc and dexamethasone ordered for pt, but unable to swallow meds; pt continued to decline and passed away in the facility.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anger, Anxiety, Contraception, Dysmenorrhoea, Heavy menstrual bleeding
Clinical narrative: After she received the shots, her periods became very bad. Extremely short cycles, began getting them ever 15 days. very painful and very long lasting. This hadn't happened before
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation irregular, Mood altered, Polymenorrhoea
Clinical narrative: After she received the shots, her periods became very bad. Extremely short cycles, began getting them ever 15 days. very painful and very long lasting. This hadn't happened before
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 16.0
Sex: M
Vaccine: HPV9
Symptoms: Loss of consciousness, Malaise
Clinical narrative: As soon vaccine was done being administered patient stated he was not feeling well. I helped patient to lying position when he passed out. Patient came back to fairly quickly. I got a cool wash cloth and a juice for patient which helped him feel better. Patient was feeling back to himself when he left appointment about 20 minutes after vaccine was administered.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Swelling
Clinical narrative: Large swelling 5"x5"
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue
Clinical narrative: Severe Fatigue, Severe Chest Pain
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Pt received an undiluted pfizer orange cap 0.2 mL into the right arm. Pt is doing okay and no signs or symptoms of distress/ illness at this time.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: 1/17/22 pt to ED for worsening SOB; found to be positive for COVID; supplemental O2 given; admitted; eventually required BiPAP; family decided on hospice care for pt; pt had inhospital hospice; he passed away in the hospital
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Computerised tomogram, Laboratory test, Magnetic resonance imaging
Clinical narrative: PAIN IN BACK & LEFT LEG  (active) SWELLING IN HANDS & FEET (resolved) WEAKNESS UNABLE TO RAISE LEFT LEG (resolved)
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: PAIN IN BACK & LEFT LEG  (active) SWELLING IN HANDS & FEET (resolved) WEAKNESS UNABLE TO RAISE LEFT LEG (resolved)