chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Fatigue, Feeling abnormal, Headache
Clinical narrative: I had about 12 hours after the shot I had body aches and fatigue. It was gone by the next day. I was still functional, I took Tylenol and was fine. there was headache as well. About Nov 29th, I felt like I was having UTI symptoms and took antibiotic. Then my lower back started hurting and I went to the doctor. I have a history of ovarian cyst went to my OB and had an ultrasound on my ovaries it was normal, and an ultrasound on my kidney, liver, gallbladder and waiting for those results from my urologist. I started with covid symptoms on 12/28 and I tested positive for covid on 12/29th. on the evening of the 12/28 I had more aggressive fatigue than normal, body ache and headache. I had a mouth ulcer which I never get which was pretty painful. I had a low grade fever for a day. I also felt loopy too. Everything was better or improved by Jan 1 2022 but I have a little fatigue and lingering headache that hasn't gone away. The backache is definitely better, almost gone but slightly better.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Lower urinary tract symptoms, Malaise, Mouth ulceration, Pain, Pyrexia
Clinical narrative: I had about 12 hours after the shot I had body aches and fatigue. It was gone by the next day. I was still functional, I took Tylenol and was fine. there was headache as well. About Nov 29th, I felt like I was having UTI symptoms and took antibiotic. Then my lower back started hurting and I went to the doctor. I have a history of ovarian cyst went to my OB and had an ultrasound on my ovaries it was normal, and an ultrasound on my kidney, liver, gallbladder and waiting for those results from my urologist. I started with covid symptoms on 12/28 and I tested positive for covid on 12/29th. on the evening of the 12/28 I had more aggressive fatigue than normal, body ache and headache. I had a mouth ulcer which I never get which was pretty painful. I had a low grade fever for a day. I also felt loopy too. Everything was better or improved by Jan 1 2022 but I have a little fatigue and lingering headache that hasn't gone away. The backache is definitely better, almost gone but slightly better.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Ultrasound biliary tract, Ultrasound kidney, Ultrasound liver, Ultrasound ovary
Clinical narrative: I had about 12 hours after the shot I had body aches and fatigue. It was gone by the next day. I was still functional, I took Tylenol and was fine. there was headache as well. About Nov 29th, I felt like I was having UTI symptoms and took antibiotic. Then my lower back started hurting and I went to the doctor. I have a history of ovarian cyst went to my OB and had an ultrasound on my ovaries it was normal, and an ultrasound on my kidney, liver, gallbladder and waiting for those results from my urologist. I started with covid symptoms on 12/28 and I tested positive for covid on 12/29th. on the evening of the 12/28 I had more aggressive fatigue than normal, body ache and headache. I had a mouth ulcer which I never get which was pretty painful. I had a low grade fever for a day. I also felt loopy too. Everything was better or improved by Jan 1 2022 but I have a little fatigue and lingering headache that hasn't gone away. The backache is definitely better, almost gone but slightly better.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Asthenia, Bronchiolitis, COVID-19, Chest X-ray abnormal
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 04/26/2021.  45 y/o PMH ESRD on dialysis, Left AV fistula, DM, HTN, HLD, Pancreatitis, gastroparesis presents to ED via EMS for c/o generalized weakness, abdominal pain, SOB and fevers. T-102.6, CXR-pulm vascular markings/perihilar infiltrates, CT-Infective bronchiolitis/Bronchopneumonia. Required O2 at 2L NC initially but then had to be placed on 25L heated high flow oxygen.  Increased LFT's.  To ICU on Levophed.  Treated with IV ABX/IV steroids.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Inappropriate schedule of product administration, Infection, Intensive care
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 04/26/2021.  45 y/o PMH ESRD on dialysis, Left AV fistula, DM, HTN, HLD, Pancreatitis, gastroparesis presents to ED via EMS for c/o generalized weakness, abdominal pain, SOB and fevers. T-102.6, CXR-pulm vascular markings/perihilar infiltrates, CT-Infective bronchiolitis/Bronchopneumonia. Required O2 at 2L NC initially but then had to be placed on 25L heated high flow oxygen.  Increased LFT's.  To ICU on Levophed.  Treated with IV ABX/IV steroids.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Liver function test increased, Lung infiltration, Pneumonia, Pulmonary vascular disorder, Pyrexia
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 04/26/2021.  45 y/o PMH ESRD on dialysis, Left AV fistula, DM, HTN, HLD, Pancreatitis, gastroparesis presents to ED via EMS for c/o generalized weakness, abdominal pain, SOB and fevers. T-102.6, CXR-pulm vascular markings/perihilar infiltrates, CT-Infective bronchiolitis/Bronchopneumonia. Required O2 at 2L NC initially but then had to be placed on 25L heated high flow oxygen.  Increased LFT's.  To ICU on Levophed.  Treated with IV ABX/IV steroids.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 04/26/2021.  45 y/o PMH ESRD on dialysis, Left AV fistula, DM, HTN, HLD, Pancreatitis, gastroparesis presents to ED via EMS for c/o generalized weakness, abdominal pain, SOB and fevers. T-102.6, CXR-pulm vascular markings/perihilar infiltrates, CT-Infective bronchiolitis/Bronchopneumonia. Required O2 at 2L NC initially but then had to be placed on 25L heated high flow oxygen.  Increased LFT's.  To ICU on Levophed.  Treated with IV ABX/IV steroids.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer batch/lot# FJ6369 temperature excursion.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer batch/lot #FJ6369 with temperature excursion. Reported to Pfizer and they ok'd for use. Instructed by Pfizer staff to report each dose given in this system.
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient states that she has have 3 COVID vaccinations. unknown manufacturer and dates. Pt is now hospitalized with COVID-19.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Erythema, Pain, Pruritus
Clinical narrative: First shot:  all over body itchiness for 24 hours; left underarm swollen lymph node; fever; body aches.  Second shot:  Approximately 3 weeks after the second shot, I developed red angry patches.  Very itchy.  Painful. Felt burning in the area of the itchy patches.  At first the red itchy patches (resembled mosquito bites) developed on my right arm.  Within days they developed on my left arm.  As days passed those subsided and new ones developed on face and neck.  Each day I develop new ones on both legs and now my lower back, hands, fingers and top of left foot.  These are extremely itchy.  this began 12/31.  Today is 1/14/2022 and I am still experiencing new red, itchy patches every day.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Lung infiltration, Malaise, SARS-CoV-2 test positive
Clinical narrative: 01/13/2022: Event occurred after 2nd vaccine.   78-year-old female who presents to the emergency department with COVID.  The patient states that she called EMS because she was getting readings in the 70s on her pulse ox at home.  She does not normally wear oxygen.  She does wear CPAP at night.patient states she has been sick for the last 2 weeks.  She had an outpatient test that was positive for COVID.   She has had a cough.  She denies any nausea, vomiting or diarrhea Continue with albuterol, Remdesivir, Decadron 6 mg daily
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient given 4 doses in error. 3rd dose given 09/24/2021.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, C-reactive protein increased, COVID-19, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: This is a 98 year old male with past medical history significant for PAF on Xarelto, HTN, HLP, SSS s/p PPM, CKD, TIA, OSA, CAD, Aortic stenosis, Mital regurgitation s/p AVR/MVR, Pulmonary HTN, who presented to the ED for increased SOB over the past week, leg swelling, and s/p mechanical fall. The patient reports several fall recently. Today he fell and hit his head sustaining a laceration. He is on Xarelto. He also tested positive for Covid. He is is vaccinated with Johnson and Johnson. The patient is AAO x 3, HOH. He lives at home with his wife. Apparently he has had increased SOB, leg swelling, and his Lasix was reecntly increased by his Cardiologist. On arrival a CXR showed interstitial abnormalities, trace effusions, pulmonary edema vs pna. A BNP was elevated at 239. His CRP was 4.14. He was given 40 mg IV Lasix. A Ddimer was elevated at 375. His sats are stable on room air. A CT of the head showed no acute abnormalities
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fall, Fibrin D dimer increased, Interstitial lung disease, Peripheral swelling
Clinical narrative: This is a 98 year old male with past medical history significant for PAF on Xarelto, HTN, HLP, SSS s/p PPM, CKD, TIA, OSA, CAD, Aortic stenosis, Mital regurgitation s/p AVR/MVR, Pulmonary HTN, who presented to the ED for increased SOB over the past week, leg swelling, and s/p mechanical fall. The patient reports several fall recently. Today he fell and hit his head sustaining a laceration. He is on Xarelto. He also tested positive for Covid. He is is vaccinated with Johnson and Johnson. The patient is AAO x 3, HOH. He lives at home with his wife. Apparently he has had increased SOB, leg swelling, and his Lasix was reecntly increased by his Cardiologist. On arrival a CXR showed interstitial abnormalities, trace effusions, pulmonary edema vs pna. A BNP was elevated at 239. His CRP was 4.14. He was given 40 mg IV Lasix. A Ddimer was elevated at 375. His sats are stable on room air. A CT of the head showed no acute abnormalities
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Pneumonia, Pulmonary oedema, SARS-CoV-2 test positive, Skin laceration
Clinical narrative: This is a 98 year old male with past medical history significant for PAF on Xarelto, HTN, HLP, SSS s/p PPM, CKD, TIA, OSA, CAD, Aortic stenosis, Mital regurgitation s/p AVR/MVR, Pulmonary HTN, who presented to the ED for increased SOB over the past week, leg swelling, and s/p mechanical fall. The patient reports several fall recently. Today he fell and hit his head sustaining a laceration. He is on Xarelto. He also tested positive for Covid. He is is vaccinated with Johnson and Johnson. The patient is AAO x 3, HOH. He lives at home with his wife. Apparently he has had increased SOB, leg swelling, and his Lasix was reecntly increased by his Cardiologist. On arrival a CXR showed interstitial abnormalities, trace effusions, pulmonary edema vs pna. A BNP was elevated at 239. His CRP was 4.14. He was given 40 mg IV Lasix. A Ddimer was elevated at 375. His sats are stable on room air. A CT of the head showed no acute abnormalities
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot # FJ6369 Temperature Excursion
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The nurse accidently injected undiluted 0.3mL of the vaccine to the patient. The patient was closely monitored. She reported no adverse reactions at this time. Vital signs stable. Encouraged plenty of fluids. Patient is still being monitored.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer Lot #FJ6369 with temp excursion. Reported to Pfizer company and ok'd for use. Instructed by their staff to report each dose given in this system.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Nausea, Pain in extremity
Clinical narrative: Patient was given 0.5ml for a booster.  Sore arm and nausea for 24 hours
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID breakthrough case
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 58.0
Sex: M
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Incorrect dose administered, Pain, Pain in extremity
Clinical narrative: Booster COVID immunization given at 0.5 instead of 0.25ml.  Patient's arm very sore and tired with body aches.  Missed day of work on 1/13/22
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer batch/lot# FJ6369 temperature excursion.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Fatigue, Impaired work ability, Incorrect dose administered
Clinical narrative: Booster immunization given at 0.5 instead of 0.25.  Patient is tired, has chills/body aches, heavy chest and missed work 1/13/22 and 1/14/22
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Booster immunization given at 0.5 instead of 0.25.  Patient is tired, has chills/body aches, heavy chest and missed work 1/13/22 and 1/14/22
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Pain, Pyrexia, Tinnitus
Clinical narrative: This vaccine really exacerbated my tinnitus in my left ear. I actually noticed an increase post the second vaccine, however post this third vaccination it has become very bothersome. It has been a week and it has NOT improved any. I was also very very light headed and had mild fever, body aches for 2 days post vaccine. I still have some light headedness post 1 week.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac stress test, Colonoscopy normal, Computerised tomogram abdomen normal, Computerised tomogram head normal
Clinical narrative: The second dose was administered on June 3, 2021. On June 29, I developed severe vertigo that has lingered into a chronic feeling of motion sickness and nausea for the past 8 months. A full GI workup and CT of head did not show any suspicious abnormalities.  The neurologist suspects this is a form of chronic vestibular migraine. I have kept a detailed tracking sheet to see if there are any triggers, and the only outlier is the COVID vaccine. I am not sure if the vaccine caused this, but I do think it is worth reporting.  I am due for a booster, but am hesitant given this unknown.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Endoscopy normal, Full blood count normal, Motion sickness, Nausea
Clinical narrative: The second dose was administered on June 3, 2021. On June 29, I developed severe vertigo that has lingered into a chronic feeling of motion sickness and nausea for the past 8 months. A full GI workup and CT of head did not show any suspicious abnormalities.  The neurologist suspects this is a form of chronic vestibular migraine. I have kept a detailed tracking sheet to see if there are any triggers, and the only outlier is the COVID vaccine. I am not sure if the vaccine caused this, but I do think it is worth reporting.  I am due for a booster, but am hesitant given this unknown.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan normal, Vertigo, Vestibular migraine
Clinical narrative: The second dose was administered on June 3, 2021. On June 29, I developed severe vertigo that has lingered into a chronic feeling of motion sickness and nausea for the past 8 months. A full GI workup and CT of head did not show any suspicious abnormalities.  The neurologist suspects this is a form of chronic vestibular migraine. I have kept a detailed tracking sheet to see if there are any triggers, and the only outlier is the COVID vaccine. I am not sure if the vaccine caused this, but I do think it is worth reporting.  I am due for a booster, but am hesitant given this unknown.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Lip pruritus, Lymphadenopathy, Swelling, Swelling face
Clinical narrative: Left-sided facial swelling, eye swelling, neck swelling, itchy lips/throat, hives to left arm and swollen axillary lymph nodes. Prednisone 60mg (taper over 10 days), Benadryl, Zyrtec, Pepcid and Advil. Improvement after 4-5 days on medication. Complete resolution at day 10.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Urticaria
Clinical narrative: Left-sided facial swelling, eye swelling, neck swelling, itchy lips/throat, hives to left arm and swollen axillary lymph nodes. Prednisone 60mg (taper over 10 days), Benadryl, Zyrtec, Pepcid and Advil. Improvement after 4-5 days on medication. Complete resolution at day 10.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Impaired work ability, Incorrect dose administered, Pain
Clinical narrative: Booster immunization administered at 0.5ml instead of 0.25ml.  Patient c/o body aches, tired, chills and missed work 1/13/22 and 1/14/22
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain, Pain in extremity
Clinical narrative: Booster immunizaton was administered at 0.5ml vs 0.25ml.  Patient c/o sore arm and minimal body aches
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Headache, Oropharyngeal pain, Pyrexia, Sneezing
Clinical narrative: Headache, tachycardia, fever, sore throat, cough, sneezes.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Headache, tachycardia, fever, sore throat, cough, sneezes.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Migraine
Clinical narrative: I FEEL LAZY SINCE THE VACCINATION AND MY JOINT HAVE BEEN HURTING A LOT SINCE THE VACCINATION. I GET MIGRAINES VERY OFTEN
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Computerised tomogram abdomen normal, Computerised tomogram thorax abnormal, Decreased appetite
Clinical narrative: Per history and physical on 1/13/22: "Patient is a 89 y.o. male past medical history of colon cancer s/p sigmoid colectomy, CAD, aortic valve stenosis s/p TAVR in 2017, s/p MI, dementia, a fib on Coumadin, GERD, history of Slutsky's ring and hypertension. Decreased appetite for the past few weeks, but has had productive cough for the past 3-4 days.  Patient's son was concerned that he had lost his sense of taste and smell because he had stopped eating and drinking.  The son reported to the APRN that patient has 2 caregivers who tested positive for COVID-19.  He reports that patient has had 10 to 12 pound weight loss over the past week. Son denied pt having any symptoms of shortness of breath or difficulty breathing.  Patient's history is limited by his advanced dementia.  Majority of history was obtained from ED record, chart review and patient's son.  Upon arrival to the ED patient was noted to be positive for COVID-19.  Was noted to have an INR > 10.  Patient is on Coumadin for atrial fib.  Patient's son had reported to the ED staff that he was having abdominal pain as well.  For CT of the abdomen and pelvis was obtained and CT of the chest was obtained in the ED. CT noted to have mucoid opacification of the "central segmental bronchi within the right lower lobe with patchy peripheral airspace infiltrate throughout the right lower lobe and minimal infiltrate in the posterior right lobe.  Correlate for infectious pneumonitis versus aspiration pneumonia."  CT of the abdomen and pelvis was noncontributory.  Due to these findings patient will be admitted to hospital service for further evaluation management. "
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Diet refusal, Exposure to SARS-CoV-2, Fluid intake reduced, International normalised ratio increased, Lung infiltration
Clinical narrative: Per history and physical on 1/13/22: "Patient is a 89 y.o. male past medical history of colon cancer s/p sigmoid colectomy, CAD, aortic valve stenosis s/p TAVR in 2017, s/p MI, dementia, a fib on Coumadin, GERD, history of Slutsky's ring and hypertension. Decreased appetite for the past few weeks, but has had productive cough for the past 3-4 days.  Patient's son was concerned that he had lost his sense of taste and smell because he had stopped eating and drinking.  The son reported to the APRN that patient has 2 caregivers who tested positive for COVID-19.  He reports that patient has had 10 to 12 pound weight loss over the past week. Son denied pt having any symptoms of shortness of breath or difficulty breathing.  Patient's history is limited by his advanced dementia.  Majority of history was obtained from ED record, chart review and patient's son.  Upon arrival to the ED patient was noted to be positive for COVID-19.  Was noted to have an INR > 10.  Patient is on Coumadin for atrial fib.  Patient's son had reported to the ED staff that he was having abdominal pain as well.  For CT of the abdomen and pelvis was obtained and CT of the chest was obtained in the ED. CT noted to have mucoid opacification of the "central segmental bronchi within the right lower lobe with patchy peripheral airspace infiltrate throughout the right lower lobe and minimal infiltrate in the posterior right lobe.  Correlate for infectious pneumonitis versus aspiration pneumonia."  CT of the abdomen and pelvis was noncontributory.  Due to these findings patient will be admitted to hospital service for further evaluation management. "
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Pneumonia, Pneumonia aspiration, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Per history and physical on 1/13/22: "Patient is a 89 y.o. male past medical history of colon cancer s/p sigmoid colectomy, CAD, aortic valve stenosis s/p TAVR in 2017, s/p MI, dementia, a fib on Coumadin, GERD, history of Slutsky's ring and hypertension. Decreased appetite for the past few weeks, but has had productive cough for the past 3-4 days.  Patient's son was concerned that he had lost his sense of taste and smell because he had stopped eating and drinking.  The son reported to the APRN that patient has 2 caregivers who tested positive for COVID-19.  He reports that patient has had 10 to 12 pound weight loss over the past week. Son denied pt having any symptoms of shortness of breath or difficulty breathing.  Patient's history is limited by his advanced dementia.  Majority of history was obtained from ED record, chart review and patient's son.  Upon arrival to the ED patient was noted to be positive for COVID-19.  Was noted to have an INR > 10.  Patient is on Coumadin for atrial fib.  Patient's son had reported to the ED staff that he was having abdominal pain as well.  For CT of the abdomen and pelvis was obtained and CT of the chest was obtained in the ED. CT noted to have mucoid opacification of the "central segmental bronchi within the right lower lobe with patchy peripheral airspace infiltrate throughout the right lower lobe and minimal infiltrate in the posterior right lobe.  Correlate for infectious pneumonitis versus aspiration pneumonia."  CT of the abdomen and pelvis was noncontributory.  Due to these findings patient will be admitted to hospital service for further evaluation management. "
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: Per history and physical on 1/13/22: "Patient is a 89 y.o. male past medical history of colon cancer s/p sigmoid colectomy, CAD, aortic valve stenosis s/p TAVR in 2017, s/p MI, dementia, a fib on Coumadin, GERD, history of Slutsky's ring and hypertension. Decreased appetite for the past few weeks, but has had productive cough for the past 3-4 days.  Patient's son was concerned that he had lost his sense of taste and smell because he had stopped eating and drinking.  The son reported to the APRN that patient has 2 caregivers who tested positive for COVID-19.  He reports that patient has had 10 to 12 pound weight loss over the past week. Son denied pt having any symptoms of shortness of breath or difficulty breathing.  Patient's history is limited by his advanced dementia.  Majority of history was obtained from ED record, chart review and patient's son.  Upon arrival to the ED patient was noted to be positive for COVID-19.  Was noted to have an INR > 10.  Patient is on Coumadin for atrial fib.  Patient's son had reported to the ED staff that he was having abdominal pain as well.  For CT of the abdomen and pelvis was obtained and CT of the chest was obtained in the ED. CT noted to have mucoid opacification of the "central segmental bronchi within the right lower lobe with patchy peripheral airspace infiltrate throughout the right lower lobe and minimal infiltrate in the posterior right lobe.  Correlate for infectious pneumonitis versus aspiration pneumonia."  CT of the abdomen and pelvis was noncontributory.  Due to these findings patient will be admitted to hospital service for further evaluation management. "
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Rheumatoid arthritis
Clinical narrative: I had a rheumatoid arthritis flare and my whole body joints was in pain.  These is still ongoing as of today.  I went to my Rheumatologist about this.  They put me on medicine for it.  They did blood work.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Atelectasis, Blood creatinine increased, COVID-19, Chest X-ray abnormal
Clinical narrative: 92 y.o. male admitted 1/9/2022 with a past medical history significant for ESRD on HD, COPD, CHF, HTN, HLD, BPH, and OSA who presents to the ED due to cough and shortness of breath. The patient was recently diagnosed with pneumonia on 12/22/2021 and completed a course of doxycycline. Over the past several days he has developed a productive cough.  He notes that sputum has been mostly clear. He he also endorses increased shortness of breath on exertion, fever at home, and weakness.  Patient has been previously vaccinated for COVID-19.   In the ED, chest x-ray revealed mild CHF with persistent bibasilar atelectasis that is stable on the right and mildly improved on the left from 12/22/2021.  Labs reviewed and significant for creatinine 5.81, EGFR 11, procalcitonin 1.15, WBC 2.96, hemoglobin 9.6, and platelets 40.  COVID-19 PCR was positive.  Vital signs reviewed and significant for SPO2 of 94% on 2 L in the ED.  The patient will be admitted by hospital medicine for further evaluation and treatment.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Dyspnoea exertional, Glomerular filtration rate normal, Haemoglobin normal
Clinical narrative: 92 y.o. male admitted 1/9/2022 with a past medical history significant for ESRD on HD, COPD, CHF, HTN, HLD, BPH, and OSA who presents to the ED due to cough and shortness of breath. The patient was recently diagnosed with pneumonia on 12/22/2021 and completed a course of doxycycline. Over the past several days he has developed a productive cough.  He notes that sputum has been mostly clear. He he also endorses increased shortness of breath on exertion, fever at home, and weakness.  Patient has been previously vaccinated for COVID-19.   In the ED, chest x-ray revealed mild CHF with persistent bibasilar atelectasis that is stable on the right and mildly improved on the left from 12/22/2021.  Labs reviewed and significant for creatinine 5.81, EGFR 11, procalcitonin 1.15, WBC 2.96, hemoglobin 9.6, and platelets 40.  COVID-19 PCR was positive.  Vital signs reviewed and significant for SPO2 of 94% on 2 L in the ED.  The patient will be admitted by hospital medicine for further evaluation and treatment.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Platelet count decreased, Pneumonia, Procalcitonin, Productive cough, Pyrexia
Clinical narrative: 92 y.o. male admitted 1/9/2022 with a past medical history significant for ESRD on HD, COPD, CHF, HTN, HLD, BPH, and OSA who presents to the ED due to cough and shortness of breath. The patient was recently diagnosed with pneumonia on 12/22/2021 and completed a course of doxycycline. Over the past several days he has developed a productive cough.  He notes that sputum has been mostly clear. He he also endorses increased shortness of breath on exertion, fever at home, and weakness.  Patient has been previously vaccinated for COVID-19.   In the ED, chest x-ray revealed mild CHF with persistent bibasilar atelectasis that is stable on the right and mildly improved on the left from 12/22/2021.  Labs reviewed and significant for creatinine 5.81, EGFR 11, procalcitonin 1.15, WBC 2.96, hemoglobin 9.6, and platelets 40.  COVID-19 PCR was positive.  Vital signs reviewed and significant for SPO2 of 94% on 2 L in the ED.  The patient will be admitted by hospital medicine for further evaluation and treatment.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, White blood cell count decreased
Clinical narrative: 92 y.o. male admitted 1/9/2022 with a past medical history significant for ESRD on HD, COPD, CHF, HTN, HLD, BPH, and OSA who presents to the ED due to cough and shortness of breath. The patient was recently diagnosed with pneumonia on 12/22/2021 and completed a course of doxycycline. Over the past several days he has developed a productive cough.  He notes that sputum has been mostly clear. He he also endorses increased shortness of breath on exertion, fever at home, and weakness.  Patient has been previously vaccinated for COVID-19.   In the ED, chest x-ray revealed mild CHF with persistent bibasilar atelectasis that is stable on the right and mildly improved on the left from 12/22/2021.  Labs reviewed and significant for creatinine 5.81, EGFR 11, procalcitonin 1.15, WBC 2.96, hemoglobin 9.6, and platelets 40.  COVID-19 PCR was positive.  Vital signs reviewed and significant for SPO2 of 94% on 2 L in the ED.  The patient will be admitted by hospital medicine for further evaluation and treatment.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Dizziness and nausea.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram ambulatory
Clinical narrative: After receiving the vaccine I was there for 45 mins after I received injection. I had tightness of chest, shortness of breath, dizziness, and light headed. They gave me a drink and candy to try to help while I was there. I was extremely dizzy and light headed. They were going to drive me home because I felt that bad. I didn't feel right for the rest of that day and a couple days after. I still dizziness and lightheadedness. I passed out from receiving the vaccine as well. I saw a PA and she ordered some test. I had a U/S Carotid Bilateral test done. I also had extended Holter monitor for 14 days and an echo cardiogram. I went for a follow up yesterday for a physical and I am being referred to an ENT and for some blood work because I am still having issues.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Laboratory test, Loss of consciousness, Ultrasound Doppler
Clinical narrative: After receiving the vaccine I was there for 45 mins after I received injection. I had tightness of chest, shortness of breath, dizziness, and light headed. They gave me a drink and candy to try to help while I was there. I was extremely dizzy and light headed. They were going to drive me home because I felt that bad. I didn't feel right for the rest of that day and a couple days after. I still dizziness and lightheadedness. I passed out from receiving the vaccine as well. I saw a PA and she ordered some test. I had a U/S Carotid Bilateral test done. I also had extended Holter monitor for 14 days and an echo cardiogram. I went for a follow up yesterday for a physical and I am being referred to an ENT and for some blood work because I am still having issues.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot # FJ6369 Temperature Excursion
Age: 40.0
Sex: M
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Infection, Stomatitis, Taste disorder, Tongue discolouration
Clinical narrative: Developed a mouth/oral  infection.  Included mouth sores and yellowing of tongue. Compromised sense of taste, which continues to this day. Yellowing of tongue is still partially present.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Cough, Nasopharyngitis, Respiratory tract congestion
Clinical narrative: ith cold symptoms: cough, congestion, loss of taste. starting 12/31/21
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok'd for use. Instructed by staff to report each dose given in this system.
Sex: U
Vaccine: UNK, UNK
Symptoms: Unevaluable event
Clinical narrative: hospital event
Sex: U
Vaccine: UNK, UNK
Symptoms: COVID-19
Clinical narrative: hospital event
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pallor, Vomiting
Clinical narrative: Patient arrived to clinic for 1st dose of pediatric pfizer vaccine. Vaccination was completed successfully with no immediate complaints from the patient. Approximately 10 minutes post-vaccination patient complained of nausea. Patient was brought to a restroom by parent and patient and parent reported that he vomited. Patient appeared pale/gray complexion RN's assessment. Parent reported that patient had not had anything to eat or drink yet this morning. Patient was asked to sit in a chair and drink small amounts of juice and was given pretzels. Patient's coloring improved with food and drink. Patient was observed for a total of 30 minutes with no other complaints except nausea which improved during observation. Parent reported that patient can get carsick, staff provided parent with emesis bag in case of nausea presenting again. Parent reported they would be getting food after leaving clinic site.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot # FJ6369 Temperature Excursion
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Vomiting
Clinical narrative: Started with heavy periods lasting 7 days along with vomiting for the first 3 days of menstrual cycle about 2-3 weeks after the vaccine
Age: 73.0
Sex: M
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Chest pain on the left to middle portion of chest. Pain is mild but comes on suddenly and is unexpectant.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Erythema, Fatigue, Feeling cold
Clinical narrative: A few hours after the shot, I started becoming very tired and weak,  Body aches pains.  A bad severe headache.  I kept getting sharp stabbing pains on my upper left back all the next day after the shot.  I believe was my kidneys.  I have 3 kidneys, (NO typo, 3 kidneys) I have two half size kidneys on my left side.  I have had stones in past, but never sharp pain like this.   I missed work on Thursday.  Had no energy all day.  Slept wrapped in blanket.  I was constantly cold on Thursday.  My arm is sore with red spot and bump under skin.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Pain, Pain in extremity, Skin swelling
Clinical narrative: A few hours after the shot, I started becoming very tired and weak,  Body aches pains.  A bad severe headache.  I kept getting sharp stabbing pains on my upper left back all the next day after the shot.  I believe was my kidneys.  I have 3 kidneys, (NO typo, 3 kidneys) I have two half size kidneys on my left side.  I have had stones in past, but never sharp pain like this.   I missed work on Thursday.  Had no energy all day.  Slept wrapped in blanket.  I was constantly cold on Thursday.  My arm is sore with red spot and bump under skin.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Appendicitis, COVID-19, Computerised tomogram abdomen abnormal, Influenza virus test
Clinical narrative: 01/13/2022:  Event occurred after 2nd vaccine.  33-year-old male who presents to the emergency department with a outpatient CT that was positive for appendicitis.  Patient states that he has developed generalized lower abdominal pain yesterday evening. in has been so intense that he has vomited multiple times.  He also states that he woke up with a fever on Monday.  He denies cough, sore throat, congestion.  He states that he was tested for COVID and influenza this morning and he reports that his COVID test was positive.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 01/13/2022:  Event occurred after 2nd vaccine.  33-year-old male who presents to the emergency department with a outpatient CT that was positive for appendicitis.  Patient states that he has developed generalized lower abdominal pain yesterday evening. in has been so intense that he has vomited multiple times.  He also states that he woke up with a fever on Monday.  He denies cough, sore throat, congestion.  He states that he was tested for COVID and influenza this morning and he reports that his COVID test was positive.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Hypopnoea, Syncope
Clinical narrative: Person passed out, was unable to hear, breathing was shallow, blood pressure 50/20, Pulse 44, oximeter 100%.  Epi pen was administered
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot # FJ6369 Temperature Excursion
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Myalgia
Clinical narrative: pt had redness, swelling, fagitue, and myaligas starting the day after injection.  Fatigue and myaglias have resolved.  Still has redness and swelling at injection site.  Treatment is pt reassurance as common adverse effect, warm compress, otc anagelsic
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: very tired, light headache, that lasted about 20 hours. I'm feeling normal now
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19 pneumonia, Death, Dyspnoea
Clinical narrative: Patient is fully vaccinated including a booster on 8/21/2021.  Pt admitted for SOB.  84 year old vaccinated female on immunosuppressants and dialysis  presented with concerns for shortness of breath and coronavirus.Dx of COVID 19 pnuemonia, RUL opacity. acute hypoxic respiratory failure, worsening.  Patient treated with Decadron, Lovenox, supplemental oxygen (15L HFNC and NRB). anticoagulation with SQ heparin. ESRD on dialysis.  Patient's condition ultimately declined, with family deciding on hospice care 12/16/21, passing away later that night with family at bedside.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Lung opacity
Clinical narrative: Patient is fully vaccinated including a booster on 8/21/2021.  Pt admitted for SOB.  84 year old vaccinated female on immunosuppressants and dialysis  presented with concerns for shortness of breath and coronavirus.Dx of COVID 19 pnuemonia, RUL opacity. acute hypoxic respiratory failure, worsening.  Patient treated with Decadron, Lovenox, supplemental oxygen (15L HFNC and NRB). anticoagulation with SQ heparin. ESRD on dialysis.  Patient's condition ultimately declined, with family deciding on hospice care 12/16/21, passing away later that night with family at bedside.
Age: 67.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse reaction. Vaccine administration error. Two doses of Fluad were given. 1st dose was 11/16/2021 and 2nd dose was 01/13/2022.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chest pain, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: From history and physical on 1/9/22: "Patient is a 63 y.o. male with PMH of COPD, AFIB on anticoagulation, HTN, HLD, Hep C and homless who presents to the ED for evaluation of chest pain and high heart rate. The chest pain is intermittent, having increased shortness of breath with these episodes as well as shortness of breath, wheezing and cough worsening x 2 days. He reports compliance with his medications including his Xarelto and inhalers. He has had the single dose Janssen COVID-19 vaccine 4/7/21 followed by a Pfizer booster dose 12/20/21 after being hospitalized from12/6-12/16/21 at BHL for COPD exacerbation requiring ICU/intubation. Denies fever, chills, lower extremity swelling, orthopnea, syncope. He has been eating and drinking ok, tells me he was on a puree diet while in the hospital but has advanced back to regular food without any coughing or choking episodes.   Review of EMR for that admission on 12/6/21: intubated in the ED, empiric abx w/ rocephin/doxy, diuresis, steroids and bronchodilators. Extubated 12/10/21 and tx to tele floor 12/13/21, transitioned to PO prednisone at that time. Was d/c'd w/ 5 days or PO doxy/prednisone, Spiriva, Pulmicort, expectorant w/ plans to f/u w/ pulmonary associates; also given flu/pna vaccines; d/c'd back to the Center.   ED w/u today w/ findings of patient testing positive for COVID-19; leukocytosis w/ WBC 16.32; proBNP 2327.0, troponin negative x 2 and d-dimer elevated at 2.53; chest xray w/ nonspecific findings pulmonary venous hypertension and bilateral ISLD at or near baseline.    COVID-19 - oxygen saturations 91-93% on room air, not on baseline oxygen"
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Endotracheal intubation, Fibrin D dimer increased, Heart rate increased
Clinical narrative: From history and physical on 1/9/22: "Patient is a 63 y.o. male with PMH of COPD, AFIB on anticoagulation, HTN, HLD, Hep C and homless who presents to the ED for evaluation of chest pain and high heart rate. The chest pain is intermittent, having increased shortness of breath with these episodes as well as shortness of breath, wheezing and cough worsening x 2 days. He reports compliance with his medications including his Xarelto and inhalers. He has had the single dose Janssen COVID-19 vaccine 4/7/21 followed by a Pfizer booster dose 12/20/21 after being hospitalized from12/6-12/16/21 at BHL for COPD exacerbation requiring ICU/intubation. Denies fever, chills, lower extremity swelling, orthopnea, syncope. He has been eating and drinking ok, tells me he was on a puree diet while in the hospital but has advanced back to regular food without any coughing or choking episodes.   Review of EMR for that admission on 12/6/21: intubated in the ED, empiric abx w/ rocephin/doxy, diuresis, steroids and bronchodilators. Extubated 12/10/21 and tx to tele floor 12/13/21, transitioned to PO prednisone at that time. Was d/c'd w/ 5 days or PO doxy/prednisone, Spiriva, Pulmicort, expectorant w/ plans to f/u w/ pulmonary associates; also given flu/pna vaccines; d/c'd back to the Center.   ED w/u today w/ findings of patient testing positive for COVID-19; leukocytosis w/ WBC 16.32; proBNP 2327.0, troponin negative x 2 and d-dimer elevated at 2.53; chest xray w/ nonspecific findings pulmonary venous hypertension and bilateral ISLD at or near baseline.    COVID-19 - oxygen saturations 91-93% on room air, not on baseline oxygen"