chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Failure to thrive, Grief reaction, Illness, Pneumonia
Clinical narrative: Provider hospital summary "Patient is a 67 YO female with h/o DM2, HTN, PVD, COPD, depression/anxiety/FM, admitted with pneumonia and acute hypoxic respiratory failure due to COVID-19 pneumonia. She was treated with supplemental oxygen, decadron, remdesivir and supportive care. She was slow to improve and noted to have failure to thrive due to her current illness, grief with recent death of a loved one, and chronic health conditions (GPA). Nutrition was consulted and she was started on remeron with significant improvement in appetite and mood. She improved slowly with treatment. Oxygen was weaned to 4L NC for >24 hours prior to discharge. Discharged home in stable condition. Has 2 more days of decadron. Will participate with home care on discharge. Follow-up with PCP and pulmonary. "
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Provider hospital summary "Patient is a 67 YO female with h/o DM2, HTN, PVD, COPD, depression/anxiety/FM, admitted with pneumonia and acute hypoxic respiratory failure due to COVID-19 pneumonia. She was treated with supplemental oxygen, decadron, remdesivir and supportive care. She was slow to improve and noted to have failure to thrive due to her current illness, grief with recent death of a loved one, and chronic health conditions (GPA). Nutrition was consulted and she was started on remeron with significant improvement in appetite and mood. She improved slowly with treatment. Oxygen was weaned to 4L NC for >24 hours prior to discharge. Discharged home in stable condition. Has 2 more days of decadron. Will participate with home care on discharge. Follow-up with PCP and pulmonary. "
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Paraesthesia
Clinical narrative: Pt. being monitored after receiving vaccine.  Approximately 10 minutes after dose given left side of face became red, left ear tingling, tingling under left eye.  25 mg oral Benadryl given.  Continued to monitor patient for another 30 minutes.  No further reaction noted.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Autonomic nervous system imbalance, Chronic fatigue syndrome, Fibromyalgia, Immediate post-injection reaction
Clinical narrative: Immediately after administration I felt pain at right upper deltoid with progressive right shoulder sharp joint pain and restriction of movement. I reported this to my primary Rheumatologist on 1/28/2022 and he ordered Right should PT which began 2/14/2022 and is ongoing to increase range of motion.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Joint range of motion decreased, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Immediately after administration I felt pain at right upper deltoid with progressive right shoulder sharp joint pain and restriction of movement. I reported this to my primary Rheumatologist on 1/28/2022 and he ordered Right should PT which began 2/14/2022 and is ongoing to increase range of motion.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Feeling abnormal, Headache, Urinary tract infection
Clinical narrative: The next day she had a very bad headache. For 13 days she felt terrible. She had bad back pain and head kept hurting. Went to ER and was DX with a UTI.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Autoimmune disorder, Back pain, Cystitis, Disorientation, Feeling abnormal
Clinical narrative: The next day she had a very bad headache. For 13 days she felt terrible. She had bad back pain and head kept hurting. Went to ER and was DX with a UTI.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Illness, Swelling, Urinary tract infection
Clinical narrative: The next day she had a very bad headache. For 13 days she felt terrible. She had bad back pain and head kept hurting. Went to ER and was DX with a UTI.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was accidently given the pediatric dose, instead of the adult dose for Pfizer.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dysmenorrhoea, Fatigue, Feeling abnormal, Headache, Heavy menstrual bleeding
Clinical narrative: After my  first dose of my vaccine, I had a very sore arm and general malaise. After my second dose, I was very ill. Fever, headache, nausea, extreme body aches, pain in legs, noticed change in period cycles. My cycles were very regular every 28 days prior to the vaccine.    I received the Moderna booster on Saturday, November 20th @ 4PM. Like the other two doses I received, I had side effects. But, this time it was different. I got a low grade fever, EXTREME nausea, horrendous aches (the kind where it felt like my bones were breaking), and low and behold a very swollen armpit. All seemed par for the course. However, after what I thought was the worst of it, the next day my heart rate sky rocketed to 187BPM when I was working out. Keep in mind, I am an avid runner, running 6 days a week on my Peloton tread. My heart rate is always 160ish while running so this was alarming. I finally got it below 187 because I was convinced I was going to pass out. I felt subpar for a couple of days, but better? I guess.   That Wednesday evening, I started to feel nauseous. I then got my period (I apologize for the graphic nature) and it was completely out of my norm. It was heavy, my cramps were extremely painful, and it had me taking a 4 hour nap before holiday dinner. This was not normal. For the next two days, I was in bed, nauseous, fatigued, achey, and miserable. I was taking medicine around the clock. By Sunday, I was 85% better. By Monday, I was 100% back to myself like this never ever happened. This was exactly how I was post immunization 1 and 2.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Illness, Lymphadenopathy, Malaise, Menstruation irregular, Nausea
Clinical narrative: After my  first dose of my vaccine, I had a very sore arm and general malaise. After my second dose, I was very ill. Fever, headache, nausea, extreme body aches, pain in legs, noticed change in period cycles. My cycles were very regular every 28 days prior to the vaccine.    I received the Moderna booster on Saturday, November 20th @ 4PM. Like the other two doses I received, I had side effects. But, this time it was different. I got a low grade fever, EXTREME nausea, horrendous aches (the kind where it felt like my bones were breaking), and low and behold a very swollen armpit. All seemed par for the course. However, after what I thought was the worst of it, the next day my heart rate sky rocketed to 187BPM when I was working out. Keep in mind, I am an avid runner, running 6 days a week on my Peloton tread. My heart rate is always 160ish while running so this was alarming. I finally got it below 187 because I was convinced I was going to pass out. I felt subpar for a couple of days, but better? I guess.   That Wednesday evening, I started to feel nauseous. I then got my period (I apologize for the graphic nature) and it was completely out of my norm. It was heavy, my cramps were extremely painful, and it had me taking a 4 hour nap before holiday dinner. This was not normal. For the next two days, I was in bed, nauseous, fatigued, achey, and miserable. I was taking medicine around the clock. By Sunday, I was 85% better. By Monday, I was 100% back to myself like this never ever happened. This was exactly how I was post immunization 1 and 2.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Somnolence, Ultrasound scan
Clinical narrative: After my  first dose of my vaccine, I had a very sore arm and general malaise. After my second dose, I was very ill. Fever, headache, nausea, extreme body aches, pain in legs, noticed change in period cycles. My cycles were very regular every 28 days prior to the vaccine.    I received the Moderna booster on Saturday, November 20th @ 4PM. Like the other two doses I received, I had side effects. But, this time it was different. I got a low grade fever, EXTREME nausea, horrendous aches (the kind where it felt like my bones were breaking), and low and behold a very swollen armpit. All seemed par for the course. However, after what I thought was the worst of it, the next day my heart rate sky rocketed to 187BPM when I was working out. Keep in mind, I am an avid runner, running 6 days a week on my Peloton tread. My heart rate is always 160ish while running so this was alarming. I finally got it below 187 because I was convinced I was going to pass out. I felt subpar for a couple of days, but better? I guess.   That Wednesday evening, I started to feel nauseous. I then got my period (I apologize for the graphic nature) and it was completely out of my norm. It was heavy, my cramps were extremely painful, and it had me taking a 4 hour nap before holiday dinner. This was not normal. For the next two days, I was in bed, nauseous, fatigued, achey, and miserable. I was taking medicine around the clock. By Sunday, I was 85% better. By Monday, I was 100% back to myself like this never ever happened. This was exactly how I was post immunization 1 and 2.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Uterine polyp
Clinical narrative: After my  first dose of my vaccine, I had a very sore arm and general malaise. After my second dose, I was very ill. Fever, headache, nausea, extreme body aches, pain in legs, noticed change in period cycles. My cycles were very regular every 28 days prior to the vaccine.    I received the Moderna booster on Saturday, November 20th @ 4PM. Like the other two doses I received, I had side effects. But, this time it was different. I got a low grade fever, EXTREME nausea, horrendous aches (the kind where it felt like my bones were breaking), and low and behold a very swollen armpit. All seemed par for the course. However, after what I thought was the worst of it, the next day my heart rate sky rocketed to 187BPM when I was working out. Keep in mind, I am an avid runner, running 6 days a week on my Peloton tread. My heart rate is always 160ish while running so this was alarming. I finally got it below 187 because I was convinced I was going to pass out. I felt subpar for a couple of days, but better? I guess.   That Wednesday evening, I started to feel nauseous. I then got my period (I apologize for the graphic nature) and it was completely out of my norm. It was heavy, my cramps were extremely painful, and it had me taking a 4 hour nap before holiday dinner. This was not normal. For the next two days, I was in bed, nauseous, fatigued, achey, and miserable. I was taking medicine around the clock. By Sunday, I was 85% better. By Monday, I was 100% back to myself like this never ever happened. This was exactly how I was post immunization 1 and 2.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Hyperventilation, Nausea
Clinical narrative: Patient came in for booster number 3 and she already had history of hyperventilation and dizziness on those 2 pfizer vaccines.   Prior vaccination patient was place on the gurney by RN.  At 1145 took her BP=118/82, HR=102; hyperventilating,  encouraged patient to do deep slow breathing.  felt nauseous and dizzy.  around 1200 noon BP=130/80, HR=102, 02sat=100% RA.  At 1215 called AOD, and he stated you don't have to call MERT you can directly send patient to ED. At 1220 BP=117/70, HR=104, still Dizzy and Nauseous.  Brought patient to ED via Wheelchair with another person.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, COVID-19, Cranial nerve disorder
Clinical narrative: Starting 02/24/2021, I developed a severe headache behind my left eye. Also, I developed left sided numbness on the left side of my face including the left side of my nose and upper lip. I also had full body weakness, sweats and vomiting. After about 20 hours, it spontaneously resolved. I had a cranial neuropathy episode effecting the left side of my face. 5 months later I ended up testing positive for COVID. On 09/28/2021, I started being symptomatic and I tested positive with a PCR test on 09/30/2021. During this, when I lost my sense of taste and smell, I also had the same cranial neuropathy symptoms. On 09/29/2021 I received the monoclonal antibodies because they were available.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Hypoaesthesia, Hypoaesthesia oral, SARS-CoV-2 test positive
Clinical narrative: Starting 02/24/2021, I developed a severe headache behind my left eye. Also, I developed left sided numbness on the left side of my face including the left side of my nose and upper lip. I also had full body weakness, sweats and vomiting. After about 20 hours, it spontaneously resolved. I had a cranial neuropathy episode effecting the left side of my face. 5 months later I ended up testing positive for COVID. On 09/28/2021, I started being symptomatic and I tested positive with a PCR test on 09/30/2021. During this, when I lost my sense of taste and smell, I also had the same cranial neuropathy symptoms. On 09/29/2021 I received the monoclonal antibodies because they were available.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Starting 02/24/2021, I developed a severe headache behind my left eye. Also, I developed left sided numbness on the left side of my face including the left side of my nose and upper lip. I also had full body weakness, sweats and vomiting. After about 20 hours, it spontaneously resolved. I had a cranial neuropathy episode effecting the left side of my face. 5 months later I ended up testing positive for COVID. On 09/28/2021, I started being symptomatic and I tested positive with a PCR test on 09/30/2021. During this, when I lost my sense of taste and smell, I also had the same cranial neuropathy symptoms. On 09/29/2021 I received the monoclonal antibodies because they were available.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Decreased appetite, Failure to thrive
Clinical narrative: Provider hospital summary "78 y.o male with a PMH of hyperlipidemia, HTN, AAA, cardiomyopathy, COPD, CAD s/p MI and hx CVA 2014, who presented to the ED with generalized weakness and suspecting COVID infection. He remained stable on RA. He is still somewhat confused but compliant. He will complete a course of dexamethasone at home."  Patient readmitted one day after discharge Provider summary "patient is a 78 YO M who presented with failure to thrive due to COVID-19 infection. Main symptoms were severe fatigue and anorexia, fever, inability to take care of himself. On admission he was not hypoxic. He was treated with supportive care and regeneron. Unfortunately, patient developed hypoxia due to COVID-19 on 12/12, requiring up to 5L NC. He was started on decadron and evaluation showed no convincing evidence of PE. He improved with decadron treatment and was weaned to 3L. PT/OT had been working with him since admission and he steadily improved, and was able to walk >150 feet with stand-by assist and FWW. He no longer qualified for SNF.    He will be discharged home with covid at home program, home pt/ot/RN, and 3L NC. Complete 10 day decadron course with 4 more days. Follow-up with PCP. "
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypoxia, Impaired self-care, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Provider hospital summary "78 y.o male with a PMH of hyperlipidemia, HTN, AAA, cardiomyopathy, COPD, CAD s/p MI and hx CVA 2014, who presented to the ED with generalized weakness and suspecting COVID infection. He remained stable on RA. He is still somewhat confused but compliant. He will complete a course of dexamethasone at home."  Patient readmitted one day after discharge Provider summary "patient is a 78 YO M who presented with failure to thrive due to COVID-19 infection. Main symptoms were severe fatigue and anorexia, fever, inability to take care of himself. On admission he was not hypoxic. He was treated with supportive care and regeneron. Unfortunately, patient developed hypoxia due to COVID-19 on 12/12, requiring up to 5L NC. He was started on decadron and evaluation showed no convincing evidence of PE. He improved with decadron treatment and was weaned to 3L. PT/OT had been working with him since admission and he steadily improved, and was able to walk >150 feet with stand-by assist and FWW. He no longer qualified for SNF.    He will be discharged home with covid at home program, home pt/ot/RN, and 3L NC. Complete 10 day decadron course with 4 more days. Follow-up with PCP. "
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Ataxia, Chills, Condition aggravated, Mobility decreased, Movement disorder
Clinical narrative: 12 hours post vaccination, uncontrollable shaking, chills & inability to function. Body aches and full body tremors present for approximately 4  hours. Inability to  get out of bed to take ibuprofen; inability to hold ibuprofen bottle due to excessive shaking and lack of muscle control.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tremor
Clinical narrative: 12 hours post vaccination, uncontrollable shaking, chills & inability to function. Body aches and full body tremors present for approximately 4  hours. Inability to  get out of bed to take ibuprofen; inability to hold ibuprofen bottle due to excessive shaking and lack of muscle control.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, Influenza A virus test, Influenza B virus test
Clinical narrative: Case was vaccinated and boosted by 10/21/21, then was hospitalized for Covid 21/30/21. Admitted for rib fracture and found to be Covid positive. Required up to 20 litres of oxygen during hospitalization for shortness of breath and hypoxia.  Discharged after 12 day in hospital.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test, Rib fracture, SARS-CoV-2 test positive
Clinical narrative: Case was vaccinated and boosted by 10/21/21, then was hospitalized for Covid 21/30/21. Admitted for rib fracture and found to be Covid positive. Required up to 20 litres of oxygen during hospitalization for shortness of breath and hypoxia.  Discharged after 12 day in hospital.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Second dose was administered at 4 months and 1 week, 3 weeks early. Patient was observed for 20 minutes after injection. No adverse reaction.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Pain, Pain in extremity, Reaction to previous exposure to any vaccine
Clinical narrative: He got his vaccine, he could feel where she shot him in the arm, and it hurt.  He worked his arm, and thought it was going to go away and it did not.  He could feel where she got the shot, started having a numb sensation down his arm to the thumb.  He has been hoping it would go away, but it still continues to have pain to the point of tears.  He stretches and it does go away for a short period of time (hours), but then comes back.  He has called his doctor several weeks ago and is waiting to get an appointment.   Feels that she must have hit a nerve and feels that she did  not give it to him right.    After the first vaccine he thought he was going to die and fall on the floor, but it disappeared, and the 2nd vaccine gave him a headache but that went away.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Tearfulness
Clinical narrative: He got his vaccine, he could feel where she shot him in the arm, and it hurt.  He worked his arm, and thought it was going to go away and it did not.  He could feel where she got the shot, started having a numb sensation down his arm to the thumb.  He has been hoping it would go away, but it still continues to have pain to the point of tears.  He stretches and it does go away for a short period of time (hours), but then comes back.  He has called his doctor several weeks ago and is waiting to get an appointment.   Feels that she must have hit a nerve and feels that she did  not give it to him right.    After the first vaccine he thought he was going to die and fall on the floor, but it disappeared, and the 2nd vaccine gave him a headache but that went away.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Rash/hives. Dermatologist prescribed cream. The rash occurred today again 02/23/2022 severely.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient is 11 years and 10 months old.  I gave the Pfizer age 12 and over to the patient
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pneumonia
Clinical narrative: Patient hospitalized with  COVID-19 virus and double pneumonia on 2/5/2022 after having received 3 doses of the COVID-19 vaccine
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bacteraemia, Blood culture positive, COVID-19, Fall
Clinical narrative: Provider hospital summary "Patient is a 70 year old female who presented to the ED for falls at home and weakness. She was diagnosed with COVID on arrival. She was not hypoxic past her baseline and was given regeneron. She was also diagnosed with bacteremia and fungemia thought to possibly be due to recent midline placement. Infectious disease was consulted and recommended IV vancomycin which the patient completed over the course of her stay and IV eraxis which she will continue until 12/18/21. She will need an eye exam and will be set up with ophthalmology outpatient due to diagnosis of fungemia. She will need repeat blood cultures in 1-2 weeks after completion of eraxis and will follow up with infectious disease outpatient. "
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fungaemia, SARS-CoV-2 test positive
Clinical narrative: Provider hospital summary "Patient is a 70 year old female who presented to the ED for falls at home and weakness. She was diagnosed with COVID on arrival. She was not hypoxic past her baseline and was given regeneron. She was also diagnosed with bacteremia and fungemia thought to possibly be due to recent midline placement. Infectious disease was consulted and recommended IV vancomycin which the patient completed over the course of her stay and IV eraxis which she will continue until 12/18/21. She will need an eye exam and will be set up with ophthalmology outpatient due to diagnosis of fungemia. She will need repeat blood cultures in 1-2 weeks after completion of eraxis and will follow up with infectious disease outpatient. "
Age: 76.0
Sex: M
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with positive covid infection
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Cough, Death, Dyspnoea
Clinical narrative: pt to ED with c/o worsening SOB and cough; states respiratory sx started in past week, was diagnosed positive for COVID on 9/14/21 and received monoclonal antibodies a few days later; in ED diagnosed with hypoxemic respiratory failure, A Fib with RVR; treated with steroids for COVID; O2 requirements increased requiring Vapotherm then BiPAP; pt placed on TPN; comfort care measures requested and pt died in the hospital
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Parenteral nutrition, Positive airway pressure therapy, Respiratory failure, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: pt to ED with c/o worsening SOB and cough; states respiratory sx started in past week, was diagnosed positive for COVID on 9/14/21 and received monoclonal antibodies a few days later; in ED diagnosed with hypoxemic respiratory failure, A Fib with RVR; treated with steroids for COVID; O2 requirements increased requiring Vapotherm then BiPAP; pt placed on TPN; comfort care measures requested and pt died in the hospital
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Echocardiogram, Ejection fraction normal, Electrocardiogram, Heart rate irregular
Clinical narrative: I had underlying issues wasn't aware after vaccine now I noticed. I was experienced severe left neck pain and shoulder blade went to  doctor now being treated for degenerative neck disease. In March 2021 experiencing irregular heart beats now I'm on medications. I'm started having episodes of irregular heartbeats was seen by a Cardiologist in June 2021.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Intervertebral disc degeneration, Magnetic resonance imaging, Musculoskeletal pain, Neck pain
Clinical narrative: I had underlying issues wasn't aware after vaccine now I noticed. I was experienced severe left neck pain and shoulder blade went to  doctor now being treated for degenerative neck disease. In March 2021 experiencing irregular heart beats now I'm on medications. I'm started having episodes of irregular heartbeats was seen by a Cardiologist in June 2021.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back injury, COVID-19, Cough, Death, Failure to thrive
Clinical narrative: Provider hospital summary "The patient is a 81 YO year old male with past medical history of multiple myeloma extensive bone metatasis s/p radiation therapy on Revlimid, HTN, HLD, Hypothyroidism who presented to Hospital ED from assisted living with complaint of fever, cough, altered mental status 2 days. Patient was recently hospitalized 10/24-11/12 due to sterptococcal septicemia with severe sepsis from his back wound. Patient completed 2 weeks ceftriaxone 2g IV daily with a complete resolution. Patient was found to be COVID +. He was admitted to the hospital for further work up with COVID and FTT. Patient and family signed Hospice paperwork, Patient will be transitioned to  Hospice service on Saturday 12/11.  " Patient expired at hospice on 12/16/2021
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Pyrexia, SARS-CoV-2 test positive, Streptococcal sepsis, Wound sepsis
Clinical narrative: Provider hospital summary "The patient is a 81 YO year old male with past medical history of multiple myeloma extensive bone metatasis s/p radiation therapy on Revlimid, HTN, HLD, Hypothyroidism who presented to Hospital ED from assisted living with complaint of fever, cough, altered mental status 2 days. Patient was recently hospitalized 10/24-11/12 due to sterptococcal septicemia with severe sepsis from his back wound. Patient completed 2 weeks ceftriaxone 2g IV daily with a complete resolution. Patient was found to be COVID +. He was admitted to the hospital for further work up with COVID and FTT. Patient and family signed Hospice paperwork, Patient will be transitioned to  Hospice service on Saturday 12/11.  " Patient expired at hospice on 12/16/2021
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Illness, Tremor
Clinical narrative: I became very sick for about 4 days following my shot - same thing happened with my 1st and second dose.  Second dose caused me to have 3 periods in a 5 week timeframe, the one following the second dose was exceptionally heavy and painful.  Since my third - booster - I have had ongoing covid symptoms - most concerning are shortness of breath and body tremors.  My doctor has done a series of medication trying to resolve these with minor improvements.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain
Clinical narrative: Patient presented to ED on 12/30/21 from (Privacy) due to uncontrolled pain from a MVA on 12/17/21. Patient full vaccinated and boosted with Pfizer on 3/2/21, 3/23/21, and 12/28/21. Patient was admitted on 12/30/21 and discharged to rehab facility on 1/6/22.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: No adverse incident. Only half of prescribed dose was given (0.15mg instead of 0.3mg).  Prediluted vaccine was diluted with normal saline.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Diarrhoea, Flatulence
Clinical narrative: I had gastrointestinal issue. I having gas and diarrhea. I also have loss taste and smell. I had a headache, sore throat, and ear ringing. These last for about 2 weeks but the gastro issue is still ongoing. I was test positive for Covid-19 on Jan 22nd.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Headache, Oropharyngeal pain, SARS-CoV-2 test positive, Tinnitus
Clinical narrative: I had gastrointestinal issue. I having gas and diarrhea. I also have loss taste and smell. I had a headache, sore throat, and ear ringing. These last for about 2 weeks but the gastro issue is still ongoing. I was test positive for Covid-19 on Jan 22nd.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Condition aggravated
Clinical narrative: Provider hospital summary "Patient is a 85-year-old male with a past medical history of coronary artery disease, heart failure with reduced ejection fraction, Parkinson's disease, hypertension admitted with respiratory failure due to COVID pneumonia.    Brief Summary of Hospital Stay:  He did require high-flow nasal cannula at 1 point he completed a course of remdesivir and Decadron.  He also developed a STEMI and was seen by Cardiology.  He had PCI with DES on 12/03.  He has been started on goal-directed therapy per cardiology's direction including beta-blocker, aspirin, Plavix, Zocor, Ranexa, nitroglycerin.  He did develop 2 episodes of atrial fibrillation which converted spontaneously, follow likely due to his acute illness COVID infection.  Cardiology never did comment on this.  At this time the risk of anticoagulation exceeds the benefit, with risks including high bleeding risk while already on Plavix, Ranexa, and aspirin, fall risk.  It is quite possible that the atrial fibrillation was transitory, nevertheless I have ordered an event monitor to be sent to his cardiologist.  I will defer further management decisions to Dr. (Privacy) and Cardiology team.   At this time the patient has been weaned to room air, a walker has been provided.  The patient has a normocytic anemia which will need to be monitored to normalization."
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Illness, Normocytic anaemia, Percutaneous coronary intervention, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Provider hospital summary "Patient is a 85-year-old male with a past medical history of coronary artery disease, heart failure with reduced ejection fraction, Parkinson's disease, hypertension admitted with respiratory failure due to COVID pneumonia.    Brief Summary of Hospital Stay:  He did require high-flow nasal cannula at 1 point he completed a course of remdesivir and Decadron.  He also developed a STEMI and was seen by Cardiology.  He had PCI with DES on 12/03.  He has been started on goal-directed therapy per cardiology's direction including beta-blocker, aspirin, Plavix, Zocor, Ranexa, nitroglycerin.  He did develop 2 episodes of atrial fibrillation which converted spontaneously, follow likely due to his acute illness COVID infection.  Cardiology never did comment on this.  At this time the risk of anticoagulation exceeds the benefit, with risks including high bleeding risk while already on Plavix, Ranexa, and aspirin, fall risk.  It is quite possible that the atrial fibrillation was transitory, nevertheless I have ordered an event monitor to be sent to his cardiologist.  I will defer further management decisions to Dr. (Privacy) and Cardiology team.   At this time the patient has been weaned to room air, a walker has been provided.  The patient has a normocytic anemia which will need to be monitored to normalization."
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given booster of Moderna 1 month too soon,patient did not have adverse reactions. patient is aware the booster was given 1 mo early.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Brain natriuretic peptide, C-reactive protein, Chest pain, Full blood count
Clinical narrative: Patient is a 10 year old male with history of RSR' EKG, followed by peds cardiology (asymptomatic), presenting with chief complaint of chest pain.  Occurred this evening around 1830, patient was playing, started to feel left sided chest pain, lasted few minutes then resolved.  No shortness of breath, no cough, no fever, no rashes, no recent illness.  Patient did get his covid vaccine 2/11/22.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: Patient is a 10 year old male with history of RSR' EKG, followed by peds cardiology (asymptomatic), presenting with chief complaint of chest pain.  Occurred this evening around 1830, patient was playing, started to feel left sided chest pain, lasted few minutes then resolved.  No shortness of breath, no cough, no fever, no rashes, no recent illness.  Patient did get his covid vaccine 2/11/22.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient received 1st dose Janssen 02/18/2022 Lot # 211D21A Patient received a 2nd Dose Pfizer 02/23/2022 Lot # 33025BD
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, Influenza A virus test, Influenza B virus test
Clinical narrative: Case was vaccinated and boosted by 10/22/21, then hospitalized for Covid on 12/31/21. Admitted for shortness of breath and hypoxia. Treated with dexamethosone, and discharged home.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Nucleic acid test, Respiratory syncytial virus test, SARS-CoV-2 test positive
Clinical narrative: Case was vaccinated and boosted by 10/22/21, then hospitalized for Covid on 12/31/21. Admitted for shortness of breath and hypoxia. Treated with dexamethosone, and discharged home.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache
Clinical narrative: Post COVID infection: Ongoing/persistent headaches. Some carry into the night. Will wake with headache.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Bursitis, Condition aggravated, Malaise
Clinical narrative: The symptoms from previous injection started w/ soreness in bicep muscle.  Continued into second dose.  Kept getting acupuncture treatments for it.  Over time pain went away from shoulder to in my elbow.  Dr diagnosed w/ tennis elbow and bursa elbow.  Saw dr in September who referred me to ortho who sent me to physical therapy.  Got booster and elbow flared up next day. Got covid like symptoms in jan and had elbow flare again.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: NO ADVERSE INCIDENT. ONLY HALF OF PRESCRIBED DOSE WAS GIVEN (0.15MG INSTEAD OF 0.3MG ).  PREDILUTED VACCINE WAS DILUTED WITH NORMAL SALINE.
Age: 35.0
Sex: M
Vaccine: COVID19, FLU4, COVID19
Symptoms: Anxiety, Chest discomfort, Distractibility, Dizziness, Dyspnoea
Clinical narrative: About 1000 am and about 2-3 minutes after pfizer and flu vaccinations were administered, a screener relayed information to the Agency, the  Patient reports lightheadedness. The writer(Nurse) who administered  the vaccinations checked on the patient while a Second nurse was enroute with the vital sign machine who then obtained vitals and monitored the patient until  the rapid response team arrived.1000 am the writer (Nurse)observed patient to be  ill-looking,upper torso flaccid, position in the bus seat, arms at his side,  facial flushing,head turned to right. The patient observed as mouth  breathing,tachypnea,and in respiratory distress. 1001 the Agency called the Rapid  Response team. The patient is alert to name and oriented to situation. Patient  verbalized complaining of "lightheadedness". At 1002, the patient verbalized to  the second nurse that he had tingling feeling in lips and mouth, chest heaviness  and verbalized SOB during the course of examination, but with distraction failed  to respond to further questioning. Additional reports tingling in hands  progressing to numbness on left arm during course of examination.  Second Nurse at 1002 observed patient in sitting position, grimacing  and in apparent  distress, responsive to voice and speaks with short phrases.  Initial VS:BP 168/109,HR 100, SpO2 91% in RA,tympanic temp 97.6 fareinheit.  Respirations labored evidenced by intercostal retractions.1008 the rapid response  team at the patients side.  B: the patient arrived with a group in a van to receive vaccinations.  A: No oral or subcutaneous injections given prior to arrival of rapid response  team. It appeared the patient expeienced either an allergic reaction secondary to  two vaccines or in acute anxiety.    R: About 1015, the patient was transported to the ER via company van for further  monitoring and complete assessment due to potential respiratory compromise.
Age: 35.0
Sex: M
Vaccine: COVID19, FLU4, COVID19
Symptoms: Flushing, Grimacing, Hypersensitivity, Hypoaesthesia, Hypotonia
Clinical narrative: About 1000 am and about 2-3 minutes after pfizer and flu vaccinations were administered, a screener relayed information to the Agency, the  Patient reports lightheadedness. The writer(Nurse) who administered  the vaccinations checked on the patient while a Second nurse was enroute with the vital sign machine who then obtained vitals and monitored the patient until  the rapid response team arrived.1000 am the writer (Nurse)observed patient to be  ill-looking,upper torso flaccid, position in the bus seat, arms at his side,  facial flushing,head turned to right. The patient observed as mouth  breathing,tachypnea,and in respiratory distress. 1001 the Agency called the Rapid  Response team. The patient is alert to name and oriented to situation. Patient  verbalized complaining of "lightheadedness". At 1002, the patient verbalized to  the second nurse that he had tingling feeling in lips and mouth, chest heaviness  and verbalized SOB during the course of examination, but with distraction failed  to respond to further questioning. Additional reports tingling in hands  progressing to numbness on left arm during course of examination.  Second Nurse at 1002 observed patient in sitting position, grimacing  and in apparent  distress, responsive to voice and speaks with short phrases.  Initial VS:BP 168/109,HR 100, SpO2 91% in RA,tympanic temp 97.6 fareinheit.  Respirations labored evidenced by intercostal retractions.1008 the rapid response  team at the patients side.  B: the patient arrived with a group in a van to receive vaccinations.  A: No oral or subcutaneous injections given prior to arrival of rapid response  team. It appeared the patient expeienced either an allergic reaction secondary to  two vaccines or in acute anxiety.    R: About 1015, the patient was transported to the ER via company van for further  monitoring and complete assessment due to potential respiratory compromise.
Age: 35.0
Sex: M
Vaccine: COVID19, FLU4, COVID19
Symptoms: Mouth breathing, Paraesthesia, Paraesthesia oral, Posture abnormal, Respiratory distress
Clinical narrative: About 1000 am and about 2-3 minutes after pfizer and flu vaccinations were administered, a screener relayed information to the Agency, the  Patient reports lightheadedness. The writer(Nurse) who administered  the vaccinations checked on the patient while a Second nurse was enroute with the vital sign machine who then obtained vitals and monitored the patient until  the rapid response team arrived.1000 am the writer (Nurse)observed patient to be  ill-looking,upper torso flaccid, position in the bus seat, arms at his side,  facial flushing,head turned to right. The patient observed as mouth  breathing,tachypnea,and in respiratory distress. 1001 the Agency called the Rapid  Response team. The patient is alert to name and oriented to situation. Patient  verbalized complaining of "lightheadedness". At 1002, the patient verbalized to  the second nurse that he had tingling feeling in lips and mouth, chest heaviness  and verbalized SOB during the course of examination, but with distraction failed  to respond to further questioning. Additional reports tingling in hands  progressing to numbness on left arm during course of examination.  Second Nurse at 1002 observed patient in sitting position, grimacing  and in apparent  distress, responsive to voice and speaks with short phrases.  Initial VS:BP 168/109,HR 100, SpO2 91% in RA,tympanic temp 97.6 fareinheit.  Respirations labored evidenced by intercostal retractions.1008 the rapid response  team at the patients side.  B: the patient arrived with a group in a van to receive vaccinations.  A: No oral or subcutaneous injections given prior to arrival of rapid response  team. It appeared the patient expeienced either an allergic reaction secondary to  two vaccines or in acute anxiety.    R: About 1015, the patient was transported to the ER via company van for further  monitoring and complete assessment due to potential respiratory compromise.
Age: 35.0
Sex: M
Vaccine: COVID19, FLU4, COVID19
Symptoms: Tachypnoea, Use of accessory respiratory muscles
Clinical narrative: About 1000 am and about 2-3 minutes after pfizer and flu vaccinations were administered, a screener relayed information to the Agency, the  Patient reports lightheadedness. The writer(Nurse) who administered  the vaccinations checked on the patient while a Second nurse was enroute with the vital sign machine who then obtained vitals and monitored the patient until  the rapid response team arrived.1000 am the writer (Nurse)observed patient to be  ill-looking,upper torso flaccid, position in the bus seat, arms at his side,  facial flushing,head turned to right. The patient observed as mouth  breathing,tachypnea,and in respiratory distress. 1001 the Agency called the Rapid  Response team. The patient is alert to name and oriented to situation. Patient  verbalized complaining of "lightheadedness". At 1002, the patient verbalized to  the second nurse that he had tingling feeling in lips and mouth, chest heaviness  and verbalized SOB during the course of examination, but with distraction failed  to respond to further questioning. Additional reports tingling in hands  progressing to numbness on left arm during course of examination.  Second Nurse at 1002 observed patient in sitting position, grimacing  and in apparent  distress, responsive to voice and speaks with short phrases.  Initial VS:BP 168/109,HR 100, SpO2 91% in RA,tympanic temp 97.6 fareinheit.  Respirations labored evidenced by intercostal retractions.1008 the rapid response  team at the patients side.  B: the patient arrived with a group in a van to receive vaccinations.  A: No oral or subcutaneous injections given prior to arrival of rapid response  team. It appeared the patient expeienced either an allergic reaction secondary to  two vaccines or in acute anxiety.    R: About 1015, the patient was transported to the ER via company van for further  monitoring and complete assessment due to potential respiratory compromise.
Age: 35.0
Sex: M
Vaccine: COVID19, FLU4, COVID19
Symptoms: Dysphagia, Dyspnoea, Hypoaesthesia oral, Lip swelling, Muscle spasms
Clinical narrative: About 1000 am and about 2-3 minutes after pfizer and flu vaccinations were administered, a screener relayed information to the Agency, the  Patient reports lightheadedness. The writer(Nurse) who administered  the vaccinations checked on the patient while a Second nurse was enroute with the vital sign machine who then obtained vitals and monitored the patient until  the rapid response team arrived.1000 am the writer (Nurse)observed patient to be  ill-looking,upper torso flaccid, position in the bus seat, arms at his side,  facial flushing,head turned to right. The patient observed as mouth  breathing,tachypnea,and in respiratory distress. 1001 the Agency called the Rapid  Response team. The patient is alert to name and oriented to situation. Patient  verbalized complaining of "lightheadedness". At 1002, the patient verbalized to  the second nurse that he had tingling feeling in lips and mouth, chest heaviness  and verbalized SOB during the course of examination, but with distraction failed  to respond to further questioning. Additional reports tingling in hands  progressing to numbness on left arm during course of examination.  Second Nurse at 1002 observed patient in sitting position, grimacing  and in apparent  distress, responsive to voice and speaks with short phrases.  Initial VS:BP 168/109,HR 100, SpO2 91% in RA,tympanic temp 97.6 fareinheit.  Respirations labored evidenced by intercostal retractions.1008 the rapid response  team at the patients side.  B: the patient arrived with a group in a van to receive vaccinations.  A: No oral or subcutaneous injections given prior to arrival of rapid response  team. It appeared the patient expeienced either an allergic reaction secondary to  two vaccines or in acute anxiety.    R: About 1015, the patient was transported to the ER via company van for further  monitoring and complete assessment due to potential respiratory compromise.
Age: 35.0
Sex: M
Vaccine: COVID19, FLU4, COVID19
Symptoms: Paraesthesia
Clinical narrative: About 1000 am and about 2-3 minutes after pfizer and flu vaccinations were administered, a screener relayed information to the Agency, the  Patient reports lightheadedness. The writer(Nurse) who administered  the vaccinations checked on the patient while a Second nurse was enroute with the vital sign machine who then obtained vitals and monitored the patient until  the rapid response team arrived.1000 am the writer (Nurse)observed patient to be  ill-looking,upper torso flaccid, position in the bus seat, arms at his side,  facial flushing,head turned to right. The patient observed as mouth  breathing,tachypnea,and in respiratory distress. 1001 the Agency called the Rapid  Response team. The patient is alert to name and oriented to situation. Patient  verbalized complaining of "lightheadedness". At 1002, the patient verbalized to  the second nurse that he had tingling feeling in lips and mouth, chest heaviness  and verbalized SOB during the course of examination, but with distraction failed  to respond to further questioning. Additional reports tingling in hands  progressing to numbness on left arm during course of examination.  Second Nurse at 1002 observed patient in sitting position, grimacing  and in apparent  distress, responsive to voice and speaks with short phrases.  Initial VS:BP 168/109,HR 100, SpO2 91% in RA,tympanic temp 97.6 fareinheit.  Respirations labored evidenced by intercostal retractions.1008 the rapid response  team at the patients side.  B: the patient arrived with a group in a van to receive vaccinations.  A: No oral or subcutaneous injections given prior to arrival of rapid response  team. It appeared the patient expeienced either an allergic reaction secondary to  two vaccines or in acute anxiety.    R: About 1015, the patient was transported to the ER via company van for further  monitoring and complete assessment due to potential respiratory compromise.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient got the expired Covid vaccine (vaccine expired on 02/12/22). No ADEs is reported
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19 on December 30; cough, fatigue, headache, very tired and wanted to sleep all day.  Cough developed on 12/26.  Symptoms resolved on 01/02. Isolated for 5 days.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Presyncope
Clinical narrative: Patient experienced a vasovagal episode with extreme sweating. The ambulance was called and by the time they arrived patient was alert and talking. Patient was brought to the ED via ambulance out of caution.