chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse drug reaction, Condition aggravated, Headache, Migraine
Clinical narrative: Sometime in 02/2022, after receiving my third COVID-19 vaccine, I began getting headaches and migraines. Right after receiving the vaccine, I got the normal side effects that I expected, but as days went on my headaches were getting worse. By March, I decided to see a doctor about the headaches who put me on topiramate. I've had migraines after receiving each dose of my COVID-19 vaccines and after having COVID-19 in 2021. I usually treat them with TYLENOL, but it wasn't helping enough. The doctor advised that I take topiramate at night, but it wasn't really helping either. In May of 2021, my headaches went away. I received my fourth dose of the COVID-19 vaccine, and then five weeks later, the headaches have returned.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Caesarean section, Exposure during pregnancy, Primigravida, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 4/25/22-4/29/22 child birth via c-section after failure to descend, covid +,  primigravida,  birth weight 2.97kg EGA 38w3d, pt weight 99kg
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Abscess, Inflammation, Rash
Clinical narrative: Abscess, Rash, Inflammation.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Pain in extremity
Clinical narrative: I didn't have an adverse event. I only had a sore arm & then got COVID-19 a month later.
Age: 67.0
Sex: M
Vaccine: COVID19-2, SMALLMNK
Symptoms: Bronchitis chronic, Cough, Ear infection, Fatigue, Feeling abnormal
Clinical narrative: I began to feel symptoms on Sunday, December 18, 2022. I felt fatigued and had a cough. I got worse each day and went to urgent care December 21, 2022. I did not have a fever. I was diagnosed with Influenza A and an ear infection. I was prescribed TAMIFLU for flu symptoms; ROBITUSSIN for my dry cough; azithromycin for ear infection. By that evening I felt worse and in the middle of the night I had a fever of 102 but was 99 when I woke up. I had been taking NYQUIL at night to help sleep. As the days progressed, I got better but my cough got worse, and it was more productive. Two weeks after this, about January 9, 2023, I returned to the same urgent care center for the cough. I was diagnosed with chronic bronchitis. I got another prescription for antibiotic and an inhaler to help with my cough. As of today, I still have a slight cough that feels like tickle in my upper lungs that is sometimes voluntary but also involuntary.
Age: 67.0
Sex: M
Vaccine: COVID19-2, SMALLMNK
Symptoms: General physical health deterioration, Influenza, Influenza A virus test positive, Productive cough, Pyrexia
Clinical narrative: I began to feel symptoms on Sunday, December 18, 2022. I felt fatigued and had a cough. I got worse each day and went to urgent care December 21, 2022. I did not have a fever. I was diagnosed with Influenza A and an ear infection. I was prescribed TAMIFLU for flu symptoms; ROBITUSSIN for my dry cough; azithromycin for ear infection. By that evening I felt worse and in the middle of the night I had a fever of 102 but was 99 when I woke up. I had been taking NYQUIL at night to help sleep. As the days progressed, I got better but my cough got worse, and it was more productive. Two weeks after this, about January 9, 2023, I returned to the same urgent care center for the cough. I was diagnosed with chronic bronchitis. I got another prescription for antibiotic and an inhaler to help with my cough. As of today, I still have a slight cough that feels like tickle in my upper lungs that is sometimes voluntary but also involuntary.
Age: 67.0
Sex: M
Vaccine: COVID19-2, SMALLMNK
Symptoms: Respiratory tract irritation, SARS-CoV-2 test negative
Clinical narrative: I began to feel symptoms on Sunday, December 18, 2022. I felt fatigued and had a cough. I got worse each day and went to urgent care December 21, 2022. I did not have a fever. I was diagnosed with Influenza A and an ear infection. I was prescribed TAMIFLU for flu symptoms; ROBITUSSIN for my dry cough; azithromycin for ear infection. By that evening I felt worse and in the middle of the night I had a fever of 102 but was 99 when I woke up. I had been taking NYQUIL at night to help sleep. As the days progressed, I got better but my cough got worse, and it was more productive. Two weeks after this, about January 9, 2023, I returned to the same urgent care center for the cough. I was diagnosed with chronic bronchitis. I got another prescription for antibiotic and an inhaler to help with my cough. As of today, I still have a slight cough that feels like tickle in my upper lungs that is sometimes voluntary but also involuntary.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Blood test, Coagulation test, Peripheral swelling, Thrombosis
Clinical narrative: On December 08th of 2022. I woke up and had considerable swelling in my right leg. The next morning it was still very swollen, and we went to the emergency room around 10:30AM on December 09th. They did an ultrasound of my leg, and they found a blood clot. I was given a shot in the stomach, and I don't know what it was. They prescribed ELIQUIS for me. For the first week I took 2 in the morning and 2 at night. I am currently taking 1 in the morning and 1 in the evening. My leg is still swollen. There was never any pain, but it was always swollen. I was advised to visit my regular doctor within a week. I was not able to see her until December 21, 2022, due to a blizzard. She told me to continue the ELIQUIS and ordered a blood test to see what my clotting factor currently. I have received the results, but I don't know what. I know I have not recovered as my leg is still swollen.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: On December 08th of 2022. I woke up and had considerable swelling in my right leg. The next morning it was still very swollen, and we went to the emergency room around 10:30AM on December 09th. They did an ultrasound of my leg, and they found a blood clot. I was given a shot in the stomach, and I don't know what it was. They prescribed ELIQUIS for me. For the first week I took 2 in the morning and 2 at night. I am currently taking 1 in the morning and 1 in the evening. My leg is still swollen. There was never any pain, but it was always swollen. I was advised to visit my regular doctor within a week. I was not able to see her until December 21, 2022, due to a blizzard. She told me to continue the ELIQUIS and ordered a blood test to see what my clotting factor currently. I have received the results, but I don't know what. I know I have not recovered as my leg is still swollen.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Cardiac arrest, Cardio-respiratory arrest, Chest tube insertion
Clinical narrative: She presented with chest congestion, cough, n/v/abd pain and covid + on 8-9-22.  She was admitted 8-8-22 ;  treated with remdesivir , BARICI, DEXA,  zosyn, vanco and merrem during her hosp stay which is from 8-8-22 to 9-21-22 at which time she  transferred to  facility.   She had anorexia, dysphagia  requiring Peg tube for nutrition .    Had a code blue 8-21-22 and had right sided pneumothorax with chest tube emergency placement.  Required intubation.  Made DNR 8-22-22 .     on 12-31-22 she was brought to ER in full cardiac arrest from a long term care facility .   ACLS was performed but she expired 12-31-22.   Had peg tube as well as long term trach.  Felt she likely passed from long term covid complications .
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Death, Decreased appetite, Dysphagia, Endotracheal intubation
Clinical narrative: She presented with chest congestion, cough, n/v/abd pain and covid + on 8-9-22.  She was admitted 8-8-22 ;  treated with remdesivir , BARICI, DEXA,  zosyn, vanco and merrem during her hosp stay which is from 8-8-22 to 9-21-22 at which time she  transferred to  facility.   She had anorexia, dysphagia  requiring Peg tube for nutrition .    Had a code blue 8-21-22 and had right sided pneumothorax with chest tube emergency placement.  Required intubation.  Made DNR 8-22-22 .     on 12-31-22 she was brought to ER in full cardiac arrest from a long term care facility .   ACLS was performed but she expired 12-31-22.   Had peg tube as well as long term trach.  Felt she likely passed from long term covid complications .
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrostomy, Life support, Nausea, Pneumothorax, Respiratory tract congestion
Clinical narrative: She presented with chest congestion, cough, n/v/abd pain and covid + on 8-9-22.  She was admitted 8-8-22 ;  treated with remdesivir , BARICI, DEXA,  zosyn, vanco and merrem during her hosp stay which is from 8-8-22 to 9-21-22 at which time she  transferred to  facility.   She had anorexia, dysphagia  requiring Peg tube for nutrition .    Had a code blue 8-21-22 and had right sided pneumothorax with chest tube emergency placement.  Required intubation.  Made DNR 8-22-22 .     on 12-31-22 she was brought to ER in full cardiac arrest from a long term care facility .   ACLS was performed but she expired 12-31-22.   Had peg tube as well as long term trach.  Felt she likely passed from long term covid complications .
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tracheostomy, Vomiting
Clinical narrative: She presented with chest congestion, cough, n/v/abd pain and covid + on 8-9-22.  She was admitted 8-8-22 ;  treated with remdesivir , BARICI, DEXA,  zosyn, vanco and merrem during her hosp stay which is from 8-8-22 to 9-21-22 at which time she  transferred to  facility.   She had anorexia, dysphagia  requiring Peg tube for nutrition .    Had a code blue 8-21-22 and had right sided pneumothorax with chest tube emergency placement.  Required intubation.  Made DNR 8-22-22 .     on 12-31-22 she was brought to ER in full cardiac arrest from a long term care facility .   ACLS was performed but she expired 12-31-22.   Had peg tube as well as long term trach.  Felt she likely passed from long term covid complications .
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pruritus, Rash, Scratch, Skin disorder, Ulcer
Clinical narrative: COVID VACCINATION -ITCHING, HIVES, RASH ALL OVER THE ARMS, LEGS, NECK, BACK, EVERYWHERE APPROXIMATETLY AROUND THE HOLIDAY AS REPORTED BY THE PATIENT  -ULCERS FROM SKIN BREAKING DOWN DUE TO SCRATCHING; NO INFECTIONS OR PUSTULES  >REPORTED VIA TELEPHONE BY PATIENT FEB 2 2023 @ APPROXIMATELY 12PM
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: COVID VACCINATION -ITCHING, HIVES, RASH ALL OVER THE ARMS, LEGS, NECK, BACK, EVERYWHERE APPROXIMATETLY AROUND THE HOLIDAY AS REPORTED BY THE PATIENT  -ULCERS FROM SKIN BREAKING DOWN DUE TO SCRATCHING; NO INFECTIONS OR PUSTULES  >REPORTED VIA TELEPHONE BY PATIENT FEB 2 2023 @ APPROXIMATELY 12PM
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Headache, Pain, Pain in extremity
Clinical narrative: On 02/04/2021, by the end of the day my arm was hurting, and I felt like a truck had run over me. I had chills, fever, headache, and body aches. A few days after all of those symptoms, everything went away with the exception of the headaches which got worse. I also experienced a strange tingly sensation in my arms and legs after receiving the vaccine and that continued on until I received my next dose of Pfizer. The headaches also began to dissipate little by little after that second dose. I did call my doctor's office and spoke with a representative, but was never seen.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: On 02/04/2021, by the end of the day my arm was hurting, and I felt like a truck had run over me. I had chills, fever, headache, and body aches. A few days after all of those symptoms, everything went away with the exception of the headaches which got worse. I also experienced a strange tingly sensation in my arms and legs after receiving the vaccine and that continued on until I received my next dose of Pfizer. The headaches also began to dissipate little by little after that second dose. I did call my doctor's office and spoke with a representative, but was never seen.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Brain scan normal, COVID-19, Disorientation, Emotional distress
Clinical narrative: Within 15 minutes of receiving the vaccine, I felt pressure in my head. I felt a disorientation. The doctor present took my blood pressure and it was 152/85. My normal blood pressure was low/normal around 116/70. She asked if I wanted further medical assistance. I said no and she had me wait 15 minutes to half an hour. She took the blood pressure and it was down some. I made an appointment with my family physician and saw him within 2 days. My blood pressure was still up and he prescribed amlodipine 50 mg. I made an appointment with a cardiologist a couple of weeks later. My blood pressure was still up at this point. He prescribed a second medication, metoprolol. I've been on those medications since. My doctor had me get a brain scan that came back normal. The cardiologist had me do a MRI for my blood vessels that turned out normal as well. I've continued on both of these medications to this day. I've also experienced ongoing bouts of distress that I've treated with CBD. Those bouts of distress continue on a semi-regular basis. I've also experienced a COVID-19 infection back on 07/01/2022. There were minor flu like symptoms. Headache, body aches. I tested positive and went on PAXLOVID. I had a very minor case of COVID-19. I tested negative 6 days later.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Influenza like illness, Magnetic resonance imaging normal, Pain
Clinical narrative: Within 15 minutes of receiving the vaccine, I felt pressure in my head. I felt a disorientation. The doctor present took my blood pressure and it was 152/85. My normal blood pressure was low/normal around 116/70. She asked if I wanted further medical assistance. I said no and she had me wait 15 minutes to half an hour. She took the blood pressure and it was down some. I made an appointment with my family physician and saw him within 2 days. My blood pressure was still up and he prescribed amlodipine 50 mg. I made an appointment with a cardiologist a couple of weeks later. My blood pressure was still up at this point. He prescribed a second medication, metoprolol. I've been on those medications since. My doctor had me get a brain scan that came back normal. The cardiologist had me do a MRI for my blood vessels that turned out normal as well. I've continued on both of these medications to this day. I've also experienced ongoing bouts of distress that I've treated with CBD. Those bouts of distress continue on a semi-regular basis. I've also experienced a COVID-19 infection back on 07/01/2022. There were minor flu like symptoms. Headache, body aches. I tested positive and went on PAXLOVID. I had a very minor case of COVID-19. I tested negative 6 days later.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Within 15 minutes of receiving the vaccine, I felt pressure in my head. I felt a disorientation. The doctor present took my blood pressure and it was 152/85. My normal blood pressure was low/normal around 116/70. She asked if I wanted further medical assistance. I said no and she had me wait 15 minutes to half an hour. She took the blood pressure and it was down some. I made an appointment with my family physician and saw him within 2 days. My blood pressure was still up and he prescribed amlodipine 50 mg. I made an appointment with a cardiologist a couple of weeks later. My blood pressure was still up at this point. He prescribed a second medication, metoprolol. I've been on those medications since. My doctor had me get a brain scan that came back normal. The cardiologist had me do a MRI for my blood vessels that turned out normal as well. I've continued on both of these medications to this day. I've also experienced ongoing bouts of distress that I've treated with CBD. Those bouts of distress continue on a semi-regular basis. I've also experienced a COVID-19 infection back on 07/01/2022. There were minor flu like symptoms. Headache, body aches. I tested positive and went on PAXLOVID. I had a very minor case of COVID-19. I tested negative 6 days later.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Malaise, Mobility decreased, Muscular weakness, Performance status decreased
Clinical narrative: Developed Poly Myalgae Rheumatica muscles got so weak unable to get out of bed, walk, pick up anything heavy.   Was on Prednisone starting in May of 2022 20mg.  Had to decrease dosage until one mg.  That lasted until 1/31/2023.  Been off for 2 days and body not doing well.  Been healthy all of my life.  Still bowl twice a week.  Was unable to throw horseshoe 30 feet in Spring of 2022 and barely able to walk when I finished games
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Polymyalgia rheumatica, Red blood cell sedimentation rate increased
Clinical narrative: Developed Poly Myalgae Rheumatica muscles got so weak unable to get out of bed, walk, pick up anything heavy.   Was on Prednisone starting in May of 2022 20mg.  Had to decrease dosage until one mg.  That lasted until 1/31/2023.  Been off for 2 days and body not doing well.  Been healthy all of my life.  Still bowl twice a week.  Was unable to throw horseshoe 30 feet in Spring of 2022 and barely able to walk when I finished games
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: This death was reported to us and we do  not have a date of covid test.   He had old records from that reported he had had covid in the past.  I do not have the dates.  I have no records of his covid illness.  He passed at his residence .
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given the Covid19 vaccine as dose #2 in the series.  Should have received the COVID19.  Patient had no adverse reaction to the vaccine.
Age: 1.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after the expiration date.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Incorrect product formulation administered, Vaccination error
Clinical narrative: The patient was given a monovalent Moderna vaccine instead of the bivalent vaccine. The company that gave the patient the first two vaccines had a documentation error and reported Moderna was given as first vaccine 7/19/2022 and second dose was pfizer on 9/2/2022. After the fact, this company admitted they gave Moderna instead of pfizer, leading us to a vaccine error of giving a 3rd monovalent vaccine dose.
Age: 43.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: This was a staff member who was not eligible to receive the vaccine due to already receiving one approx. 3 months prior.  No adverse reactions were reported or noted.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blindness, COVID-19, Fatigue, Head discomfort, Headache
Clinical narrative: On 11/18/2022, after receiving my vaccine, I began feeling run down. I took some TYLENOL that night. The next day, I was feeling lethargic and had body aches. That lasted a few days before the symptoms went away on their own. However, around 01/13/2023, I started having bad headaches again. Prior to 01/13/2023, I could feel some heaviness in my head, but I didn't have any pain. I have gotten headaches like this after every dose of a COVID-19 vaccine before this one as well. I also experienced an optical migraine while I had COVID-19. I had to call an ambulance because I lost vision. Since 01/13/2023, I have been experiencing floaters and headaches regularly. I have not yet seen a doctor for this specific round of headaches. I've been treating myself with ADVIL and TYLENOL.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lethargy, Ophthalmic migraine, Pain, Vitreous floaters
Clinical narrative: On 11/18/2022, after receiving my vaccine, I began feeling run down. I took some TYLENOL that night. The next day, I was feeling lethargic and had body aches. That lasted a few days before the symptoms went away on their own. However, around 01/13/2023, I started having bad headaches again. Prior to 01/13/2023, I could feel some heaviness in my head, but I didn't have any pain. I have gotten headaches like this after every dose of a COVID-19 vaccine before this one as well. I also experienced an optical migraine while I had COVID-19. I had to call an ambulance because I lost vision. Since 01/13/2023, I have been experiencing floaters and headaches regularly. I have not yet seen a doctor for this specific round of headaches. I've been treating myself with ADVIL and TYLENOL.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: COVID positive in Nov 2022. SOB in early Januray 2023. Has been hospitalized since that time. Transfer to Hospital on 2/2/23.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Respiratory distress, Sepsis
Clinical narrative: He was a resident of Care facility and presented to the ER 1-11-2023   with resp distress and had covid and sepsis .  Started on Broad spectrum antibiotics, remdesivir and steroids.  He was made dnr and comfort measures   He subsequently passed away 1-12-23.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: menstruation lasted over 28 consecutive days
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: This was a staff member who was not eligible to receive the vaccine due to already receiving one approx. 3 months prior.  No adverse reactions were reported or noted.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: This was a staff member who was not eligible to receive the vaccine due to already receiving one approx. 3 months prior.  No adverse reactions were reported or noted.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative, Sinus congestion
Clinical narrative: My severe chest cold symptoms started on 01/19/2023 in the afternoon. I had a sinus congestions, sore throat, and no fever. I called and made an appointment to my doctor's office for 01/30/2023. My doctor prescribed me with AUGMENTIN for 10 days. On 01/27/2023 I did a COVID-19 home test which was negative.
Age: 14.0
Sex: F
Vaccine: PNC20
Symptoms: Wrong product administered
Clinical narrative: Patient was given Prevnar 20 at her visit on 2/1/23 instead of the recommended Pneumovax 23. Parent informed. Discussed incident with Dr. and there are no significant concerns for side effects other than the usual vaccine reactions. Reached out to manufacture for re-vaccination recommendations and they will respond via email with a response within 7 business days.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Patient is a 76 y.o. male patient of Provider Not in System with history of HTN, CKD, OSA, hearing loss who presented to the ED with COVID pneumonia. He improved with supportive care and one dose of IV lasix with increase of his losartan. He was discharged back to his group home on 1/2.    Covid-19 Virus Infection Date of onset of symptoms: 12/30 Symptoms present on admission: short of breath Date of covid positive test: 12/30 Vaccination status: vaccinated Imaging: CXR bibasilar opacities Oxygen requirements on admission: 87% RA > 95% 3L Current oxygen requirements: 95% RA Medical therapy: not indicated; CrCl too low for paxlovid Consultants following: None Anticipated special isolation end date: 1/10   Hypertension, uncontrolled BP up to 210/103 on arrival Home regimen: coreg 25mg BID, nifedipine 90mg BID, losartan 25mg daily,spironolactone 25mg daily, lasix 40mg daily Continue home regimen but increased Losartan 50 mg    Peripheral edema -- improved 1+ edema to lower shins, POC BNP 444, lab BNP pend Per case manager, usually does not have any edema Likely 2/2 CKD, no other e/o CHF S/p IV Lasix x 1 Continue home PO lasix and aldactone   Chronic kidney disease stage 4 Baseline Cr appears to be around 3.0 Follows with CNP Cr. 2.48 on admission Follow after IV lasix dose, stable at 2.58 Continue home Bicarb and Lokelma 3x/wk   Dysuria New complaint 1/2 UA pending If concerning for infection, will start Keflex and send urine Cx   Developmental disability Hard of hearing Schizophrenia Bipolar disoder Has 24 hr home health care and case worker Receptive language via lip reading limited by mask, reading ability appears limited Continue home medication
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Creatinine renal clearance decreased, Culture urine, Dyspnoea, Dysuria, Hypertension
Clinical narrative: Patient is a 76 y.o. male patient of Provider Not in System with history of HTN, CKD, OSA, hearing loss who presented to the ED with COVID pneumonia. He improved with supportive care and one dose of IV lasix with increase of his losartan. He was discharged back to his group home on 1/2.    Covid-19 Virus Infection Date of onset of symptoms: 12/30 Symptoms present on admission: short of breath Date of covid positive test: 12/30 Vaccination status: vaccinated Imaging: CXR bibasilar opacities Oxygen requirements on admission: 87% RA > 95% 3L Current oxygen requirements: 95% RA Medical therapy: not indicated; CrCl too low for paxlovid Consultants following: None Anticipated special isolation end date: 1/10   Hypertension, uncontrolled BP up to 210/103 on arrival Home regimen: coreg 25mg BID, nifedipine 90mg BID, losartan 25mg daily,spironolactone 25mg daily, lasix 40mg daily Continue home regimen but increased Losartan 50 mg    Peripheral edema -- improved 1+ edema to lower shins, POC BNP 444, lab BNP pend Per case manager, usually does not have any edema Likely 2/2 CKD, no other e/o CHF S/p IV Lasix x 1 Continue home PO lasix and aldactone   Chronic kidney disease stage 4 Baseline Cr appears to be around 3.0 Follows with CNP Cr. 2.48 on admission Follow after IV lasix dose, stable at 2.58 Continue home Bicarb and Lokelma 3x/wk   Dysuria New complaint 1/2 UA pending If concerning for infection, will start Keflex and send urine Cx   Developmental disability Hard of hearing Schizophrenia Bipolar disoder Has 24 hr home health care and case worker Receptive language via lip reading limited by mask, reading ability appears limited Continue home medication
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Malaise, Oedema peripheral, SARS-CoV-2 test positive, Therapy change
Clinical narrative: Patient is a 76 y.o. male patient of Provider Not in System with history of HTN, CKD, OSA, hearing loss who presented to the ED with COVID pneumonia. He improved with supportive care and one dose of IV lasix with increase of his losartan. He was discharged back to his group home on 1/2.    Covid-19 Virus Infection Date of onset of symptoms: 12/30 Symptoms present on admission: short of breath Date of covid positive test: 12/30 Vaccination status: vaccinated Imaging: CXR bibasilar opacities Oxygen requirements on admission: 87% RA > 95% 3L Current oxygen requirements: 95% RA Medical therapy: not indicated; CrCl too low for paxlovid Consultants following: None Anticipated special isolation end date: 1/10   Hypertension, uncontrolled BP up to 210/103 on arrival Home regimen: coreg 25mg BID, nifedipine 90mg BID, losartan 25mg daily,spironolactone 25mg daily, lasix 40mg daily Continue home regimen but increased Losartan 50 mg    Peripheral edema -- improved 1+ edema to lower shins, POC BNP 444, lab BNP pend Per case manager, usually does not have any edema Likely 2/2 CKD, no other e/o CHF S/p IV Lasix x 1 Continue home PO lasix and aldactone   Chronic kidney disease stage 4 Baseline Cr appears to be around 3.0 Follows with CNP Cr. 2.48 on admission Follow after IV lasix dose, stable at 2.58 Continue home Bicarb and Lokelma 3x/wk   Dysuria New complaint 1/2 UA pending If concerning for infection, will start Keflex and send urine Cx   Developmental disability Hard of hearing Schizophrenia Bipolar disoder Has 24 hr home health care and case worker Receptive language via lip reading limited by mask, reading ability appears limited Continue home medication
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abnormal dreams, Blood donation, Feeling hot, Haemorrhoids, Hallucination
Clinical narrative: - a constant Headechs  -  Random body twitching sometimes strong some time minor  - mental limitation (new) - a death experience  - odd hallucination with a physical hallucination including dreams. - body over heats more than often - new disease (hemroid) - odd hiccups after eating or drinking( was more saver in the beginning)
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Headache, Hiccups, Mental impairment, Muscle twitching, Near death experience
Clinical narrative: - a constant Headechs  -  Random body twitching sometimes strong some time minor  - mental limitation (new) - a death experience  - odd hallucination with a physical hallucination including dreams. - body over heats more than often - new disease (hemroid) - odd hiccups after eating or drinking( was more saver in the beginning)
Age: 2.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was to receive her 4th dose of DTaP.  A TDap vaccine was pulled in error and given to patient.  Patient did not have any adverse effect from the administration of the TDap vaccine.
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: TESTED  POSITIVE FOR COVID 9-7-22 , DECEASED 10-10-2022.    WE DO HAVE A REPORT FROM 9-29-22 THAT SAYS SHE WAS ADMITTED TO A HOSP 9-25-22 BUT HAD NO SX OF COVID AT THAT TIME.  HAD A COVID VACCINE J AND J   4-2021  , NO OTHER VACCINES ON THAT DATE.  i ACCIDENTALLY MARKED A BOX IN ITEM 17.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Colectomy, Colitis ulcerative, Colonoscopy abnormal, Computerised tomogram
Clinical narrative: Migraines and swollen hands were first experienced in October 2022. By November she was experiencing severe gut and diarrhea; she went to her PCP, who did bloodwork and sent her home. She went back again and then went for more bloodwork. They gave several diagnoses that proved incorrect after two different ER visits. On January 6, she was in the ER for the third time and they transferred her to the hospital and was admitted; they did a colonospy on January 9th and diagnosed 3/4 of her colon was ulcerated. On january 13 she was transferred to a local hospital and they removed her colon.  Dr said that ' the colon disintegrated in his hands like a wet paper towel." She was in ICU for 5 days and did not get released until February 1, 2023. The diagnoses was ulcerative colitis, one of the adverse events listed by Pfizer as an 'adverse event'. The doctor said she would have died if they did n ot remove the colon.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Gastrointestinal disorder, Intensive care, Large intestinal ulcer, Migraine
Clinical narrative: Migraines and swollen hands were first experienced in October 2022. By November she was experiencing severe gut and diarrhea; she went to her PCP, who did bloodwork and sent her home. She went back again and then went for more bloodwork. They gave several diagnoses that proved incorrect after two different ER visits. On January 6, she was in the ER for the third time and they transferred her to the hospital and was admitted; they did a colonospy on January 9th and diagnosed 3/4 of her colon was ulcerated. On january 13 she was transferred to a local hospital and they removed her colon.  Dr said that ' the colon disintegrated in his hands like a wet paper towel." She was in ICU for 5 days and did not get released until February 1, 2023. The diagnoses was ulcerative colitis, one of the adverse events listed by Pfizer as an 'adverse event'. The doctor said she would have died if they did n ot remove the colon.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling
Clinical narrative: Migraines and swollen hands were first experienced in October 2022. By November she was experiencing severe gut and diarrhea; she went to her PCP, who did bloodwork and sent her home. She went back again and then went for more bloodwork. They gave several diagnoses that proved incorrect after two different ER visits. On January 6, she was in the ER for the third time and they transferred her to the hospital and was admitted; they did a colonospy on January 9th and diagnosed 3/4 of her colon was ulcerated. On january 13 she was transferred to a local hospital and they removed her colon.  Dr said that ' the colon disintegrated in his hands like a wet paper towel." She was in ICU for 5 days and did not get released until February 1, 2023. The diagnoses was ulcerative colitis, one of the adverse events listed by Pfizer as an 'adverse event'. The doctor said she would have died if they did n ot remove the colon.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines pFIZER 3/3/21 lOT# en6202;  pFIZER 3/24/21 lOT# er2613
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Impaired driving ability, Injection site pain, Pain in extremity, Pruritus
Clinical narrative: She got her vaccine, it was just a normal pain.  That pain did not last, it went away.  She walked around the store for about 2 hours as she felt if she was going to get a reaction it would be fast, so wanted to stay in the store.  Then that night about 2:00 AM her arm was hurting so bad and her head was hurting as well.  Then the headaches started getting worse, started coming and going.  She knew it wasn't a sinus headache, but has never had a pain like this.  It lasted all night long, and the sleeping pill did not help, neither did the anxiety pill.  She took Zolpidem Tartrate, 2 Tylenol 650 mg, Clonazepam 0.5 mg, which did not help her sleep.  She wanted to go to the ER but she did not want to go to the one by her and was in no condition to drive to the other one.  About 10:00 AM the headache started to subside some, but then would come back.    The next day she looked in her head and she noticed some patches/bumps in her head.  She then had some itching in her chest, and other areas.  She felt this was a slight reaction, but the head was in pain.  Later on Sunday/Monday she felt something in her head, and asked her husband to look at her head as it felt like a rash, and he told her that she had patches of red bumps that she was irritating by rubbing them.  The rash/bumps have spread to several other places in her head.  The headaches are a little less severe, but they do come and go.  She is going to call her doctor today.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Rash erythematous, Skin irritation, Sleep disorder
Clinical narrative: She got her vaccine, it was just a normal pain.  That pain did not last, it went away.  She walked around the store for about 2 hours as she felt if she was going to get a reaction it would be fast, so wanted to stay in the store.  Then that night about 2:00 AM her arm was hurting so bad and her head was hurting as well.  Then the headaches started getting worse, started coming and going.  She knew it wasn't a sinus headache, but has never had a pain like this.  It lasted all night long, and the sleeping pill did not help, neither did the anxiety pill.  She took Zolpidem Tartrate, 2 Tylenol 650 mg, Clonazepam 0.5 mg, which did not help her sleep.  She wanted to go to the ER but she did not want to go to the one by her and was in no condition to drive to the other one.  About 10:00 AM the headache started to subside some, but then would come back.    The next day she looked in her head and she noticed some patches/bumps in her head.  She then had some itching in her chest, and other areas.  She felt this was a slight reaction, but the head was in pain.  Later on Sunday/Monday she felt something in her head, and asked her husband to look at her head as it felt like a rash, and he told her that she had patches of red bumps that she was irritating by rubbing them.  The rash/bumps have spread to several other places in her head.  The headaches are a little less severe, but they do come and go.  She is going to call her doctor today.
Age: 51.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Cough, Fatigue, Lethargy, Malaise, Respiratory tract congestion
Clinical narrative: I had my vaccination on 11/02/2022. In 12/2022 my spouse became ill with respiratory infection. I got sick about 2 weeks later and I was sick for about 3 weeks. This included fatigue, congestions, lots of coughing, lethargic and runny nose. I went to urgent care and was prescribed antibiotics for respiratory infection. I do feel ok on 02/02/2023 but not 100%.
Age: 51.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Respiratory tract infection, Rhinorrhoea
Clinical narrative: I had my vaccination on 11/02/2022. In 12/2022 my spouse became ill with respiratory infection. I got sick about 2 weeks later and I was sick for about 3 weeks. This included fatigue, congestions, lots of coughing, lethargic and runny nose. I went to urgent care and was prescribed antibiotics for respiratory infection. I do feel ok on 02/02/2023 but not 100%.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: death reported to us without covid test.  She passed 11-7--22
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 9/22/21 Lot# 048F21A;  Moderna 10/20/21 Lot# 017f21A
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure
Clinical narrative: Diagnosed with Heart Failure 11/2022 - no family history or symptoms prior
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 10/26/21 Lot# no lot #; 11/26/21 Moderna Lot# 065F21A  NO LOT # AVAILABLE FOR THE 10/26/21 VACCINE IN THE DATABASE
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Basophil percentage decreased, Blood albumin normal
Clinical narrative: Developed a right leg DVT 3 weeks after receiving first dose of Moderna COVID19 vaccine.   Per providers note: Possibly provoked by COVID immunization 3 weeks prior with extensive occlusive clot extending from the right femoral vein just distal to the confluence of the greater saphenous vein through the popliteal vein into the peroneal and posterior tibial veins.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase decreased, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: Developed a right leg DVT 3 weeks after receiving first dose of Moderna COVID19 vaccine.   Per providers note: Possibly provoked by COVID immunization 3 weeks prior with extensive occlusive clot extending from the right femoral vein just distal to the confluence of the greater saphenous vein through the popliteal vein into the peroneal and posterior tibial veins.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal
Clinical narrative: Developed a right leg DVT 3 weeks after receiving first dose of Moderna COVID19 vaccine.   Per providers note: Possibly provoked by COVID immunization 3 weeks prior with extensive occlusive clot extending from the right femoral vein just distal to the confluence of the greater saphenous vein through the popliteal vein into the peroneal and posterior tibial veins.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Deep vein thrombosis, Eosinophil count normal, Eosinophil percentage decreased, Fibrin D dimer
Clinical narrative: Developed a right leg DVT 3 weeks after receiving first dose of Moderna COVID19 vaccine.   Per providers note: Possibly provoked by COVID immunization 3 weeks prior with extensive occlusive clot extending from the right femoral vein just distal to the confluence of the greater saphenous vein through the popliteal vein into the peroneal and posterior tibial veins.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate normal, Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Immature granulocyte count
Clinical narrative: Developed a right leg DVT 3 weeks after receiving first dose of Moderna COVID19 vaccine.   Per providers note: Possibly provoked by COVID immunization 3 weeks prior with extensive occlusive clot extending from the right femoral vein just distal to the confluence of the greater saphenous vein through the popliteal vein into the peroneal and posterior tibial veins.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: International normalised ratio normal, Lymphocyte count normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: Developed a right leg DVT 3 weeks after receiving first dose of Moderna COVID19 vaccine.   Per providers note: Possibly provoked by COVID immunization 3 weeks prior with extensive occlusive clot extending from the right femoral vein just distal to the confluence of the greater saphenous vein through the popliteal vein into the peroneal and posterior tibial veins.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Monocyte count increased, Monocyte percentage increased, Neutrophil count increased
Clinical narrative: Developed a right leg DVT 3 weeks after receiving first dose of Moderna COVID19 vaccine.   Per providers note: Possibly provoked by COVID immunization 3 weeks prior with extensive occlusive clot extending from the right femoral vein just distal to the confluence of the greater saphenous vein through the popliteal vein into the peroneal and posterior tibial veins.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil percentage increased, Platelet count normal, Protein total normal, Prothrombin time prolonged, Red blood cell count normal
Clinical narrative: Developed a right leg DVT 3 weeks after receiving first dose of Moderna COVID19 vaccine.   Per providers note: Possibly provoked by COVID immunization 3 weeks prior with extensive occlusive clot extending from the right femoral vein just distal to the confluence of the greater saphenous vein through the popliteal vein into the peroneal and posterior tibial veins.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Red cell distribution width normal, SARS-CoV-2 test negative, Ultrasound Doppler abnormal, White blood cell count increased
Clinical narrative: Developed a right leg DVT 3 weeks after receiving first dose of Moderna COVID19 vaccine.   Per providers note: Possibly provoked by COVID immunization 3 weeks prior with extensive occlusive clot extending from the right femoral vein just distal to the confluence of the greater saphenous vein through the popliteal vein into the peroneal and posterior tibial veins.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 4/19/21 Lot# Ew0150;  Pfizer 5/10/21 Lot# Ew0158
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Blood clots in left leg
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: On 01/04/2023 I received my Covid-19 vaccine. Around 01/27/2023 my throat started feeling raw. Then around the 29th of January symptoms gotten worse and I tested positive for Covid-19. I reached out to my doctor and was prescribed PAXLOVID. Symptoms are still ongoing.
Age: 93.0
Sex: F
Vaccine: TD
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was given on 1/28/23 and Td expired on 1/22/23. Pt did not have any adverse reactions as she monitored site vaccine was given in. She came back in a new vaccine was administered on 2/2/2023.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Child, age 10, was given Covid-19 Pfizer\ BioNTech vaccine dose for 12+ - no adverse effect were reported.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 4/20/21 Lot# Ew0171;  Pfizer 5/11/21 Lot# Ew0182
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Nephrolithiasis
Clinical narrative: This is WAAAAAY to comprehensive.  I can see why people don't follow through and complete the.  And what is the facility on the previous page?  facility for what - my doc visit, where I got the vaccine, where I went for my kidney stone diagnosis (er)?
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Chest pain, Fatigue
Clinical narrative: Per patient about two hours after receiving her Fluzone HD shot she had severe chest/heart pain. She consulted her MD and took pain meds. No pain the next day but severe tiredness for 2 days. No issues in past with HD. MD checked her heart and no issues.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines' Pfizer 1/27/21 Lot# El9261;  Pfizer 2/17/21 Lot# El9265;  Pfizer 10/7/21 Lot# Ew083;  Pfizer 5/3/22 Lot# FM0698
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Expired product administered
Clinical narrative: Vaccine was given after expiration date.  Expiration date was 9/30/22
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 1/23/21 Lot# 029L20A;  Moderna 2/20/21 Lot# 023M20A
Age: 34.0
Sex: M
Vaccine: COVID19-2, FLU4, FLUC3
Symptoms: Abdominal pain, Catheterisation cardiac normal, Chest discomfort, Diarrhoea, Echocardiogram abnormal
Clinical narrative: Patient obtained both a flu and COVID vaccine on Monday 1/23/23 and for the next 2 days subsequently felt relatively usual post vaccination including some fevers and lethargy.  Then on Thursday 1/26 developed a GI illness with 2 to 3 days of diarrhea and abdominal pain. Patient presented to the emergency department 1/29/2023 with chest pressure. He was found in his work-up to have elevated troponin to 1700 for which cardiology was consulted. An echocardiogram which showed mild hypokinesis of the basal anterior wall segment but otherwise normal ejection fraction at 56%. He was monitored in the hospital and was found to have rising troponins (peak level 8359), EKG was normal on admission however changed to show inferolateral T wave inversions. Given his progression of hospital course, it was decided to take him to the Cardiac Cath Lab 1/30/2023 which showed normal coronaries.  Given this finding, his most likely clinical scenario fit with myocarditis post COVID-vaccine and recent GI illness, he was started on NSAIDs and colchicine. He was discharged home on 1/31 on colchicine 0.6 mg/day x 3 months and ibuprofen 600 mg 3 times daily x 4 weeks.  He will follow-up with heart doctor in the next 2 to 3 weeks with plan for repeat echocardiogram in 3 months.