chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Death, General physical health deterioration
Clinical narrative: Narrative: Patient received two doses of the covid vaccine and passed away 2 weeks after second dose. PMH includes diverticulosis, previous exposure to HBV (+HBcAb 2017, -HBsAg 2018), CKD IV, T2DM, HTN, HLD, BPH, and cirrhosis. Patient was transferred to home hospice given worsening condition. No other reports of cause of death noted. reporting due to instructions.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Narrative:  Patient died from complications of covid infection. LTC outbreak of covid after 1st dose of covid vaccine was given. No other details of death reported. Reporting due to instructions.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Hepatic cancer
Clinical narrative: Narrative: patient received two doses of covid vaccine. Death reported on 3/9/2021 with death cert stating cause of death liver cancer. patient has no other documentation of death relating to vaccination. reporting per instructions.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMH significant for elevated PSA, parkinson's disease, htn, advanced age, obesity, hyperlipidemia. Received 2nd dose of Moderna on 2/18/21. Deceased 4/27/21 under the care of hospice. No documentation of recent illness available.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Hepatic cirrhosis, Mental status changes
Clinical narrative: Narrative: Patient received one dose of covid vaccine. Patient was admitted at hospital 2/16-2/18 with AMS and possible seizure, concern for chronic subdural hematoma and possible disseminated Cryptococcosis; discharged with hospice services. Cause of death noted to be cirrhosis. Reporting per instruction.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Cardio-respiratory arrest, Death, Dyspnoea
Clinical narrative: Narrative:  Patient presented to hospital on 04/08/2021 with complaints of shortness of breath. Patient's respiratory declined in the ED and patient arrested in the ED and passed away. Per chart review, this patients cause of death was not likely attributable to the COVID-19 vaccine.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Injection site hypoaesthesia, Myalgia
Clinical narrative: Headache, Myalgia, Diarrhea, numbness at injection site, fatigue Narrative:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse drug reaction, Erythema
Clinical narrative: Narrative:  patient received no treatment for ADR, just came back to clinic to show had redness and wanted it documented
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt received Moderna Covid vaccine #1 on 3/5/21 and #2 on 4/2/21. No notes or scanned records indicating what happened after his second vaccine. Date of death is reported as 4/26/21. Time from second vaccine to date of death is 24 days. No autopsy report available.
Age: 30.0
Sex: F
Vaccine: RAB
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Fever, Chills Narrative:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation reaction, Injection site erythema, Injection site macule
Clinical narrative: "COVID Arm" 3 " diameter red blotch around injection site for 10 days.    Narrative:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Chronic obstructive pulmonary disease, Condition aggravated, Death, Dyspnoea
Clinical narrative: Narrative: Pt was a 72 YO male with PMH of severe bullous emphysema, COPD on oxygen therapy 6 L/min at nighttime, HFpEF (EF = 5%), hx of SVT admitted to hospital for increased sputum production, shortness of air, and afib. Cause of death was reported as hypoxic and hypercapnic respiratory failure secondary to end stage COPD. Family declined autopsy.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, Sputum increased
Clinical narrative: Narrative: Pt was a 72 YO male with PMH of severe bullous emphysema, COPD on oxygen therapy 6 L/min at nighttime, HFpEF (EF = 5%), hx of SVT admitted to hospital for increased sputum production, shortness of air, and afib. Cause of death was reported as hypoxic and hypercapnic respiratory failure secondary to end stage COPD. Family declined autopsy.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Hypotension, Hypoxia, Intensive care
Clinical narrative: Narrative: Patient received one dose of covid vaccine before testing positive for covid in nursing home outbreak. PMH includes RLL pulmonary fibrosis/bronchiectasis, HTN, T2DM, HLD transferred to the ICU for hypotension and hypoxia likely due to septic shock 2/2 aspiration PNA vs COVID PNA. Reporting per instruction.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia aspiration, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Narrative: Patient received one dose of covid vaccine before testing positive for covid in nursing home outbreak. PMH includes RLL pulmonary fibrosis/bronchiectasis, HTN, T2DM, HLD transferred to the ICU for hypotension and hypoxia likely due to septic shock 2/2 aspiration PNA vs COVID PNA. Reporting per instruction.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Pt was a 75 YO male with PMH of BPH, HTN, and CAD whose death was reported to facility by the agency.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery disease, Death, Hyperlipidaemia
Clinical narrative: Narrative: PER DEATH CERTIFICATE PATIENT DIED FROM CAD/HLD PEACEFULLY AT HIS HOME. Per chart review, this patients cause of death was not likely attributable to the COVID-19 vaccine
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Incomplete course of vaccination, Musculoskeletal stiffness
Clinical narrative: Narrative: Patient received Moderna COVID-19 vaccine from facility on 2/27/2021. He was identified by a pharmacy technician as overdue for his second dose. He was contacted via telephone and reported that he had a "stiff neck" after the first vaccine and that it is "livable". He declined the second COVID-19 vaccine.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Narrative:  Patient received Pfizer COVID19 vaccination on 3/23 and 4/13. Presented to PCP appointment on 5/19 and reported itching after second dose. No documentation of treatment.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Injection site pain
Clinical narrative: Headache, Myalgia, Fever, Rash, Diarrhea, NauseaVomiting, chills fatige site pain Narrative:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia, Rash, Vomiting
Clinical narrative: Headache, Myalgia, Fever, Rash, Diarrhea, NauseaVomiting, chills fatige site pain Narrative:
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient received one dose of the covid vaccine. PMH of HTN, PVD, Dementia, Patient appears to have been declining before vaccine ie weight loss, multiple falls. Patient has recent CVA and was transferred to hospice. no other details of death. reporting per facility.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dementia, Failure to thrive
Clinical narrative: Narrative: Patient received one dose of the covid vaccine. Patient died approx. one month after first dose. Cause of death noted to be end stage dementia and failure to thrive. Reporting per instruction.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache
Clinical narrative: HEADACHE, FATIGUE, JOINT PAIN, CHILLS RESOLVED IN 2 DAYS  Narrative:
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site rash, Localised oedema
Clinical narrative: Narrative:  72 yo male with PMH of COPD, HLD, and tobacco use reported a "red painful rash" after he got pneumovax vaccine on 4/26/2021. Pt was evaluated by PCP on 4/27/2021 via telephone. Per patient, rash went for L upper arm all the way to L elbow. He rated pain as 4-5/10. Pt denied other symptoms. Per records, patient denied any problems with past vaccination (has not received covid-19 vaccines). Pt was dx'd with localized edema of L upper arm post vaccination and was prescribed ibuprofen prn and non pharmacologic measures.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Cardiac output decreased, Cardiogenic shock, Catheterisation cardiac abnormal, Computerised tomogram thorax abnormal
Clinical narrative: Narrative:  Patient developed symptoms within 3 days of 2nd COVID-19 vaccination that by day 10 resulted in hospitalization and diagnosis of unprovoked bilateral pulmonary emboli, with resultant recurrent hospitalizations over the next 2 months for progressive right and now left heart failure and worsening RV/LV systolic function.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Left ventricular dysfunction, Left ventricular failure, Pulmonary embolism, Pulmonary hypertension
Clinical narrative: Narrative:  Patient developed symptoms within 3 days of 2nd COVID-19 vaccination that by day 10 resulted in hospitalization and diagnosis of unprovoked bilateral pulmonary emboli, with resultant recurrent hospitalizations over the next 2 months for progressive right and now left heart failure and worsening RV/LV systolic function.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Right ventricular failure, Systolic dysfunction, Ventricular failure, Ventricular hypokinesia
Clinical narrative: Narrative:  Patient developed symptoms within 3 days of 2nd COVID-19 vaccination that by day 10 resulted in hospitalization and diagnosis of unprovoked bilateral pulmonary emboli, with resultant recurrent hospitalizations over the next 2 months for progressive right and now left heart failure and worsening RV/LV systolic function.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Malaise, Myalgia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, chills, malaise Narrative:
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, chills, malaise Narrative:
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Death
Clinical narrative: Narrative: Pt is a 86y.o. male who died on 03/01/2021 w/ h/o gastroenteritis, HTN, AFib, prostate cancer, spinal cord lesion at C1-C4 level, ankylosing spondylitis, CDiff, Pressure Ulcer of Buttock stage 3, oropharyngeal dysphagia. Pt received Moderna Covid-19 Vaccination 2/2 on 02/08/2021. Pt died at Hospital on 03/01/2021 with physician reporting "Death was caused by: Cardiac Arrest". Unlikely that Moderna Covid-19 Vaccine caused/contributed to pt death.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever Narrative:
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bladder cancer, Death
Clinical narrative: Narrative:  Pt is a 81 y.o male who died on 04/21/2021 w/ h/o urothelial carcinoma, vascular dementia, HTN, diverticulitis with perforation s/p colostomy, COPD, bioprosthetic, AVR, chronic A.Fib., and hypothyroidism. Pt received Moderna Covid-19 Vaccination 2/2 on 02/19/2021. Pt consulted with palliative care 04/05/2021 for bladder cancer. Pt admitted to hospice services 04/08/2021. Unlikely that Moderna Covid-19 Vaccine caused/contributed to pt death.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction
Clinical narrative: Narrative:  Limited information provided on adverse reaction - patient received vaccine outside of hospital at the clinic. No  records to review, self reported to nurse during an appointment.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Narrative: Patient called telephone triage one month after receiving the Janssen vaccine to report 2 weeks of arm muscle soreness. Patient has not been available by phone for provider follow up.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Vascular operation
Clinical narrative: Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Pt was 75 years old with past medical history of A.Fib, Hyperlipidemia, COPD, Ocular Hypertension, Sleep Apnea, Chronic ischemic heart disease, Chronic pain, History of malignant neoplasm of bladder, Arteriosclerosis of nonautologous coronary artery bypass graft. Last few notes says patient had vascular surgery and was discharged to short term rehab in 3.21. There weren't notes on cause of death. Pt was deceased on 4.8.21.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 69 yo M with PMH of HLD, PVD, HTN, EtOH dependence, tobacco use, aortic embolism, RCA stenosis, subclavian artery stenosis, and vertebral artery occlusion. Per CPRS, Date of Death: MAR 12, 2021, Source of Notification: Agency.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient received two doses of covid vaccine. Limited documentation avail in chart. Unclear PMH. No details of death. Reporting per facility instruction.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Death, Dyspnoea
Clinical narrative: Narrative: Patient received two vaccines. PMH includes mixed dyslipidemia, diabetes mellitus, obstructive sleep apnea on CPAP, prior lung malingnacy, and in sinuc tach. admitted to outside hospital for chest pain and SOB. Patient died the following day. Unclear of any further details related to death. Reporting per facility instruction.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient received Moderna Covid vaccine #1 on 2/25/21. There are no notes in database system or scanned records to indicate what happened from that date until his date of death on 3/19/21. There were 22 days from vaccine to date of death, no autopsy report available.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Death, Dizziness, Hypotension, Pneumonia
Clinical narrative: Narrative:  Patient received Moderna covid vaccine #1 on 2/27/21 and #2 on 3/27/21. On 4/16/21, he was admitted at a another facility and treated for sepsis/pneumonia with vancomycin and Zosyn. Of note, history of metastatic stage II melanoma and that same day he had just returned from medical facility where he received a study drug through a clinical trial for melanoma. He was discharged home on 4/19/21 on oral levofloxacin. On 5/1/21, he was readmitted to that same facility with hypotension, dizziness and weakness and reported at that time he had discontinued the clinical trial and treatments for his cancer. On 5/2/21, he discharge home with home hospice services. There were 42 days from second vaccine to date of death. No autopsy report available.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sepsis
Clinical narrative: Narrative:  Patient received Moderna covid vaccine #1 on 2/27/21 and #2 on 3/27/21. On 4/16/21, he was admitted at a another facility and treated for sepsis/pneumonia with vancomycin and Zosyn. Of note, history of metastatic stage II melanoma and that same day he had just returned from medical facility where he received a study drug through a clinical trial for melanoma. He was discharged home on 4/19/21 on oral levofloxacin. On 5/1/21, he was readmitted to that same facility with hypotension, dizziness and weakness and reported at that time he had discontinued the clinical trial and treatments for his cancer. On 5/2/21, he discharge home with home hospice services. There were 42 days from second vaccine to date of death. No autopsy report available.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  PATIENT PASSED AWAY AT OUTSIDE NURSING HOME. UNSURE CAUSE OF DEATH BASED ON CHART REVIEW. Per chart review, this patients cause of death was not likely attributable to the COVID-19 vaccine.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Chronic kidney disease, Death, Duodenal ulcer, Dyspnoea
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient is a 75 yo male with PMH of CAD s/p CABG 1999, HFpEF, CKD stage 4 (baseline Cr 4), hypertension, severe COPD/emphysema on supplemental oxygen at 3-4L at home vnc, and s/p nephroureterectomy in 2005 who presented with several weeks of shortness of breath on exertion, previous smoker, cancer of the ureter status post left nephroureterectomy. Per notes from 5.7 patient was admitted to acute hosp on 3.31 due to shortness of breath. Patient developed GI bleed, and upper endoscopy PUD with multiple duodenal and gastric bleed and severe esophagitis. Pt. was transferred to local hospital LTAC on 4.9 for further management of respiratory failure, acute and chronic kidney failure. There was no cause of death noted on recent notes. Pt. passed away on 5.9.2021.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Endoscopy upper gastrointestinal tract abnormal, Gastric haemorrhage, Gastrointestinal haemorrhage, Oesophagitis
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient is a 75 yo male with PMH of CAD s/p CABG 1999, HFpEF, CKD stage 4 (baseline Cr 4), hypertension, severe COPD/emphysema on supplemental oxygen at 3-4L at home vnc, and s/p nephroureterectomy in 2005 who presented with several weeks of shortness of breath on exertion, previous smoker, cancer of the ureter status post left nephroureterectomy. Per notes from 5.7 patient was admitted to acute hosp on 3.31 due to shortness of breath. Patient developed GI bleed, and upper endoscopy PUD with multiple duodenal and gastric bleed and severe esophagitis. Pt. was transferred to local hospital LTAC on 4.9 for further management of respiratory failure, acute and chronic kidney failure. There was no cause of death noted on recent notes. Pt. passed away on 5.9.2021.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Peptic ulcer, Respiratory failure
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient is a 75 yo male with PMH of CAD s/p CABG 1999, HFpEF, CKD stage 4 (baseline Cr 4), hypertension, severe COPD/emphysema on supplemental oxygen at 3-4L at home vnc, and s/p nephroureterectomy in 2005 who presented with several weeks of shortness of breath on exertion, previous smoker, cancer of the ureter status post left nephroureterectomy. Per notes from 5.7 patient was admitted to acute hosp on 3.31 due to shortness of breath. Patient developed GI bleed, and upper endoscopy PUD with multiple duodenal and gastric bleed and severe esophagitis. Pt. was transferred to local hospital LTAC on 4.9 for further management of respiratory failure, acute and chronic kidney failure. There was no cause of death noted on recent notes. Pt. passed away on 5.9.2021.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Traumatic shock
Clinical narrative: Narrative: Patient received two covid vaccine doses. Patient was admitted to hospital shock trauma 3 weeks after second dose and passed. There is no documentation of exact cause of death. Reporting per facility instruction. PMH includes severe AS s/p TAVR at Hospital 5/28/2019, CAD s/p multiple prior PCI (3 PCI's to LAD most recent in 2008), CHF with mid-range EF of unclear etiology (EF 40-45% based on TTE 8/2019), symptomatic bradycardia s/p PPM (2011), HTN, HLD, Afib (CHADSVASC 6, on apixaban), prior CVA (2009), BPH, GERD, and RA
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cardiac failure, Death, Lung adenocarcinoma, Pleural effusion
Clinical narrative: Narrative:  Death not suspected to be related to COVID-19 vaccine administration. Patient was on Hospice care for Acute on chronic mixed respiratory failure with acute on chronic pleural effusions secondary to HFrEF/RVR and RLL adenocarcinoma.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient with two doses of the covid vaccine. Patient with terminal illness related to lungs. No further details of death noted. Reporting per facility instructions.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient received two doses of covid vaccine. Unclear if patient had any changed medical history or if this outcome was related at all to vaccination. No details reported of death. Reporting per facility instruction.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient received one dose of the covid vaccine. Patient with PMH of COPD, CHF, CAD. Unclear cause of death, no details documented in chart. Reporting per facility instruction.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary arterial stent insertion, Death, Dyspnoea, Resuscitation
Clinical narrative: Narrative: Patient received two doses of the covid vaccine. Patient with PMH of HTN, CAD sp cabg (1990s hospital), COPD. Reported SOB after covid vaccines. About one month after the second dose patient had difficulty breathing and had a medical emergency requiring EMS to arrive, CPR, and hospitalization. Patient required stents in heart. Unclear if any details available about cause of death. Reporting per facility instructions.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Disease progression
Clinical narrative: Narrative:  Patient received two doses of covid vaccine while on hospice for HCC. Death appeared progressive of disease. No further details of death noted. Reported per network guidance.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient received one dose of covid vaccine. Patient with PMH includingHLD, HTN, CDK3, HIV+, and left femoral below the knee popliteal bypass with PTEE and Linton patch c/b emergent fasciotomy for acute thrombosis on 6/2/20 c/b subsequent thrombosis and s/p thrombolytic therapy for acute limb ischemia and BKA. Patient was discharged to rehab with no further notes of cause of death. Reporting per facility instruction.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient received one dose of covid vaccine. 5 days after patient was found deceased in his home. Patient was with active metastatic, terminal lung cancer. No other details of death reported. Entered per facility instruction.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death, Respiratory failure
Clinical narrative: Narrative: Patient received two doses of covid vaccine. Patient reportedly passed of of cardiac arrest/respiratory failure. Unclear if any relation to covid vaccination as complex medical history including HTN, hyperlipidemia, CKD stage 3, CAD s/p bypass grafting in 2016, MI Sept 2016, BPH s/p TURP 2013, gout, hypothyroidism, TIA, glaucoma, vitamin D deficiency SCC of the mandible (2012) and right buccal SCCA (2017) s/p Wide Local Excisions, radiation and Split Thickness Skin Graft, depression, h/o right foot pressure ulcer and concerns for CHF. Reporting per network instruction.
Age: 100.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Hypotension, Myocardial infarction, Nausea, Sepsis
Clinical narrative: Narrative: Patient is a 99 YO male who presented to facility on around 2/9/2021 with complaints of nausea, vomiting, diarrhea, and low blood pressure day after COVID-19 Pfizer vaccine was administered. Patient received COVID-19 vaccine on 2/8/21 from facility. Caregiver reported to primary care nurse on 3/26/21 that patient was admitted with mild heart attack and sepsis. Patient was discharged, however length of hospital stay and details of treatment unknown.
Age: 100.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Narrative: Patient is a 99 YO male who presented to facility on around 2/9/2021 with complaints of nausea, vomiting, diarrhea, and low blood pressure day after COVID-19 Pfizer vaccine was administered. Patient received COVID-19 vaccine on 2/8/21 from facility. Caregiver reported to primary care nurse on 3/26/21 that patient was admitted with mild heart attack and sepsis. Patient was discharged, however length of hospital stay and details of treatment unknown.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Per facility computer system, death notification report on 02/02/21. Per report, wife reported patient expired at home. No other information has been provided.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness
Clinical narrative: Narrative: pt reported moderate dizziness after covid 19 vaccine (Moderna); stated that by next day dizziness went from moderate to mild but continued for a month; also had trouble concentrating on tasks for a month.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient received two doses of covid vaccine. Patient was end stage COPD on hospice. No other cause of death reported. Reporting per network instructions.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Neurological symptom
Clinical narrative: Narrative: Patient received one dose of covid vaccine. PMH of lewey body dementia, was in LTC. Patient developed stroke-like symptoms several weeks after vaccination and was transferred to outside hospital. Patient was returned to hospice where he passed. No other causes of death notated. Reporting per facility instructions.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dyspnoea
Clinical narrative: Narrative: Patient received two doses of covid vaccine. Patient with PMH of pulmonary fibrosis 2/2 organizing pneumonia on chronic immunosuppression. Patient was admitted for worsening breathing and after family meeting decidedly to change patient to DNR/DNI. Patient passed with no other documentation of death relating to other causes. Reporting per facility instructions.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient received one dose of J&J vaccine. No details recorded in chart as cause of death. Reporting per facility instructions.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Patient received two doses of covid vaccine. Patient was in LTC/hospice for end stage dementia. No further evaluation of death noted. Reporting per facility instructions.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture positive, COVID-19, Cardiac arrest, Culture urine positive, Death
Clinical narrative: Narrative: Pt is a 90y.o. male who died on 02/10/2021 w/ h/o vascular dementia, afib/flutter s/p ablation, pacemaker, DM, htn, facility resident-Tested positive for Covid 1/29. Pt received Moderna Covid-19 Vaccination 1/2 on 01/14/2021. Pt presented to ED on 02/02/2021 following positive covid-19 test on 01/29/2021. Patient was evaluated for bamlanivimab treatment, given Bam, and discharged. Pt presented to ED on 02/06/2021 with decrease IN MENTAL STATUS OVER 1 WEEK (PER REPORT FROM NURSE). PT UNABLE TO STATE NAME, WHERE HE IS. On 02/07/2021 palliative care was consulted and pt admitted to inpatient care. Infectious Disease consult on 02/10/2021 reported blood culture obtained and grew MRSA in 1/2 samples drawn 24 minutes apart on 2/6. he was started on Vanc and Ceftriaxone due to a positive urine culture for K. pneumoniae. Pt died on 02/10/2021 with physician reporting Death was caused by: PEA arrest secondary to sepsis. Unlikely that Moderna Covid-19 vaccine caused/contributed to pt death.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Klebsiella test positive, Mental status changes, Pulseless electrical activity, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Narrative: Pt is a 90y.o. male who died on 02/10/2021 w/ h/o vascular dementia, afib/flutter s/p ablation, pacemaker, DM, htn, facility resident-Tested positive for Covid 1/29. Pt received Moderna Covid-19 Vaccination 1/2 on 01/14/2021. Pt presented to ED on 02/02/2021 following positive covid-19 test on 01/29/2021. Patient was evaluated for bamlanivimab treatment, given Bam, and discharged. Pt presented to ED on 02/06/2021 with decrease IN MENTAL STATUS OVER 1 WEEK (PER REPORT FROM NURSE). PT UNABLE TO STATE NAME, WHERE HE IS. On 02/07/2021 palliative care was consulted and pt admitted to inpatient care. Infectious Disease consult on 02/10/2021 reported blood culture obtained and grew MRSA in 1/2 samples drawn 24 minutes apart on 2/6. he was started on Vanc and Ceftriaxone due to a positive urine culture for K. pneumoniae. Pt died on 02/10/2021 with physician reporting Death was caused by: PEA arrest secondary to sepsis. Unlikely that Moderna Covid-19 vaccine caused/contributed to pt death.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Staphylococcus test positive
Clinical narrative: Narrative: Pt is a 90y.o. male who died on 02/10/2021 w/ h/o vascular dementia, afib/flutter s/p ablation, pacemaker, DM, htn, facility resident-Tested positive for Covid 1/29. Pt received Moderna Covid-19 Vaccination 1/2 on 01/14/2021. Pt presented to ED on 02/02/2021 following positive covid-19 test on 01/29/2021. Patient was evaluated for bamlanivimab treatment, given Bam, and discharged. Pt presented to ED on 02/06/2021 with decrease IN MENTAL STATUS OVER 1 WEEK (PER REPORT FROM NURSE). PT UNABLE TO STATE NAME, WHERE HE IS. On 02/07/2021 palliative care was consulted and pt admitted to inpatient care. Infectious Disease consult on 02/10/2021 reported blood culture obtained and grew MRSA in 1/2 samples drawn 24 minutes apart on 2/6. he was started on Vanc and Ceftriaxone due to a positive urine culture for K. pneumoniae. Pt died on 02/10/2021 with physician reporting Death was caused by: PEA arrest secondary to sepsis. Unlikely that Moderna Covid-19 vaccine caused/contributed to pt death.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 89y.o. male who died on 02/04/2021 w/ h/o Alzheimer's disease, ACD, HLD, HTN, hypothyroid, BPH. Pt received Moderna Covid-19 Vaccination 1/2 on 01/20/2021. Pt admitted for full care by hospice on 02/01/2021 d/t Alzheimer's. Unlikely that Moderna Covid-19 Vaccine caused/contributed to pt death.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Death, Mental status changes
Clinical narrative: Narrative: Pt was a 69 yo M with PMH of DJD, CKD, HLD, DM2, and HTN presenting to ER with NSTEMI, altered mental status, possible head bleed, and GI bleed. Pt was transferred to another hospital, where he expired.
Age: 100.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Fall, Haemoglobin decreased, Transfusion
Clinical narrative: Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. PMH significant for hairy cell leukemia, thrombocytopenia, cardiac pacemaker, anemia, ckd stage 2, t2dm, advanced age. Pt was hospitalized at a outside entity hospital in late April due to a fall, and found to have a HGB level of 6, admitted for a transfusion. Was planned to be placed in a ALF. Deceased 5/4 with no cause of death documented.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 81y.o. male who died on 02/12/2021 w/ h/o ESRD on chronic HD, HTN, CAD h/o pci and stents, CHF EF 26%, tachycardia s/p ppm, aortic stenosis s/p TAVR 2019, T2DM, HTN, HLD. Pt received Moderna Covid-19 Vaccination 2/2 on 02/05/2021. Unlikely that Moderna Covid-19 Vaccine caused/contributed to pt death.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 75 y.o. male pt with Parkinson's disease with cognitive impairment, HTN, GERD, BPH, and h/o depression who passed away at home with hospice. No apparent correlation between vaccination and death.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Fall
Clinical narrative: Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMH significant for nocturia, senile xeroderma, PE, Alzheimer's disease, Atrial Fibrillation, CAD, Essential Hypertension, solitary nodule of lung. Pt was 82 years of age at time of death. Deceased under the care of hospice. No notation regarding cause of death available. Pt did fall out chair on 4/17 but was not taken to ER.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is an 80 yo M with PMH of OA, CHF, CAD, HLD, aortic valve stenosis, T2DM, HTN, hyperthyroidism. neuropathy, osteoporosis who received the 2nd dose of COVID-19 vaccination on 2/26. Per the coroner, the patient was expired in front of his home while power washing his driveway.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 72y.o. male who died on 01/30/2021 w/ h/o HTN, HLD, PVD, Hypothyroidism, DM, CKD3, GERD, CAD, CHF, cutaneous squamous cell carcinoma, and legal blindness. Pt received Moderna Covid-19 Vaccination 1/2 on 01/13/2021. Pt died at home on 01/30/2021. Unlikely that Moderna Covid-19 Vaccine caused/contributed to pt death.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: 85 y/o male Hospice patient on comfort care with hx COPD, HFpEF, prostate CA w /mets to bone, thrombocytopenia, DM2/neuropathy expired per Agency on 3/10/2021.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 90y.o. male who died on 01/31/2021 w/ h/o PE, ckd, dm, htn, ischemic cardiomyopathy, chf- echo 9/22/16 40% EF, hyponatremia, pulmonary hypertension,remote dvt lle. Pt received Moderna Covid-19 Vaccination 1/2 on 01/31/2021. Pt died at hospital at 01/31/2021 per AOD. Unlikely that Moderna Covid-19 vaccine caused/contributed to pt death.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 89y.o. who died on 01/31/2021 w/ h/o T2DM, HTN, GERD, BPH, CAD, COPD, CKD3. Pt received Moderna Covid-19 Vaccination 1/2 on 01/16/2021. Facility notified of pt death by Agency on 03/03/2021. Unlikely that Moderna Covid-19 Vaccine caused/contributed to pt death.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt was a 95 YO male with PMH of dementia, DM, GERD, tremors, COPD, BPH, glaucoma, and unspecified blood disorder. Pt date of death reported to facility as 3/12/2021
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Treatment noncompliance
Clinical narrative: Narrative: Pt is a 68y.o. Male who died on 02/03/2021 w h/o DM. CKD, pernicious anemia, cocaine dependence. Pt received Moderna Covid-19 Vaccination 1/2 on 01/13/2021. Pt presented to ED on 01/29/2021 after missing dialysis the day before and not taking BP meds, pt discharged later that day once stable. Pt died on 02/03/2021 at HOSPITAL/FACILITY per AOD. Unlikely that Moderna Covid-19 vaccine caused/contributed to pt death.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 95y.o. male who died on 02/02/2021 w/ h/o pernicious anemia, BPH, HTN, T2BM, GERD, HLD. Pt received Moderna Covid-19 Vaccine 1/2 on 01/16/2021. Pt died on 02/02/2021 at HOSPITAL. Unlikely that Moderna Covid-19 vaccine caused/contributed to pt death.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 77y.o. male who died on 02/10/2021 w/ h/o GERD, CKD5, hypothyroidism, T2DM, carcinoma of prostate, HTN, gout. Pt received Moderna Covid-19 Vaccination 1/2 on 01/15/2021. Pt died on 02/10/2021 at hospital. Unlikely that Moderna Covid-19 Vaccine caused/contributed to pt death.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Pericardial excision, Pericarditis
Clinical narrative: Narrative: INITALLY ADMITTED ON 03/25 WITH ACUTE PERICARDITIS AND DISCHARGED ON 03/27. THEN RE-ADMITTED ON 04/03 WITH ACUTE PERICARDITIS AND REQUIRED AN EMERGENT PERICARDIAL WINDOW BY CARDIOTHORACIC SURGERY.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Death
Clinical narrative: Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMH significant for CKD stage 3b, anxiety, Pulmonary HTN, chronic diastolic heart failure, obstructive sleep apnea, coronary arteriosclerosis, systemic arterial hypertension, Atrial fibrillation, morbid obesity, gout, dyslipidemia, t2dm. Received both doses of Moderna at a outside entity vaccination site. Was admitted in mid April at outside entity facility for abdominal pain. Was scheduled to see outside Primary care on 4/27/21. No notes regarding recent issues or illnesses. Patient deceased 5/10/2021.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 75y.o. male who died on 04/23/2021 w/ h/o Superior mesenteric vein thrombosis, Malignant tumor of pancreas, T2DM, CAD, COPD. Pt received Moderna Covid-19 Vaccination 2/2 on 02/13/2021. Unlikley that Moderna Covid-19 Vaccine caused/contributed pt death.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 75y.o. male who died on 04/24/2021 w/ h/o HLD, PVD, T2DM, CAD, Glaucoma. Pt received Moderna Covid-19 vaccine 2/2 on 02/22/2021. Unlikely that Moderna Covid-19 vaccine caused/contributed to pt death.
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 92y.o. male who died on 04/25/2021 w/ h/o dementia, PE, HTN, Hypothyroidism, CAD, SCC, BPH, HTN. Pt received Moderna Covid-19 Vaccination 2/2 on 02/12/2021. Pt transferred to LTC on 03/15/2021. Pt died on 04/25/2021. Unlikely that Moderna Covid-19 Vaccine caused/contributed to pt death
Age: 99.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 97y.o. male who died on 01/26/2021 w/ h/o CAD and HLD. Pt received Moderna Covid-19 Vaccination 1/2 on 01/14/2021. Unlikely that Moderna Covid-19 Vaccine caused/contributed to pt death.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Resuscitation
Clinical narrative: Narrative: Pt is a 90y.o. male who died on 03/21/2021 w/ h/o HLD, HTN, AFib, past aortic valve replacement, macrocytic anemia, COPD. Pt received Moderna Covid-19 Vacciantion 2/2 on 02/24/2021. Pt was found on the floor of his bedroom by his wife last PM around 1900 3/21/21, 911 was initiated, pt was taken to hospital and resuscitation was not successful. Per wife, pt had a good day with family and had gone to the restroom and then to his bedroom. Pt wife did request an autopsy. Unlikely that Moderna Covid-19 Vaccine Caused/Contributed to pt death.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Death, Dyspnoea, Fall
Clinical narrative: Narrative: Pt was a 72y.o. male who died on 01/29/2021 w/ h/o DVT, venous insufficiency, CHF, BPH, frontotemporal dementia, restrictive lung disease, hypertension. Pt received Moderna Covid-19 Vaccination 1/2 on 01/08/2021. Pt presented to ED on 01/23/2021 for evaluation of fall and shortness of breath. Pt admitted for palliative care. Pt died inpatient on 01/29/2021 with physician reporting Death was caused by: Acute Hypoxic Respiratory Failure . Unlikely that Moderna covid-19 vaccine caused/contributed to pt death.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt was a 78 YO male with PMH of HTN, HLD, cardiomyopathy, and dementia who was discharged to home hospice care due to his dementia diagnosis.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dysgeusia, Immediate post-injection reaction, Lip swelling
Clinical narrative: Narrative:  The patient reports she received the Moderna mRNA COVID-19 vaccination at Pharmacy. Following vaccination the patient states she immediately noted a metallic taste in her mouth similar to pennies. The patient states she left the pharmacy after - 15 minutes without acute symptoms. At her allergy appointment the patient stated she developed 3 oral sores, and her lips felt smoother and puffier than usual. The patient also noted some substernal chest pressure without dyspnea, throat clearing, cough or wheezing. Patient also reported extreme nausea that resolved with ondansetron. The patient then visited  the ED for evaluation and was treated with an EpiPen. The patient also reports she had tachycardia. Per allergist review, the patients symptoms did not particularly suggest anaphylaxis per WAO criteria and incidence is rare (2.5/million for Moderna vaccine)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Stomatitis, Tachycardia, Throat clearing, Wheezing
Clinical narrative: Narrative:  The patient reports she received the Moderna mRNA COVID-19 vaccination at Pharmacy. Following vaccination the patient states she immediately noted a metallic taste in her mouth similar to pennies. The patient states she left the pharmacy after - 15 minutes without acute symptoms. At her allergy appointment the patient stated she developed 3 oral sores, and her lips felt smoother and puffier than usual. The patient also noted some substernal chest pressure without dyspnea, throat clearing, cough or wheezing. Patient also reported extreme nausea that resolved with ondansetron. The patient then visited  the ED for evaluation and was treated with an EpiPen. The patient also reports she had tachycardia. Per allergist review, the patients symptoms did not particularly suggest anaphylaxis per WAO criteria and incidence is rare (2.5/million for Moderna vaccine)
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Death, Muscular weakness
Clinical narrative: Narrative: Pt is a 92y.o. male who died on 03/23/2021 w h/o HLD, BPH, cerebral infarction, GERD, skin cancer. Pt received Moderna Covid-19 Vaccination 1/2 on 03/15/2021. Pt presented to ED on 03/21/2021 for acute increasing weakness and ams. Palliative Care consult 03/23/2021 for pt to be transitioned to inpatient hospice unit for terminal care. Pt died on 03/24/2021 with physician reporting Death was caused by: Non-ST Elevation Myocardial Infarction . Unlikely that Moderna covid-19 vaccine caused/contributed to pt death.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt is a 81y.o. male who died on 03/24/2021 w/ h/o DM, HRN, BPH, HLD, past PE. Pt received Moderna Covid-19 Vaccination 1/2 on 02/26/2021. Pt DIED ON ARRIVAL (DOA) AT HOSPITAL (03/24/2021) PER EMAIL AND CPRS NOTE. Unlikely that Moderna Covid-19 vaccine caused/contributed to pt death.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Atrioventricular block first degree, Bronchial hyperreactivity, Bundle branch block right, Death, Electrocardiogram QT interval normal
Clinical narrative: Narrative:  Patient presented to this ED 3/7/2021 - EKG showed Sinus tachycardia with rate of 109 bpm. 1st degree AV block. Normal QT at 396 msec. QTc 533 msec. RAD. RBBB. No ST T wave elevation or depression. Compared to 9/17/19 new RBBB, changed axis and interval changes. Patient was subsequently transferred for further workup. Per chart review, this patients cause of death was not likely attributable to the COVID-19 vaccine
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Sinus tachycardia
Clinical narrative: Narrative:  Patient presented to this ED 3/7/2021 - EKG showed Sinus tachycardia with rate of 109 bpm. 1st degree AV block. Normal QT at 396 msec. QTc 533 msec. RAD. RBBB. No ST T wave elevation or depression. Compared to 9/17/19 new RBBB, changed axis and interval changes. Patient was subsequently transferred for further workup. Per chart review, this patients cause of death was not likely attributable to the COVID-19 vaccine
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Death, Decreased appetite, Dysstasia, Feeling abnormal
Clinical narrative: Narrative: Pt received Moderna Covid #1 on 3/11/21 and #2 on 4/8/21. He was followed by his healthcare provider and was noted to have wounds on his legs. On 4/20/21, family contacted healthcare provider to report he was feeling bad x 5 days with constant tremors, no appetite, productive cough and inability to stand. On 4/21/21, he was seen by his healthcare provider and during that visit, he had mild hallucinations (seeing a spider and a person that were not there). On 5/13/21, he was admitted to a facility and treated for septic shock, acute renal failure and hyperkalemia. He received ceftriaxone, calcium gluconate, fluconazole, Novolin R, sodium bicarbonate, kayelexate, vancomycin and Lopressor. Notes indicate that he was a DNR. He passed away on 5/14/21. No autopsy report available. Time from second vaccine to date of death was 36 days.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hallucination, visual, Hyperkalaemia, Limb injury, Productive cough, Septic shock
Clinical narrative: Narrative: Pt received Moderna Covid #1 on 3/11/21 and #2 on 4/8/21. He was followed by his healthcare provider and was noted to have wounds on his legs. On 4/20/21, family contacted healthcare provider to report he was feeling bad x 5 days with constant tremors, no appetite, productive cough and inability to stand. On 4/21/21, he was seen by his healthcare provider and during that visit, he had mild hallucinations (seeing a spider and a person that were not there). On 5/13/21, he was admitted to a facility and treated for septic shock, acute renal failure and hyperkalemia. He received ceftriaxone, calcium gluconate, fluconazole, Novolin R, sodium bicarbonate, kayelexate, vancomycin and Lopressor. Notes indicate that he was a DNR. He passed away on 5/14/21. No autopsy report available. Time from second vaccine to date of death was 36 days.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: Narrative: Pt received Moderna Covid #1 on 3/11/21 and #2 on 4/8/21. He was followed by his healthcare provider and was noted to have wounds on his legs. On 4/20/21, family contacted healthcare provider to report he was feeling bad x 5 days with constant tremors, no appetite, productive cough and inability to stand. On 4/21/21, he was seen by his healthcare provider and during that visit, he had mild hallucinations (seeing a spider and a person that were not there). On 5/13/21, he was admitted to a facility and treated for septic shock, acute renal failure and hyperkalemia. He received ceftriaxone, calcium gluconate, fluconazole, Novolin R, sodium bicarbonate, kayelexate, vancomycin and Lopressor. Notes indicate that he was a DNR. He passed away on 5/14/21. No autopsy report available. Time from second vaccine to date of death was 36 days.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Neoplasm malignant
Clinical narrative: Narrative: Patient received two doses of covid vaccine. Patient on hospice with active malignancy. No additional details of death noted. Reported per facility instructions.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Dizziness, Headache, Nausea, Pain
Clinical narrative: Dizziness, Headache, RespDepression, Nausea Vomiting, Angina,  Sharp pain  Narrative: