chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: I don't know for sure that my symptoms were a result of the vaccine but  they started soon after and lasted 4 weeks!  I had a rancid taste in my mouth...coming up from my throat!  Tasted like something went inside me and died! I didn't lose my sense of taste or smell.  I was in contact with my doctor I was not tested.  I just waited it out and thankfully it cleared up!  Thought I should report it in case it's helpful?  This happened after my 2nd dose of the same vaccine.  I didn't have any reactions to the 1st one.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna COVID-19 Vaccine EUA dose given 65 days after BUD for refrigeration
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Condition aggravated, Dermatitis, Erythema, Fatigue
Clinical narrative: I received my first dose of the Moderna Covid 19 Vaccine on 14 May 2021. I was fine all day, but around 8pm that evening I started getting extreme chills and felt absolutely terrible. I went to bed around 10pm and tossed and turned until 3:30 in the morning. At that time I woke up in an extreme sweat and wishing for death to put an end to the pain and misery; I assume I had a fever. I took some Tylenol and that did the trick to break the fever enough to allow me to get some sleep. The following night was slightly better, but I was still miserable. I received my second dose of the Moderna Covid 19 Vaccine at a grocery store, on 11 June 2021. Again, I felt fine for the day, but at about 8pm I started feeling terrible again. Chills, aches, sweating?. This time we had a thermometer in the house and I clocked in at a fever of 102.8 by 10pm. I took some Iburophen which helped but I ultimately had a long miserable night, again. I was drained and miserable the next day. The following evening, I once again had a fever of 101.8 and took Ibuprophen again to help. It took several days for me to recover to feeling decent.   My family and I went on a camping trip and tent camped for three days in June. I returned to another city on 21 June and after taking a shower my whole body became inflamed, glowed red from irritation, and I experienced itching all over my body; It was terrifying. If I had an itch anywhere on my body, and scratched it, it would inflame into a welt and stay inflamed for at least 15 minutes, sometimes longer. I dealt with this for over a week, until I went to a doctor in a town and was diagnosed with Urticaria. I was prescribed 180mg Allegra which I started taking one day later after it was approved by my flight doctor back at a military base. It lessened the irritation, but the inflammation remained. Even to this day, 13 August 2021, I am dealing with skin irritation that inflames after the slightest touch/itch. The Allegra seems to help lessen the inflammation, but it is still very much an issue.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fear, Feeling abnormal, Hyperhidrosis, Pain, Poor quality sleep
Clinical narrative: I received my first dose of the Moderna Covid 19 Vaccine on 14 May 2021. I was fine all day, but around 8pm that evening I started getting extreme chills and felt absolutely terrible. I went to bed around 10pm and tossed and turned until 3:30 in the morning. At that time I woke up in an extreme sweat and wishing for death to put an end to the pain and misery; I assume I had a fever. I took some Tylenol and that did the trick to break the fever enough to allow me to get some sleep. The following night was slightly better, but I was still miserable. I received my second dose of the Moderna Covid 19 Vaccine at a grocery store, on 11 June 2021. Again, I felt fine for the day, but at about 8pm I started feeling terrible again. Chills, aches, sweating?. This time we had a thermometer in the house and I clocked in at a fever of 102.8 by 10pm. I took some Iburophen which helped but I ultimately had a long miserable night, again. I was drained and miserable the next day. The following evening, I once again had a fever of 101.8 and took Ibuprophen again to help. It took several days for me to recover to feeling decent.   My family and I went on a camping trip and tent camped for three days in June. I returned to another city on 21 June and after taking a shower my whole body became inflamed, glowed red from irritation, and I experienced itching all over my body; It was terrifying. If I had an itch anywhere on my body, and scratched it, it would inflame into a welt and stay inflamed for at least 15 minutes, sometimes longer. I dealt with this for over a week, until I went to a doctor in a town and was diagnosed with Urticaria. I was prescribed 180mg Allegra which I started taking one day later after it was approved by my flight doctor back at a military base. It lessened the irritation, but the inflammation remained. Even to this day, 13 August 2021, I am dealing with skin irritation that inflames after the slightest touch/itch. The Allegra seems to help lessen the inflammation, but it is still very much an issue.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Pyrexia, Skin irritation, Urticaria
Clinical narrative: I received my first dose of the Moderna Covid 19 Vaccine on 14 May 2021. I was fine all day, but around 8pm that evening I started getting extreme chills and felt absolutely terrible. I went to bed around 10pm and tossed and turned until 3:30 in the morning. At that time I woke up in an extreme sweat and wishing for death to put an end to the pain and misery; I assume I had a fever. I took some Tylenol and that did the trick to break the fever enough to allow me to get some sleep. The following night was slightly better, but I was still miserable. I received my second dose of the Moderna Covid 19 Vaccine at a grocery store, on 11 June 2021. Again, I felt fine for the day, but at about 8pm I started feeling terrible again. Chills, aches, sweating?. This time we had a thermometer in the house and I clocked in at a fever of 102.8 by 10pm. I took some Iburophen which helped but I ultimately had a long miserable night, again. I was drained and miserable the next day. The following evening, I once again had a fever of 101.8 and took Ibuprophen again to help. It took several days for me to recover to feeling decent.   My family and I went on a camping trip and tent camped for three days in June. I returned to another city on 21 June and after taking a shower my whole body became inflamed, glowed red from irritation, and I experienced itching all over my body; It was terrifying. If I had an itch anywhere on my body, and scratched it, it would inflame into a welt and stay inflamed for at least 15 minutes, sometimes longer. I dealt with this for over a week, until I went to a doctor in a town and was diagnosed with Urticaria. I was prescribed 180mg Allegra which I started taking one day later after it was approved by my flight doctor back at a military base. It lessened the irritation, but the inflammation remained. Even to this day, 13 August 2021, I am dealing with skin irritation that inflames after the slightest touch/itch. The Allegra seems to help lessen the inflammation, but it is still very much an issue.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Feeling abnormal, Head injury, Limb injury
Clinical narrative: The patient informed us that she felt fine while she was in the store. When she left the store she fell in the parking lot, hit her head and scraped her arm.  She said she felt "funny" for a few days after this.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Headache, Pain, Polymerase chain reaction positive, Respiratory tract congestion
Clinical narrative: Emailed / vaccinated with pfizer in Feb- March 2021. Has cough, body ache and headache and mild congestion.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Thrombosis
Clinical narrative: Extremely heavy periods since the vaccine. Often with huge golf ball size blood chunks. I?ve had PCOS under control and this is not my normal to bleed as much and as often as I have been since the vaccine. I will have 3-4 extremely heavy days, soaking through pads, heavy to change menstrual cup once an hour with it filled each time (previously was having to only change 2-3 times a day).
Age: 38.0
Sex: M
Vaccine: HEP
Symptoms: Herpes zoster
Clinical narrative: Covid Shot 1st dose 1/19/21 left arm (fever for two days) arm ache Covid Shot 2nd dose 2/12/21 right arm (full body aches/all joints felt on fire for 7 days/fever) arm ache Heb B 1st dose 3/5/21 left arm (no initial reaction) Shingles began 3/7/21 lasted 3 to 4 weeks (Diagnosed 3/9/21 at Patient First, Valacyclovir 1gm 3 x a day and OTC Shingles ointment  Heb B 2nd dose 4/16/21 left arm no reaction
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Dyspnoea exertional, Electrocardiogram
Clinical narrative: Patient called COVID vaccine clinic on 8/13/2021 to report that 3 1/2 hours after receiving COVID vaccine on 08/10/2021 she started to experience chest pain/pressure, fluctuating between 4/10 and 8/10 on pain scale.  Also reported mild shortness of breath on exertion.  Denied any other symptoms (no rash, no swelling, no GI symptoms, no light headedness).  Reported she went the following day (08/11/2021) to an Urgent Care clinic and reports she had an EKG that was "not concerning."  She was instructed by the provider she saw at Urgent Care to go to the ED for blood work and further work up.  Reported that she did not go to the ED.  When this provider spoke with patient on 8/13/2021, she reported she was still experiencing chest pain/pressure and dyspnea on exertion.  Patient was again instructed to go promptly to the ED for evaluation, which she stated she would do.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: Patient called COVID vaccine clinic on 8/13/2021 to report that 3 1/2 hours after receiving COVID vaccine on 08/10/2021 she started to experience chest pain/pressure, fluctuating between 4/10 and 8/10 on pain scale.  Also reported mild shortness of breath on exertion.  Denied any other symptoms (no rash, no swelling, no GI symptoms, no light headedness).  Reported she went the following day (08/11/2021) to an Urgent Care clinic and reports she had an EKG that was "not concerning."  She was instructed by the provider she saw at Urgent Care to go to the ED for blood work and further work up.  Reported that she did not go to the ED.  When this provider spoke with patient on 8/13/2021, she reported she was still experiencing chest pain/pressure and dyspnea on exertion.  Patient was again instructed to go promptly to the ED for evaluation, which she stated she would do.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, Asthma, Benign prostatic hyperplasia
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/25/2021. Hospitalized from 07/24/21 - 08/13/21 (death). Below is copied from his discharge (death) summary:  Cause of Death  Cardiac arrest Acute respiratory failure    Discharge Condition: Expired   Hospital Course:  87 y.o. male admitted on 7/24/2021 for evaluation of generalized weakness for the past day, loss of appetite, increased dyspnea. In the ED with diffuse rhonchi. Sats 88% on room air. Started on 5 L NC. Work up with COVID. Also AKI. Started on abx and steroid   AMS and confusion  Acute hypoxic respiratory failure on nasal cannula.  COVID pneumonia, present on admission. Asthma exacerbation improved. Sepsis, now resolved, secondary to COVID. Acute kidney injury likely prerenal dehydration, resolved. Hypertension well controlled. Benign prostatic hypertrophy. Bipolar/schizophrenia. Delirium ? Psychosis vs dementia, improved. SI s/p mental health act 08/04.  Patient had a very long hospitalization on the floor and in the ICU  Treated with IV abx, IVF and all COVID treatment  He was on HF but improved at some point and placed on RA then got worse again so abx restarted and speech reevaluated During the admission his mental status didn't improve and he was on restraints to avoid self-harm Psych, neuro and pulm followed during the admission  CTH no acute findings as well as MRI .      Druing my round today around 11.15-11.20a found the patient to be unresponsive when I stepped in his room. Pulse ox wasn't on his finger tried to place it but didn't work so called RN but we couldn't appreciate any pulse that time so we called code blue . Patient still unresponsive and very faint heart sounds on exam with no significant pulse .  Code staff/ICU team responded. Compressions , respiratory support , epi given as well trial of intubation since the pateint still listed as FULL code, but unfortunately didn't tolerate it and expired around 1138am    Discussed in details with the staff  Also called and discussed with his Care giver and empathy provided Patient has no family around and his care giver knows him and takes care of him for 20 years
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac arrest, Cardio-respiratory arrest, Computerised tomogram head normal
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/25/2021. Hospitalized from 07/24/21 - 08/13/21 (death). Below is copied from his discharge (death) summary:  Cause of Death  Cardiac arrest Acute respiratory failure    Discharge Condition: Expired   Hospital Course:  87 y.o. male admitted on 7/24/2021 for evaluation of generalized weakness for the past day, loss of appetite, increased dyspnea. In the ED with diffuse rhonchi. Sats 88% on room air. Started on 5 L NC. Work up with COVID. Also AKI. Started on abx and steroid   AMS and confusion  Acute hypoxic respiratory failure on nasal cannula.  COVID pneumonia, present on admission. Asthma exacerbation improved. Sepsis, now resolved, secondary to COVID. Acute kidney injury likely prerenal dehydration, resolved. Hypertension well controlled. Benign prostatic hypertrophy. Bipolar/schizophrenia. Delirium ? Psychosis vs dementia, improved. SI s/p mental health act 08/04.  Patient had a very long hospitalization on the floor and in the ICU  Treated with IV abx, IVF and all COVID treatment  He was on HF but improved at some point and placed on RA then got worse again so abx restarted and speech reevaluated During the admission his mental status didn't improve and he was on restraints to avoid self-harm Psych, neuro and pulm followed during the admission  CTH no acute findings as well as MRI .      Druing my round today around 11.15-11.20a found the patient to be unresponsive when I stepped in his room. Pulse ox wasn't on his finger tried to place it but didn't work so called RN but we couldn't appreciate any pulse that time so we called code blue . Patient still unresponsive and very faint heart sounds on exam with no significant pulse .  Code staff/ICU team responded. Compressions , respiratory support , epi given as well trial of intubation since the pateint still listed as FULL code, but unfortunately didn't tolerate it and expired around 1138am    Discussed in details with the staff  Also called and discussed with his Care giver and empathy provided Patient has no family around and his care giver knows him and takes care of him for 20 years
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Confusional state, Death, Decreased appetite, Dehydration
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/25/2021. Hospitalized from 07/24/21 - 08/13/21 (death). Below is copied from his discharge (death) summary:  Cause of Death  Cardiac arrest Acute respiratory failure    Discharge Condition: Expired   Hospital Course:  87 y.o. male admitted on 7/24/2021 for evaluation of generalized weakness for the past day, loss of appetite, increased dyspnea. In the ED with diffuse rhonchi. Sats 88% on room air. Started on 5 L NC. Work up with COVID. Also AKI. Started on abx and steroid   AMS and confusion  Acute hypoxic respiratory failure on nasal cannula.  COVID pneumonia, present on admission. Asthma exacerbation improved. Sepsis, now resolved, secondary to COVID. Acute kidney injury likely prerenal dehydration, resolved. Hypertension well controlled. Benign prostatic hypertrophy. Bipolar/schizophrenia. Delirium ? Psychosis vs dementia, improved. SI s/p mental health act 08/04.  Patient had a very long hospitalization on the floor and in the ICU  Treated with IV abx, IVF and all COVID treatment  He was on HF but improved at some point and placed on RA then got worse again so abx restarted and speech reevaluated During the admission his mental status didn't improve and he was on restraints to avoid self-harm Psych, neuro and pulm followed during the admission  CTH no acute findings as well as MRI .      Druing my round today around 11.15-11.20a found the patient to be unresponsive when I stepped in his room. Pulse ox wasn't on his finger tried to place it but didn't work so called RN but we couldn't appreciate any pulse that time so we called code blue . Patient still unresponsive and very faint heart sounds on exam with no significant pulse .  Code staff/ICU team responded. Compressions , respiratory support , epi given as well trial of intubation since the pateint still listed as FULL code, but unfortunately didn't tolerate it and expired around 1138am    Discussed in details with the staff  Also called and discussed with his Care giver and empathy provided Patient has no family around and his care giver knows him and takes care of him for 20 years
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Delirium, Dementia, Dyspnoea, Endotracheal intubation, Heart sounds abnormal
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/25/2021. Hospitalized from 07/24/21 - 08/13/21 (death). Below is copied from his discharge (death) summary:  Cause of Death  Cardiac arrest Acute respiratory failure    Discharge Condition: Expired   Hospital Course:  87 y.o. male admitted on 7/24/2021 for evaluation of generalized weakness for the past day, loss of appetite, increased dyspnea. In the ED with diffuse rhonchi. Sats 88% on room air. Started on 5 L NC. Work up with COVID. Also AKI. Started on abx and steroid   AMS and confusion  Acute hypoxic respiratory failure on nasal cannula.  COVID pneumonia, present on admission. Asthma exacerbation improved. Sepsis, now resolved, secondary to COVID. Acute kidney injury likely prerenal dehydration, resolved. Hypertension well controlled. Benign prostatic hypertrophy. Bipolar/schizophrenia. Delirium ? Psychosis vs dementia, improved. SI s/p mental health act 08/04.  Patient had a very long hospitalization on the floor and in the ICU  Treated with IV abx, IVF and all COVID treatment  He was on HF but improved at some point and placed on RA then got worse again so abx restarted and speech reevaluated During the admission his mental status didn't improve and he was on restraints to avoid self-harm Psych, neuro and pulm followed during the admission  CTH no acute findings as well as MRI .      Druing my round today around 11.15-11.20a found the patient to be unresponsive when I stepped in his room. Pulse ox wasn't on his finger tried to place it but didn't work so called RN but we couldn't appreciate any pulse that time so we called code blue . Patient still unresponsive and very faint heart sounds on exam with no significant pulse .  Code staff/ICU team responded. Compressions , respiratory support , epi given as well trial of intubation since the pateint still listed as FULL code, but unfortunately didn't tolerate it and expired around 1138am    Discussed in details with the staff  Also called and discussed with his Care giver and empathy provided Patient has no family around and his care giver knows him and takes care of him for 20 years
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Infection, Intensive care, Magnetic resonance imaging normal, Mental status changes, Psychotic disorder
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/25/2021. Hospitalized from 07/24/21 - 08/13/21 (death). Below is copied from his discharge (death) summary:  Cause of Death  Cardiac arrest Acute respiratory failure    Discharge Condition: Expired   Hospital Course:  87 y.o. male admitted on 7/24/2021 for evaluation of generalized weakness for the past day, loss of appetite, increased dyspnea. In the ED with diffuse rhonchi. Sats 88% on room air. Started on 5 L NC. Work up with COVID. Also AKI. Started on abx and steroid   AMS and confusion  Acute hypoxic respiratory failure on nasal cannula.  COVID pneumonia, present on admission. Asthma exacerbation improved. Sepsis, now resolved, secondary to COVID. Acute kidney injury likely prerenal dehydration, resolved. Hypertension well controlled. Benign prostatic hypertrophy. Bipolar/schizophrenia. Delirium ? Psychosis vs dementia, improved. SI s/p mental health act 08/04.  Patient had a very long hospitalization on the floor and in the ICU  Treated with IV abx, IVF and all COVID treatment  He was on HF but improved at some point and placed on RA then got worse again so abx restarted and speech reevaluated During the admission his mental status didn't improve and he was on restraints to avoid self-harm Psych, neuro and pulm followed during the admission  CTH no acute findings as well as MRI .      Druing my round today around 11.15-11.20a found the patient to be unresponsive when I stepped in his room. Pulse ox wasn't on his finger tried to place it but didn't work so called RN but we couldn't appreciate any pulse that time so we called code blue . Patient still unresponsive and very faint heart sounds on exam with no significant pulse .  Code staff/ICU team responded. Compressions , respiratory support , epi given as well trial of intubation since the pateint still listed as FULL code, but unfortunately didn't tolerate it and expired around 1138am    Discussed in details with the staff  Also called and discussed with his Care giver and empathy provided Patient has no family around and his care giver knows him and takes care of him for 20 years
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulse absent, Resuscitation, Rhonchi, SARS-CoV-2 test positive, Schizoaffective disorder bipolar type
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/25/2021. Hospitalized from 07/24/21 - 08/13/21 (death). Below is copied from his discharge (death) summary:  Cause of Death  Cardiac arrest Acute respiratory failure    Discharge Condition: Expired   Hospital Course:  87 y.o. male admitted on 7/24/2021 for evaluation of generalized weakness for the past day, loss of appetite, increased dyspnea. In the ED with diffuse rhonchi. Sats 88% on room air. Started on 5 L NC. Work up with COVID. Also AKI. Started on abx and steroid   AMS and confusion  Acute hypoxic respiratory failure on nasal cannula.  COVID pneumonia, present on admission. Asthma exacerbation improved. Sepsis, now resolved, secondary to COVID. Acute kidney injury likely prerenal dehydration, resolved. Hypertension well controlled. Benign prostatic hypertrophy. Bipolar/schizophrenia. Delirium ? Psychosis vs dementia, improved. SI s/p mental health act 08/04.  Patient had a very long hospitalization on the floor and in the ICU  Treated with IV abx, IVF and all COVID treatment  He was on HF but improved at some point and placed on RA then got worse again so abx restarted and speech reevaluated During the admission his mental status didn't improve and he was on restraints to avoid self-harm Psych, neuro and pulm followed during the admission  CTH no acute findings as well as MRI .      Druing my round today around 11.15-11.20a found the patient to be unresponsive when I stepped in his room. Pulse ox wasn't on his finger tried to place it but didn't work so called RN but we couldn't appreciate any pulse that time so we called code blue . Patient still unresponsive and very faint heart sounds on exam with no significant pulse .  Code staff/ICU team responded. Compressions , respiratory support , epi given as well trial of intubation since the pateint still listed as FULL code, but unfortunately didn't tolerate it and expired around 1138am    Discussed in details with the staff  Also called and discussed with his Care giver and empathy provided Patient has no family around and his care giver knows him and takes care of him for 20 years
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sepsis, Unresponsive to stimuli
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/25/2021. Hospitalized from 07/24/21 - 08/13/21 (death). Below is copied from his discharge (death) summary:  Cause of Death  Cardiac arrest Acute respiratory failure    Discharge Condition: Expired   Hospital Course:  87 y.o. male admitted on 7/24/2021 for evaluation of generalized weakness for the past day, loss of appetite, increased dyspnea. In the ED with diffuse rhonchi. Sats 88% on room air. Started on 5 L NC. Work up with COVID. Also AKI. Started on abx and steroid   AMS and confusion  Acute hypoxic respiratory failure on nasal cannula.  COVID pneumonia, present on admission. Asthma exacerbation improved. Sepsis, now resolved, secondary to COVID. Acute kidney injury likely prerenal dehydration, resolved. Hypertension well controlled. Benign prostatic hypertrophy. Bipolar/schizophrenia. Delirium ? Psychosis vs dementia, improved. SI s/p mental health act 08/04.  Patient had a very long hospitalization on the floor and in the ICU  Treated with IV abx, IVF and all COVID treatment  He was on HF but improved at some point and placed on RA then got worse again so abx restarted and speech reevaluated During the admission his mental status didn't improve and he was on restraints to avoid self-harm Psych, neuro and pulm followed during the admission  CTH no acute findings as well as MRI .      Druing my round today around 11.15-11.20a found the patient to be unresponsive when I stepped in his room. Pulse ox wasn't on his finger tried to place it but didn't work so called RN but we couldn't appreciate any pulse that time so we called code blue . Patient still unresponsive and very faint heart sounds on exam with no significant pulse .  Code staff/ICU team responded. Compressions , respiratory support , epi given as well trial of intubation since the pateint still listed as FULL code, but unfortunately didn't tolerate it and expired around 1138am    Discussed in details with the staff  Also called and discussed with his Care giver and empathy provided Patient has no family around and his care giver knows him and takes care of him for 20 years
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acquired oesophageal web, Anticoagulant therapy, Bilevel positive airway pressure, Colonoscopy abnormal, Death
Clinical narrative: Patient received dose 1 and 2 of COVID vaccine on 2/6/21 and 2/27/21, respectively.  On 8/4/21 the patient presented from home after progressive upper respiratory symptoms that began on 7/28/21.  She states that about a week prior to admission she started having some generalized fatigue with progressively worsening shortness of breath to the point where it is difficult for her to ambulate.  She checked her oxygen levels at home and they were low hence she presented to the ED today for further evaluation.  On arrival she was found to be 82% on room air oxygen saturation.  She had no recent nausea, vomiting or diarrhea.  She stated that she has been occasionally seeing blood in her stools.  She had an EGD April 2021 which showed some gastritis and Schatzki's ring.  She also stated that she had a colonoscopy 2 weeks prior to admission which according to the patient showed some hemorrhoids. Patient was started on remdesivir, Lovenox for prophylaxis of DVT, continued home blood pressure medications, as well as vitamins.  Her inflammatory markers were trended.  Since oxygen saturation deteriorated rapidly, patient was upgraded  and was placed on Vapotherm 40 L 100% with as needed BiPAP.  Patient was continued on IV steroids and remdesivir.  Patient continued to decompensate while on Vapotherm, patient was requiring continuous BiPAP for several days and was unable to be weaned off of it.  Patient's mental status deteriorated as well.  All attempts were made to reach family but had difficulty, supportive care medicine was involved as well.  Her mentation began to further deteriorate and patient began to desaturate on BiPAP, necessitating intubation as per family's wishes.  Further goals of care discussion guarded family patient was made DNR.  Patient's family members came to hospital to see her, noted her again deconditioning discussed poor prognosis.  Patient is then made comfort care as per family.  Patient expired on 8/13/2021 at 4:18 AM.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Fatigue, Gait disturbance, Gastritis
Clinical narrative: Patient received dose 1 and 2 of COVID vaccine on 2/6/21 and 2/27/21, respectively.  On 8/4/21 the patient presented from home after progressive upper respiratory symptoms that began on 7/28/21.  She states that about a week prior to admission she started having some generalized fatigue with progressively worsening shortness of breath to the point where it is difficult for her to ambulate.  She checked her oxygen levels at home and they were low hence she presented to the ED today for further evaluation.  On arrival she was found to be 82% on room air oxygen saturation.  She had no recent nausea, vomiting or diarrhea.  She stated that she has been occasionally seeing blood in her stools.  She had an EGD April 2021 which showed some gastritis and Schatzki's ring.  She also stated that she had a colonoscopy 2 weeks prior to admission which according to the patient showed some hemorrhoids. Patient was started on remdesivir, Lovenox for prophylaxis of DVT, continued home blood pressure medications, as well as vitamins.  Her inflammatory markers were trended.  Since oxygen saturation deteriorated rapidly, patient was upgraded  and was placed on Vapotherm 40 L 100% with as needed BiPAP.  Patient was continued on IV steroids and remdesivir.  Patient continued to decompensate while on Vapotherm, patient was requiring continuous BiPAP for several days and was unable to be weaned off of it.  Patient's mental status deteriorated as well.  All attempts were made to reach family but had difficulty, supportive care medicine was involved as well.  Her mentation began to further deteriorate and patient began to desaturate on BiPAP, necessitating intubation as per family's wishes.  Further goals of care discussion guarded family patient was made DNR.  Patient's family members came to hospital to see her, noted her again deconditioning discussed poor prognosis.  Patient is then made comfort care as per family.  Patient expired on 8/13/2021 at 4:18 AM.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haematochezia, Haemorrhoids, Intensive care, Mental status changes, Oesophagogastroduodenoscopy abnormal
Clinical narrative: Patient received dose 1 and 2 of COVID vaccine on 2/6/21 and 2/27/21, respectively.  On 8/4/21 the patient presented from home after progressive upper respiratory symptoms that began on 7/28/21.  She states that about a week prior to admission she started having some generalized fatigue with progressively worsening shortness of breath to the point where it is difficult for her to ambulate.  She checked her oxygen levels at home and they were low hence she presented to the ED today for further evaluation.  On arrival she was found to be 82% on room air oxygen saturation.  She had no recent nausea, vomiting or diarrhea.  She stated that she has been occasionally seeing blood in her stools.  She had an EGD April 2021 which showed some gastritis and Schatzki's ring.  She also stated that she had a colonoscopy 2 weeks prior to admission which according to the patient showed some hemorrhoids. Patient was started on remdesivir, Lovenox for prophylaxis of DVT, continued home blood pressure medications, as well as vitamins.  Her inflammatory markers were trended.  Since oxygen saturation deteriorated rapidly, patient was upgraded  and was placed on Vapotherm 40 L 100% with as needed BiPAP.  Patient was continued on IV steroids and remdesivir.  Patient continued to decompensate while on Vapotherm, patient was requiring continuous BiPAP for several days and was unable to be weaned off of it.  Patient's mental status deteriorated as well.  All attempts were made to reach family but had difficulty, supportive care medicine was involved as well.  Her mentation began to further deteriorate and patient began to desaturate on BiPAP, necessitating intubation as per family's wishes.  Further goals of care discussion guarded family patient was made DNR.  Patient's family members came to hospital to see her, noted her again deconditioning discussed poor prognosis.  Patient is then made comfort care as per family.  Patient expired on 8/13/2021 at 4:18 AM.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Respiratory symptom, Supportive care
Clinical narrative: Patient received dose 1 and 2 of COVID vaccine on 2/6/21 and 2/27/21, respectively.  On 8/4/21 the patient presented from home after progressive upper respiratory symptoms that began on 7/28/21.  She states that about a week prior to admission she started having some generalized fatigue with progressively worsening shortness of breath to the point where it is difficult for her to ambulate.  She checked her oxygen levels at home and they were low hence she presented to the ED today for further evaluation.  On arrival she was found to be 82% on room air oxygen saturation.  She had no recent nausea, vomiting or diarrhea.  She stated that she has been occasionally seeing blood in her stools.  She had an EGD April 2021 which showed some gastritis and Schatzki's ring.  She also stated that she had a colonoscopy 2 weeks prior to admission which according to the patient showed some hemorrhoids. Patient was started on remdesivir, Lovenox for prophylaxis of DVT, continued home blood pressure medications, as well as vitamins.  Her inflammatory markers were trended.  Since oxygen saturation deteriorated rapidly, patient was upgraded  and was placed on Vapotherm 40 L 100% with as needed BiPAP.  Patient was continued on IV steroids and remdesivir.  Patient continued to decompensate while on Vapotherm, patient was requiring continuous BiPAP for several days and was unable to be weaned off of it.  Patient's mental status deteriorated as well.  All attempts were made to reach family but had difficulty, supportive care medicine was involved as well.  Her mentation began to further deteriorate and patient began to desaturate on BiPAP, necessitating intubation as per family's wishes.  Further goals of care discussion guarded family patient was made DNR.  Patient's family members came to hospital to see her, noted her again deconditioning discussed poor prognosis.  Patient is then made comfort care as per family.  Patient expired on 8/13/2021 at 4:18 AM.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Product preparation issue
Clinical narrative: patient was administered the salient only . The vaccine ActHib was not conjugated.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: PATIENT CALLED PHARMACY WITH SHORTNESS OF BREATH AND CHEST PAIN, REPORTED 30 MIN POST VACCINE
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Computerised tomogram head, Condition aggravated, Culture urine, Cystitis
Clinical narrative: recurrent cystitis, falls, leukocytosis, pain to finger, hip, shoulder because of falls
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Full blood count, Leukocytosis, Metabolic function test, Pain in extremity
Clinical narrative: recurrent cystitis, falls, leukocytosis, pain to finger, hip, shoulder because of falls
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis, X-ray limb
Clinical narrative: recurrent cystitis, falls, leukocytosis, pain to finger, hip, shoulder because of falls
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna COVID-19 Vaccine EUA dose given 65 days after BUD for refrigeration
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient developed itching, hives was given Benadryl 50 mg and the paient left. Came back over an hour later with her mom and had similar symptoms. We administered Benadryl again. Vital signs were stable. Patient wanted to go to the ED so we provided an ED transport she was discharged on epipen and steroids
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Pharyngeal swelling, Skin warm
Clinical narrative: Patient had her 1st Moderna COVID 19 shot in left deltoid.  About 25 min later,  patient complained of left sided throat swelling.  Vital signs: BP 150/92, P90, respirations - WNL, patient denied shortness of breath, skin- warm, dry. Pt did not want to go to hospital  Pt was given Benadryl PO (suspension). Patient waited with adult children 15 more minutes.  Pt reports she felt a little better, still felt like swelling was there, but wanted to go with family home. Verbalized understanding to seek medical attention if she felt worse.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Confusional state
Clinical narrative: Loss of memory and confusion.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Bilateral pulmonary embolism 7/19/21
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Fatigue
Clinical narrative: Cough, dyspnea, fatigue, headache, pneumonia, chest pain and wheezing
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Pneumonia, SARS-CoV-2 test positive, Wheezing
Clinical narrative: Cough, dyspnea, fatigue, headache, pneumonia, chest pain and wheezing
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna COVID-19 Vaccine EUA dose given 65 days after BUD for refrigeration
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Cold sweat, Dizziness, Nausea, Pallor
Clinical narrative: Pt here for J&J vaccine so that she can attend school by the end of the month.   At approx 4 min after the vaccine (12:41) I was called the room by the pt  She was feeling light headed and had ear ringing and nausea Initial vitals: 93/60, P 81. Pox 100%  5 min (12:46) later BP 81/54- pt started to feel better with continued light headedness and nausea No pain, alert and oriented x 3 Initally pt was clammy and pale- this improved with time CV: RRR Pulm: CTA bilat   12:57 bp 101/66, 90 1:00 bp 107/63, P 80- improving but coming in waves of dizziness 1:27- pt was feeling better and able to stand and walk to car w/o difficulty Reviewed symptoms to call or go to ED for
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Pt here for J&J vaccine so that she can attend school by the end of the month.   At approx 4 min after the vaccine (12:41) I was called the room by the pt  She was feeling light headed and had ear ringing and nausea Initial vitals: 93/60, P 81. Pox 100%  5 min (12:46) later BP 81/54- pt started to feel better with continued light headedness and nausea No pain, alert and oriented x 3 Initally pt was clammy and pale- this improved with time CV: RRR Pulm: CTA bilat   12:57 bp 101/66, 90 1:00 bp 107/63, P 80- improving but coming in waves of dizziness 1:27- pt was feeling better and able to stand and walk to car w/o difficulty Reviewed symptoms to call or go to ED for
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Dyspnoea, Pain, Painful respiration
Clinical narrative: Patient was seen for 2nd COVID vaccine on 8/9/21 and reported that 1 day after receiving the 1st dose he began with left sided chest pain that worsened with physical activity with radiation of pain to left side of back, back pain worsened with stretching and deep breathing, chest pain provoked some shortness of breath and lasted 7 days before symptoms subsided. No treatments were tried during that week. 8/9/21 was the first time that I heard of the incident.  No current symptoms of chest pain/heart palpitation/shortness of breath reported on 8/9/21 and heart sounds were normal on exam. No history of heart problems. 2nd Pfizer dose not given until patient gets clearance from cardiologist.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient's mother came to the pharmacy clinic intending to get up to date shots for her child for the new school year. The vaccination record booklet was evaluated and it was understood that we were going to be giving the first dose of the COVID vaccine. The mother answered the screening questions all indicating that she had not previously vaccinated her child for COVID. The COVID vaccine was given and then the mother stated that she had gotten a COVID vaccine already at a church clinic on 08/08/2021. It was not until after the shot was given that she informed us of the initial shot and shown the vaccine card.  A language barrier contributed to the miscommunication and the patient and mother went to a PCP visit where they were further evaluated and aware of the early COVID vaccine administration.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna COVID-19 Vaccine EUA dose given 54 days after BUD for refrigeration
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: First dose of Pfizer COVID-19 administered to patient who was less than 12 years of age. No adverse effects have been reported at this time. Patient will be 12 on 9/19/2021.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Chest X-ray, Differential white blood cell count, Eructation, Full blood count
Clinical narrative: Acute Abdominal Cramping, Belching, Nausea began at 10:30pm 7/19/21 4 hours of OTC attempts to relieve pain and pressure. Gas-X and Alka-Seltzer Self-drove to Emergency Room around 2:30am 7/20/21 All Tests Normal, and belching relieved enough pain 4 hours after check-in, so Discharged at 5:15am 7/20/21 w/ Rx for Dicyclomine 20mg Tab and Ondansetron ODT 4mg Disintegrating Tab
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Lipase, Metabolic function test, Nausea, Pregnancy test
Clinical narrative: Acute Abdominal Cramping, Belching, Nausea began at 10:30pm 7/19/21 4 hours of OTC attempts to relieve pain and pressure. Gas-X and Alka-Seltzer Self-drove to Emergency Room around 2:30am 7/20/21 All Tests Normal, and belching relieved enough pain 4 hours after check-in, so Discharged at 5:15am 7/20/21 w/ Rx for Dicyclomine 20mg Tab and Ondansetron ODT 4mg Disintegrating Tab
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin I, Urine analysis
Clinical narrative: Acute Abdominal Cramping, Belching, Nausea began at 10:30pm 7/19/21 4 hours of OTC attempts to relieve pain and pressure. Gas-X and Alka-Seltzer Self-drove to Emergency Room around 2:30am 7/20/21 All Tests Normal, and belching relieved enough pain 4 hours after check-in, so Discharged at 5:15am 7/20/21 w/ Rx for Dicyclomine 20mg Tab and Ondansetron ODT 4mg Disintegrating Tab
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Severe arm pain at site of injection.  Has become worse over time.  Unable to lift arm above head or raise behind back.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Electroencephalogram, Epilepsy, Magnetic resonance imaging
Clinical narrative: 2 days following shot I had major muscle and body pain through out my entire body (lasted about 24 hrs) 10 days following shot I had a first time seizure on May13th. On June 4th I had another seizure.   I have never had any signs or symptoms with epilepsy and now Im stuck with this diagnosis. I had mant tests done.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Seizure
Clinical narrative: 2 days following shot I had major muscle and body pain through out my entire body (lasted about 24 hrs) 10 days following shot I had a first time seizure on May13th. On June 4th I had another seizure.   I have never had any signs or symptoms with epilepsy and now Im stuck with this diagnosis. I had mant tests done.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pruritus, Rash, Sleep disorder
Clinical narrative: Rash all over abdomen , hands and feet sever itching unable to sleep, Rash lasted about 10 days headache or a week body aches for a week , wheezing and had to use inhaler for the week   Took Allegra and medrol dos pak and hydrocortisone cream on rash , albuterol
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Rash all over abdomen , hands and feet sever itching unable to sleep, Rash lasted about 10 days headache or a week body aches for a week , wheezing and had to use inhaler for the week   Took Allegra and medrol dos pak and hydrocortisone cream on rash , albuterol
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Cough, Dyspnoea, Mobility decreased
Clinical narrative: CC: weakness and SOB HPI: Patient is a 64 y.o. female with hx of CAD/stents who presents with complaints of weakness and SOB. States she was in her USOH until 3 days ago when she started having SOB. States her SOB gradually worsened with associated generalized weakness. Also, reports some intermittent dry cough. Denies any other complaints. Upon initial evaluation in ER patient found to have COVID pneumonia. Patient's O2 sats above mid 90's but she felt SOB and extremely weak to even get out of bed. Subsequently patient being admitted. Hospital medicine was asked to admit the patient for further evaluation and management
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Diarrhoea, Eye laser surgery, Hypertension, Lacrimation increased
Clinical narrative: 4/6/21 - 4/8/21  High blood pressure 170/100, Muscle aches, 102 fever, diarrhea, severe dehydration 4/12/21 - Posterior Vitreous Detachment of the left eye with visible black lines in field of vision.  Seen by retina specialist on 4/13/21 4/20/21 - Tears in the retina (left eye), treated with laser surgery 5/11/21 - More tears in the retina (left eye), treated with a second laser surgery; being followed by the retina specialist for next year.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Visual impairment, Vitreous detachment
Clinical narrative: 4/6/21 - 4/8/21  High blood pressure 170/100, Muscle aches, 102 fever, diarrhea, severe dehydration 4/12/21 - Posterior Vitreous Detachment of the left eye with visible black lines in field of vision.  Seen by retina specialist on 4/13/21 4/20/21 - Tears in the retina (left eye), treated with laser surgery 5/11/21 - More tears in the retina (left eye), treated with a second laser surgery; being followed by the retina specialist for next year.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Loss of consciousness
Clinical narrative: PATIENT STATED BEING WEAK AND DIZZY 5 MINUTES AFTER VACCINE ADMINISTRATION. PHARMACIST(RPH) RECOGNIZED PATIENT'S DECLINING STATUS, OBTAINED EPI-PEN (0.3MG IM DOSE).  ONCE THE RPH WAS BACK TO THE PATIENT (~5 SECONDS), THE PATIENT HAD PASSED OUT. RPH ADMINISTERED EPI-PEN IM ON LEFT THIGH. PATIENT REGAINED CONSCIOUSNESS  AFTER 15 SECONDS. EMS ARRIVED WITHIN 15 MINUTES AND TOOK PATIENT TO HOSPITAL.