chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: I have tracked my menstrual cycle since 2017 and have been extremely regular. Approximately two weeks after receiving the booster Moderna Covid vaccine I started my flow on January 8, when I was expecting to start menstruating January 18.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Herpes zoster
Clinical narrative: Background info: about 25 years ago I had a classic case of shingles.  I subsequently received two courses of shingles vaccines, the single vaccine and the more recent double vaccine.  About a week after I received the booster COVID vaccine, I broke out on my upper back shoulder and around the top of my right shoulder.  At first I thought it was an allergic reaction to something else but didn't know what it could be.  Over the next week, the rash traveled across my back in a straight line. I took one leftover Valtrex pill that calmed the breakout and it was then I thought it could be a Shingles breakout.  I scheduled a visit with my PCP.  She had not seen any research on a relationship between the COVID vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Hypersensitivity, Pain, Urticaria
Clinical narrative: 3 hours after the vaccine, back started feeling hypersensitive and couldn't stand anything touching back.  Then became painful and developed and there was a welt on back. Found out that it was Shingles.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dizziness, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: 01/01/2022:  46-year-old male who denies medical history presents to the emergency department for chest pain, high heart rate. he notes mild dyspnea and states he feels somewhat lightheaded.  denies fevers, body aches, chills, cough but he does state that he is to sons have recently been diagnosed with Covid.  Denies vomiting or diarrhea.  Denies abdominal pain.  COVID exposure
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, SARS-CoV-2 test positive
Clinical narrative: 01/01/2022:  46-year-old male who denies medical history presents to the emergency department for chest pain, high heart rate. he notes mild dyspnea and states he feels somewhat lightheaded.  denies fevers, body aches, chills, cough but he does state that he is to sons have recently been diagnosed with Covid.  Denies vomiting or diarrhea.  Denies abdominal pain.  COVID exposure
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Oropharyngeal pain
Clinical narrative: I had sore throat, body aches, and I was very drowsy. After that I developed a cough and it was kind of difficult to breathe. I had a fever a few days later and I also had chilis. I felt very sore. I tested positive for Covid.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Somnolence
Clinical narrative: I had sore throat, body aches, and I was very drowsy. After that I developed a cough and it was kind of difficult to breathe. I had a fever a few days later and I also had chilis. I felt very sore. I tested positive for Covid.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID case.
Age: 1.0
Sex: M
Vaccine: MMRV, PNC13
Symptoms: Aphasia, Attention deficit hyperactivity disorder, Autism spectrum disorder, Language disorder, Speech disorder developmental
Clinical narrative: Patient was speaking at age appropriate level and was saying 7 words: mama, dada, Nana, papa, yes, no, and (his grandparents' dog's name). 3 days after the vaccines all language stopped and did not return until 6 months later.  At that time he only said mama. We had to enroll him in speech, healthy start, and ABA services to get all his language back, which took 1.5 years for it to be age appropriate.
Age: 17.0
Sex: F
Vaccine: HEP, HEPA, MMR, MNQ, TDAP, UNK, VARCEL
Symptoms: Anaemia, Syncope
Clinical narrative: CLIENT HAD SYNCOPE REACTION ABOUT 12-15 MINUTES AFTER ADMINISTRATION OF ALL VACCINES.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Lymph node pain, Lymphadenopathy, Pain
Clinical narrative: Roughly 12 hours later I had very restless legs, profuse sweating, and a bad headache. The sweating and restlessness went away but then I got a 99.7 fever. That went back to normal and I developed a swollen chest lymph node and swollen arm pit gland and both are extremely painful.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Restless legs syndrome
Clinical narrative: Roughly 12 hours later I had very restless legs, profuse sweating, and a bad headache. The sweating and restlessness went away but then I got a 99.7 fever. That went back to normal and I developed a swollen chest lymph node and swollen arm pit gland and both are extremely painful.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Pain
Clinical narrative: terrible chills, body aches, headache, sore injection site.....lasted 4 days
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Diarrhoea, Pyrexia, Rash, Vomiting
Clinical narrative: Fever >102, vomiting, diarrhea, fussiness, rash x 72hrs. Began about 6 hours after vaccine admin. Vomiting continued for an additional 4 days (still vomiting, not yet subsided). Treatment- seen by pediatrician on day 7. Continue to monitor.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: No adverse event reported. Reconstituted vaccine with expired sodium chloride diluent. Diluent was expired by 3 or 4 days. Awaiting instructions from Pfizer.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Pain in extremity
Clinical narrative: 10/31/2022- in the morning, any kind of exertion, I was getting shortness of breath, I had to stop for a while before it could caught up. I was walking 6 to 7 miles prior to the vaccine. I had a sore arm for a while, but that kind of goes with any vaccination. I mentioned it to my oncologist and he said we need to check into that, but he must have forgot because he did not do anything about it. I have recovered partially, it is better, but I still get shortness of breath if I walk for more than 2 to 2.5 miles.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pruritus, Rash, Urticaria
Clinical narrative: Hives/bumps, itchiness, and warmth coming from area around area of injection.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: December 1, 2021 Moderna vial moved from Freezer to Fridge  January 6, 2022 Dose administered.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt positive for COVID admitted to the hospital w/ PE, Afib.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: At 8:45am, this RN was notified that client beginning to itch after receiving injection. This RN assessed client and she denies any difficulty breathing at this time, but states nose, fingers, hands, and neck are itching. This RN noted hives to L hand, neck, and upper back. Client had received injection in L deltoid at 8:30am. Per protocol, client was given 50mg IM Benadryl. Monitored client x 30 more minutes and at 9:20am client stated itching is completely gone and denies any other s/s. Client encouraged to call 911 of develops distress at home. Client also encouraged to drink plenty of water.  Verbalized understanding.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: 10-Jan:  Sore arm. 11-Jan:  Sore arm and sore throat. 12-Jan:  All the above plus painful under arm and back (not as bad as under arm.  Raising arm hurts.
Age: 0.42
Sex: M
Vaccine: RV1
Symptoms: Inappropriate schedule of product administration
Clinical narrative: given after 14 weeks of age
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest pain, Death, Dyspnoea
Clinical narrative: pt presents to ED with c/o increasing SOB (over past week) and chest pain; diagnosed positive for COVID 5 days prior; treated with remedesivir, baricitinib, steroids, O2 supplementation, antibiotics; pneumonia due to COVID, sepsis; while in hospital experienced pulseless electrical activity, ACLS protocol followed, obtained ROSC; pt intubated and on mechanical ventilation; pt's condition worsened, poor prognosis; comfort measures and pt extubated; he died in the hospital
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Mechanical ventilation, Pulseless electrical activity, SARS-CoV-2 test positive
Clinical narrative: pt presents to ED with c/o increasing SOB (over past week) and chest pain; diagnosed positive for COVID 5 days prior; treated with remedesivir, baricitinib, steroids, O2 supplementation, antibiotics; pneumonia due to COVID, sepsis; while in hospital experienced pulseless electrical activity, ACLS protocol followed, obtained ROSC; pt intubated and on mechanical ventilation; pt's condition worsened, poor prognosis; comfort measures and pt extubated; he died in the hospital
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: pt presents to ED with c/o increasing SOB (over past week) and chest pain; diagnosed positive for COVID 5 days prior; treated with remedesivir, baricitinib, steroids, O2 supplementation, antibiotics; pneumonia due to COVID, sepsis; while in hospital experienced pulseless electrical activity, ACLS protocol followed, obtained ROSC; pt intubated and on mechanical ventilation; pt's condition worsened, poor prognosis; comfort measures and pt extubated; he died in the hospital
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the local Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac failure congestive, Chronic respiratory disease, Condition aggravated, Intensive care
Clinical narrative: COVID-19 hospitalization.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: COVID-19 hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Cough, Dyspnoea, Hypoxia
Clinical narrative: cough and dyspnea starting on 1/11/22.  Hypoxic.    TX includes: Oxygen, remdesivir, corticosteroidsprophylactic anticoagulation, pantoprazole
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: No adverse event reported. Reconstituted vaccine with expired sodium chloride diluent. Diluent was expired by 3 or 4 days. Awaiting instructions from Pfizer.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: 12/13/21 and 12/15/21: pt tested positive for symptomatic COVID-19 via PCR tests 12/15/21: pt presents to ED with dyspnea and confirmed COVID-19 positive pt admitted pt treated with dexamethasone, remdesivir and tocilizumab - pt progressed to bipap 12/20/21: pt expired
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, SARS-CoV-2 test positive
Clinical narrative: 10. Covid monitoring documentation. PT admitted 11/26/21 documented to have positive covid. PT received Pfizer 3/5/21 Lot EN6198 for dose 1. Dose 2 was Pfizer given on 3/26/21 Lot EP6955. PT expired on 12/12/21 due to COVID19 pneumonia.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: December 1, 2021 Vaccine vial moved from freezer to fridge January 6, 2022 Vaccine administered.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Cough, Decreased appetite, Fatigue
Clinical narrative: 1/10/2022 around 3:14 woke up with fever, muscle aches, chills, headache and pain at injection site. Continued to wake up about every 2 hours with the same symptoms. Throughout the day the fever vaccilitated between 100.6 and 101.3. Continued to feel all the other symptoms along with fatigue and lack of apatite and nausea with certain foods such as banana chocolate chip pancakes. 1/11/2022 developed pain in right shoulder blade during the night. Still had trouble sleeping. My temperature was 98.6 around 11am and 96.8 by 11pm. No muscle aches or chills by the morning. Fatigue was still there. Lessened pain at injection site. Pain continued in right shoulder blade. Appetite was slightly improved. Around 11am developed a sore throat that comes and goes. Around 4pm started to have a strange cough here and there where it feels like I have pressure on my chest and I just want to cough once to dislodge it. 1/12/2022 around 3pm woke up with stiff pain all the way from the base of my skull to my lower back which has not gone away. I was not able to go back to sleep. The strange cough began again around 7am and continues intermittently.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Insomnia, Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: 1/10/2022 around 3:14 woke up with fever, muscle aches, chills, headache and pain at injection site. Continued to wake up about every 2 hours with the same symptoms. Throughout the day the fever vaccilitated between 100.6 and 101.3. Continued to feel all the other symptoms along with fatigue and lack of apatite and nausea with certain foods such as banana chocolate chip pancakes. 1/11/2022 developed pain in right shoulder blade during the night. Still had trouble sleeping. My temperature was 98.6 around 11am and 96.8 by 11pm. No muscle aches or chills by the morning. Fatigue was still there. Lessened pain at injection site. Pain continued in right shoulder blade. Appetite was slightly improved. Around 11am developed a sore throat that comes and goes. Around 4pm started to have a strange cough here and there where it feels like I have pressure on my chest and I just want to cough once to dislodge it. 1/12/2022 around 3pm woke up with stiff pain all the way from the base of my skull to my lower back which has not gone away. I was not able to go back to sleep. The strange cough began again around 7am and continues intermittently.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: 1/10/2022 around 3:14 woke up with fever, muscle aches, chills, headache and pain at injection site. Continued to wake up about every 2 hours with the same symptoms. Throughout the day the fever vaccilitated between 100.6 and 101.3. Continued to feel all the other symptoms along with fatigue and lack of apatite and nausea with certain foods such as banana chocolate chip pancakes. 1/11/2022 developed pain in right shoulder blade during the night. Still had trouble sleeping. My temperature was 98.6 around 11am and 96.8 by 11pm. No muscle aches or chills by the morning. Fatigue was still there. Lessened pain at injection site. Pain continued in right shoulder blade. Appetite was slightly improved. Around 11am developed a sore throat that comes and goes. Around 4pm started to have a strange cough here and there where it feels like I have pressure on my chest and I just want to cough once to dislodge it. 1/12/2022 around 3pm woke up with stiff pain all the way from the base of my skull to my lower back which has not gone away. I was not able to go back to sleep. The strange cough began again around 7am and continues intermittently.
Age: 89.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: This patient received his booster dose too soon. It had not been 5 months since he completed his primary 2 dose series. Administered a Pfizer booster to him today.
Age: 38.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the local Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pityriasis rosea, Rash, Rash pruritic
Clinical narrative: On May 12, 2021, a small, rash-like spot appeared on my left hip. By June 2, 2021, my entire torso, legs, and arms were covered in a very itchy rash. I went to my doctor at local Family Health. He prescribed an antibiotic, which had no effect. I went back to the doctor about two weeks later and he prescribed a steroid, which had no effect. I was then referred to a local dermatologist. The rash was diagnosed as Pityriasis Rosea. The rash lasted for 12 weeks and was incredibly itchy.  My body still remains pigmented from all the little rash spots.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Computerised tomogram head, Condition aggravated, Tinnitus
Clinical narrative: I have had tinnitus for 24 years in both ears; however, for a year (around the vaccination), my left ear had a much louder and different sound of tinnitus. I also received a flu vaccine for the first time in December 2020.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Lung disorder, Lung opacity
Clinical narrative: 12/30/2021 :Event occurred after Janssen vaccine dose.  Patient presents with two days of worsening dyspnea, cough, and fever. She is actively receiving chemo and radiation for metastatic lung cancer and has recurrent pneumonia requiring ED trips and hospitalization most recently in october.  Patient denies: Diarrhea, urinary symptoms, blurred vision, sore throat, back pain, palpitations, dizziness, -Continue Decadron for total 10 days Complete the course of remdesivir.  Home O2
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, SARS-CoV-2 test positive, Scan abnormal
Clinical narrative: 12/30/2021 :Event occurred after Janssen vaccine dose.  Patient presents with two days of worsening dyspnea, cough, and fever. She is actively receiving chemo and radiation for metastatic lung cancer and has recurrent pneumonia requiring ED trips and hospitalization most recently in october.  Patient denies: Diarrhea, urinary symptoms, blurred vision, sore throat, back pain, palpitations, dizziness, -Continue Decadron for total 10 days Complete the course of remdesivir.  Home O2
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy breast, Breast pain, Lymphadenopathy, Mammogram, Mobility decreased
Clinical narrative: I had to have a mammogram in between the two doses. Right before the 2nd dose, because of the lymph nodes I got after the 1st vaccine. I got a breast biopsy after the 2nd dose, so it wasn't malignant. There is still pain in my breast, still can't lift. I healed but I still have a scar.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound breast
Clinical narrative: I had to have a mammogram in between the two doses. Right before the 2nd dose, because of the lymph nodes I got after the 1st vaccine. I got a breast biopsy after the 2nd dose, so it wasn't malignant. There is still pain in my breast, still can't lift. I healed but I still have a scar.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID 19 case.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the local Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 hospitalization
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Oedema peripheral
Clinical narrative: Swelling developed under the arm in the armpit area, accompanied by soreness, lasting about 3-4 days.
Age: 23.0
Sex: F
Vaccine: DF
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse event reported. Reconstituted vaccine with expired sodium chloride diluent. Diluent was expired by 3 or 4 days. Awaiting instructions from Pfizer.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: PATIENT HAD NAUSEA , DIZZINESS , EXTREME ANXIET ANDF DIAPHORETIC  AFTER 15 MINUTES OF ADMINISTRATION . WE CALLED  PARAMEDICS  . NO TREATMENT WAS GIVEN ANF PT. GOT BETTER AFTER 25 MINUTES AND LEFT STORE WITH HER BROTHER . PT. CALLED 4 HOURS LATER AND INFORMED US  THAT SHE WAS WELL
Age: 5.0
Sex: U
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient got a third dose on 12/30 even though they did not qualify for one. We believe our staff gave this "3rd" dose thinking that patient's dose was their second. Patient had got 2nd dose at our location but had not gotten first dose at our location.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Echocardiogram, Electrocardiogram, Implantable defibrillator insertion, Resuscitation
Clinical narrative: The day following the third COVID vaccine, the patient had a syncopal episode at home. This is presumeably secondary to ventricular tachycardia secondary to the patient's prolonged QT syndrome. The patient responded to a sharp cardiac thump and 911 was activated. The patient had not had a syncopal episode in two years since initial diagnosis until this event occurred a day following her booster. The patient was admitted and had a AICD placed
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Troponin, Ventricular tachycardia
Clinical narrative: The day following the third COVID vaccine, the patient had a syncopal episode at home. This is presumeably secondary to ventricular tachycardia secondary to the patient's prolonged QT syndrome. The patient responded to a sharp cardiac thump and 911 was activated. The patient had not had a syncopal episode in two years since initial diagnosis until this event occurred a day following her booster. The patient was admitted and had a AICD placed
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 11/23/21 documented to have positive covid. PT received Pfizer 8/19/21 Lot FC3182 for dose 1. Dose 2 was Pfizer given on 9/10/21 Lot 30135BA.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Laboratory test, Menstruation irregular, Ultrasound scan
Clinical narrative: I was post menopausal for 5 months prior to receiving injection. Began spotting consistently without having a normal period shortly after injection. This continued even after second dose.  My ob/gyn wanted to do exploratory surgery  to test for potential cancers since ultrasounds were inconclusive. Finally resolved about 1.5 months after second shot.  I had a period and then no more spotting occurred.  I have not had any additional spotting or period after May 2021.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Angiogram pulmonary abnormal, Aspartate aminotransferase normal, Aspiration, Atelectasis
Clinical narrative: Patient currently hospitalized at (12) days admission. This is a 23 y/o female with a PMH of morbid obesity BMI 57, OSA, asthma, hx of extreme premature birth with tracheostomy x 1 year as newborn who presents with a CC of shortness of breath. On interview, pt is wearing bipap. Bipap was removed and pt was placed on 3L O2. pt has significant stridor and wheeze on exam. She is able to answer all questions but is a limited historian. She is reporting associated cough. She denies fever, chills, productive cough, diarrhea, or trouble swallowing.  She is joined at bedside by her mother who states the pt has had stridor like symptoms mostly while latying flat for the last few months. She states she has been seen by her PCP and urgent care a few times over the last month and treated with steroids, antibiotics, duonebs and inhalers with short but temporary improvement. She confirms the pt is fully vaccinated and boosted with covid 19 vaccine. In the ER the pt was found to be afebrile with HR 130, RR 29, BP 143/82, and was placed on bipap. CBC with WBC 15.9, Hgb 11.3, otherwise WNL. VBG with pH 7.46. , procal WNL. CMP with glucose 120, ALP 137, otherwise WNL. viral CPR positive for covid 19. CXR showed new low lung volumes with bibasilar airspace opacities suspicios for atelectasis vs PNA vs aspiration. Hcg negative. The pt was given solumedrol, albuterol, duoneb, racemic epinephrine and admitted for workup.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase increased, Blood bicarbonate normal, Blood chloride normal, Blood creatinine normal, Blood gases
Clinical narrative: Patient currently hospitalized at (12) days admission. This is a 23 y/o female with a PMH of morbid obesity BMI 57, OSA, asthma, hx of extreme premature birth with tracheostomy x 1 year as newborn who presents with a CC of shortness of breath. On interview, pt is wearing bipap. Bipap was removed and pt was placed on 3L O2. pt has significant stridor and wheeze on exam. She is able to answer all questions but is a limited historian. She is reporting associated cough. She denies fever, chills, productive cough, diarrhea, or trouble swallowing.  She is joined at bedside by her mother who states the pt has had stridor like symptoms mostly while latying flat for the last few months. She states she has been seen by her PCP and urgent care a few times over the last month and treated with steroids, antibiotics, duonebs and inhalers with short but temporary improvement. She confirms the pt is fully vaccinated and boosted with covid 19 vaccine. In the ER the pt was found to be afebrile with HR 130, RR 29, BP 143/82, and was placed on bipap. CBC with WBC 15.9, Hgb 11.3, otherwise WNL. VBG with pH 7.46. , procal WNL. CMP with glucose 120, ALP 137, otherwise WNL. viral CPR positive for covid 19. CXR showed new low lung volumes with bibasilar airspace opacities suspicios for atelectasis vs PNA vs aspiration. Hcg negative. The pt was given solumedrol, albuterol, duoneb, racemic epinephrine and admitted for workup.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood magnesium normal, Blood pH increased, Blood potassium normal, Blood sodium normal
Clinical narrative: Patient currently hospitalized at (12) days admission. This is a 23 y/o female with a PMH of morbid obesity BMI 57, OSA, asthma, hx of extreme premature birth with tracheostomy x 1 year as newborn who presents with a CC of shortness of breath. On interview, pt is wearing bipap. Bipap was removed and pt was placed on 3L O2. pt has significant stridor and wheeze on exam. She is able to answer all questions but is a limited historian. She is reporting associated cough. She denies fever, chills, productive cough, diarrhea, or trouble swallowing.  She is joined at bedside by her mother who states the pt has had stridor like symptoms mostly while latying flat for the last few months. She states she has been seen by her PCP and urgent care a few times over the last month and treated with steroids, antibiotics, duonebs and inhalers with short but temporary improvement. She confirms the pt is fully vaccinated and boosted with covid 19 vaccine. In the ER the pt was found to be afebrile with HR 130, RR 29, BP 143/82, and was placed on bipap. CBC with WBC 15.9, Hgb 11.3, otherwise WNL. VBG with pH 7.46. , procal WNL. CMP with glucose 120, ALP 137, otherwise WNL. viral CPR positive for covid 19. CXR showed new low lung volumes with bibasilar airspace opacities suspicios for atelectasis vs PNA vs aspiration. Hcg negative. The pt was given solumedrol, albuterol, duoneb, racemic epinephrine and admitted for workup.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea normal, COVID-19, Cardiomegaly, Chest X-ray abnormal, Computerised tomogram neck
Clinical narrative: Patient currently hospitalized at (12) days admission. This is a 23 y/o female with a PMH of morbid obesity BMI 57, OSA, asthma, hx of extreme premature birth with tracheostomy x 1 year as newborn who presents with a CC of shortness of breath. On interview, pt is wearing bipap. Bipap was removed and pt was placed on 3L O2. pt has significant stridor and wheeze on exam. She is able to answer all questions but is a limited historian. She is reporting associated cough. She denies fever, chills, productive cough, diarrhea, or trouble swallowing.  She is joined at bedside by her mother who states the pt has had stridor like symptoms mostly while latying flat for the last few months. She states she has been seen by her PCP and urgent care a few times over the last month and treated with steroids, antibiotics, duonebs and inhalers with short but temporary improvement. She confirms the pt is fully vaccinated and boosted with covid 19 vaccine. In the ER the pt was found to be afebrile with HR 130, RR 29, BP 143/82, and was placed on bipap. CBC with WBC 15.9, Hgb 11.3, otherwise WNL. VBG with pH 7.46. , procal WNL. CMP with glucose 120, ALP 137, otherwise WNL. viral CPR positive for covid 19. CXR showed new low lung volumes with bibasilar airspace opacities suspicios for atelectasis vs PNA vs aspiration. Hcg negative. The pt was given solumedrol, albuterol, duoneb, racemic epinephrine and admitted for workup.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Creatinine renal clearance increased, Dyspnoea, Full blood count, Haematocrit decreased
Clinical narrative: Patient currently hospitalized at (12) days admission. This is a 23 y/o female with a PMH of morbid obesity BMI 57, OSA, asthma, hx of extreme premature birth with tracheostomy x 1 year as newborn who presents with a CC of shortness of breath. On interview, pt is wearing bipap. Bipap was removed and pt was placed on 3L O2. pt has significant stridor and wheeze on exam. She is able to answer all questions but is a limited historian. She is reporting associated cough. She denies fever, chills, productive cough, diarrhea, or trouble swallowing.  She is joined at bedside by her mother who states the pt has had stridor like symptoms mostly while latying flat for the last few months. She states she has been seen by her PCP and urgent care a few times over the last month and treated with steroids, antibiotics, duonebs and inhalers with short but temporary improvement. She confirms the pt is fully vaccinated and boosted with covid 19 vaccine. In the ER the pt was found to be afebrile with HR 130, RR 29, BP 143/82, and was placed on bipap. CBC with WBC 15.9, Hgb 11.3, otherwise WNL. VBG with pH 7.46. , procal WNL. CMP with glucose 120, ALP 137, otherwise WNL. viral CPR positive for covid 19. CXR showed new low lung volumes with bibasilar airspace opacities suspicios for atelectasis vs PNA vs aspiration. Hcg negative. The pt was given solumedrol, albuterol, duoneb, racemic epinephrine and admitted for workup.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Human chorionic gonadotropin negative, Lung disorder, Lung infiltration, Lung opacity
Clinical narrative: Patient currently hospitalized at (12) days admission. This is a 23 y/o female with a PMH of morbid obesity BMI 57, OSA, asthma, hx of extreme premature birth with tracheostomy x 1 year as newborn who presents with a CC of shortness of breath. On interview, pt is wearing bipap. Bipap was removed and pt was placed on 3L O2. pt has significant stridor and wheeze on exam. She is able to answer all questions but is a limited historian. She is reporting associated cough. She denies fever, chills, productive cough, diarrhea, or trouble swallowing.  She is joined at bedside by her mother who states the pt has had stridor like symptoms mostly while latying flat for the last few months. She states she has been seen by her PCP and urgent care a few times over the last month and treated with steroids, antibiotics, duonebs and inhalers with short but temporary improvement. She confirms the pt is fully vaccinated and boosted with covid 19 vaccine. In the ER the pt was found to be afebrile with HR 130, RR 29, BP 143/82, and was placed on bipap. CBC with WBC 15.9, Hgb 11.3, otherwise WNL. VBG with pH 7.46. , procal WNL. CMP with glucose 120, ALP 137, otherwise WNL. viral CPR positive for covid 19. CXR showed new low lung volumes with bibasilar airspace opacities suspicios for atelectasis vs PNA vs aspiration. Hcg negative. The pt was given solumedrol, albuterol, duoneb, racemic epinephrine and admitted for workup.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Metabolic function test, Platelet count normal, Pneumonia, Positive airway pressure therapy
Clinical narrative: Patient currently hospitalized at (12) days admission. This is a 23 y/o female with a PMH of morbid obesity BMI 57, OSA, asthma, hx of extreme premature birth with tracheostomy x 1 year as newborn who presents with a CC of shortness of breath. On interview, pt is wearing bipap. Bipap was removed and pt was placed on 3L O2. pt has significant stridor and wheeze on exam. She is able to answer all questions but is a limited historian. She is reporting associated cough. She denies fever, chills, productive cough, diarrhea, or trouble swallowing.  She is joined at bedside by her mother who states the pt has had stridor like symptoms mostly while latying flat for the last few months. She states she has been seen by her PCP and urgent care a few times over the last month and treated with steroids, antibiotics, duonebs and inhalers with short but temporary improvement. She confirms the pt is fully vaccinated and boosted with covid 19 vaccine. In the ER the pt was found to be afebrile with HR 130, RR 29, BP 143/82, and was placed on bipap. CBC with WBC 15.9, Hgb 11.3, otherwise WNL. VBG with pH 7.46. , procal WNL. CMP with glucose 120, ALP 137, otherwise WNL. viral CPR positive for covid 19. CXR showed new low lung volumes with bibasilar airspace opacities suspicios for atelectasis vs PNA vs aspiration. Hcg negative. The pt was given solumedrol, albuterol, duoneb, racemic epinephrine and admitted for workup.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin normal, Respiratory failure, SARS-CoV-2 test positive, Scan with contrast abnormal, Stridor
Clinical narrative: Patient currently hospitalized at (12) days admission. This is a 23 y/o female with a PMH of morbid obesity BMI 57, OSA, asthma, hx of extreme premature birth with tracheostomy x 1 year as newborn who presents with a CC of shortness of breath. On interview, pt is wearing bipap. Bipap was removed and pt was placed on 3L O2. pt has significant stridor and wheeze on exam. She is able to answer all questions but is a limited historian. She is reporting associated cough. She denies fever, chills, productive cough, diarrhea, or trouble swallowing.  She is joined at bedside by her mother who states the pt has had stridor like symptoms mostly while latying flat for the last few months. She states she has been seen by her PCP and urgent care a few times over the last month and treated with steroids, antibiotics, duonebs and inhalers with short but temporary improvement. She confirms the pt is fully vaccinated and boosted with covid 19 vaccine. In the ER the pt was found to be afebrile with HR 130, RR 29, BP 143/82, and was placed on bipap. CBC with WBC 15.9, Hgb 11.3, otherwise WNL. VBG with pH 7.46. , procal WNL. CMP with glucose 120, ALP 137, otherwise WNL. viral CPR positive for covid 19. CXR showed new low lung volumes with bibasilar airspace opacities suspicios for atelectasis vs PNA vs aspiration. Hcg negative. The pt was given solumedrol, albuterol, duoneb, racemic epinephrine and admitted for workup.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Swallow study, Total lung capacity decreased, Wheezing, White blood cell count increased
Clinical narrative: Patient currently hospitalized at (12) days admission. This is a 23 y/o female with a PMH of morbid obesity BMI 57, OSA, asthma, hx of extreme premature birth with tracheostomy x 1 year as newborn who presents with a CC of shortness of breath. On interview, pt is wearing bipap. Bipap was removed and pt was placed on 3L O2. pt has significant stridor and wheeze on exam. She is able to answer all questions but is a limited historian. She is reporting associated cough. She denies fever, chills, productive cough, diarrhea, or trouble swallowing.  She is joined at bedside by her mother who states the pt has had stridor like symptoms mostly while latying flat for the last few months. She states she has been seen by her PCP and urgent care a few times over the last month and treated with steroids, antibiotics, duonebs and inhalers with short but temporary improvement. She confirms the pt is fully vaccinated and boosted with covid 19 vaccine. In the ER the pt was found to be afebrile with HR 130, RR 29, BP 143/82, and was placed on bipap. CBC with WBC 15.9, Hgb 11.3, otherwise WNL. VBG with pH 7.46. , procal WNL. CMP with glucose 120, ALP 137, otherwise WNL. viral CPR positive for covid 19. CXR showed new low lung volumes with bibasilar airspace opacities suspicios for atelectasis vs PNA vs aspiration. Hcg negative. The pt was given solumedrol, albuterol, duoneb, racemic epinephrine and admitted for workup.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, Death
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 1/13/2021 and 2/8/2021. Presented to the ED on 1/1/2022 with complaints of shortness of breath, weakness, and coughing approximately 2 weeks, reports fever and chills for past two days. During hospitalization patient also noted to have aspiration pneumonitis secondary to dilated esophagus with food debris impacted to wall. Treated with zosyn, steroids and O2. Condition conditued to deteriorate and expired on 1/5/2022.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, General physical health deterioration, Oesophageal dilatation, Oesophageal food impaction, Pneumonitis aspiration
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 1/13/2021 and 2/8/2021. Presented to the ED on 1/1/2022 with complaints of shortness of breath, weakness, and coughing approximately 2 weeks, reports fever and chills for past two days. During hospitalization patient also noted to have aspiration pneumonitis secondary to dilated esophagus with food debris impacted to wall. Treated with zosyn, steroids and O2. Condition conditued to deteriorate and expired on 1/5/2022.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 1/13/2021 and 2/8/2021. Presented to the ED on 1/1/2022 with complaints of shortness of breath, weakness, and coughing approximately 2 weeks, reports fever and chills for past two days. During hospitalization patient also noted to have aspiration pneumonitis secondary to dilated esophagus with food debris impacted to wall. Treated with zosyn, steroids and O2. Condition conditued to deteriorate and expired on 1/5/2022.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient age 16 was given Janssen (J&J) vaccine at a Mobile site.  Age for Janssen is 18.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Diarrhoea, Dyspnoea, Endotracheal intubation
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 4/12/2021 and 5/3/2021. Presented to ED on 1/1/2022 with complaints of shortness of breath and diarrhea, with reports of positive COVID test. Saturation on room air 80% on presentation. Started on remdesivir, dexamethasone,  baricitinib, ceftriaxone and azithromycin. Continued to decline requiring intubation on 1/4/2022, and vasopressor support x3. Patient expired on 1/4/2022.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, SARS-CoV-2 test positive
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 4/12/2021 and 5/3/2021. Presented to ED on 1/1/2022 with complaints of shortness of breath and diarrhea, with reports of positive COVID test. Saturation on room air 80% on presentation. Started on remdesivir, dexamethasone,  baricitinib, ceftriaxone and azithromycin. Continued to decline requiring intubation on 1/4/2022, and vasopressor support x3. Patient expired on 1/4/2022.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Myalgia, Oropharyngeal pain
Clinical narrative: Cough, sore throat, and muscle ache; no fever or chills.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse event reported. Reconstituted vaccine with expired sodium chloride diluent. Diluent was expired by 3 or 4 days. Awaiting instructions from Pfizer.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine placed into fridge on 12/1 and was administered on 1/6
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: December 1 2021 Vial moved from Freezer to Fridge  January 6, 2022 Vaccine administered.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Burning sensation, Condition aggravated, Dyspnoea exertional, Gait disturbance
Clinical narrative: Patient reports acute onset of burning in anterior thighs and feet and difficulty with balance and ambulation.  He was also subsequently found to have a small pleural effusion adjacent to the right atrium after complaining of dyspnea on exertion which has been ongoing and preceded his booster shot.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion
Clinical narrative: Patient reports acute onset of burning in anterior thighs and feet and difficulty with balance and ambulation.  He was also subsequently found to have a small pleural effusion adjacent to the right atrium after complaining of dyspnea on exertion which has been ongoing and preceded his booster shot.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine placed into fridge on 12/1/21 and administered on 1/6/22
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was placed into fridge on 12/1/21 and was administered on 1/6/22.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Angiogram pulmonary abnormal, Anion gap, Aspartate aminotransferase increased, Asthenia
Clinical narrative: Patient currently hospitalized at (11) days. Patient is a 43 y.o. male with past medical history of obesity and hypertension on no home medications.  Patient was initially seen in the emergency department on 12/31 for cough at which time he was diagnosed with community-acquired pneumonia and discharged on Ceftin and doxycycline which he did not start taking.  His COVID was pending at time of discharge from the ER but did come back positive.  Patient was brought back to the emergency department on 01/01 with reports of weakness and confusion.  Patient had had a fall while trying to get in to a friend's van.  Further history regarding this is unattainable.  At time of admission patient is alert and oriented x4 stating the day as the 1st of the new year.  He reports chronic pain in his legs with some difficulty ambulating.  Reports he had been using a his mom's walker intermittently.  He initially tells me he did not fall but later complains of right sided thoracic pain which he reports he hit on the van when he fell trying to get in.  He has a very difficult historian but does report cough of unknown duration with intermittent sputum production.  He tells me it has been ongoing for ?awhile? but when asked to clarify if he means days, weeks or longer he says I do not know.  He reports he is vaccinated for COVID but does not know when.  Per review of chart it appears he got him in February and March, denies getting a booster.  He denies any recent sick contacts and states his wife does not have any similar symptoms.  He denies feeling short of breath.  He does not have any chest pain.  He denies having any fevers or chills although with febrile in the emergency department.  Denies nausea, vomiting, diarrhea.  Has no other acute complaints.   Emergency department febrile at 39.4, tachycardic with heart rate up to 137 and hypoxic at 85% on room air now requiring 4 L of supplemental oxygen.  Lab significant for procalcitonin 1.22 and lactic acid 1.1.  WBCs within normal limits.  Blood cultures x2 drawn.  COVID was positive on 12/31.  Urinalysis without evidence of infection.  CT head and cervical spine were without acute pathology.  CTA thorax was without PE but notes bilateral pneumonia consistent with COVID.  CT abdomen and pelvis without acute pathology.  No chest x-ray on 12/31 showed left lower lobe consolidation.  Emergency department patient received 1 L IV fluid, Tylenol, albuterol, IV Rocephin and doxycycline.