chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: The evening after her vaccination, pt developed chills, possible fever but didn't check temperature.  The following morning she felt weak, achy, fatigued and vomited x 1.  Temp of 99 that day, continued to have chills.  Developed bulky left axillary lymphadenopathy on 1/9, "size of an ice cream scoop".  Injection site redness up to 4x6 inches which gradually improved.  Symptoms improved by 1/13/22 other than lymphadenopathy.  I saw her in clinic on 1/22 and she reported feeling nearly back to her baseline, still slightly more tired than usual and had had two nights of night sweats, but had ongoing bulky left axillary lymphadenopathy measuring  about 4cm x 7cm - firm, non-tender, mobile node.   Of note, the patient had a similar reaction after her second dose of Moderna  vaccine during her primary series, and her lymphadenopathy lasted 6 weeks that time.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pharyngeal hypoaesthesia, Pharyngeal paraesthesia
Clinical narrative: Patient given vaccine, about 15 min later started to experience throat tingling/numbness and difficulty breathing. Vitals taken, Rapid Response called, takent to Emergency Room for evaluation. VS 97.7 F, 149/93, 78, 16
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: patient passed away from covid on 01/29/2022 at hospital
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Decreased appetite, Fatigue, Ocular discomfort
Clinical narrative: My son began to vomit around 0100 01/30/22. He began to vomit every 30-40 minutes until 0540. He has the chills and his teeth were chattering. He would complain of terrible stomach pain right before vomiting. Violent, full body motion heaving. He said that his eyes felt weird and that he "could only look straight and not the sides." No fever. As they day continued he improved but appetite was not up to norm. Very tired as well.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: My son began to vomit around 0100 01/30/22. He began to vomit every 30-40 minutes until 0540. He has the chills and his teeth were chattering. He would complain of terrible stomach pain right before vomiting. Violent, full body motion heaving. He said that his eyes felt weird and that he "could only look straight and not the sides." No fever. As they day continued he improved but appetite was not up to norm. Very tired as well.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Dyspnoea, Heart rate increased, SARS-CoV-2 test positive
Clinical narrative: Pt came to ED due to rapid heart rate (pt has atrial fibrillation) and feeling short of breath.  He was found to be COVID positive.
Age: 74.0
Sex: M
Vaccine: UNK
Symptoms: COVID-19, Pneumonia
Clinical narrative: per patient's daughter: COVID vaccine was given on October 2020. Patient received 2 doses total.  He was admitted in the hospital 10 days ago due to COVID and pneumonia.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest discomfort, Electrocardiogram
Clinical narrative: FULLNESS IN CHEST
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient was given a vaccine that was diluted with sodium chloride. The new vials are already diluted which means the patient did not receive a full dose.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aspergillus test, Blood beta-D-glucan, Blood culture negative, Blood immunoglobulin G, C-reactive protein abnormal
Clinical narrative: Hospitalized (1.21.22-1.25.22); COVID-19  positive (1.21.22); fully vaccinated PLUS booster Admission Date: 1/21/2022 Discharge Date: 1/25/2022 Discharge Disposition:  Home without services Active Issues Requiring Follow-up:  CVID: Obtain IgG level on 1/30, goal trough > 1000, results cc'd to Doctor COVID Pneumonia: finish 10-day course of Decadron Superimposed Pneumonia: fungal serology results pending DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID [U07.1] HOSPITAL COURSE: The patient is a 22-year-old female with past medical history of CVID, Kabuki syndrome, and epilepsy presenting with a 1-day history of fever, cough, and multiple seizures.  She was found to be positive for COVID on 01/21.  She was found to be hypotensive, tachycardic, and febrile and was given fluid resuscitation. Chest x-ray showed bilateral opacities with increased opacities on the right.  Procalcitonin was also elevated.  Empiric antibiotics were started for likely superimposed bacterial pneumonia, considering imaging findings, elevated procalcitonin, and patient's history of CVID. CT thorax was obtained which showed bilateral peripheral pulmonary infiltrates with no abscess seen. ID was consulted and recommended fungal serology. For her COVID pneumonia, she was started on remdesivir.  On 01/21, during the night she became hypoxic and required 2 liters nasal cannula.  She was then started on Decadron. Blood cultures were negative. Her respiratory status improved to needing 1-2L NC while sleeping. She also had improvement of her CRP. On 1/23 she did have a seizure that lasted 30-60 seconds witnessed by her mother, who stated that it was similar to the seizures she regularly has at home. She was kept on her home seizure medications with aggressive electrolyte repletion. Due to her immunodeficiency and risk for decompensation, she was kept under close monitoring inpatient while completing her 5-day remdesivir/antibiotic course. She was able to be weaned off of oxygen with no need for oxygen supplement at home.    She was then medically stable for discharge. Follow-up with her PCP was relayed to the patient's mother at bedside and patient's mother voiced understanding.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: Hospitalized (1.21.22-1.25.22); COVID-19  positive (1.21.22); fully vaccinated PLUS booster Admission Date: 1/21/2022 Discharge Date: 1/25/2022 Discharge Disposition:  Home without services Active Issues Requiring Follow-up:  CVID: Obtain IgG level on 1/30, goal trough > 1000, results cc'd to Doctor COVID Pneumonia: finish 10-day course of Decadron Superimposed Pneumonia: fungal serology results pending DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID [U07.1] HOSPITAL COURSE: The patient is a 22-year-old female with past medical history of CVID, Kabuki syndrome, and epilepsy presenting with a 1-day history of fever, cough, and multiple seizures.  She was found to be positive for COVID on 01/21.  She was found to be hypotensive, tachycardic, and febrile and was given fluid resuscitation. Chest x-ray showed bilateral opacities with increased opacities on the right.  Procalcitonin was also elevated.  Empiric antibiotics were started for likely superimposed bacterial pneumonia, considering imaging findings, elevated procalcitonin, and patient's history of CVID. CT thorax was obtained which showed bilateral peripheral pulmonary infiltrates with no abscess seen. ID was consulted and recommended fungal serology. For her COVID pneumonia, she was started on remdesivir.  On 01/21, during the night she became hypoxic and required 2 liters nasal cannula.  She was then started on Decadron. Blood cultures were negative. Her respiratory status improved to needing 1-2L NC while sleeping. She also had improvement of her CRP. On 1/23 she did have a seizure that lasted 30-60 seconds witnessed by her mother, who stated that it was similar to the seizures she regularly has at home. She was kept on her home seizure medications with aggressive electrolyte repletion. Due to her immunodeficiency and risk for decompensation, she was kept under close monitoring inpatient while completing her 5-day remdesivir/antibiotic course. She was able to be weaned off of oxygen with no need for oxygen supplement at home.    She was then medically stable for discharge. Follow-up with her PCP was relayed to the patient's mother at bedside and patient's mother voiced understanding.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Fungal test, Hypotension, Hypoxia, Lung infiltration
Clinical narrative: Hospitalized (1.21.22-1.25.22); COVID-19  positive (1.21.22); fully vaccinated PLUS booster Admission Date: 1/21/2022 Discharge Date: 1/25/2022 Discharge Disposition:  Home without services Active Issues Requiring Follow-up:  CVID: Obtain IgG level on 1/30, goal trough > 1000, results cc'd to Doctor COVID Pneumonia: finish 10-day course of Decadron Superimposed Pneumonia: fungal serology results pending DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID [U07.1] HOSPITAL COURSE: The patient is a 22-year-old female with past medical history of CVID, Kabuki syndrome, and epilepsy presenting with a 1-day history of fever, cough, and multiple seizures.  She was found to be positive for COVID on 01/21.  She was found to be hypotensive, tachycardic, and febrile and was given fluid resuscitation. Chest x-ray showed bilateral opacities with increased opacities on the right.  Procalcitonin was also elevated.  Empiric antibiotics were started for likely superimposed bacterial pneumonia, considering imaging findings, elevated procalcitonin, and patient's history of CVID. CT thorax was obtained which showed bilateral peripheral pulmonary infiltrates with no abscess seen. ID was consulted and recommended fungal serology. For her COVID pneumonia, she was started on remdesivir.  On 01/21, during the night she became hypoxic and required 2 liters nasal cannula.  She was then started on Decadron. Blood cultures were negative. Her respiratory status improved to needing 1-2L NC while sleeping. She also had improvement of her CRP. On 1/23 she did have a seizure that lasted 30-60 seconds witnessed by her mother, who stated that it was similar to the seizures she regularly has at home. She was kept on her home seizure medications with aggressive electrolyte repletion. Due to her immunodeficiency and risk for decompensation, she was kept under close monitoring inpatient while completing her 5-day remdesivir/antibiotic course. She was able to be weaned off of oxygen with no need for oxygen supplement at home.    She was then medically stable for discharge. Follow-up with her PCP was relayed to the patient's mother at bedside and patient's mother voiced understanding.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lung opacity, Pneumonia bacterial, Procalcitonin increased, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (1.21.22-1.25.22); COVID-19  positive (1.21.22); fully vaccinated PLUS booster Admission Date: 1/21/2022 Discharge Date: 1/25/2022 Discharge Disposition:  Home without services Active Issues Requiring Follow-up:  CVID: Obtain IgG level on 1/30, goal trough > 1000, results cc'd to Doctor COVID Pneumonia: finish 10-day course of Decadron Superimposed Pneumonia: fungal serology results pending DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID [U07.1] HOSPITAL COURSE: The patient is a 22-year-old female with past medical history of CVID, Kabuki syndrome, and epilepsy presenting with a 1-day history of fever, cough, and multiple seizures.  She was found to be positive for COVID on 01/21.  She was found to be hypotensive, tachycardic, and febrile and was given fluid resuscitation. Chest x-ray showed bilateral opacities with increased opacities on the right.  Procalcitonin was also elevated.  Empiric antibiotics were started for likely superimposed bacterial pneumonia, considering imaging findings, elevated procalcitonin, and patient's history of CVID. CT thorax was obtained which showed bilateral peripheral pulmonary infiltrates with no abscess seen. ID was consulted and recommended fungal serology. For her COVID pneumonia, she was started on remdesivir.  On 01/21, during the night she became hypoxic and required 2 liters nasal cannula.  She was then started on Decadron. Blood cultures were negative. Her respiratory status improved to needing 1-2L NC while sleeping. She also had improvement of her CRP. On 1/23 she did have a seizure that lasted 30-60 seconds witnessed by her mother, who stated that it was similar to the seizures she regularly has at home. She was kept on her home seizure medications with aggressive electrolyte repletion. Due to her immunodeficiency and risk for decompensation, she was kept under close monitoring inpatient while completing her 5-day remdesivir/antibiotic course. She was able to be weaned off of oxygen with no need for oxygen supplement at home.    She was then medically stable for discharge. Follow-up with her PCP was relayed to the patient's mother at bedside and patient's mother voiced understanding.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Seizure, Sepsis, Superinfection, Tachycardia
Clinical narrative: Hospitalized (1.21.22-1.25.22); COVID-19  positive (1.21.22); fully vaccinated PLUS booster Admission Date: 1/21/2022 Discharge Date: 1/25/2022 Discharge Disposition:  Home without services Active Issues Requiring Follow-up:  CVID: Obtain IgG level on 1/30, goal trough > 1000, results cc'd to Doctor COVID Pneumonia: finish 10-day course of Decadron Superimposed Pneumonia: fungal serology results pending DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID [U07.1] HOSPITAL COURSE: The patient is a 22-year-old female with past medical history of CVID, Kabuki syndrome, and epilepsy presenting with a 1-day history of fever, cough, and multiple seizures.  She was found to be positive for COVID on 01/21.  She was found to be hypotensive, tachycardic, and febrile and was given fluid resuscitation. Chest x-ray showed bilateral opacities with increased opacities on the right.  Procalcitonin was also elevated.  Empiric antibiotics were started for likely superimposed bacterial pneumonia, considering imaging findings, elevated procalcitonin, and patient's history of CVID. CT thorax was obtained which showed bilateral peripheral pulmonary infiltrates with no abscess seen. ID was consulted and recommended fungal serology. For her COVID pneumonia, she was started on remdesivir.  On 01/21, during the night she became hypoxic and required 2 liters nasal cannula.  She was then started on Decadron. Blood cultures were negative. Her respiratory status improved to needing 1-2L NC while sleeping. She also had improvement of her CRP. On 1/23 she did have a seizure that lasted 30-60 seconds witnessed by her mother, who stated that it was similar to the seizures she regularly has at home. She was kept on her home seizure medications with aggressive electrolyte repletion. Due to her immunodeficiency and risk for decompensation, she was kept under close monitoring inpatient while completing her 5-day remdesivir/antibiotic course. She was able to be weaned off of oxygen with no need for oxygen supplement at home.    She was then medically stable for discharge. Follow-up with her PCP was relayed to the patient's mother at bedside and patient's mother voiced understanding.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 hospitalization in patient who received primary 2 dose vaccine series
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Chronic kidney disease
Clinical narrative: 83 yo male, normally followed. Reportedly, he has had altered MS for the past few days. Developed acute dyspnea today so wife called medics. When they arrived, his sats were in the 60s, HR 30s and SBP 65. He was intubated in ER for hypoxia and unresponsiveness.   He is a chronic dialysis patient, with his last dialysis run yesterday, no problems reported with this. He has a chronic cough, perhaps worse in the past week. No fevers, no N/V.   PROGRESS NOTE 1/31/2022 Renal Follow-up Note Date of Service: 1/31/2022   Chief Complaint: ESRD Subjective:    He remains intubated and sedated.  He remains on low-dose pressors.  TFs ongoing.  He has been nodding yes/no and seems to deny any pain.  Assessment/Plan:              1.  ESRD.  HD Site:   Dialyzes MWF  Dialysis Prescription: L AVF; T=3hrs; 2K, +Heparin, EDW 86kg             - Plan on dialysis with pressor support today.   2.  COVID pneumonitis with sepsis.             -  Vent              -  Dexamethosone ongoing             -  Will continue to pull fluid on dialysis as tolerated.             -  Empric ABX pending micro   3.  Sepsis/ Hypotension.  Echo showed RV dysfunction and pulmonary hypertension.             -  Continues pressors                4.  Anemia.               -  Receives EPO 1K QHD as an outpatient.  Hgb presntly above goal in ESRD, so holding.   5.  HPTH of CKD.             -Have added PhosLo now that he is on TFs.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Echocardiogram abnormal, End stage renal disease
Clinical narrative: 83 yo male, normally followed. Reportedly, he has had altered MS for the past few days. Developed acute dyspnea today so wife called medics. When they arrived, his sats were in the 60s, HR 30s and SBP 65. He was intubated in ER for hypoxia and unresponsiveness.   He is a chronic dialysis patient, with his last dialysis run yesterday, no problems reported with this. He has a chronic cough, perhaps worse in the past week. No fevers, no N/V.   PROGRESS NOTE 1/31/2022 Renal Follow-up Note Date of Service: 1/31/2022   Chief Complaint: ESRD Subjective:    He remains intubated and sedated.  He remains on low-dose pressors.  TFs ongoing.  He has been nodding yes/no and seems to deny any pain.  Assessment/Plan:              1.  ESRD.  HD Site:   Dialyzes MWF  Dialysis Prescription: L AVF; T=3hrs; 2K, +Heparin, EDW 86kg             - Plan on dialysis with pressor support today.   2.  COVID pneumonitis with sepsis.             -  Vent              -  Dexamethosone ongoing             -  Will continue to pull fluid on dialysis as tolerated.             -  Empric ABX pending micro   3.  Sepsis/ Hypotension.  Echo showed RV dysfunction and pulmonary hypertension.             -  Continues pressors                4.  Anemia.               -  Receives EPO 1K QHD as an outpatient.  Hgb presntly above goal in ESRD, so holding.   5.  HPTH of CKD.             -Have added PhosLo now that he is on TFs.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Haemodialysis, Haemoglobin increased, Hyperparathyroidism, Hypotension
Clinical narrative: 83 yo male, normally followed. Reportedly, he has had altered MS for the past few days. Developed acute dyspnea today so wife called medics. When they arrived, his sats were in the 60s, HR 30s and SBP 65. He was intubated in ER for hypoxia and unresponsiveness.   He is a chronic dialysis patient, with his last dialysis run yesterday, no problems reported with this. He has a chronic cough, perhaps worse in the past week. No fevers, no N/V.   PROGRESS NOTE 1/31/2022 Renal Follow-up Note Date of Service: 1/31/2022   Chief Complaint: ESRD Subjective:    He remains intubated and sedated.  He remains on low-dose pressors.  TFs ongoing.  He has been nodding yes/no and seems to deny any pain.  Assessment/Plan:              1.  ESRD.  HD Site:   Dialyzes MWF  Dialysis Prescription: L AVF; T=3hrs; 2K, +Heparin, EDW 86kg             - Plan on dialysis with pressor support today.   2.  COVID pneumonitis with sepsis.             -  Vent              -  Dexamethosone ongoing             -  Will continue to pull fluid on dialysis as tolerated.             -  Empric ABX pending micro   3.  Sepsis/ Hypotension.  Echo showed RV dysfunction and pulmonary hypertension.             -  Continues pressors                4.  Anemia.               -  Receives EPO 1K QHD as an outpatient.  Hgb presntly above goal in ESRD, so holding.   5.  HPTH of CKD.             -Have added PhosLo now that he is on TFs.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Mental status changes, Pulmonary hypertension, Right ventricular dysfunction, SARS-CoV-2 test positive
Clinical narrative: 83 yo male, normally followed. Reportedly, he has had altered MS for the past few days. Developed acute dyspnea today so wife called medics. When they arrived, his sats were in the 60s, HR 30s and SBP 65. He was intubated in ER for hypoxia and unresponsiveness.   He is a chronic dialysis patient, with his last dialysis run yesterday, no problems reported with this. He has a chronic cough, perhaps worse in the past week. No fevers, no N/V.   PROGRESS NOTE 1/31/2022 Renal Follow-up Note Date of Service: 1/31/2022   Chief Complaint: ESRD Subjective:    He remains intubated and sedated.  He remains on low-dose pressors.  TFs ongoing.  He has been nodding yes/no and seems to deny any pain.  Assessment/Plan:              1.  ESRD.  HD Site:   Dialyzes MWF  Dialysis Prescription: L AVF; T=3hrs; 2K, +Heparin, EDW 86kg             - Plan on dialysis with pressor support today.   2.  COVID pneumonitis with sepsis.             -  Vent              -  Dexamethosone ongoing             -  Will continue to pull fluid on dialysis as tolerated.             -  Empric ABX pending micro   3.  Sepsis/ Hypotension.  Echo showed RV dysfunction and pulmonary hypertension.             -  Continues pressors                4.  Anemia.               -  Receives EPO 1K QHD as an outpatient.  Hgb presntly above goal in ESRD, so holding.   5.  HPTH of CKD.             -Have added PhosLo now that he is on TFs.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Unresponsive to stimuli
Clinical narrative: 83 yo male, normally followed. Reportedly, he has had altered MS for the past few days. Developed acute dyspnea today so wife called medics. When they arrived, his sats were in the 60s, HR 30s and SBP 65. He was intubated in ER for hypoxia and unresponsiveness.   He is a chronic dialysis patient, with his last dialysis run yesterday, no problems reported with this. He has a chronic cough, perhaps worse in the past week. No fevers, no N/V.   PROGRESS NOTE 1/31/2022 Renal Follow-up Note Date of Service: 1/31/2022   Chief Complaint: ESRD Subjective:    He remains intubated and sedated.  He remains on low-dose pressors.  TFs ongoing.  He has been nodding yes/no and seems to deny any pain.  Assessment/Plan:              1.  ESRD.  HD Site:   Dialyzes MWF  Dialysis Prescription: L AVF; T=3hrs; 2K, +Heparin, EDW 86kg             - Plan on dialysis with pressor support today.   2.  COVID pneumonitis with sepsis.             -  Vent              -  Dexamethosone ongoing             -  Will continue to pull fluid on dialysis as tolerated.             -  Empric ABX pending micro   3.  Sepsis/ Hypotension.  Echo showed RV dysfunction and pulmonary hypertension.             -  Continues pressors                4.  Anemia.               -  Receives EPO 1K QHD as an outpatient.  Hgb presntly above goal in ESRD, so holding.   5.  HPTH of CKD.             -Have added PhosLo now that he is on TFs.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: extremely tired, headache, aching joints, chills, fever, mild nausea, a large red area around the injection site -- the area is hard and somewhat itchy
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site induration, Injection site pruritus, Nausea, Pyrexia
Clinical narrative: extremely tired, headache, aching joints, chills, fever, mild nausea, a large red area around the injection site -- the area is hard and somewhat itchy
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Right sided facial swelling. Primary right sided cheek area. Swelling has started to subside after 24 hour period.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac discomfort, Chest discomfort
Clinical narrative: Pt called on 1/31/22 at 10:30am about chest pressure,  she stated that it feels like someone in squeezing her heart.  She said that it started the day after her vaccination.  No rash or other symptoms reported.  I advised her to go to the hospital, that it might be pericarditis.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Fatigue, Headache, Illness, Pyrexia
Clinical narrative: I was sick for 3 days with fever, headache, and fatigue. Now 12/24/2021 rash on my body, very itchy and burns. Shows up on different parts of my body.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: I was sick for 3 days with fever, headache, and fatigue. Now 12/24/2021 rash on my body, very itchy and burns. Shows up on different parts of my body.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood culture positive, COVID-19, Chest X-ray normal, Cough, Death
Clinical narrative: PATIENT PRESENTED TO E.R. WITH ONE DAY HX/O LETHARGY, ALTERED MENTAL STATUS, LOW-GRADE FEVER, POST NASAL DRIP, CONGESTION, COUGH, POOR PO INTAKE. LOW O2 SATURATION CONTINUED, COVID-19 TEST POSITIVE. PROGRESSED TO HYPOXIC RESPIRATORY FAILURE. FAMILY DECIDED  ON COMFORT MEASURES AND PATIENT EXPIRED ON 01/16/2022
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypophagia, Lethargy, Mental status changes, Oxygen saturation decreased, Pyrexia
Clinical narrative: PATIENT PRESENTED TO E.R. WITH ONE DAY HX/O LETHARGY, ALTERED MENTAL STATUS, LOW-GRADE FEVER, POST NASAL DRIP, CONGESTION, COUGH, POOR PO INTAKE. LOW O2 SATURATION CONTINUED, COVID-19 TEST POSITIVE. PROGRESSED TO HYPOXIC RESPIRATORY FAILURE. FAMILY DECIDED  ON COMFORT MEASURES AND PATIENT EXPIRED ON 01/16/2022
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure, Respiratory tract congestion, SARS-CoV-2 test positive, Staphylococcus test positive, Upper-airway cough syndrome
Clinical narrative: PATIENT PRESENTED TO E.R. WITH ONE DAY HX/O LETHARGY, ALTERED MENTAL STATUS, LOW-GRADE FEVER, POST NASAL DRIP, CONGESTION, COUGH, POOR PO INTAKE. LOW O2 SATURATION CONTINUED, COVID-19 TEST POSITIVE. PROGRESSED TO HYPOXIC RESPIRATORY FAILURE. FAMILY DECIDED  ON COMFORT MEASURES AND PATIENT EXPIRED ON 01/16/2022
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Erythema, Oropharyngeal discomfort, Paranasal sinus discomfort, Swelling face
Clinical narrative: After I got the vaccine my sinus felt pressure and then went home, I lay down and rested. When I woke up, I saw a red spot on the left arm. Next day, about 11:30am - 12pm I tried to eat something and I felt something hard in my throat and my nose was swelling and got bigger. I went to ER and 3 hrs. after I did not want to wait longer, I was afraid to get COVID-19. I left and went home and took some Motrin. No fever, my temperature was 98.6 but my normal temperature is 97.1. Then, my sinus continued and yesterday I woke up and started coughing. I have an appointment for blood work for next week (2/9).
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea
Clinical narrative: Every month since receiving the vaccine the pain from my period is unbearable. I am in extreme pain. I have never had this type of pain. I have an appointment with my doctor to see if it could be anything else. But the pain is only during my period.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Folliculitis, Muscle spasms
Clinical narrative: April 2021: Muscle Spasms after 1st Moderna Vaccine; unknown tx May 2021: Folliculitis after 2nd Moderna Vaccine: unknown tx
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Thirty minutes after receiving the vaccination I experienced numbness in my face, neck, and upper arms on both sides. When I would talk I could feel the numbness in my lips and in my face from making the movement of talking. When moving my arms I could also feel this same paralysis or numbness feeling. I monitored my symptoms and they started to fade the following day in the evening.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given a vaccine that was diluted with sodium chloride. The new vials are already diluted which means the patient did not receive a full dose.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Dizziness, Ultrasound scan, Vertigo, Vomiting
Clinical narrative: On 01/24/2021,  everything started spinning and I began vomiting. I had to lay down in bed and rest. On 03/23/2021, I had another episode of vertigo where I vomited profusely and my head kept spinning and I felt so dizzy. Ever since receiving my second dose, I've had severe vertigo episodes on the following dates: 04/16/2021, 06/16/2021, 07/03/2021, 09/20/2021, 09/23/2021, 10/05/2021, 10/12/2021, 10/15/2021, 10/16/2021, 10/17/2021, 10/22/2021, 10/23/2021, 10/25/2021, 11/05-06/2021, 11/17/2021, 11/30/2021, 12/11/2021, 12/30/2021, 01/09/2022, 01/16/2022, and 01/17/2022. I've seen so many specialists since these episodes from neurologist, ENT doctor, cardiologist and a physical therapist who tested me for hearing and balance. There hasn't been any conclusive results from any specialists in regards to a definitive diagnosis to my problem. I can't even properly travel around for work.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Headache, Migraine, Nausea
Clinical narrative: Extreme nausea and headache followed by migraine headache. The nausea subsided with treatment using Nauzene (OTC chewable tablet). The migraine lasted 24 hours and was treated with sumatriptan (a Rx pill). Left arm is BRUISED still, 3 days after the injection. The pharmacist who gave me my booster was AWFUL!
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Suspect COVID breakthrough case Patient went into cardiac arrest- subsequent COVID positive finding, patient died
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Incorrect dose administered, No adverse event, Pain in extremity
Clinical narrative: The 10 year old pediatric patient was supposed to be administered the Pediatric Pfizer vaccine, but was mistakenly administered the Adult Pfizer vaccine (purple cap). The patient did not show any adverse effects while at the pharmacy, and I spoke with the mother today as a follow-up and she stated that the patient had a headache last night and a sore arm, but no other symptoms. I asked that the mother continue to monitor the patient and contact us if he presents with any unusual symptoms or adverse effects.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anxiety, COVID-19 pneumonia, Chest X-ray normal, Cough
Clinical narrative: Discharged. Patient is a 71 y.o. female with COPD, type 2 DM, CAD, OSA, bilateral carotid artery stenosis, HTN, TIA, tobacco use, hypothyroidism, GERD who presents today with multiple complaints but primarily shortness of breath and cough. She was admitted for acute hypoxemic respiratory failure from COVID pneumonia. She was vaccinated, but had not received a booster. She was placed on dexamethasone and Remdesivir. Her oxygen requirements decreased during admission and she did not require any oxygen at rest on the day of discharge. She was discharged with 7 more days of dexamethasone to complete a 10 day course. She was prescribed benzonatate, guaifenasin as needed for cough. Hydroxyzine as needed for anxiety/restless leg syndrome. She was also having some heartburn symptoms which simethicone helped with during her stay, will prescribe simethicone at discharge. Patient was instructed to follow up with her PCP within 1 week of discharge to follow up on the above as well as for further workup/management of possible restless leg syndrome. Pulm rehab arranged for 2L of oxygen with exertion and at night for home use prior to discharge.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Dyspnoea, Restless legs syndrome
Clinical narrative: Discharged. Patient is a 71 y.o. female with COPD, type 2 DM, CAD, OSA, bilateral carotid artery stenosis, HTN, TIA, tobacco use, hypothyroidism, GERD who presents today with multiple complaints but primarily shortness of breath and cough. She was admitted for acute hypoxemic respiratory failure from COVID pneumonia. She was vaccinated, but had not received a booster. She was placed on dexamethasone and Remdesivir. Her oxygen requirements decreased during admission and she did not require any oxygen at rest on the day of discharge. She was discharged with 7 more days of dexamethasone to complete a 10 day course. She was prescribed benzonatate, guaifenasin as needed for cough. Hydroxyzine as needed for anxiety/restless leg syndrome. She was also having some heartburn symptoms which simethicone helped with during her stay, will prescribe simethicone at discharge. Patient was instructed to follow up with her PCP within 1 week of discharge to follow up on the above as well as for further workup/management of possible restless leg syndrome. Pulm rehab arranged for 2L of oxygen with exertion and at night for home use prior to discharge.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram
Clinical narrative: Four hours after shot, I went into afib while resting.  I have never had this condition prior.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Headache, Injection site erythema, Injection site induration
Clinical narrative: 20 hours after the shot I experienced Nausea, Vertigo, Headache, Dizzy, watery eyes. My arm was Sore all over.  40 hour's after shot I woke up to sore arm and large red patch at injection site. The area is swollen and hard, hot to touch and red, very itchy.  Pain in my arm, and shoulder. Injection site is painful to touch.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Lacrimation increased
Clinical narrative: 20 hours after the shot I experienced Nausea, Vertigo, Headache, Dizzy, watery eyes. My arm was Sore all over.  40 hour's after shot I woke up to sore arm and large red patch at injection site. The area is swollen and hard, hot to touch and red, very itchy.  Pain in my arm, and shoulder. Injection site is painful to touch.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Vertigo
Clinical narrative: 20 hours after the shot I experienced Nausea, Vertigo, Headache, Dizzy, watery eyes. My arm was Sore all over.  40 hour's after shot I woke up to sore arm and large red patch at injection site. The area is swollen and hard, hot to touch and red, very itchy.  Pain in my arm, and shoulder. Injection site is painful to touch.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid-19 illness.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: MODERNA VACCINE GIVEN BELOW MINIMUM AGE. DOB MISREAD.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Endotracheal intubation, Malaise, Tracheostomy
Clinical narrative: Symptomatic COVID after "full vaccination" with Moderna COVID-19 vaccine .COVID Dx date: 12/26/21 presented to ED with shortness of Breath Decadron and prednisone  Oxygen Requirements: Intubation 1/11/22 ; tracheostomy placed 1/27/22. Not a candidate for toci/barcitinib due to rituximab per pulmonology.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Suspected COVID-19, Vaccine breakthrough infection
Clinical narrative: Suspect COVID breakthrough case.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear discomfort, Fatigue, Headache, Myalgia
Clinical narrative: Fever started approx 11 hours after vaccine.  Had fever, chills, headache, nauseaous, muscle aches, burning skin sensation and pounding heartbeat for all Saturday evening and all day/night Sunday. Still have fever as of 10:00 pm Sunday night of 100.7.  Monday (today) still tired and have full ears and stuffy nose. Stayed on Tylenol for over 24 hours.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nausea, Palpitations, Pyrexia, Skin burning sensation
Clinical narrative: Fever started approx 11 hours after vaccine.  Had fever, chills, headache, nauseaous, muscle aches, burning skin sensation and pounding heartbeat for all Saturday evening and all day/night Sunday. Still have fever as of 10:00 pm Sunday night of 100.7.  Monday (today) still tired and have full ears and stuffy nose. Stayed on Tylenol for over 24 hours.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: COVID vaccine Lot 33025BD, removed from freezer 12-17-21 at 930am, administered to patient on 1-17-2022 after 930am. NO adv rx from pt
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pollakiuria, Testicular swelling, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Urinary Tract Infection / Enlarged testicles / Frequent Urination / lasted 1 Month.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Patient has just completed a normal menstrual cycle 48 hours prior to vaccination.  Within 24 hours post Pfizer vaccine, patient started what became another menstrual cycle and lasting for another 7 days.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vial opened on 1/24 at 09:20 am. dose from same vial was inadvertently given on 1/25/22 at 13:30 pm. Vial had been stored at refrigerated temps since first puncture and had not experienced any excursions. Moderna was contacted for stability info.
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized, COVID-19 positive.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR: Patient was given incorrect vaccine for 2nd dose. Patient was given Pfizer instead of Moderna.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 ILLNESS
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Bronchitis chronic, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient has been complaining of generalized fatigue, productive cough, chest pain and shortness of breath but denies any headache, dizziness, sore throat, abdominal pain, nausea, vomiting, diarrhea or blood in stool or urine. Chest x-ray showed emphysema.  CTA of the chest showed no evidence of pulmonary embolism except for severe emphysema and multiple enlarged mediastinal and hilar lymph nodes   COVID-19 was positive Decadron and Remdesivir started.  He was treated with Respiratory protocol in setting of Covid with acute on chronic respiratory failure, with chronic bronchitis with 3 days antibiotics, mucolytics and bronchodilators.  Pulmonary and RT consulted.  He made daily improvement and was discharged to home on 4L O2 via nasal cannula noting baseline use is 3L w/prn use up to 5 L.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Condition aggravated, Dyspnoea, Emphysema, Fatigue
Clinical narrative: Patient has been complaining of generalized fatigue, productive cough, chest pain and shortness of breath but denies any headache, dizziness, sore throat, abdominal pain, nausea, vomiting, diarrhea or blood in stool or urine. Chest x-ray showed emphysema.  CTA of the chest showed no evidence of pulmonary embolism except for severe emphysema and multiple enlarged mediastinal and hilar lymph nodes   COVID-19 was positive Decadron and Remdesivir started.  He was treated with Respiratory protocol in setting of Covid with acute on chronic respiratory failure, with chronic bronchitis with 3 days antibiotics, mucolytics and bronchodilators.  Pulmonary and RT consulted.  He made daily improvement and was discharged to home on 4L O2 via nasal cannula noting baseline use is 3L w/prn use up to 5 L.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Hilar lymphadenopathy, Lymphadenopathy mediastinal, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Patient has been complaining of generalized fatigue, productive cough, chest pain and shortness of breath but denies any headache, dizziness, sore throat, abdominal pain, nausea, vomiting, diarrhea or blood in stool or urine. Chest x-ray showed emphysema.  CTA of the chest showed no evidence of pulmonary embolism except for severe emphysema and multiple enlarged mediastinal and hilar lymph nodes   COVID-19 was positive Decadron and Remdesivir started.  He was treated with Respiratory protocol in setting of Covid with acute on chronic respiratory failure, with chronic bronchitis with 3 days antibiotics, mucolytics and bronchodilators.  Pulmonary and RT consulted.  He made daily improvement and was discharged to home on 4L O2 via nasal cannula noting baseline use is 3L w/prn use up to 5 L.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial test negative, COVID-19, COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: Discharged. 91 year old female with past medical history of demential, HTN, hyperlipidemia, depression, afib, PVD, thyroid cancer who presented to ED, lethargy and hypoxia in setting of known COVID. Family elected to pursue comfort measures on admission and chose hospice and had meeting 1/25. Discharge back to community with hospice support arranged.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine negative, Hypoxia, Lethargy, Lung opacity, Mental status changes
Clinical narrative: Discharged. 91 year old female with past medical history of demential, HTN, hyperlipidemia, depression, afib, PVD, thyroid cancer who presented to ED, lethargy and hypoxia in setting of known COVID. Family elected to pursue comfort measures on admission and chose hospice and had meeting 1/25. Discharge back to community with hospice support arranged.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonitis, Pulmonary oedema, Scoliosis
Clinical narrative: Discharged. 91 year old female with past medical history of demential, HTN, hyperlipidemia, depression, afib, PVD, thyroid cancer who presented to ED, lethargy and hypoxia in setting of known COVID. Family elected to pursue comfort measures on admission and chose hospice and had meeting 1/25. Discharge back to community with hospice support arranged.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Analgesic drug level therapeutic, Angiogram pulmonary abnormal, Blood creatinine normal, Blood ethanol normal, Blood gases
Clinical narrative: CHIEF COMPLAINT: Confusion. HPI: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot yet p/w acute onset confusion today. She started having covid 19 symptoms Friday(5 days PTA) with fevers/chills/dry cough/feeling queasy/fatigue/nausea/no appetite/bodyaches in the setting of multiple family members testing positive for covid. She tells me that she has been taking Tylenol every 4-6 hours for fevers along with DayQuil NyQuil for these past few days.  She has been feeling very dizzy and has been in her bed most of the time.  She also reports SOB and intermittent chest tightness for the last few days. She has not been tested for COVID-19 yet. Per EMS, She woke up today perseverating her childhood phone number and therefore her daughter who lives with her called 911. Pt states she does not remember saying that.   Per EMS, BP 75/50 after 500 ml of normal saline. Multiple Tylenol bottles noted in the house per EMS.  In ED, she has temp of 100.8, hypotensive but resolved and normotensive after  2L of LR bolus/stating 98% on RA Rapid covid 19 test positive/flu rsv negative CBC with leukopenia and mild thrombocytopenia (plt of 132) d/t acute viral illness Ddimer of 0.44. BMP K of 3.3/normal Cr/mg/LFTs/Tylenol levels normal/normal lactate/salicylate and etoh negative.  VBG normal pH Portable chest x-ray w/ Nodular opacity right hilum (corresponds to pulmonary infiltrate superimposed on right interlobar artery on CT angio) CT angio negative for PE but notable for minor patchy peripheral ground glass opacities consistent with COVID-19 pneumonia. She was given Toradol x 1 dose for fever/trazodone for sleep and zofran for nausea HOSPITAL COURSE: 56-year-old female with chronic lower back pain who has been vaccinated for Covid with Pfizer in May 2021 (has not received her booster shot) admitted for covid 19 PNA complicated by hypotension and transient confusion resolved after fluid resuscitation.     COVID 19 PNA w/o sepsis w/o hypoxia Leukopenia  Metabolic encephalopathy, resolved Hypotension, resolved CTA w/ b/l infiltrates, no PE. Patient monitored and given IVF, anti emetics, tylenol.  She remained off 02 during her stay.  She was febrile here, but SBP normal. Patient elected to go home as we were only providing her symptomatic relief.  She was instructed to buy a pulse ox and return to the ER if o2 drops below 90%.  Given script for tessalon perles and zofran.