chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Syncope, Troponin I, Unresponsive to stimuli, Urine analysis
Clinical narrative: 83yr old male presented to ED from the clinic via cart.  Patient was sitting in room and just passed out.  Upon arrival to the clinic the patient was not responding to voice or touch.  Patient was lifted from wheelchair onto cot and wheeled to the ED.  Enroute to the ED the patient became more responsive and was able to open his eyes.  After a couple of minutes of being in the ED the patient was able to speak and answer questions.    Wife states that she did not notice any unusual weakness or changes prior to this incident.  He walked by himself into the clinic.  She states that he is active for a day and then needs a day of rest, but that has become his normal.  Per report from spouse patient has been rubbing his abdomen lately, he did have a mass that she is wondering if it is bothering.   Patient was coming into the clinic ajoining the hospital for a rountine flu shot when he collapsed.  He was driven by his wife, who noted that he seemed fine on the ride over and that he got out of the car and walked normally on his own into the clinic while she parked the car. The patient was joined inside the clinic by his wife after she parked her car, he was sitting with her for her appointment and planned to get his flu shot, his wife noted that he kinda 'made a noise' and she looked over at him to note that he seemed unconscious and was drooling, he was held up in the chair until help arrived and he was placed on a gurney and taken to the ER.  During the initial departure of the gurney, he woke up.   Reason for Visit  Neurological Changes  Diagnoses   Syncope, unspecified syncope type  Loss of consciousness  Leukocytosis, unspecified type  Positive D dimer  Dehydration
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Dizziness, Dysgeusia, Gait disturbance
Clinical narrative: Puffy Tongue Facial Numbness and neck numbness  Metallic taste in mouth  Pins and needles/gradual  boiling sensation throughout whole body Aggressive vomiting  Hard time walking Nausea Dizziness Chills and high fever Inability to keep anything down Hypersensitivity to light, sound and touch Aches and pains all over
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperacusis, Hyperaesthesia, Hyperpyrexia, Hypoaesthesia, Nausea
Clinical narrative: Puffy Tongue Facial Numbness and neck numbness  Metallic taste in mouth  Pins and needles/gradual  boiling sensation throughout whole body Aggressive vomiting  Hard time walking Nausea Dizziness Chills and high fever Inability to keep anything down Hypersensitivity to light, sound and touch Aches and pains all over
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Photophobia, Swollen tongue, Vomiting
Clinical narrative: Puffy Tongue Facial Numbness and neck numbness  Metallic taste in mouth  Pins and needles/gradual  boiling sensation throughout whole body Aggressive vomiting  Hard time walking Nausea Dizziness Chills and high fever Inability to keep anything down Hypersensitivity to light, sound and touch Aches and pains all over
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Pruritus, Rash, Swelling
Clinical narrative: little raised bumps around both elbows, and four finger distant from the injection site. On the injections site there was no sign of redness, warmth, or irritation.  Also patient had a slight raised streak on the left upper quadrant on his chest, just above the nipple region.  Sx onset within 15 minutes.  Patient c/o itchiness. Treatment: 10 ml of Benadryl. Outcome: Decrease bumps & itchiness.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Computerised tomogram thorax, Dyspnoea, Fatigue
Clinical narrative: 10/19/21 call to clinic stating tingling, numbness all over body, body aches, fatigue, fever, chest tightness and intermittent palpitations. 10/20/21 Office Visit Note below Friday got first dose of covid vaccine, states she is feeling off since then.  Was fine for the first couple of hours but then 3 hours later started feeling drained, tired, arm was throbbing. As the days went on she has noticed more and more symptoms. Got chills, felt as though face was on fire. 101.5F, alternating tylenol and ibuprofen. This morning when she woke up this morning had a fever and took ibuprofen.  Bilateral groin tenderness started Saturday/sunday. Gets weird numbness and tingling throughout body.  Palpitations started Friday night. Every 2 hours, lasts 5-10 minutes. Slightly some shortness of breath and "slightly" some chest pain with it.    Currently legs are sore, hard to walk because of the pain, elevates her legs because of the swelling. No noted redness. Swelling is new to her legs. No prior history of this. Notices sock line. This does improve once she elevates her legs but then as soon as she gets up again notices the swelling. Legs are bothering her the most with the leg swelling.  Face feels hot but fingers and hands are freezing. Neck is also sore.    Has been off of work due to her fevers and symptoms.  No prior history of PEs. Has Mirena IUD in place.  10/21/21: Presents to ED, see notes below, still in ED at time of this form HPI The patient is a 35 year old female with a history of asthma who presents to the Emergency Department with a chief complaint of left leg pain. The patient received the first dose of the Pfizer COVID-19 vaccine on 10/15/2021 and states that she has been feeling "off" since. She was evaluated at the Respiratory Clinic yesterday for fatigue, fevers, chills, shortness of breath, chest tightness, and leg swelling and pain. A bilateral lower extremity ultrasound, CT angio of the chest, and labs were obtained. Findings were significant for a single subsegmental PE. Patient was contacted today with CT scan findings and was recommended to come into the Emergency Department for further evaluation of symptoms. The patient states that she woke up this morning with increased left anterior thigh pain and an acute onset of left sided abdominal pain. Notes that the pain work her up from her sleep this morning. Her left thigh pain is currently rated as a 7/10 in severity and described as aching with no radiation. No other associated symptoms noted. Symptoms are aggravated with palpation and movement of the left lower extremity and there are no alleviating factors. The patient denies nausea, vomiting, chest pain, back pain, head pain, dizziness, or lightheadedness. She denies taking any medications prior to arrival. No other reported symptoms at this time.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Fibrin D dimer increased, Flushing, Full blood count, Gait disturbance
Clinical narrative: 10/19/21 call to clinic stating tingling, numbness all over body, body aches, fatigue, fever, chest tightness and intermittent palpitations. 10/20/21 Office Visit Note below Friday got first dose of covid vaccine, states she is feeling off since then.  Was fine for the first couple of hours but then 3 hours later started feeling drained, tired, arm was throbbing. As the days went on she has noticed more and more symptoms. Got chills, felt as though face was on fire. 101.5F, alternating tylenol and ibuprofen. This morning when she woke up this morning had a fever and took ibuprofen.  Bilateral groin tenderness started Saturday/sunday. Gets weird numbness and tingling throughout body.  Palpitations started Friday night. Every 2 hours, lasts 5-10 minutes. Slightly some shortness of breath and "slightly" some chest pain with it.    Currently legs are sore, hard to walk because of the pain, elevates her legs because of the swelling. No noted redness. Swelling is new to her legs. No prior history of this. Notices sock line. This does improve once she elevates her legs but then as soon as she gets up again notices the swelling. Legs are bothering her the most with the leg swelling.  Face feels hot but fingers and hands are freezing. Neck is also sore.    Has been off of work due to her fevers and symptoms.  No prior history of PEs. Has Mirena IUD in place.  10/21/21: Presents to ED, see notes below, still in ED at time of this form HPI The patient is a 35 year old female with a history of asthma who presents to the Emergency Department with a chief complaint of left leg pain. The patient received the first dose of the Pfizer COVID-19 vaccine on 10/15/2021 and states that she has been feeling "off" since. She was evaluated at the Respiratory Clinic yesterday for fatigue, fevers, chills, shortness of breath, chest tightness, and leg swelling and pain. A bilateral lower extremity ultrasound, CT angio of the chest, and labs were obtained. Findings were significant for a single subsegmental PE. Patient was contacted today with CT scan findings and was recommended to come into the Emergency Department for further evaluation of symptoms. The patient states that she woke up this morning with increased left anterior thigh pain and an acute onset of left sided abdominal pain. Notes that the pain work her up from her sleep this morning. Her left thigh pain is currently rated as a 7/10 in severity and described as aching with no radiation. No other associated symptoms noted. Symptoms are aggravated with palpation and movement of the left lower extremity and there are no alleviating factors. The patient denies nausea, vomiting, chest pain, back pain, head pain, dizziness, or lightheadedness. She denies taking any medications prior to arrival. No other reported symptoms at this time.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Impaired work ability, Pain, Palpitations, Paraesthesia
Clinical narrative: 10/19/21 call to clinic stating tingling, numbness all over body, body aches, fatigue, fever, chest tightness and intermittent palpitations. 10/20/21 Office Visit Note below Friday got first dose of covid vaccine, states she is feeling off since then.  Was fine for the first couple of hours but then 3 hours later started feeling drained, tired, arm was throbbing. As the days went on she has noticed more and more symptoms. Got chills, felt as though face was on fire. 101.5F, alternating tylenol and ibuprofen. This morning when she woke up this morning had a fever and took ibuprofen.  Bilateral groin tenderness started Saturday/sunday. Gets weird numbness and tingling throughout body.  Palpitations started Friday night. Every 2 hours, lasts 5-10 minutes. Slightly some shortness of breath and "slightly" some chest pain with it.    Currently legs are sore, hard to walk because of the pain, elevates her legs because of the swelling. No noted redness. Swelling is new to her legs. No prior history of this. Notices sock line. This does improve once she elevates her legs but then as soon as she gets up again notices the swelling. Legs are bothering her the most with the leg swelling.  Face feels hot but fingers and hands are freezing. Neck is also sore.    Has been off of work due to her fevers and symptoms.  No prior history of PEs. Has Mirena IUD in place.  10/21/21: Presents to ED, see notes below, still in ED at time of this form HPI The patient is a 35 year old female with a history of asthma who presents to the Emergency Department with a chief complaint of left leg pain. The patient received the first dose of the Pfizer COVID-19 vaccine on 10/15/2021 and states that she has been feeling "off" since. She was evaluated at the Respiratory Clinic yesterday for fatigue, fevers, chills, shortness of breath, chest tightness, and leg swelling and pain. A bilateral lower extremity ultrasound, CT angio of the chest, and labs were obtained. Findings were significant for a single subsegmental PE. Patient was contacted today with CT scan findings and was recommended to come into the Emergency Department for further evaluation of symptoms. The patient states that she woke up this morning with increased left anterior thigh pain and an acute onset of left sided abdominal pain. Notes that the pain work her up from her sleep this morning. Her left thigh pain is currently rated as a 7/10 in severity and described as aching with no radiation. No other associated symptoms noted. Symptoms are aggravated with palpation and movement of the left lower extremity and there are no alleviating factors. The patient denies nausea, vomiting, chest pain, back pain, head pain, dizziness, or lightheadedness. She denies taking any medications prior to arrival. No other reported symptoms at this time.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pulmonary embolism, Pyrexia, Red blood cell sedimentation rate normal, SARS-CoV-2 test negative
Clinical narrative: 10/19/21 call to clinic stating tingling, numbness all over body, body aches, fatigue, fever, chest tightness and intermittent palpitations. 10/20/21 Office Visit Note below Friday got first dose of covid vaccine, states she is feeling off since then.  Was fine for the first couple of hours but then 3 hours later started feeling drained, tired, arm was throbbing. As the days went on she has noticed more and more symptoms. Got chills, felt as though face was on fire. 101.5F, alternating tylenol and ibuprofen. This morning when she woke up this morning had a fever and took ibuprofen.  Bilateral groin tenderness started Saturday/sunday. Gets weird numbness and tingling throughout body.  Palpitations started Friday night. Every 2 hours, lasts 5-10 minutes. Slightly some shortness of breath and "slightly" some chest pain with it.    Currently legs are sore, hard to walk because of the pain, elevates her legs because of the swelling. No noted redness. Swelling is new to her legs. No prior history of this. Notices sock line. This does improve once she elevates her legs but then as soon as she gets up again notices the swelling. Legs are bothering her the most with the leg swelling.  Face feels hot but fingers and hands are freezing. Neck is also sore.    Has been off of work due to her fevers and symptoms.  No prior history of PEs. Has Mirena IUD in place.  10/21/21: Presents to ED, see notes below, still in ED at time of this form HPI The patient is a 35 year old female with a history of asthma who presents to the Emergency Department with a chief complaint of left leg pain. The patient received the first dose of the Pfizer COVID-19 vaccine on 10/15/2021 and states that she has been feeling "off" since. She was evaluated at the Respiratory Clinic yesterday for fatigue, fevers, chills, shortness of breath, chest tightness, and leg swelling and pain. A bilateral lower extremity ultrasound, CT angio of the chest, and labs were obtained. Findings were significant for a single subsegmental PE. Patient was contacted today with CT scan findings and was recommended to come into the Emergency Department for further evaluation of symptoms. The patient states that she woke up this morning with increased left anterior thigh pain and an acute onset of left sided abdominal pain. Notes that the pain work her up from her sleep this morning. Her left thigh pain is currently rated as a 7/10 in severity and described as aching with no radiation. No other associated symptoms noted. Symptoms are aggravated with palpation and movement of the left lower extremity and there are no alleviating factors. The patient denies nausea, vomiting, chest pain, back pain, head pain, dizziness, or lightheadedness. She denies taking any medications prior to arrival. No other reported symptoms at this time.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: 10/19/21 call to clinic stating tingling, numbness all over body, body aches, fatigue, fever, chest tightness and intermittent palpitations. 10/20/21 Office Visit Note below Friday got first dose of covid vaccine, states she is feeling off since then.  Was fine for the first couple of hours but then 3 hours later started feeling drained, tired, arm was throbbing. As the days went on she has noticed more and more symptoms. Got chills, felt as though face was on fire. 101.5F, alternating tylenol and ibuprofen. This morning when she woke up this morning had a fever and took ibuprofen.  Bilateral groin tenderness started Saturday/sunday. Gets weird numbness and tingling throughout body.  Palpitations started Friday night. Every 2 hours, lasts 5-10 minutes. Slightly some shortness of breath and "slightly" some chest pain with it.    Currently legs are sore, hard to walk because of the pain, elevates her legs because of the swelling. No noted redness. Swelling is new to her legs. No prior history of this. Notices sock line. This does improve once she elevates her legs but then as soon as she gets up again notices the swelling. Legs are bothering her the most with the leg swelling.  Face feels hot but fingers and hands are freezing. Neck is also sore.    Has been off of work due to her fevers and symptoms.  No prior history of PEs. Has Mirena IUD in place.  10/21/21: Presents to ED, see notes below, still in ED at time of this form HPI The patient is a 35 year old female with a history of asthma who presents to the Emergency Department with a chief complaint of left leg pain. The patient received the first dose of the Pfizer COVID-19 vaccine on 10/15/2021 and states that she has been feeling "off" since. She was evaluated at the Respiratory Clinic yesterday for fatigue, fevers, chills, shortness of breath, chest tightness, and leg swelling and pain. A bilateral lower extremity ultrasound, CT angio of the chest, and labs were obtained. Findings were significant for a single subsegmental PE. Patient was contacted today with CT scan findings and was recommended to come into the Emergency Department for further evaluation of symptoms. The patient states that she woke up this morning with increased left anterior thigh pain and an acute onset of left sided abdominal pain. Notes that the pain work her up from her sleep this morning. Her left thigh pain is currently rated as a 7/10 in severity and described as aching with no radiation. No other associated symptoms noted. Symptoms are aggravated with palpation and movement of the left lower extremity and there are no alleviating factors. The patient denies nausea, vomiting, chest pain, back pain, head pain, dizziness, or lightheadedness. She denies taking any medications prior to arrival. No other reported symptoms at this time.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Confusional state, Disorientation, Lung hyperinflation
Clinical narrative: Came to ER on 10/19 after 10/11 COVID Diagnosis. Visit was for worsening congestion. Upon talking with patient it became apparent that pt was very confused and not oriented. Was admitted to hospital and remains hospitalized.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: Came to ER on 10/19 after 10/11 COVID Diagnosis. Visit was for worsening congestion. Upon talking with patient it became apparent that pt was very confused and not oriented. Was admitted to hospital and remains hospitalized.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: PT C/O SOB AND COUGH FOR 5 DAYS
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Injection site warmth
Clinical narrative: Pain at the injection site at first, as expected. Then a round, hot, red area at the injection site...as expected. The heat/fever at the site disappeared by Sunday 10/17 but there was still some pinkness - a whole circle area around the injection site. The area has also been itchy on and off. The mark is still visible, and it's still itchy on and off, even a week after the shot.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 10/20/21 after being fully vaccinated.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Coronary artery occlusion, Thrombectomy
Clinical narrative: Patient presented with expressive aphasia 2 days after infection and was found to have a L M2 occlusion requiring tPA and emergent mechanical thrombectomy
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Ultrasound scan vagina
Clinical narrative: Patient was pregnant. LMP 7/26/21 EDD- 5/2/22, patient went for dating sonogram on 9/29/21 , no  detectable cardiac flutter or cardiac activity.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dysgeusia, Dyspnoea
Clinical narrative: I had a really bad cough.  Worst then a cold.  I had a difficulty breathing.  Everything tasted salty.  I had chills that I began to shake.  I was really cold.  I have a fever of a 103.   I went to the ER.  They did a Covid-19 test, which came back positive.  I am very fatigue.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Pyrexia, SARS-CoV-2 test positive, Tremor
Clinical narrative: I had a really bad cough.  Worst then a cold.  I had a difficulty breathing.  Everything tasted salty.  I had chills that I began to shake.  I was really cold.  I have a fever of a 103.   I went to the ER.  They did a Covid-19 test, which came back positive.  I am very fatigue.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site rash, Pruritus, Skin warm
Clinical narrative: My arm started itching  2 days ago and a hot, inflamed rash has formed around the injection site.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Chest pain, Painful respiration, Palpitations
Clinical narrative: Heart palpations, sharp pain in chest when inhaling, intermittent chest pain over the heart
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death, Dyspnoea, General physical health deterioration, Respiratory failure
Clinical narrative: pt to ER via EMS with SOB; diagnosed with AHRF with COVID pneumonia; placed on nonrebreather mask; comfort measures and meds requested as pt's condition worsened; pt expired in the hospital
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient contracted COVID 19 and subsequently passed away.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, C-reactive protein abnormal, Chest pain, Echocardiogram normal, Electrocardiogram ST segment abnormal
Clinical narrative: 39-year-old male who was admitted with a 1 day history of chest pain on 5/15/21.  Initial labs showed elevated troponin with diffuse ST changes consistent for myopericarditis.  Patient had his second dose of the Pfizer Covid vaccination on May 12.  Patient was initiated on colchicine with improvement in his symptoms.  Echocardiogram performed showing normal LV function with no significant valvular abnormalities.  Patient was seen by cardiology, plan for 3-month treatment with colchicine and high-dose ibuprofen for at least 2 weeks until CRP has normalized.  Patient will be on PPI while continuing his medications.  Outpatient cardiac MRI will be completed.  Patient discharged home in stable condition.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Inferior vena cava dilatation, Lipase, Liver function test
Clinical narrative: 39-year-old male who was admitted with a 1 day history of chest pain on 5/15/21.  Initial labs showed elevated troponin with diffuse ST changes consistent for myopericarditis.  Patient had his second dose of the Pfizer Covid vaccination on May 12.  Patient was initiated on colchicine with improvement in his symptoms.  Echocardiogram performed showing normal LV function with no significant valvular abnormalities.  Patient was seen by cardiology, plan for 3-month treatment with colchicine and high-dose ibuprofen for at least 2 weeks until CRP has normalized.  Patient will be on PPI while continuing his medications.  Outpatient cardiac MRI will be completed.  Patient discharged home in stable condition.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Myocarditis, Red blood cell sedimentation rate, Troponin increased
Clinical narrative: 39-year-old male who was admitted with a 1 day history of chest pain on 5/15/21.  Initial labs showed elevated troponin with diffuse ST changes consistent for myopericarditis.  Patient had his second dose of the Pfizer Covid vaccination on May 12.  Patient was initiated on colchicine with improvement in his symptoms.  Echocardiogram performed showing normal LV function with no significant valvular abnormalities.  Patient was seen by cardiology, plan for 3-month treatment with colchicine and high-dose ibuprofen for at least 2 weeks until CRP has normalized.  Patient will be on PPI while continuing his medications.  Outpatient cardiac MRI will be completed.  Patient discharged home in stable condition.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Aortic aneurysm, Aortic dissection, COVID-19, COVID-19 pneumonia
Clinical narrative: Client is a 73 yo F with PMH of HTN, HLD, ESRD/CKD s/p renal transplant x2 (1994 and 1995, on immunosuppression) s/p bilateral AV fistulas, DVT on Coumadin, hypothyroidism, who tested positive for COVID on 9/7/2021 who then presented to Hospital with AMS and hypoxia to high 80s. She was vaccinated with Pfizer and got a booster dose given her transplant history. She was treated with dexamethasone x10 days and ceftriaxone and azithromycin for COVID PNA. She was weaned from 6L to 1L NC. She was ready for discharge 9/24 but labs showed elevated d-dimer 4739 from initially 388 from admission. CTA chest showed aneurysmal enlargement of the ascending thoracic aorta to 5.0cm c/f Stanford type A ascending aortic dissection without significant luminal compromise, extends into the aortic arch but is not extending into the brachiocephalic arteries. She was subsequently started on esmolol gtt transferred to hospital for further management. Upon reviewing images it was determined she was a poor surgical candidate and that the dissection was chronic. She has remained on Lopressor for adequate impulse management of the dissection, and has been followed by the Renal Transplant team during her admission for continued immunosuppression therapy and monitoring. She has been medically managed and is stable and ready for discharge to rehab on 9/29/2021.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hypoxia, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Client is a 73 yo F with PMH of HTN, HLD, ESRD/CKD s/p renal transplant x2 (1994 and 1995, on immunosuppression) s/p bilateral AV fistulas, DVT on Coumadin, hypothyroidism, who tested positive for COVID on 9/7/2021 who then presented to Hospital with AMS and hypoxia to high 80s. She was vaccinated with Pfizer and got a booster dose given her transplant history. She was treated with dexamethasone x10 days and ceftriaxone and azithromycin for COVID PNA. She was weaned from 6L to 1L NC. She was ready for discharge 9/24 but labs showed elevated d-dimer 4739 from initially 388 from admission. CTA chest showed aneurysmal enlargement of the ascending thoracic aorta to 5.0cm c/f Stanford type A ascending aortic dissection without significant luminal compromise, extends into the aortic arch but is not extending into the brachiocephalic arteries. She was subsequently started on esmolol gtt transferred to hospital for further management. Upon reviewing images it was determined she was a poor surgical candidate and that the dissection was chronic. She has remained on Lopressor for adequate impulse management of the dissection, and has been followed by the Renal Transplant team during her admission for continued immunosuppression therapy and monitoring. She has been medically managed and is stable and ready for discharge to rehab on 9/29/2021.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient presented to pharmacy with a diagnosis of shingles after receiving a second dose of Shingrix earlier that day.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: admitted for increasing cough and shortness of breath after COVID positive test
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cyst, Dry skin, Pain, Palmoplantar pustulosis, Pustule
Clinical narrative: Ever since my first shot I get recurring BAD postules/cysts all over my hands but mainly palms and now my feet. Skin gets so dry it's scales and so thick that my own dead skin cuts through the other hand. Open sores all over hands, very painful to be at work, and now it's on my feet too. Soon I won't be able to work if this gets bad. This ONLY started after my first dose of the Vax. I've never ever had raised bumps like this that explode when I squeeze my hand into a fist.  Who do I seek for help with this? The Vax triggered an autoimmune response! Palmoplantar pustulosis explains my experience to the T, every thing.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash papular, Skin exfoliation, Skin hypertrophy, Ulcer
Clinical narrative: Ever since my first shot I get recurring BAD postules/cysts all over my hands but mainly palms and now my feet. Skin gets so dry it's scales and so thick that my own dead skin cuts through the other hand. Open sores all over hands, very painful to be at work, and now it's on my feet too. Soon I won't be able to work if this gets bad. This ONLY started after my first dose of the Vax. I've never ever had raised bumps like this that explode when I squeeze my hand into a fist.  Who do I seek for help with this? The Vax triggered an autoimmune response! Palmoplantar pustulosis explains my experience to the T, every thing.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Movement disorder, Tendon operation, Tendon rupture
Clinical narrative: Vaccines not given at our facitlity.  Advised client to contact vaccinating pharmacy to submit report.--Pharmacy; Client states  beginning 2 days following 2nd dose Moderna vaccine- weakness, progressing to immobility of right thumb and index finger. 6/2/21 - Dx of Extensor tendon rupture and surgery done on 6/8/2021.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pain in extremity
Clinical narrative: body aches, pain in shoulders and legs only lasted 15 seconds
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Headache, Hypoaesthesia, Neck pain
Clinical narrative: Numbness, tingling and weakness in right hand and right leg. Pain and tightness in neck and shoulders. Severe headache.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Numbness, tingling and weakness in right hand and right leg. Pain and tightness in neck and shoulders. Severe headache.
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Muscle spasms
Clinical narrative: Pt. states that after receiving the 1st dose of  Influenza Fluarix 10/01/2021, started experiencing symptoms 10/07/2021 of right leg cramps. Chiropractor visit 10/11/2021 recommended reporting/ Primary communications recommendation of Hot/Cold pack for pain. Still continuing to experience symptoms.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Immunodeficiency, Product storage error
Clinical narrative: Patient received booster injection from a vial that was out overnight- past the 6 hour time frame.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Chest X-ray abnormal, Death, Intensive care
Clinical narrative: Prolonged hospitalization with eventual patient death. Acute respiratory failure with hypoxia secondary to COVID pneumonia. BiPAP, hasd previous hospitalization requiring ICU placemtn on Vapotherm and BiPAP, discharged home then hospitalized again with acute hypoxi respiratory failure, IV antibiotic therapy, IV solumendrol, SVT
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Interstitial lung disease, Lung infiltration, Positive airway pressure therapy, Supraventricular tachycardia
Clinical narrative: Prolonged hospitalization with eventual patient death. Acute respiratory failure with hypoxia secondary to COVID pneumonia. BiPAP, hasd previous hospitalization requiring ICU placemtn on Vapotherm and BiPAP, discharged home then hospitalized again with acute hypoxi respiratory failure, IV antibiotic therapy, IV solumendrol, SVT
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram abnormal, Anticoagulant therapy, Artery dissection, Blood test, Cardiac arrest
Clinical narrative: For 4 days after vaccine I had trouble breathing with what felt like muscle spasms in my right side, rib cage, back side. On day 6 I had strange pains again but extended up my chest and neck tightening. Heaviness on my chest. Confusion, couldn?t get comfortable or catch my breath. Overwhelming feeling something was wrong. After 911 responders started monitoring heart I collapsed, heart stopped, they shocked me 3 times, took me to Hosp where cardiologist did angiogram and believes he saw 2 arterial dissections. Other cardiologist said he disagreed and it was Tokotsubo syndrome, broken heart syndrome, did Echo cardio grams and ECG?s. Put me on aspirin, Plavix, metropolol succinate, lisinopril. Gave me heparin shots to abdomen multiple times throughout the day. Stayed for 3 days. ECG?s all showed prolonged Q-T interval, Echo showed 40% heart function. My usual BP is 100-110/60-70. It was continuously very low, 60-80/25-45.  Angiogram  showed zero blockages, no plaque, later CT showed 0 Calcium score, no calcification in all the areas checked. I?ve always had great cholesterol levels (lol LDL, high HDL) low triglycerides, low healthy heart rate (in Hosp approx 45-55.) Two weeks after first Hosp Stay I went back in for another 3 days because of abnormal heart rhythms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac dysfunction, Cardiac monitoring, Cardioversion, Chest discomfort, Chest pain
Clinical narrative: For 4 days after vaccine I had trouble breathing with what felt like muscle spasms in my right side, rib cage, back side. On day 6 I had strange pains again but extended up my chest and neck tightening. Heaviness on my chest. Confusion, couldn?t get comfortable or catch my breath. Overwhelming feeling something was wrong. After 911 responders started monitoring heart I collapsed, heart stopped, they shocked me 3 times, took me to Hosp where cardiologist did angiogram and believes he saw 2 arterial dissections. Other cardiologist said he disagreed and it was Tokotsubo syndrome, broken heart syndrome, did Echo cardio grams and ECG?s. Put me on aspirin, Plavix, metropolol succinate, lisinopril. Gave me heparin shots to abdomen multiple times throughout the day. Stayed for 3 days. ECG?s all showed prolonged Q-T interval, Echo showed 40% heart function. My usual BP is 100-110/60-70. It was continuously very low, 60-80/25-45.  Angiogram  showed zero blockages, no plaque, later CT showed 0 Calcium score, no calcification in all the areas checked. I?ve always had great cholesterol levels (lol LDL, high HDL) low triglycerides, low healthy heart rate (in Hosp approx 45-55.) Two weeks after first Hosp Stay I went back in for another 3 days because of abnormal heart rhythms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Confusional state, Discomfort, Dyspnoea, Echocardiogram abnormal
Clinical narrative: For 4 days after vaccine I had trouble breathing with what felt like muscle spasms in my right side, rib cage, back side. On day 6 I had strange pains again but extended up my chest and neck tightening. Heaviness on my chest. Confusion, couldn?t get comfortable or catch my breath. Overwhelming feeling something was wrong. After 911 responders started monitoring heart I collapsed, heart stopped, they shocked me 3 times, took me to Hosp where cardiologist did angiogram and believes he saw 2 arterial dissections. Other cardiologist said he disagreed and it was Tokotsubo syndrome, broken heart syndrome, did Echo cardio grams and ECG?s. Put me on aspirin, Plavix, metropolol succinate, lisinopril. Gave me heparin shots to abdomen multiple times throughout the day. Stayed for 3 days. ECG?s all showed prolonged Q-T interval, Echo showed 40% heart function. My usual BP is 100-110/60-70. It was continuously very low, 60-80/25-45.  Angiogram  showed zero blockages, no plaque, later CT showed 0 Calcium score, no calcification in all the areas checked. I?ve always had great cholesterol levels (lol LDL, high HDL) low triglycerides, low healthy heart rate (in Hosp approx 45-55.) Two weeks after first Hosp Stay I went back in for another 3 days because of abnormal heart rhythms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram QT prolonged, Feeling abnormal, Hypotension, Muscle spasms, Muscle tightness
Clinical narrative: For 4 days after vaccine I had trouble breathing with what felt like muscle spasms in my right side, rib cage, back side. On day 6 I had strange pains again but extended up my chest and neck tightening. Heaviness on my chest. Confusion, couldn?t get comfortable or catch my breath. Overwhelming feeling something was wrong. After 911 responders started monitoring heart I collapsed, heart stopped, they shocked me 3 times, took me to Hosp where cardiologist did angiogram and believes he saw 2 arterial dissections. Other cardiologist said he disagreed and it was Tokotsubo syndrome, broken heart syndrome, did Echo cardio grams and ECG?s. Put me on aspirin, Plavix, metropolol succinate, lisinopril. Gave me heparin shots to abdomen multiple times throughout the day. Stayed for 3 days. ECG?s all showed prolonged Q-T interval, Echo showed 40% heart function. My usual BP is 100-110/60-70. It was continuously very low, 60-80/25-45.  Angiogram  showed zero blockages, no plaque, later CT showed 0 Calcium score, no calcification in all the areas checked. I?ve always had great cholesterol levels (lol LDL, high HDL) low triglycerides, low healthy heart rate (in Hosp approx 45-55.) Two weeks after first Hosp Stay I went back in for another 3 days because of abnormal heart rhythms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Stress cardiomyopathy, Syncope
Clinical narrative: For 4 days after vaccine I had trouble breathing with what felt like muscle spasms in my right side, rib cage, back side. On day 6 I had strange pains again but extended up my chest and neck tightening. Heaviness on my chest. Confusion, couldn?t get comfortable or catch my breath. Overwhelming feeling something was wrong. After 911 responders started monitoring heart I collapsed, heart stopped, they shocked me 3 times, took me to Hosp where cardiologist did angiogram and believes he saw 2 arterial dissections. Other cardiologist said he disagreed and it was Tokotsubo syndrome, broken heart syndrome, did Echo cardio grams and ECG?s. Put me on aspirin, Plavix, metropolol succinate, lisinopril. Gave me heparin shots to abdomen multiple times throughout the day. Stayed for 3 days. ECG?s all showed prolonged Q-T interval, Echo showed 40% heart function. My usual BP is 100-110/60-70. It was continuously very low, 60-80/25-45.  Angiogram  showed zero blockages, no plaque, later CT showed 0 Calcium score, no calcification in all the areas checked. I?ve always had great cholesterol levels (lol LDL, high HDL) low triglycerides, low healthy heart rate (in Hosp approx 45-55.) Two weeks after first Hosp Stay I went back in for another 3 days because of abnormal heart rhythms.
Age: 36.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered, Injection site pain, Injection site vesicles
Clinical narrative: Large, tense, painful blisters at site of injection of the flu vaccine.   Photos available upon request.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Headache, Middle ear effusion, Paranasal sinus discomfort, Sinusitis
Clinical narrative: build up of sinus pressure, ear pain, headache in both ears starting around 23-Sep-2021. switched taking sudafed and Dayquil and zyrtec to manage symptoms. Symptoms were not resolving . Went to urgent care doctor on 11-Oct-2021 to be treated with antibiotics and steroids for sinus infection and fluid buildup behind ear. After completion of antibiotics and steroids, infection resolved, however headache and ear pain was not resolved. Went to ENT on 19-Oct-2021  to have a sinus scope which showed clear of sinus infection. However, sinus pressure, ear pain and headache still persist.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: HOSPITAL STAY FOR WEAKNESS AND SOB, O2 SAT 95% ON 4L N/C
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac discomfort, Cough, Injection site bruising, Pain in extremity, Palpitations
Clinical narrative: Nothing heart till the next morning . Arm felt absolutely sore like I fell down stairs. Bruised injection site formed and kind of went blackish stayed for 3 weeks. Left hand gets cold . Heart has been feeling tight and races and it feels like I have something in the back of my throat that I can't swallow,  makes me cough sometimes.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness, Sensation of foreign body
Clinical narrative: Nothing heart till the next morning . Arm felt absolutely sore like I fell down stairs. Bruised injection site formed and kind of went blackish stayed for 3 weeks. Left hand gets cold . Heart has been feeling tight and races and it feels like I have something in the back of my throat that I can't swallow,  makes me cough sometimes.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: At 1015AM Client  arrived at Vaccination Center requesting Janssen Covid Vaccine.  Ancillary staff registered walk-in client.  Ancillary staff was not notified History of Moderna Trial. Client  notified Vaccinator that he had participated in the Moderna Trial.  He states he received his 1st dose 4-7-2021 and 2nd dose 5-5-2021.  Client  states his employer is requesting vaccination status and due to blind trial is unable to provide proof.  At 1022AM PHN  notified and sent text to Vaccine Operations Leads and were directed to send a request for medical consult.  Client was interviewed for information.  At 1053 Medical Consult was sent via text.  At 1101 PHN received confirmation of approval for Janssen dose 1 with 30minute observation and at 1104 received approval for Flu vaccine from the Medical Consult team.  At 1110 Vaccinator  administered Janssen dose 1.  Client was observed for 30 minutes.  At 1140 Client  completed observation without complaints and left vaccination center with steady gait.
Age: 60.0
Sex: F
Vaccine: COVID19, FLUR4
Symptoms: Lip swelling, Swollen tongue, Tongue disorder
Clinical narrative: Patient reported swelling of lips and tongue "feeling thick". Patient given diphenhydramine 25mg  oral solution. Symptoms resolved after 15 minutes
Age: 91.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Arthropathy, Aspiration joint, Exostosis, Immediate post-injection reaction
Clinical narrative: Patient with complaints of shoulder pain almost immediately after immunization.   Swelling, pain,
Age: 91.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Swelling, Ultrasound Doppler abnormal, White blood cell count decreased, X-ray limb abnormal
Clinical narrative: Patient with complaints of shoulder pain almost immediately after immunization.   Swelling, pain,
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Pruritus, Throat irritation, Urticaria
Clinical narrative: Hives, itching on chest, neck and face. Throat irritation followed by difficulty breathing, shortness of breath, persistent coughing about 35 minutes after vaccine. Self administered Benadryl and took rescue inhaler then went to local Emergency Room. Placed on pulse oximetry, received prednisone and famotidine. Evaluated and observed for a few hours.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chemotherapy, Cough, Dyspnoea
Clinical narrative: Pt on chemotherapy...admitted with increasing cough and worsening shortness of breath.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness
Clinical narrative: Patient felt light headed and dizzy after receiving his second dose of Pfizer. His blood pressure was 174/110 and his glucose was 46. After he was given glucose tablets, his glucose was 85. He was picked up by his coworkers and he refused EMS.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Antiplatelet therapy, Back pain, COVID-19, Cardiogenic shock
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 1/8/2021 and 2/5/2021. On 10/9/2021 presented to ED with complaints of dyspnea, back pain, chest pain and nausea.  Patient was noted to require high O2 requirements and ultimately required intubation. Echo with findings of acute drop in EF compounded with significant elevation in biomarker's.  Patient given DAPT + Heparin infusion for maximal medical management.  Pt pancultured and negative but developed worsening cardiogenic shock.  Patient maxed out on vasopressors and later developed worsening leukocytosis and fever.  Abx broadened but further progressed into multiple organ failure.  Family elected to transition to full comfort measures.  Patient passed away on 10/15/2021.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Culture negative, Death, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 1/8/2021 and 2/5/2021. On 10/9/2021 presented to ED with complaints of dyspnea, back pain, chest pain and nausea.  Patient was noted to require high O2 requirements and ultimately required intubation. Echo with findings of acute drop in EF compounded with significant elevation in biomarker's.  Patient given DAPT + Heparin infusion for maximal medical management.  Pt pancultured and negative but developed worsening cardiogenic shock.  Patient maxed out on vasopressors and later developed worsening leukocytosis and fever.  Abx broadened but further progressed into multiple organ failure.  Family elected to transition to full comfort measures.  Patient passed away on 10/15/2021.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ejection fraction decreased, Endotracheal intubation, Laboratory test abnormal, Leukocytosis, Multiple organ dysfunction syndrome
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 1/8/2021 and 2/5/2021. On 10/9/2021 presented to ED with complaints of dyspnea, back pain, chest pain and nausea.  Patient was noted to require high O2 requirements and ultimately required intubation. Echo with findings of acute drop in EF compounded with significant elevation in biomarker's.  Patient given DAPT + Heparin infusion for maximal medical management.  Pt pancultured and negative but developed worsening cardiogenic shock.  Patient maxed out on vasopressors and later developed worsening leukocytosis and fever.  Abx broadened but further progressed into multiple organ failure.  Family elected to transition to full comfort measures.  Patient passed away on 10/15/2021.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, 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 1/8/2021 and 2/5/2021. On 10/9/2021 presented to ED with complaints of dyspnea, back pain, chest pain and nausea.  Patient was noted to require high O2 requirements and ultimately required intubation. Echo with findings of acute drop in EF compounded with significant elevation in biomarker's.  Patient given DAPT + Heparin infusion for maximal medical management.  Pt pancultured and negative but developed worsening cardiogenic shock.  Patient maxed out on vasopressors and later developed worsening leukocytosis and fever.  Abx broadened but further progressed into multiple organ failure.  Family elected to transition to full comfort measures.  Patient passed away on 10/15/2021.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood test, Insomnia, Tremor
Clinical narrative: 11 days after the 2nd vaccine, I started having tremors, anxiety and insomnia.