chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Furuncle, Haemorrhage, Malaise, Myalgia, Productive cough
Clinical narrative: Narrative:  COVID infection after COVID vaccine completion 03/12 COVID vaccine (dose 1 of 1) 03/15 pt reports dry hacking cough started 05/24 pt calls PCP report "he is feeling tired. He has had a dry hacking cough since 3/15.21. He feel as though it is related to the Covid Vaccine. He also states that he has multiple boils in his back that bleeds." 05/28 PCP visit: "Pt has a open ulcer in that scalpular region which is 2x3cm in size and looks fresh which he says is because of the COVID vaccine, pt has been having oozing pus with blood from it for 6 weeks and denies any picking at this point. It looks dry on my exam though. The surrounding is indurated. Skin looks normal around. Pt has dry cough and malaise since getting the vaccine and has no HF exacerbating symptoms. Pt at the end of the visit shows me the home kits which was positive for COVID." COVID test positive 05/29 Pt reports mild productive cough, diarrhea resolving, low grade fever, runny nose, myalgia 05/30 Pt reports new onset chest pain, did not seek care in ED as advised
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Purulent discharge, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Skin induration
Clinical narrative: Narrative:  COVID infection after COVID vaccine completion 03/12 COVID vaccine (dose 1 of 1) 03/15 pt reports dry hacking cough started 05/24 pt calls PCP report "he is feeling tired. He has had a dry hacking cough since 3/15.21. He feel as though it is related to the Covid Vaccine. He also states that he has multiple boils in his back that bleeds." 05/28 PCP visit: "Pt has a open ulcer in that scalpular region which is 2x3cm in size and looks fresh which he says is because of the COVID vaccine, pt has been having oozing pus with blood from it for 6 weeks and denies any picking at this point. It looks dry on my exam though. The surrounding is indurated. Skin looks normal around. Pt has dry cough and malaise since getting the vaccine and has no HF exacerbating symptoms. Pt at the end of the visit shows me the home kits which was positive for COVID." COVID test positive 05/29 Pt reports mild productive cough, diarrhea resolving, low grade fever, runny nose, myalgia 05/30 Pt reports new onset chest pain, did not seek care in ED as advised
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Skin ulcer, Skin ulcer haemorrhage, Wound, Wound secretion
Clinical narrative: Narrative:  COVID infection after COVID vaccine completion 03/12 COVID vaccine (dose 1 of 1) 03/15 pt reports dry hacking cough started 05/24 pt calls PCP report "he is feeling tired. He has had a dry hacking cough since 3/15.21. He feel as though it is related to the Covid Vaccine. He also states that he has multiple boils in his back that bleeds." 05/28 PCP visit: "Pt has a open ulcer in that scalpular region which is 2x3cm in size and looks fresh which he says is because of the COVID vaccine, pt has been having oozing pus with blood from it for 6 weeks and denies any picking at this point. It looks dry on my exam though. The surrounding is indurated. Skin looks normal around. Pt has dry cough and malaise since getting the vaccine and has no HF exacerbating symptoms. Pt at the end of the visit shows me the home kits which was positive for COVID." COVID test positive 05/29 Pt reports mild productive cough, diarrhea resolving, low grade fever, runny nose, myalgia 05/30 Pt reports new onset chest pain, did not seek care in ED as advised
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cerebrovascular accident, Death, General physical health deterioration, Hypophagia
Clinical narrative: Narrative: 75 y.o. male patient who received the Janssen COVID vaccine (Lot#1802070 exp 5/25/21) on 3/18/21. Patient's wife called the call center reporting that he had rapidly declined over the previous 24 hours. Wife reported the patient was very weak and had not eaten in ~4 days. Wife called 911. Patient was admitted to a hospital on 03/20 with Acute CVA. Per outside records patient passed night of 03/20/2021. PMH includes dementia, CKD S4, A fib, and hx of 3V CABG. Reaction classified as severe as death occurred following vaccination.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Hypokalaemia, Weight decreased
Clinical narrative: Narrative: The patient is a 75-year-old with a history of prostate cancer and more recent diagnosis of adenocarcinoma of the pancreas who was most recently discharged from inpatient on 5/14/2021 with weight loss and hypokalemia. Pt died at home in home hospice care on 6/6/2021. Pt had received covid vaccines on 1/29/21 and on 3/1/2021. It appears death is not related to vaccinations.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure acute, Condition aggravated, Death
Clinical narrative: Narrative:  90yo male pt with hx of chf, v tach, cad, aki, anemia, copd,htn, memory loss, & copd who was discharged from inpatient on 6/3/21 to home with diagnosis of Acute on chronic heart failure exacerbation. Pt dies at home on 6/4/2021. Pt had received covid vaccinations on 1/21/21 & 3/4/21. Appears death is not related to vaccinations.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Narrative: Headache, Myalgia, Fever, Diarrhea, left sore arm.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Myalgia
Clinical narrative: Myalgia injection site sore, fatigue Narrative:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative:  Timing error, 2nd COVID vaccine (Moderna) dose given too soon 22 days after first dose.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Pruritus, Rash, Throat tightness
Clinical narrative: Narrative: rash to face felt like band was around throat. Pt. reports that she had a "bit of a reaction" to first dose of Covid Vaccine. Did go to Local Urgent Care and was given Benadryl which was effective. Veteran calls to report she did to urgent care yesterday for follow up of symptoms after first Covid vaccine. She reports feeling much better today, has been taking Benadryl q 4 hours, reports throat is much better, itching is improved. She reports that they also have arranged for her to have lab work and testing to see which component of the vaccine she had an allergic reaction.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Facial pain, Neck pain, Pain, Pain in extremity
Clinical narrative: Narrative:  Patient, a 40-year-old-male received his second dose of the Moderna COVID-19 vaccine on 04/09/21. On 05/05/21, the patient reported that 2 days after receiving the vaccine, he developed a sore left arm with pain moving down the arm. The patient reported that the pain began to move into his left shoulder, neck, and left side of face 4 days after receiving the vaccine. The patient continues to have an aching feeling in his left arm and under the skin to the left jaw described as a "pin pricky feeling".
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Narrative:  Patient, a 40-year-old-male received his second dose of the Moderna COVID-19 vaccine on 04/09/21. On 05/05/21, the patient reported that 2 days after receiving the vaccine, he developed a sore left arm with pain moving down the arm. The patient reported that the pain began to move into his left shoulder, neck, and left side of face 4 days after receiving the vaccine. The patient continues to have an aching feeling in his left arm and under the skin to the left jaw described as a "pin pricky feeling".
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Fall, General physical health deterioration, Hip surgery, Joint dislocation
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMH significant for dementia, hyperlipidemia, obesity. Per note 5/5/21 only received one dose of Pfizer covid vaccine. Was under the care of hospice. Recently fell and dislocated hip requiring surgery at outside entity. Continued to decline post surgery. No documentation or medical records from hospital visit available. Deceased 5/23/21
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Craniotomy, Death, Dysarthria, Hemiparesis
Clinical narrative: Narrative: 75 y.o. male Patient received dose #1 of Moderna COVID vaccine (Lot #011A21A, exp 8/16/21) on 3/3/21 and dose #2 of Moderna COVID vaccine (Lot # 018B21A, exp 9/16/21) on 3/30/21. PMH includes ESRD via left AV fistula MWF dialysis, CAD x2 (no PCI, on plavix), and DM. Patient presented to hospital on 4/10/21 with acute onset of right sided weakness and slurred speech. Found to have large left subdural hemorrhage. Treated with craniotomy and evacuation. Post-op he developed a new intraparenchymal hemorrhage. Family elected comfort measures and patient died on 4/12. Reaction classified as severe as death occurred following vaccination.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Subdural haematoma evacuation, Subdural haemorrhage
Clinical narrative: Narrative: 75 y.o. male Patient received dose #1 of Moderna COVID vaccine (Lot #011A21A, exp 8/16/21) on 3/3/21 and dose #2 of Moderna COVID vaccine (Lot # 018B21A, exp 9/16/21) on 3/30/21. PMH includes ESRD via left AV fistula MWF dialysis, CAD x2 (no PCI, on plavix), and DM. Patient presented to hospital on 4/10/21 with acute onset of right sided weakness and slurred speech. Found to have large left subdural hemorrhage. Treated with craniotomy and evacuation. Post-op he developed a new intraparenchymal hemorrhage. Family elected comfort measures and patient died on 4/12. Reaction classified as severe as death occurred following vaccination.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Narrative:  swollen red spot at injection site, tender/firmness to the whole arm, painful at 7/10. Denies n/v/f but hurts to move the arm. Hurts too much to move the arm at all. Fingers are able to move. The muscles cramping in the arm is having slight tremors in the arm. Denies redness or swelling to the arm. Denies facial lip or tongue swelling, no rash or itching. Has slight headache no problem with breathing.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Muscle spasms, Pain, Pain in extremity, Tremor
Clinical narrative: Narrative:  swollen red spot at injection site, tender/firmness to the whole arm, painful at 7/10. Denies n/v/f but hurts to move the arm. Hurts too much to move the arm at all. Fingers are able to move. The muscles cramping in the arm is having slight tremors in the arm. Denies redness or swelling to the arm. Denies facial lip or tongue swelling, no rash or itching. Has slight headache no problem with breathing.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Patient did not receive the COVID-19 vaccine from our facility. He received his first dose on 12/26/20 and second dose on 1/23/21. On 4/18/2021 he tested positive for COVID-19.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, CHILLS Narrative:
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Lymph node pain, Lymphadenopathy, Myalgia
Clinical narrative: Narrative: Patient contacted clinic to report fever, muscle pain, joint pain, fatigue, and swollen, sore lymph nodes following following second dose of Moderna  COVID19 vaccine. Reported that symptoms resolved in 36 hours. No treatment documented.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Narrative: Patient contacted clinic to report fever, muscle pain, joint pain, fatigue, and swollen, sore lymph nodes following following second dose of Moderna  COVID19 vaccine. Reported that symptoms resolved in 36 hours. No treatment documented.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Suspected COVID-19
Clinical narrative: Narrative: Patient received Moderna vaccine~10 days prior to presenting to the ZVAMC with suspected COVID. The patient was treated with steroids. Reporting hospitalization per EUA documentation.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Nausea, Vomiting
Clinical narrative: Narrative: Headache, Nausea, Vomiting, and Malaise.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient is a 75yo male with PMH significant for ED, HTN, GERD, OA, Allergic rhinitis, Impaired fasting glucose, Anxiety disorder, and Elevated PSA. Patient was fully vaccinated with 2 doses of Moderna. There are no recent notes or notes on cause of death.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation reaction
Clinical narrative: Narrative: Patient received first COVID19 vaccine (Moderna) outside of facility. Per nursing note on 3/05/21, He already had one [COVID19 vaccine] and had a bad reaction that put him in the hospital so he will not be getting another one. No further details provided.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Decreased appetite, Hypersomnia
Clinical narrative: Narrative:  Patient received Moderna COVID #1 on 3/13/21 and #2 on 4/10/2021. On 4/12/21, family contacted the clinic to report that Patient had a reduced appetite and was sleep a lot. He refused to attend his follow up appt. with cardiology that day. No other notes entered or scanned records available. Date of death is recorded as 5/7/21. No autopsy report available. Time from second vaccine to date of death was 27 days.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest pain, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Patient received COVID-19 Moderna Vaccine dose 1 on 01/22/2021 and dose 2 02/19/2021. Patient admitted to the hospital on 5/26/21 with chest pain and positive covid-19 test. Patient not requiring oxygen at time of admission. On 5/27/21, patient decompensated, desaturating to 87% SPO2 on room air requiring initiation of oxygen. Patient initiated on dexamethasone and remdesevir at that time. Currently hospitalized.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Pt homeless, hx of substance abuse, hep-C & depression received one dose of covid vaccine from outside community clinic on 3/31/21. Pt died on 5/22/2021 per record system. Circumstances of death not noted. Not able to assess if covid vaccine related to patient's death.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Dizziness, Headache, Myalgia, Arthralgia, Fever, Nausea Vomiting,  CHILLS, FATIGUE. STATES SAME SYMPTOMS WITH FIRST DOES, HOWEVER THAT WAS NOT REPORTED TO  OCC HEALTH  Narrative:
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Dizziness, Headache, Myalgia, Arthralgia, Fever, Nausea Vomiting,  CHILLS, FATIGUE. STATES SAME SYMPTOMS WITH FIRST DOES, HOWEVER THAT WAS NOT REPORTED TO  OCC HEALTH  Narrative:
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Feeling jittery, No reaction on previous exposure to drug
Clinical narrative: Narrative:  51 yo male with hx of HLD presented to same day access/urgent care after he developed jitteriness and dizziness following his second Moderna dose on 4/26/2021. BP was noted to be elevated at 163/107 initially and came down to 144/92 after patient settled down. Pulse was 101 upon arrival and went down to 88. According to notes, pt did have one cup of coffee earlier today. He tolerated his first dose 4 weeks ago with no issue. Patient was given zyrtec 10mg during the visit (not sure why). Patient was discharged after his vitals and symptoms improved.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: posterior knee pain pcp following pt Narrative:  posterior knee pain pcp following pt
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Death, Therapy cessation
Clinical narrative: Narrative:  78 y.o. male Patient who received dose #1 of Moderna COVID vaccine (Lot #012L20A, exp 7/6/21) on 1/12/21 and dose #2 of Moderna COVID vaccine (Lot #013M20A, exp 7/31/21) on 2/9/21. Patient had a PMH of ESRD and had been on dialysis for the previous year. Patient elected to stop dialysis on 4/14/21 and was followed by hospice team. The Patient passed on 4/25/21. Reaction classified as severe as death occurred following vaccination.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Choking sensation, Delirium, Dizziness, Dysphonia
Clinical narrative: Narrative: Patient received first dose of Moderna Covid 19 vaccine at non-VA workplace clinic 2/18. Per outside records, patient became raspy, diaphoretic, felt weak, felt like he was choking. 911 called. BP found to be ~ 200/100. Felt subjectively hot and removed clothing but no temperature reading available. Per report, left workplace to home. No documentation of symptoms treatment. Patient contacted clinic 3/24 to report event, stating he had diaphoresis, weakness, hypertension, dizziness, vomiting delirium, cramping, headache, and "everything was out of whack. My voice was hoarse, and I could not breathe. I still feel no energy".
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot, Headache, Hyperhidrosis, Hypertension
Clinical narrative: Narrative: Patient received first dose of Moderna Covid 19 vaccine at non-VA workplace clinic 2/18. Per outside records, patient became raspy, diaphoretic, felt weak, felt like he was choking. 911 called. BP found to be ~ 200/100. Felt subjectively hot and removed clothing but no temperature reading available. Per report, left workplace to home. No documentation of symptoms treatment. Patient contacted clinic 3/24 to report event, stating he had diaphoresis, weakness, hypertension, dizziness, vomiting delirium, cramping, headache, and "everything was out of whack. My voice was hoarse, and I could not breathe. I still feel no energy".
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Muscle spasms, Vomiting
Clinical narrative: Narrative: Patient received first dose of Moderna Covid 19 vaccine at non-VA workplace clinic 2/18. Per outside records, patient became raspy, diaphoretic, felt weak, felt like he was choking. 911 called. BP found to be ~ 200/100. Felt subjectively hot and removed clothing but no temperature reading available. Per report, left workplace to home. No documentation of symptoms treatment. Patient contacted clinic 3/24 to report event, stating he had diaphoresis, weakness, hypertension, dizziness, vomiting delirium, cramping, headache, and "everything was out of whack. My voice was hoarse, and I could not breathe. I still feel no energy".
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Dizziness & Headache Narrative:
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative: Timing error 2nd dose - Moderna vaccine given 22 days after 1st dose
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death, Dyspnoea, Fall, Gait inability
Clinical narrative: Narrative: Wife called to report that patient passed on 06/11/2021 at Hospital. Wife reports that patient had second dose vaccine on 05/11/2021. On 06/10/2021 he began to have bilateral swelling in feet/ankles and some shortness of breath, medical attention was not sought initially. On 06/11/2021 patient urgently had to urinate and wife parked at store for patient to exit vehicle and go to bathroom. Patient did not make it inside to urinate. Wife reports he suddenly bent over, became short of breath, and unable to walk. The patient fell in the parking lot of store and hit his head. Patient was transported via ambulance to Hospital and died later that day. Wife reports his diagnosis was cardiac arrest and that he had fluid surrounding his heart. Daughter states "I know that he died from the vaccine".
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Joint swelling, Micturition urgency, Pericardial effusion, Peripheral swelling
Clinical narrative: Narrative: Wife called to report that patient passed on 06/11/2021 at Hospital. Wife reports that patient had second dose vaccine on 05/11/2021. On 06/10/2021 he began to have bilateral swelling in feet/ankles and some shortness of breath, medical attention was not sought initially. On 06/11/2021 patient urgently had to urinate and wife parked at store for patient to exit vehicle and go to bathroom. Patient did not make it inside to urinate. Wife reports he suddenly bent over, became short of breath, and unable to walk. The patient fell in the parking lot of store and hit his head. Patient was transported via ambulance to Hospital and died later that day. Wife reports his diagnosis was cardiac arrest and that he had fluid surrounding his heart. Daughter states "I know that he died from the vaccine".
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient received Moderna Covid #1 on 2/27/21. No notes or scanned records to indication what happened between that date and date of death on 3/23/21. He was however on chemotherapy with ruxolitinib (Jakafi) for polycythemia. No autopsy report available. Time from vaccine to date of death was 24 days.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dysgeusia, Headache, Immediate post-injection reaction, Vision blurred
Clinical narrative: Narrative:  Consulted with physician on-call prior to administration of vaccine due to pt.'s history of multiple anaphylactic reaction to IV medications. Physician gave approval to administer vaccine. Within one minute after vaccine administration, pt. reported feeling a HA. Soon after he was reporting blurred vision, chest heaviness, and a metallic taste. Rapid response team called due to history of multiple anaphylactic reactions to medications and history of seizure disorder.  Vital signs stable. Report given to rapid response team and pt. taken in his wheelchair to the emergency department for further evaluation and possible treatment if needed. VS:  1255: HR 89, BP 203/116, SpO2 98% 1258: HR 87, BP 187/111. SpO2 98% 1259: Rapid response team arrival 13:03: Pt. taken to emergency department by rapid response team via pt.'s personal wheelchair.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Clonus, Condition aggravated, Fatigue, Gait disturbance, Headache
Clinical narrative: Narrative:  Patient reported ADR following second dose of Moderna COVID vaccine. Patient has significant hx of chronic pain syndrome, PTSD, headache, and spastic paraparesis. Patient reported "Also, I had my second COVID-19 vaccine shot and had an extremely bad reaction. Had a fever of 102.6 and my neurological symptoms were worse than I've ever felt in my life. I couldn't walk without assistance, couldn't turn my head, had a terrible headache, and experienced clonus far worse and for a longer period of time than usual. Didn't get much sleep at all. I'm doing MUCH better now. Just feel drained and tired. I don't think it was an allergic reaction, rather the vaccine exacerbated the symptoms of my neurological condition FAR beyond what I'm used to." Per available documentation, appears patient did not actively treat reaction with any medications. Did not seek medical attention or require any further intervention following resolution of symptoms.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Mobility decreased, Neurological symptom, Pyrexia
Clinical narrative: Narrative:  Patient reported ADR following second dose of Moderna COVID vaccine. Patient has significant hx of chronic pain syndrome, PTSD, headache, and spastic paraparesis. Patient reported "Also, I had my second COVID-19 vaccine shot and had an extremely bad reaction. Had a fever of 102.6 and my neurological symptoms were worse than I've ever felt in my life. I couldn't walk without assistance, couldn't turn my head, had a terrible headache, and experienced clonus far worse and for a longer period of time than usual. Didn't get much sleep at all. I'm doing MUCH better now. Just feel drained and tired. I don't think it was an allergic reaction, rather the vaccine exacerbated the symptoms of my neurological condition FAR beyond what I'm used to." Per available documentation, appears patient did not actively treat reaction with any medications. Did not seek medical attention or require any further intervention following resolution of symptoms.
Age: 100.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: Pt was a 98 yo M with a PMH of CAD and HLD who passed away at a facility. No cause of death given.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Myalgia, Pyrexia
Clinical narrative: Myalgia, Fever, "full of sweat" Narrative:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Narrative: On 02/19/21, patient received first dose of COVID-19 immunization  at the hospital. At the 05/28/21 primary care appointment, the patient reported  that they had an episode of Bell's Palsy temporally related to getting said vaccine  and inquired about receiving the second dose in the series. ID was consulted to  assist in answering the question. ID responded that Per CDC: Cases of Bell's  palsy were reported following vaccination of participants in the COVID-19  vaccine clinical trials. Available data were insufficient for FDA to conclude that  these cases were causally related to vaccination. Post-authorization safety  surveillance will be important to further assess any possible causal association. In  the absence of such evidence, people with a history of Bell's palsy may receive  any FDA-authorized COVID- 19 vaccine. Any occurrence of Bell's palsy  following COVID- 19 vaccination should be reported to VAERS. This has now  been entered into VAERS. Patient presented to the hospital ED on 03/21/21 and  received methylpred IV, Toradol IV and discharged on Medrol dose pak and  valacyclovir.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Death, Impaired healing, Skin ulcer
Clinical narrative: Narrative:  Per notes, patient received Janseen covid vaccine on 3/26/21 at his dialysis clinic. On 4/27/21, he was seen by his PCP with reports of cellulitis and chronic non healing ulcers of his right toe and given a RX for moxifloxacin x 7 days. No scanned records or other information available from that time until his date of death of 5/3/21. There were 38 days from time of vaccine to date of death.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Pt is a 82y.o. male who died on 05/05/2021 with h/o CKD4, HTN, and DM. Patient received Pfizer Covid-19 on 02/25/2021 at specific location. Location of death was HOSPICE. Unlikely Pfizer Covid-19 vaccination caused/contributed to death.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Sudden death
Clinical narrative: Narrative:  Unexpected death with no adverse sequelae during observation period following second Pfizer COVID-19 immunization. Patient has a past medical history of atrial fibrillation, COPD, and hypothyroidism.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cerebral mass effect, Computerised tomogram head abnormal, Death, Subdural haematoma
Clinical narrative: Narrative: 72y.o. male patient who received dose #1 of Moderna COVID vaccine (Lot #013A21A, exp 8/20/21) on 3/5/21 and dose #2 of Moderna COVID vaccine (Lot #018B21A, exp 9/16/21) on 4/2/21. Patient has a PMH of CVA in 2018 and nonverbal since, diabetes mellitus (daily insulin), A Fib (on apixaban), essential hypertension, Alzheimer dementia diagnosed 7 years ago. Patient presented to ED on 4/2/21 for worsening weakness over the 1 week. A CT at facility showed a chronic subdural hematoma he was subsequently transferred to Hospital for neurosurgical evaluation. Provider was consulted and recommended nonsurgical management. CT scan showed Right subdural hematoma 1.7 cm with a right to left midline shift. The patient was placed on comfort care and passed on the morning of 4/13/21.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Subdural haemorrhage
Clinical narrative: Narrative: 72y.o. male patient who received dose #1 of Moderna COVID vaccine (Lot #013A21A, exp 8/20/21) on 3/5/21 and dose #2 of Moderna COVID vaccine (Lot #018B21A, exp 9/16/21) on 4/2/21. Patient has a PMH of CVA in 2018 and nonverbal since, diabetes mellitus (daily insulin), A Fib (on apixaban), essential hypertension, Alzheimer dementia diagnosed 7 years ago. Patient presented to ED on 4/2/21 for worsening weakness over the 1 week. A CT at facility showed a chronic subdural hematoma he was subsequently transferred to Hospital for neurosurgical evaluation. Provider was consulted and recommended nonsurgical management. CT scan showed Right subdural hematoma 1.7 cm with a right to left midline shift. The patient was placed on comfort care and passed on the morning of 4/13/21.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Fatigue, Foreign travel, Laboratory test abnormal
Clinical narrative: Narrative:  Covid infection after completion of COVID vaccine series 02/18 COVID vaccine dose #1 03/11 COVID vaccine dose #2 03/28 Non-ED visit, c/o viral symptoms, "nasal congestion, runny nose, dry cough x 1 day, declined testing or treatment 05/23 Non-COVID test positive, pt go tested due to symptoms of diarrhea, fatigue, runny nose, fever x 2 days; reports recent travel to another country
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Pyrexia, Rhinorrhoea
Clinical narrative: Narrative:  Covid infection after completion of COVID vaccine series 02/18 COVID vaccine dose #1 03/11 COVID vaccine dose #2 03/28 Non-ED visit, c/o viral symptoms, "nasal congestion, runny nose, dry cough x 1 day, declined testing or treatment 05/23 Non-COVID test positive, pt go tested due to symptoms of diarrhea, fatigue, runny nose, fever x 2 days; reports recent travel to another country
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient received Janssen Covid vaccine on 4/10/21. There are no CPRS notes or scanned records from that time until his date of death on 4/28/21 to indicate what happened. He was contacted on 4/20/21 about potential side effects and per notes, no issues were reported at that time. Time from vaccine to date of death was 18 days. No autopsy report available.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Pt is a 77 yo M who received COVID-19 vaccine on 1/30/2021. Pt was in hospice with h/o Parkinson's disease, dementia, and prostate cancer w/mets. Does not appear that vaccine caused/contributed to death. Autopsy was not performed.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Condition aggravated, Dry skin, Hypersensitivity, Rash
Clinical narrative: Narrative: Patient had first Covid Moderna vaccine on 3/21/21 and 2nd dose on 4/18/21, 28 days apart. He contacted the clinic on 5/28/21 to report he developed a rash after his 1st vaccine. He had his second shot even though he still had the rash. The rash has not gone away and is all over where there is contact from shirt collar waist band and underarms mostly. After he scratches it burns. He was self-treating with topical Benadryl ointment and PO Benadryl with some relief, but the Benadryl was making him tired. He saw his provider for an urgent visit on 6/3. Providers note states: rash/pruritus- exmatous looking-very dry skin- Medrol dose pk and then use absorbate to rehydrate and increase fluids hydrocortisone cr 1% provided for cream use. It's not clear if this is directly related to COVID shots but I entered it as an allergy as he feels the rash broke out 3 days after the 1st vaccine dose.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Narrative: Patient had first Covid Moderna vaccine on 3/21/21 and 2nd dose on 4/18/21, 28 days apart. He contacted the clinic on 5/28/21 to report he developed a rash after his 1st vaccine. He had his second shot even though he still had the rash. The rash has not gone away and is all over where there is contact from shirt collar waist band and underarms mostly. After he scratches it burns. He was self-treating with topical Benadryl ointment and PO Benadryl with some relief, but the Benadryl was making him tired. He saw his provider for an urgent visit on 6/3. Providers note states: rash/pruritus- exmatous looking-very dry skin- Medrol dose pk and then use absorbate to rehydrate and increase fluids hydrocortisone cr 1% provided for cream use. It's not clear if this is directly related to COVID shots but I entered it as an allergy as he feels the rash broke out 3 days after the 1st vaccine dose.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Pain in extremity, Somnolence
Clinical narrative: Narrative: At 2nd Covid vaccine dose appointment. pt. stated that he had severe arm pain, ear pain and felt drowsy the days after his 1st Moderna Covid Vaccine which lasted 5 days. Nurse instructed Vet to call his doctors if he experiences any severe reaction to his second dose of Moderna. Vet voiced understanding.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Leukocytosis, Metastatic neoplasm, Renal failure
Clinical narrative: Narrative: Pt received covid vaccines on 1/19/21 & 2/16/21. Pt died 5/24/21 in community hospice care. Pt had diagnosis of Leukocytosis of unknown origin, metastatic cancer and renal failure. Likely death is not related to covid vaccinations.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  93yo pt residing at nursing facility died on 5/28/21 at community hospital. Pt with hx of htn, hdl, dm, arthralgis, bph, arthritis in hip/leg, seasonal allergies. Pt had received covid vaccines on 2/6/21 & 4/19/21. Pt's death appears unrelated to vaccinations.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium decreased, Condition aggravated, Drug level, Electrolyte imbalance, Seizure
Clinical narrative: Narrative:  72 yo male with prior history of seizures in the last year on current regimen. Patient had 2 seizures, 1 within 24 hours after administration of vaccine and 1 within 48 hours of vaccine dose. Both events resolved prior to medical management. Recent refusal of additional change in AED recommended. Continues on current AED regimen. Patient with note electrolyte abnormalities, low magnesium level when labs checked and adequate keppra levels and continues on gabapentin. Adherence with regimen reported per administration history.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Agitation, Concussion, Confusional state, Death, Dysphagia
Clinical narrative: Narrative:  Patient received Moderna covid #1 on 3/16/21 and #2 on 4/13/21. On 4/23/21, notes indicate he was recently admitted to a facility due to confusion and difficulty swallowing. On 4/27/21, notes indicate he had transferred to a rehab center for PT/OT. On 5/7/21, notes indicate that he had fallen at the rehab facility x 3 times and sustained a bleed/concussion. On 5/11/21, notes indicate he was re-admitted to the hospital for sepsis. The next day his wife called the clinic to state he is not doing well and was agitated and had to receive haloperidol. Hospice was recommended by provider but they apparently were denied by the local hospice agency. On 5/19/21, his wife reported to the clinic that he had passed away due to three falls, not eating and sepsis. No autopsy report available. Time from second vaccine to date of death was 34 days.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fall, Haemorrhage, Hypophagia, Malaise, Sepsis
Clinical narrative: Narrative:  Patient received Moderna covid #1 on 3/16/21 and #2 on 4/13/21. On 4/23/21, notes indicate he was recently admitted to a facility due to confusion and difficulty swallowing. On 4/27/21, notes indicate he had transferred to a rehab center for PT/OT. On 5/7/21, notes indicate that he had fallen at the rehab facility x 3 times and sustained a bleed/concussion. On 5/11/21, notes indicate he was re-admitted to the hospital for sepsis. The next day his wife called the clinic to state he is not doing well and was agitated and had to receive haloperidol. Hospice was recommended by provider but they apparently were denied by the local hospice agency. On 5/19/21, his wife reported to the clinic that he had passed away due to three falls, not eating and sepsis. No autopsy report available. Time from second vaccine to date of death was 34 days.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Pt is a 74 y/o male with diagnosis listed as Parkinson's Disease & Dementia. Pt received both covid vaccine vaccinations on 1/6/21 & 2/3/21. Pt passed away on 5/17/2021 while outpatient. No further information available about his death. Unable to assess if death is related to covid vaccinations.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Headache, Fever,  BODY ACHES, FATIGUE Narrative:
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Feeling abnormal, Insomnia, Pain
Clinical narrative: Narrative: Pt received his first dose of the covid-19 vaccine on 2/2/21. Pt called  in on 2/9/21 and per note "Pt states that he is experiencing body aches, no appetite   & extreme fatigue after having his first Covid vaccine on 2/2. Pt states that he just  feels bad & asks the provider if there is anything he can do about how he is  feeling. Reports staying up at night because of the body aches." Pt reported to ED  on 2/10/21 with similar complaints and was treated with ondansetron, ibuprofen,  acetaminophen, and guaifenesin. Pt reported that he felt much better and that  symptoms have resolved on 2/11/21.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Cardio-respiratory arrest, Chest tube insertion, Death, Endotracheal intubation
Clinical narrative: Narrative:  86 y.o. male patient who received dose #1 of the Moderna COVID vaccine (Lot #026A21A, expiration8/26/21) on 3/11/21. Patient presented to the ED on 3/17/21 with pain after a ground level fall in his bathroom. Patient was admitted to the hospital and found to have 5 rib fractures which required a chest tube due to left pneumothorax. Code Blue called at 04:11 3/21/21, patient was found not ventilating and pulse not palpated by nurse and code blue called. High quality CPR immediately started along with ALCS. Pulses were never palpated or observed with doppler, and no shockable rhythm ever obtained. 4 rounds of epinephrine were given, 1 round of amiodarone; additionally dextrose, bicarbonate, calcium, and magnesium were administered without improvement. Blood glucose was in 190s after dextrose was given. Patient was intubated during the code, noting copious secretions during procedure. After 30 min of CPR and ACLS, it was determined futile and patient pronounced dead at 0441. A brief moment of silence was observed out of respect. Possible etiologies of death considered where mucus plugging, aspiration, airway obstruction, MI, PE, recurrent pneumothorax. Reaction classified as severe as death occurred following vaccination.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Increased bronchial secretion, Life support, Pain, Pneumothorax
Clinical narrative: Narrative:  86 y.o. male patient who received dose #1 of the Moderna COVID vaccine (Lot #026A21A, expiration8/26/21) on 3/11/21. Patient presented to the ED on 3/17/21 with pain after a ground level fall in his bathroom. Patient was admitted to the hospital and found to have 5 rib fractures which required a chest tube due to left pneumothorax. Code Blue called at 04:11 3/21/21, patient was found not ventilating and pulse not palpated by nurse and code blue called. High quality CPR immediately started along with ALCS. Pulses were never palpated or observed with doppler, and no shockable rhythm ever obtained. 4 rounds of epinephrine were given, 1 round of amiodarone; additionally dextrose, bicarbonate, calcium, and magnesium were administered without improvement. Blood glucose was in 190s after dextrose was given. Patient was intubated during the code, noting copious secretions during procedure. After 30 min of CPR and ACLS, it was determined futile and patient pronounced dead at 0441. A brief moment of silence was observed out of respect. Possible etiologies of death considered where mucus plugging, aspiration, airway obstruction, MI, PE, recurrent pneumothorax. Reaction classified as severe as death occurred following vaccination.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Radial pulse abnormal, Respiratory arrest, Resuscitation, Rib fracture
Clinical narrative: Narrative:  86 y.o. male patient who received dose #1 of the Moderna COVID vaccine (Lot #026A21A, expiration8/26/21) on 3/11/21. Patient presented to the ED on 3/17/21 with pain after a ground level fall in his bathroom. Patient was admitted to the hospital and found to have 5 rib fractures which required a chest tube due to left pneumothorax. Code Blue called at 04:11 3/21/21, patient was found not ventilating and pulse not palpated by nurse and code blue called. High quality CPR immediately started along with ALCS. Pulses were never palpated or observed with doppler, and no shockable rhythm ever obtained. 4 rounds of epinephrine were given, 1 round of amiodarone; additionally dextrose, bicarbonate, calcium, and magnesium were administered without improvement. Blood glucose was in 190s after dextrose was given. Patient was intubated during the code, noting copious secretions during procedure. After 30 min of CPR and ACLS, it was determined futile and patient pronounced dead at 0441. A brief moment of silence was observed out of respect. Possible etiologies of death considered where mucus plugging, aspiration, airway obstruction, MI, PE, recurrent pneumothorax. Reaction classified as severe as death occurred following vaccination.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pruritus, Otorrhoea, Rash
Clinical narrative: Narrative:  03/25 COVID VACCINE dose #1 04/15 COVID VACCINE dose #2 05/04 Pt called clinic to report ear left ear itching and clear discharge x 2 days. States he has a history of severe ear infection with Pseudomonas requiring hospitalization a few years ago. Treated with Ciprodex with resolution. 06/10 During Amb Care visit, pt "states when he got 2nd dose Pfizer vaccine has had skin rash on back, legs, groin it was everywhere but has gotten somewhat better, first week of May when happened."
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Pain in extremity
Clinical narrative: Headache ARM PAIN, CHILLS, FATIGUE, WEAKNESS Narrative:
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:  COVID INFECTION FOLLOWING COVID VACCINE SERIES  COMPLETION 10/16/2020 COVID positive (at Clinic Care, per progress notes)  01/16/2021 COVID vaccine dose 02/06/2021 COVID vaccine dose #2  05/24/2021 COVID positive (tested for pre-procedure screening) 05/25/2021  Assessed by Infection Control Provider and determined to likely be a persistent  positive from his previous positive result in October 2020-pt remained  asymptomatic
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation reaction, Injection site swelling, Swelling face
Clinical narrative: Narrative:  Patient reported "bad reaction" at PCP visit. Symptoms in chart listed as "facial swelling and injection site swelling x 2 weeks".
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 antibody test positive
Clinical narrative: Narrative: Covid infection after completion of Covid vaccine series 0/15/2020 COVID positive from non-Source 02/26/2021 Covid vaccine dose #1 03/18/2021 COVID vaccine dose #2 06/07/2021 pt. reported 2-week h/o cough, congestion unrelieved with OTC cold/flu medication 06/08/2021 Pt seen in ED w/c/o cough sore throat and sinus congestion for x 10 days, tested positive for Covid.
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Narrative: Covid infection after completion of Covid vaccine series 0/15/2020 COVID positive from non-Source 02/26/2021 Covid vaccine dose #1 03/18/2021 COVID vaccine dose #2 06/07/2021 pt. reported 2-week h/o cough, congestion unrelieved with OTC cold/flu medication 06/08/2021 Pt seen in ED w/c/o cough sore throat and sinus congestion for x 10 days, tested positive for Covid.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram normal
Clinical narrative: Narrative: obese man with HTN, HLD, GFR=55 not on asa, uncontrolled BP had a CVA. received TPA. CT showed nothing, couldn't do MRI due to obesity
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Narrative:  Patient reports having SOB the evening after COVID vaccine was received; no PMH of respiratory disease. Evaluated in the ED, RR 14, non-labored breathing. Albuterol inhaler 2 puffs q6h prn ordered.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Narrative: Patient reported redness, warmth, swelling, and tenderness to left  deltoid where he received his second Covid vaccination on 4/28/2021. He denied  having any reaction to the initial Covid vaccine and feels the site redness and  swelling is inproving. He denies fever, chills, or limitation in the arm. Patient  encouraged to apply ice 20 minutes on at a time throughout the day as needed to  help with swelling, redness, and discomfort. Patient encouraged to notify staff is  symptoms persist or worsen
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Death, Dysphagia, Hypersomnia, Hypophagia
Clinical narrative: Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMH significant for Obesity, pericardial effusion, dyslipidemia, malignant tumor of prostate, vitamin d deficiency. PT was 74 years of age at time of death. Pt suffered a stroke in June 2020, and Occasionally faints . Per note on 4/22, wife stated that the pt began to sleep more often, stopped eating, started calling his wife by his mother's name. Also complained of difficulty swallowing. Pt was placed into inpatient hospice on 4/21/2021. The note also stated that PT was unlikely to live past 72 hours. Per note 4/29/21 pt was deceased on 4/27/21. No further cause of death documented.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Life expectancy shortened
Clinical narrative: Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMH significant for Obesity, pericardial effusion, dyslipidemia, malignant tumor of prostate, vitamin d deficiency. PT was 74 years of age at time of death. Pt suffered a stroke in June 2020, and Occasionally faints . Per note on 4/22, wife stated that the pt began to sleep more often, stopped eating, started calling his wife by his mother's name. Also complained of difficulty swallowing. Pt was placed into inpatient hospice on 4/21/2021. The note also stated that PT was unlikely to live past 72 hours. Per note 4/29/21 pt was deceased on 4/27/21. No further cause of death documented.