chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory acidosis, SARS-CoV-2 test positive, Serratia infection, Shock, Skin culture positive
Clinical narrative: Fully vaccinated patient admitted for COVID.  Provider discharge summary below:  "Presented with 8/30 with worsening shortness of breath and chest discomfort following testing positive for COVID-19 on 8/25. He was vaccinated against COVID-19 with the Pfizer series on 5/3 and 5/28. He was admitted and started on oxygen and completed 5 days of remdesivir and a steroid course. Bilateral PE were found on CTA pulm on 9/5/21 and heparin was started. He continued to worsen despite HiFlo and NIPPV. He required intubation and transfer to CCU on 9/13, and started on pressors for support. CCU course was complicated by ARDS, shock, AKI and anuria requiring CRRT (managed by nephology), metabolic acidosis, liver failure, as well as acute blood loss anemia from a rectus sheath bleed causing an abdominal wall hematoma that required 1U pRBC and an abdominal binder. He was found with Serratia odorifera, Enterobacter cloacae on respiratory cultures suggesting aspiration pneumonia. HSV was detected on skin culture. Staph simulans that grew on one blood culture was deemed a contaminant. He received vancomycin, Zosyn, meropenem, metronidazole, acyclovir with antibiotic management guided by Infectious disease. ENT performed a biopsy of an ulcer of his left nare on 9/25, but pathology was pending at time of discharge. Patient did not improve despite treatment and had persistent respiratory acidosis and required maximum vasopressin and norephinephrine support. Palliative care was consulted and the grim prognosis of the patient communicated to family given his multiple organ failure. Patient was switched to comfort care status per family on 10/3/21. Patient died at 3:45 PM on October, 3, 2021."
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Left axillary lymphadenopathy and pain, large palpable axillary lymph nodes (at least 2). Onset slightly greater than 24 hrs following 3rd dose of Pfizer COVID-19 vaccine. Problem ongoing still 4 days following.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Immediately neck, face and right side of my head went numb like I had novocaine. Stayed numb for 3 days then lessened over several more days.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Chills, Flank pain, Headache
Clinical narrative: Chills, body aches, right flank/abdominal pain, GI upset, Headache that has lasted multiple days. Still currently have a waxing and waning headache.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Chills, body aches, right flank/abdominal pain, GI upset, Headache that has lasted multiple days. Still currently have a waxing and waning headache.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Dysgeusia, Headache, Nausea
Clinical narrative: Ongoing:  Severe nausea, diarrhea, loss of appetite, aching, headaches, metallic taste in mouth, no temp Ceased:  Vomiting after 48 hours
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vomiting
Clinical narrative: Ongoing:  Severe nausea, diarrhea, loss of appetite, aching, headaches, metallic taste in mouth, no temp Ceased:  Vomiting after 48 hours
Age: 42.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Blood potassium decreased, Blood test, Chest X-ray, Electrocardiogram, Vaccine positive rechallenge
Clinical narrative: After the first dose shortness of breath, tight back and headaches. Not associating it with the vaccine I took Sudafed and used my inhaler. This was not my typical asthma symptoms. It improved after @3 weeks. About 2 days after the second dose shortness of breath, tight back, unable to take full breaths using inhaler again. 9/21 left work to see Dr. Because it was too much not being able to breath. Given steroid inhaler, prednisone and continue rescue inhaler.  Increasingly worse I had massages on 9/23 and 9/25 to help loosen the tight back muscles. ER visit on 9/23. Told I had low potassium, elevated WBC count likely from prednisone and an abnormal EKG. Told to F/U with pulminolgy and cardiology.  Dr office doesn't respond to messages well.  Pulminolgy 9/5 and cardiology can't see me until November. By then the symptoms will surely subside (God willing). All symptoms over last 2 weeks- shortness of breath, difficulty breathing, headaches, joint pain, light headed/ dizzy, infrequent palpitations, sweaty spells, frequent adrenaline like rushes in my chest, brain fog, rapid hrt beat (watch alerting A-FIB never have had this before) and left face numbness and tingling (9/30). I feel like no one thinks this is an issue!
Age: 42.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: White blood cell count increased
Clinical narrative: After the first dose shortness of breath, tight back and headaches. Not associating it with the vaccine I took Sudafed and used my inhaler. This was not my typical asthma symptoms. It improved after @3 weeks. About 2 days after the second dose shortness of breath, tight back, unable to take full breaths using inhaler again. 9/21 left work to see Dr. Because it was too much not being able to breath. Given steroid inhaler, prednisone and continue rescue inhaler.  Increasingly worse I had massages on 9/23 and 9/25 to help loosen the tight back muscles. ER visit on 9/23. Told I had low potassium, elevated WBC count likely from prednisone and an abnormal EKG. Told to F/U with pulminolgy and cardiology.  Dr office doesn't respond to messages well.  Pulminolgy 9/5 and cardiology can't see me until November. By then the symptoms will surely subside (God willing). All symptoms over last 2 weeks- shortness of breath, difficulty breathing, headaches, joint pain, light headed/ dizzy, infrequent palpitations, sweaty spells, frequent adrenaline like rushes in my chest, brain fog, rapid hrt beat (watch alerting A-FIB never have had this before) and left face numbness and tingling (9/30). I feel like no one thinks this is an issue!
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: generally felt ill
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse events or outcome, just that the vaccine was administered after the 30 days of received by our clinic.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Confusional state, Delirium, Dizziness
Clinical narrative: 1st day Confusion and hot face; difficultly with motor function  Delirium while sleeping  Arm pain in the evening   2nd day  Severe arm pain Severe dizziness at 3pm followed by passing out Woke up with extreme fatigue, chills, onset of headache  Rash on thighs all day   3rd day Bedridden from weakness and terrible headache Rash spread to back of lower legs Headache could not be relieved with Tylenol or aleve   4th day Woke up feeling normal Motion sickness set in at 11am followed by weakness and persistent headache Felt ok between between 5:45-7:45 Headache and weakness returned  5th day Body weakness moderate to severe
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Loss of consciousness, Mobility decreased, Motion sickness
Clinical narrative: 1st day Confusion and hot face; difficultly with motor function  Delirium while sleeping  Arm pain in the evening   2nd day  Severe arm pain Severe dizziness at 3pm followed by passing out Woke up with extreme fatigue, chills, onset of headache  Rash on thighs all day   3rd day Bedridden from weakness and terrible headache Rash spread to back of lower legs Headache could not be relieved with Tylenol or aleve   4th day Woke up feeling normal Motion sickness set in at 11am followed by weakness and persistent headache Felt ok between between 5:45-7:45 Headache and weakness returned  5th day Body weakness moderate to severe
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Motor dysfunction, Pain in extremity, Rash, Skin warm
Clinical narrative: 1st day Confusion and hot face; difficultly with motor function  Delirium while sleeping  Arm pain in the evening   2nd day  Severe arm pain Severe dizziness at 3pm followed by passing out Woke up with extreme fatigue, chills, onset of headache  Rash on thighs all day   3rd day Bedridden from weakness and terrible headache Rash spread to back of lower legs Headache could not be relieved with Tylenol or aleve   4th day Woke up feeling normal Motion sickness set in at 11am followed by weakness and persistent headache Felt ok between between 5:45-7:45 Headache and weakness returned  5th day Body weakness moderate to severe
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Fatigue, Feeling abnormal, Headache, Pain
Clinical narrative: Headache, brain fog, fatigue, tightness in chest around area of heart; body aches
Age: 70.0
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: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Antineutrophil cytoplasmic antibody, Blood gases, Blood immunoglobulin E, Blood immunoglobulin G, Blood immunoglobulin M
Clinical narrative: shortness of breath: worse at night.  Fatigue: some days more noticeable then others.   June 9th Full PFT ABG, Blood Gas Arterial.  June 10th:  CT Chest w/o contrast.  June 18th:  Transthoracic Echo.  June 21st: EGFR, Troponin, Magnesium LVL, Comprehensive Metabolic Panel,
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium, Computerised tomogram thorax, Differential white blood cell count, Dyspnoea, Echocardiogram
Clinical narrative: shortness of breath: worse at night.  Fatigue: some days more noticeable then others.   June 9th Full PFT ABG, Blood Gas Arterial.  June 10th:  CT Chest w/o contrast.  June 18th:  Transthoracic Echo.  June 21st: EGFR, Troponin, Magnesium LVL, Comprehensive Metabolic Panel,
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Full blood count, Glomerular filtration rate, Laboratory test, Metabolic function test
Clinical narrative: shortness of breath: worse at night.  Fatigue: some days more noticeable then others.   June 9th Full PFT ABG, Blood Gas Arterial.  June 10th:  CT Chest w/o contrast.  June 18th:  Transthoracic Echo.  June 21st: EGFR, Troponin, Magnesium LVL, Comprehensive Metabolic Panel,
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary function test, Spirometry, Troponin
Clinical narrative: shortness of breath: worse at night.  Fatigue: some days more noticeable then others.   June 9th Full PFT ABG, Blood Gas Arterial.  June 10th:  CT Chest w/o contrast.  June 18th:  Transthoracic Echo.  June 21st: EGFR, Troponin, Magnesium LVL, Comprehensive Metabolic Panel,
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 9/24/2021 with shortness of breath, dry cough, and weakness. Patient was found to be COVID-19 positive on 9/22/2021.  He was admitted for further management. Patient was discharged home on 9/30/2021.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Blood test, Cerebrovascular accident, Chest X-ray, Computerised tomogram head
Clinical narrative: No significant adverse effects from initial vaccines.  **6 months post-vaccine-- Bell's Palsy diagnosis Evidence of earlier stroke
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head, Scan with contrast
Clinical narrative: No significant adverse effects from initial vaccines.  **6 months post-vaccine-- Bell's Palsy diagnosis Evidence of earlier stroke
Age: 77.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient was queried about receiving flu vaccine by both the Medical assistant and Physician and requested to receive it.  After is was administered, whiel recording in chart, a flag came up that the patient had previously received High Dose Flu vaccine on 09/23/2021, Lot # UJ732AA
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine breakthrough case
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: 3rd pregnancy; upcoming Delivery due date December 9, 2021;
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Grip strength decreased, Hypoaesthesia, Pain, Peripheral swelling
Clinical narrative: my left arm swelled up from my neck and left breast  plate area to fingers to the first knuckle/ pain/ numbness/unable to hold objects/this was a booster shot
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: my left arm swelled up from my neck and left breast  plate area to fingers to the first knuckle/ pain/ numbness/unable to hold objects/this was a booster shot
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed shingles treated with acyclovir and Prednisone. Symptoms began 21 days after first dose, currently not resolved
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given on 9/23/21 with expiration date of 9/21/21. Janssen notified/consulted; inquiry #0259438. Dr.  notified/consulted. Patient notified. Suggested antibody testing be done 2 weeks after receiving vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Received Booster vaccine just 7 months after 2nd vaccine dose.  Arm became extremely painful by evening same day.  Awoke with sweats and significant arm discomfort/pain with slight nausea but no vomitiing.  Next day running fever up to 102 and continued arm pain.  Fever continued for 24 hr and began to reduce gradually but 100 for next 24 hr.  All fever with chills, sweats resolved after 48 hr. Arm discomfort improved but remains noticeable.  Otherwise feel back to normal.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: I experienced and having severe headaches and never had headaches before the vaccine. I've had a latest headache for nine days. I am actually going to the doctor this afternoon. I am still sore, my head is sore.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Insomnia, Total lung capacity decreased, Wheezing
Clinical narrative: Substantial fatigue, significant brain fog, greatly decreased lung capacity and wheezing during moderate exercise, difficulty sleeping
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hypersomnia, Injection site pain
Clinical narrative: The evening after having the vaccine she started having uncontrollable chills and a high fever. At the injection site she was having pains, she was having headaches and nausea also the feeling of being extremely tired. She slept for 2 days.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: The evening after having the vaccine she started having uncontrollable chills and a high fever. At the injection site she was having pains, she was having headaches and nausea also the feeling of being extremely tired. She slept for 2 days.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Atrial fibrillation, Chronic obstructive pulmonary disease, Hypercapnia
Clinical narrative: Acute respiratory failure with hypoxia and hypercapnia; COPD with hypoxia; permanent a-fib; Type 2 myocardial infarction
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia
Clinical narrative: Acute respiratory failure with hypoxia and hypercapnia; COPD with hypoxia; permanent a-fib; Type 2 myocardial infarction
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen left axilla lymph node same side as vaccine
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse events or outcome, just that the vaccine was administered after the 30 days of received by our clinic.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope, Syncope
Clinical narrative: Vasovagal episode/Syncope  9:05 BP 112/67, HR 59, RR 12, O2 99, Blood Glucose 98 9:09 BP 112/67, HR 60, RR 12, O2 99 9:11 97/63, HR 63, RR 12, O2 97
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Diarrhoea, Feeding disorder, Headache
Clinical narrative: Received vaccine at 1:00 pm on 29th; woke up at 4:45 am on 30th with nausea, vomiting, diarrhea (similar to food poisoning, violent and crampy, miserable), headache, muscle aches and weakness.  This went on every 20-30 minutes for a few hours before it began to improve; I took 4 Immodium and 2 Tylenol.  I could not eat the rest of the day.  On October 1st, I felt better, and on October 2nd I felt pretty good, although still with muscle aches bad enough that I did not exercise.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Vomiting
Clinical narrative: Received vaccine at 1:00 pm on 29th; woke up at 4:45 am on 30th with nausea, vomiting, diarrhea (similar to food poisoning, violent and crampy, miserable), headache, muscle aches and weakness.  This went on every 20-30 minutes for a few hours before it began to improve; I took 4 Immodium and 2 Tylenol.  I could not eat the rest of the day.  On October 1st, I felt better, and on October 2nd I felt pretty good, although still with muscle aches bad enough that I did not exercise.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Dyspnoea, Headache, Nasopharyngitis
Clinical narrative: He tested positive for COVID Sept 27, 2021.  Cold started on September 20.  Progressed to extremely severe body pain, headache, nausea, confusion, shortness of breath.    The body pain and headache isn?t as severe and breathing issue has improved 10/4/21.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, SARS-CoV-2 test positive
Clinical narrative: He tested positive for COVID Sept 27, 2021.  Cold started on September 20.  Progressed to extremely severe body pain, headache, nausea, confusion, shortness of breath.    The body pain and headache isn?t as severe and breathing issue has improved 10/4/21.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Influenza like illness, Pyrexia
Clinical narrative: Fever up to  103*f, flu like symptoms Lasted 36hrs
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Blood cholesterol increased, Blood magnesium decreased, Blood test abnormal, Cardiac monitoring, Electrocardiogram normal
Clinical narrative: Pericarditis heart racing/pounding heavily especially when laying down at night.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Pericarditis, Ultrasound scan normal, Vitamin D decreased
Clinical narrative: Pericarditis heart racing/pounding heavily especially when laying down at night.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Oropharyngeal discomfort, Rash, Skin exfoliation
Clinical narrative: Shoulder pain, body rash heavier on neck region. Rash lead to scaling on neck. Clearing of throat consistently for several hours
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated with Janssen vaccine on 03/29/2021 Covid + on 09/19/2021 and hospitalized Per ED Note: Patient is a pleasant 77year old male presented today to emergency department for evaluation of shortness of breath.  He has been feeling this way for the past 2 days.  He does admit to fevers and cough at home.  He took Tylenol prior to coming in.  Patient denies any chest pain, abdominal pain, vomiting, focal paresthesias or weakness, headache, change in bowel or bladder habits, dizziness, leg pain or edema or history of blood clots, or changes in medications. He denies any other modifying precipitating or relieving factors.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine error-vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Joint swelling, Peripheral swelling
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 04/09/2021, started experiencing symptoms 04/23/2021 of swelling in the hands and joints, and difficulty closing hands. Primary visit *Unknown recommendation just observation.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Influenza like illness, Pain, Rash macular, Skin exfoliation
Clinical narrative: First red blotch approx. 7 hours after shot. Some pain, no itching. Then larger "welt"  (about 2'x3') developed lasting several days. Finally diminishing to light red spot about the size of half dollar. Then skin pealed in area of welt.. Slight redness still persists after 12 days.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: First red blotch approx. 7 hours after shot. Some pain, no itching. Then larger "welt"  (about 2'x3') developed lasting several days. Finally diminishing to light red spot about the size of half dollar. Then skin pealed in area of welt.. Slight redness still persists after 12 days.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: COVID vaccine clinic for third dose held for residents at the HCF on 10/4/2021. Facility Director of Nursing took Public Health Staff around to resident's rooms to administer vaccine. Director of Nursing had already completed the paper forms ahead of time. This resident was inadvertently given a fourth dose of the pfizer covid vaccine and it wasn't discovered until entering the information into the immunization registry. No adverse effects reported at this time. Physician ARNP notified of incident.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Exposure to SARS-CoV-2, Malaise
Clinical narrative: Patient presented to ED on 7/20/21 with a fever, worsening non-productive cough, congestion, nausea and malaise. Patient had covid exposure and fully vaccinated. Patient was treated for covid and was discharged on 7/25/21.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pneumonia, Pulmonary mass, Pyrexia, Respiratory tract congestion
Clinical narrative: Patient presented to ED on 7/20/21 with a fever, worsening non-productive cough, congestion, nausea and malaise. Patient had covid exposure and fully vaccinated. Patient was treated for covid and was discharged on 7/25/21.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient presented to ED on 7/20/21 with a fever, worsening non-productive cough, congestion, nausea and malaise. Patient had covid exposure and fully vaccinated. Patient was treated for covid and was discharged on 7/25/21.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Ear discomfort, Electrocardiogram normal, Headache, Immediate post-injection reaction
Clinical narrative: Persistent chest pain, progressing to headaches and nausea (day 4/5) then plugged ears and sore throat (day 6/7), continuing  Negative covid tests 9/29 & 10/2 Previous adverse events - pain at injection site immediately after for 2 days.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: Persistent chest pain, progressing to headaches and nausea (day 4/5) then plugged ears and sore throat (day 6/7), continuing  Negative covid tests 9/29 & 10/2 Previous adverse events - pain at injection site immediately after for 2 days.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: Next day after vaccine, nerve pain on the shot arm, it felt like burning sensation down the entire arm's skin, extremely sensitive. Then began experiencing heavy fatigue, aches and pains, symptoms began to worsen on 9/29. Extremely sick on 9/30, dizziness, nausea, 99-100 degree fever, thursday vomited blood (large amounts), went to walk-in clinic because it was faster than the ER. Having extreme brain fog as well. 10/01/2021 called doctor and advised to go to walk-in clinic, extremely sick but turned away because of pending covid test. Went to ER, blood taken (was fine), given antinausea pill, given benadryl due to fluid buildup behind the ears.  Helped some but did not resolve all issues. Covid test came back negative.  Brain fog, fatigue, weakness, and still easily dizzy. Have not vomited since the first time.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Haematemesis, Illness, Injection site nerve damage, Injection site pain, Nausea
Clinical narrative: Next day after vaccine, nerve pain on the shot arm, it felt like burning sensation down the entire arm's skin, extremely sensitive. Then began experiencing heavy fatigue, aches and pains, symptoms began to worsen on 9/29. Extremely sick on 9/30, dizziness, nausea, 99-100 degree fever, thursday vomited blood (large amounts), went to walk-in clinic because it was faster than the ER. Having extreme brain fog as well. 10/01/2021 called doctor and advised to go to walk-in clinic, extremely sick but turned away because of pending covid test. Went to ER, blood taken (was fine), given antinausea pill, given benadryl due to fluid buildup behind the ears.  Helped some but did not resolve all issues. Covid test came back negative.  Brain fog, fatigue, weakness, and still easily dizzy. Have not vomited since the first time.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Next day after vaccine, nerve pain on the shot arm, it felt like burning sensation down the entire arm's skin, extremely sensitive. Then began experiencing heavy fatigue, aches and pains, symptoms began to worsen on 9/29. Extremely sick on 9/30, dizziness, nausea, 99-100 degree fever, thursday vomited blood (large amounts), went to walk-in clinic because it was faster than the ER. Having extreme brain fog as well. 10/01/2021 called doctor and advised to go to walk-in clinic, extremely sick but turned away because of pending covid test. Went to ER, blood taken (was fine), given antinausea pill, given benadryl due to fluid buildup behind the ears.  Helped some but did not resolve all issues. Covid test came back negative.  Brain fog, fatigue, weakness, and still easily dizzy. Have not vomited since the first time.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Erythema, Extra dose administered, Fatigue, Headache
Clinical narrative: I felt fine the day I got my vaccine - the next day my arm was sore - to be expected- & a little pink  I had a dull headache & low neck ache - tired - but still able to work 4 shift  On 10/2 - still fatigued with the headache- clammy - now I see that the redness I had the day before is more of a formed raised oval - kinda wondered if this was normal- but no one mentioned it   I wanted to go to the urgent care by my house - but did not go til  Sunday the 3rd    Arm does not hurt as much & the pink redness is more spread out but you can feel the induration I was give a script for keflex that I can use if I need to my discretion since I Work in a ER  I have never reacted like this - no  site inflammation or whatever with the first 2 Pfizer shots  Cold, heat, Tylenol  treatment modalities  Today Monday I am the most exhausted I have been & my headache was pretty intense this am so much so I Am missing work - feels different than the migraines I suffer from
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Induration, Migraine, Neck pain, Pain in extremity
Clinical narrative: I felt fine the day I got my vaccine - the next day my arm was sore - to be expected- & a little pink  I had a dull headache & low neck ache - tired - but still able to work 4 shift  On 10/2 - still fatigued with the headache- clammy - now I see that the redness I had the day before is more of a formed raised oval - kinda wondered if this was normal- but no one mentioned it   I wanted to go to the urgent care by my house - but did not go til  Sunday the 3rd    Arm does not hurt as much & the pink redness is more spread out but you can feel the induration I was give a script for keflex that I can use if I need to my discretion since I Work in a ER  I have never reacted like this - no  site inflammation or whatever with the first 2 Pfizer shots  Cold, heat, Tylenol  treatment modalities  Today Monday I am the most exhausted I have been & my headache was pretty intense this am so much so I Am missing work - feels different than the migraines I suffer from
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Fever not exceeding 100. Severe fatigue. Symptoms subsided approximately 42 hours later.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Petechiae, Rash
Clinical narrative: Petachial Rash on lower legs.  Bruising with lace like pattern on abdomen.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Crying, Pallor, Syncope, Unresponsive to stimuli
Clinical narrative: syncopal episode post flu vaccine  patient unresponsive for a few seconds, appeared pale, but crying, vitals normal
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Carditis, Mammogram abnormal, Pericardial effusion
Clinical narrative: After the vaccine .heart develop influmation
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, COVID-19, Exposure to SARS-CoV-2, Infusion, SARS-CoV-2 test positive
Clinical narrative: Patient received Janssen vaccine on 03/25/2021. Covid + on 09/14/2021 and hospitalized Per ED Note: Patient is a 61-year-old female with a history of bipolar disorder, right hip fracture with a postop wound infection who presents to the emergency department stating that she tested positive for Covid.  Patient is currently at a rehab facility.  She had a complicated right hip fracture repair with wound infection that has required her to receive IV antibiotic infusions.  Patient states that she was told that she was exposed to another resident or staff member in the rehab facility with Covid so the facility requested that she be tested for Covid.  She denies any symptoms.  No fever, chills, cough, shortness of breath, chest pain, nausea, vomiting, abdominal pain or diarrhea.  She was told that her Covid test came back positive.  Because her rehab facility does not take Covid patients she was required to be transferred out to the next closest hospital.  She requested that she be transferred here as her PCP is associated with this hospital.  Patient admits that she was supposed to be discharged home today with home care nursing to help with her antibiotic infusions.  Patient is visibly upset and anxious.  She denies any new trauma or fall.  No drainage from her wound.  No fever.  She presents for further evaluation.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site pruritus, Injection site vesicles
Clinical narrative: Headache, dizziness, blisters at injection site, itchiness at injection site.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Extra dose administered, Vaccine positive rechallenge
Clinical narrative: March 20,2021, horizontal double vision upon awakening lasting 40 minutes Mrch 22, 2021, horizontal double vision upon awakiening lasting five minutes.  (I also experienced double vision following the first dose and filed a VAERS.  I had two episodes of double vision following by third dose and will file another VAERS.)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine error-vaccine was administered past its beyond use date.  The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: we were unaware of the DOB of this patient before the clinic. he came to the clinic with his father, and we failed to identify that he was under the age of 18... no adverse symptoms reported from the patient.  subsequently, the second dose was also administered with his father present.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm
Age: 60.0
Sex: F
Vaccine: FLUR4, VARZOS
Symptoms: Mobility decreased, Pain, Pain in extremity
Clinical narrative: Patient reported being unable to lift arm beginning the evening of 10/1/21 and still experiencing pain on 10/4/21 although able to lift her arm above her head.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Adenovirus test, Aortic valve incompetence, Atelectasis
Clinical narrative: ED to Hosp-Admission  Discharged 8/27/2021 - 9/15/2021 (19 days) Last attending ? Treatment team Acute on chronic diastolic (congestive) heart failure Final Summary for Deceased Patient   BRIEF OVERVIEW Admitting Provider: MD Discharge Provider: MD Primary Care Physician at Discharge: MD    Admission Date: 8/27/2021     Discharge Date: 9/15/2021   Final Diagnosis Principal Problem:   Acute on chronic diastolic (congestive) heart failure  Active Problems:   Paroxysmal A-fib   Pulmonary hypertension, moderate to severe   Chronic obstructive pulmonary disease with acute exacerbation   Pleural effusion on right   End stage COPD   Congestive heart failure, unspecified HF chronicity, unspecified heart failure type   Endocarditis   Lactic acidosis     DETAILS OF HOSPITAL STAY   Date and time of death: September 15, 2021, 12:11 PM   Cause of death: Septic shock from COVID-19 pneumonia Acute respiratory failure from COVID-19 and systolic heart failure   Secondary diagnoses: Severe aortic insufficiency Superimposed bacterial pneumonia Acute renal failure Lactic acidosis Possible endocarditis Atrial fibrillation with rapid ventricular response End-stage COPD Elevated LFTs Coagulopathy from malnutrition and acute illness   Hospital Course Patient is a 72-year-old female with history of COPD, atrial fibrillation on Coumadin, systolic heart failure, recent TMVR presented to the hospital with systolic heart failure.  She is admitted to medical service and seen by the heart failure team.  Echocardiogram showed severe aortic insufficiency and was being considered for valve intervention.  She was treated with IV diuretics however her respiratory status did not improve.  Hospital course was prolonged and she was hospitalized for 18 days.  There is consideration of endocarditis given possible vegetations noted on aortic valve.  CT surgery recommended aggressive antibiotic regimen and stated she was high risk for surgery.  Initially was plan for IV antibiotics through October 4.  She was treated with Lasix infusion, however urine output became marginal.  Patient's x-ray developed progressive infiltrates and on September 14 she was found to have COVID-19 infection.  She was started on steroids and received plasma as well.  Antibiotics were also broadened to cover potential superimposed bacterial pneumonia.  Despite this, her clinical condition deteriorated.  She developed progressive renal failure as well as elevated LFTs and coagulopathy.  She became more somnolent and oxygen requirement escalated.  She became progressively critically ill and was requiring vasopressors, and was maxed on norepinephrine.  Unfortunately, she continued to deteriorate and passed away on September 15.  I passed along my condolences to the patient's son.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood culture negative, Bordetella test negative, COVID-19, COVID-19 pneumonia
Clinical narrative: ED to Hosp-Admission  Discharged 8/27/2021 - 9/15/2021 (19 days) Last attending ? Treatment team Acute on chronic diastolic (congestive) heart failure Final Summary for Deceased Patient   BRIEF OVERVIEW Admitting Provider: MD Discharge Provider: MD Primary Care Physician at Discharge: MD    Admission Date: 8/27/2021     Discharge Date: 9/15/2021   Final Diagnosis Principal Problem:   Acute on chronic diastolic (congestive) heart failure  Active Problems:   Paroxysmal A-fib   Pulmonary hypertension, moderate to severe   Chronic obstructive pulmonary disease with acute exacerbation   Pleural effusion on right   End stage COPD   Congestive heart failure, unspecified HF chronicity, unspecified heart failure type   Endocarditis   Lactic acidosis     DETAILS OF HOSPITAL STAY   Date and time of death: September 15, 2021, 12:11 PM   Cause of death: Septic shock from COVID-19 pneumonia Acute respiratory failure from COVID-19 and systolic heart failure   Secondary diagnoses: Severe aortic insufficiency Superimposed bacterial pneumonia Acute renal failure Lactic acidosis Possible endocarditis Atrial fibrillation with rapid ventricular response End-stage COPD Elevated LFTs Coagulopathy from malnutrition and acute illness   Hospital Course Patient is a 72-year-old female with history of COPD, atrial fibrillation on Coumadin, systolic heart failure, recent TMVR presented to the hospital with systolic heart failure.  She is admitted to medical service and seen by the heart failure team.  Echocardiogram showed severe aortic insufficiency and was being considered for valve intervention.  She was treated with IV diuretics however her respiratory status did not improve.  Hospital course was prolonged and she was hospitalized for 18 days.  There is consideration of endocarditis given possible vegetations noted on aortic valve.  CT surgery recommended aggressive antibiotic regimen and stated she was high risk for surgery.  Initially was plan for IV antibiotics through October 4.  She was treated with Lasix infusion, however urine output became marginal.  Patient's x-ray developed progressive infiltrates and on September 14 she was found to have COVID-19 infection.  She was started on steroids and received plasma as well.  Antibiotics were also broadened to cover potential superimposed bacterial pneumonia.  Despite this, her clinical condition deteriorated.  She developed progressive renal failure as well as elevated LFTs and coagulopathy.  She became more somnolent and oxygen requirement escalated.  She became progressively critically ill and was requiring vasopressors, and was maxed on norepinephrine.  Unfortunately, she continued to deteriorate and passed away on September 15.  I passed along my condolences to the patient's son.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure acute, Cardiac failure congestive, Cardiomegaly, Central venous catheterisation, Chest X-ray abnormal
Clinical narrative: ED to Hosp-Admission  Discharged 8/27/2021 - 9/15/2021 (19 days) Last attending ? Treatment team Acute on chronic diastolic (congestive) heart failure Final Summary for Deceased Patient   BRIEF OVERVIEW Admitting Provider: MD Discharge Provider: MD Primary Care Physician at Discharge: MD    Admission Date: 8/27/2021     Discharge Date: 9/15/2021   Final Diagnosis Principal Problem:   Acute on chronic diastolic (congestive) heart failure  Active Problems:   Paroxysmal A-fib   Pulmonary hypertension, moderate to severe   Chronic obstructive pulmonary disease with acute exacerbation   Pleural effusion on right   End stage COPD   Congestive heart failure, unspecified HF chronicity, unspecified heart failure type   Endocarditis   Lactic acidosis     DETAILS OF HOSPITAL STAY   Date and time of death: September 15, 2021, 12:11 PM   Cause of death: Septic shock from COVID-19 pneumonia Acute respiratory failure from COVID-19 and systolic heart failure   Secondary diagnoses: Severe aortic insufficiency Superimposed bacterial pneumonia Acute renal failure Lactic acidosis Possible endocarditis Atrial fibrillation with rapid ventricular response End-stage COPD Elevated LFTs Coagulopathy from malnutrition and acute illness   Hospital Course Patient is a 72-year-old female with history of COPD, atrial fibrillation on Coumadin, systolic heart failure, recent TMVR presented to the hospital with systolic heart failure.  She is admitted to medical service and seen by the heart failure team.  Echocardiogram showed severe aortic insufficiency and was being considered for valve intervention.  She was treated with IV diuretics however her respiratory status did not improve.  Hospital course was prolonged and she was hospitalized for 18 days.  There is consideration of endocarditis given possible vegetations noted on aortic valve.  CT surgery recommended aggressive antibiotic regimen and stated she was high risk for surgery.  Initially was plan for IV antibiotics through October 4.  She was treated with Lasix infusion, however urine output became marginal.  Patient's x-ray developed progressive infiltrates and on September 14 she was found to have COVID-19 infection.  She was started on steroids and received plasma as well.  Antibiotics were also broadened to cover potential superimposed bacterial pneumonia.  Despite this, her clinical condition deteriorated.  She developed progressive renal failure as well as elevated LFTs and coagulopathy.  She became more somnolent and oxygen requirement escalated.  She became progressively critically ill and was requiring vasopressors, and was maxed on norepinephrine.  Unfortunately, she continued to deteriorate and passed away on September 15.  I passed along my condolences to the patient's son.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chest tube insertion, Chlamydia test negative, Chronic obstructive pulmonary disease, Clostridium test negative, Coagulopathy
Clinical narrative: ED to Hosp-Admission  Discharged 8/27/2021 - 9/15/2021 (19 days) Last attending ? Treatment team Acute on chronic diastolic (congestive) heart failure Final Summary for Deceased Patient   BRIEF OVERVIEW Admitting Provider: MD Discharge Provider: MD Primary Care Physician at Discharge: MD    Admission Date: 8/27/2021     Discharge Date: 9/15/2021   Final Diagnosis Principal Problem:   Acute on chronic diastolic (congestive) heart failure  Active Problems:   Paroxysmal A-fib   Pulmonary hypertension, moderate to severe   Chronic obstructive pulmonary disease with acute exacerbation   Pleural effusion on right   End stage COPD   Congestive heart failure, unspecified HF chronicity, unspecified heart failure type   Endocarditis   Lactic acidosis     DETAILS OF HOSPITAL STAY   Date and time of death: September 15, 2021, 12:11 PM   Cause of death: Septic shock from COVID-19 pneumonia Acute respiratory failure from COVID-19 and systolic heart failure   Secondary diagnoses: Severe aortic insufficiency Superimposed bacterial pneumonia Acute renal failure Lactic acidosis Possible endocarditis Atrial fibrillation with rapid ventricular response End-stage COPD Elevated LFTs Coagulopathy from malnutrition and acute illness   Hospital Course Patient is a 72-year-old female with history of COPD, atrial fibrillation on Coumadin, systolic heart failure, recent TMVR presented to the hospital with systolic heart failure.  She is admitted to medical service and seen by the heart failure team.  Echocardiogram showed severe aortic insufficiency and was being considered for valve intervention.  She was treated with IV diuretics however her respiratory status did not improve.  Hospital course was prolonged and she was hospitalized for 18 days.  There is consideration of endocarditis given possible vegetations noted on aortic valve.  CT surgery recommended aggressive antibiotic regimen and stated she was high risk for surgery.  Initially was plan for IV antibiotics through October 4.  She was treated with Lasix infusion, however urine output became marginal.  Patient's x-ray developed progressive infiltrates and on September 14 she was found to have COVID-19 infection.  She was started on steroids and received plasma as well.  Antibiotics were also broadened to cover potential superimposed bacterial pneumonia.  Despite this, her clinical condition deteriorated.  She developed progressive renal failure as well as elevated LFTs and coagulopathy.  She became more somnolent and oxygen requirement escalated.  She became progressively critically ill and was requiring vasopressors, and was maxed on norepinephrine.  Unfortunately, she continued to deteriorate and passed away on September 15.  I passed along my condolences to the patient's son.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Condition aggravated, Coronavirus test negative, Culture, Death
Clinical narrative: ED to Hosp-Admission  Discharged 8/27/2021 - 9/15/2021 (19 days) Last attending ? Treatment team Acute on chronic diastolic (congestive) heart failure Final Summary for Deceased Patient   BRIEF OVERVIEW Admitting Provider: MD Discharge Provider: MD Primary Care Physician at Discharge: MD    Admission Date: 8/27/2021     Discharge Date: 9/15/2021   Final Diagnosis Principal Problem:   Acute on chronic diastolic (congestive) heart failure  Active Problems:   Paroxysmal A-fib   Pulmonary hypertension, moderate to severe   Chronic obstructive pulmonary disease with acute exacerbation   Pleural effusion on right   End stage COPD   Congestive heart failure, unspecified HF chronicity, unspecified heart failure type   Endocarditis   Lactic acidosis     DETAILS OF HOSPITAL STAY   Date and time of death: September 15, 2021, 12:11 PM   Cause of death: Septic shock from COVID-19 pneumonia Acute respiratory failure from COVID-19 and systolic heart failure   Secondary diagnoses: Severe aortic insufficiency Superimposed bacterial pneumonia Acute renal failure Lactic acidosis Possible endocarditis Atrial fibrillation with rapid ventricular response End-stage COPD Elevated LFTs Coagulopathy from malnutrition and acute illness   Hospital Course Patient is a 72-year-old female with history of COPD, atrial fibrillation on Coumadin, systolic heart failure, recent TMVR presented to the hospital with systolic heart failure.  She is admitted to medical service and seen by the heart failure team.  Echocardiogram showed severe aortic insufficiency and was being considered for valve intervention.  She was treated with IV diuretics however her respiratory status did not improve.  Hospital course was prolonged and she was hospitalized for 18 days.  There is consideration of endocarditis given possible vegetations noted on aortic valve.  CT surgery recommended aggressive antibiotic regimen and stated she was high risk for surgery.  Initially was plan for IV antibiotics through October 4.  She was treated with Lasix infusion, however urine output became marginal.  Patient's x-ray developed progressive infiltrates and on September 14 she was found to have COVID-19 infection.  She was started on steroids and received plasma as well.  Antibiotics were also broadened to cover potential superimposed bacterial pneumonia.  Despite this, her clinical condition deteriorated.  She developed progressive renal failure as well as elevated LFTs and coagulopathy.  She became more somnolent and oxygen requirement escalated.  She became progressively critically ill and was requiring vasopressors, and was maxed on norepinephrine.  Unfortunately, she continued to deteriorate and passed away on September 15.  I passed along my condolences to the patient's son.