chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Received High dose vaccine inadvertently related miscommunication.  No adverse reaction reported.
Age: 0.33
Sex: F
Vaccine: RV5
Symptoms: Inappropriate schedule of product administration, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt given dose 1 past 14 weeks 6 day of age. No known adverse reaction. Dr aware. Parent informed. Merck notified and case filed. Lead MD informed as well.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test abnormal, COVID-19, Cough, Eye pruritus
Clinical narrative: I received a Moderna booster for COVID-19 on 12/7/2021. On 8/5/2022, I began to get an itchy, scratchy throat around noon. Later that evening, my eyes also began to itch. When I woke up the morning of 8/6/2022, I had a mild fever and body aches. I went to a testing site that day and took a PCR test, which indicated that I had COVID-19. After that, I self-isolated for 5 days. During those 5 days, I had fever, cough, body aches, runny nose, and fatigue. By day 5, the fever was gone, as was the fatigue. However, I had a lingering mild cough and nasal congestion. I treated my symptoms with OTC decongestants, pain relievers, and cough suppressants, which all helped. Even though I had a lingering cough and congestion after the first 5 days, I felt well enough to return to my normal activities. When I resumed my normal activities, I always made sure to mask. I am also happy to report that my senses of taste and smell were not affected. Also, I don't know if this is related to the booster or the bout of COVID-19, but in September 2022, I began to feel increasingly fatigued. I was really concerned that this could be a sign of something serious, so I contacted my doctor on 11/17/2022. My doctor ordered blood work to test for diabetes and other conditions. Thankfully, it turned out that I did not have diabetes. However, I did have iron deficiency anemia. I am currently treating it by taking 650 mg of iron a day. I now have more energy, but when I had more lab work done on 12/1/2022, the results did not indicate much of a change since the lab work from 11/17/2022. My hemoglobulin level was 8.8g/dL on 11/17/2022, and it was 9.8g/dL on 12/1/2022.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Haemoglobin decreased, Iron deficiency anaemia, Loss of personal independence in daily activities, Nasal congestion
Clinical narrative: I received a Moderna booster for COVID-19 on 12/7/2021. On 8/5/2022, I began to get an itchy, scratchy throat around noon. Later that evening, my eyes also began to itch. When I woke up the morning of 8/6/2022, I had a mild fever and body aches. I went to a testing site that day and took a PCR test, which indicated that I had COVID-19. After that, I self-isolated for 5 days. During those 5 days, I had fever, cough, body aches, runny nose, and fatigue. By day 5, the fever was gone, as was the fatigue. However, I had a lingering mild cough and nasal congestion. I treated my symptoms with OTC decongestants, pain relievers, and cough suppressants, which all helped. Even though I had a lingering cough and congestion after the first 5 days, I felt well enough to return to my normal activities. When I resumed my normal activities, I always made sure to mask. I am also happy to report that my senses of taste and smell were not affected. Also, I don't know if this is related to the booster or the bout of COVID-19, but in September 2022, I began to feel increasingly fatigued. I was really concerned that this could be a sign of something serious, so I contacted my doctor on 11/17/2022. My doctor ordered blood work to test for diabetes and other conditions. Thankfully, it turned out that I did not have diabetes. However, I did have iron deficiency anemia. I am currently treating it by taking 650 mg of iron a day. I now have more energy, but when I had more lab work done on 12/1/2022, the results did not indicate much of a change since the lab work from 11/17/2022. My hemoglobulin level was 8.8g/dL on 11/17/2022, and it was 9.8g/dL on 12/1/2022.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Quarantine, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I received a Moderna booster for COVID-19 on 12/7/2021. On 8/5/2022, I began to get an itchy, scratchy throat around noon. Later that evening, my eyes also began to itch. When I woke up the morning of 8/6/2022, I had a mild fever and body aches. I went to a testing site that day and took a PCR test, which indicated that I had COVID-19. After that, I self-isolated for 5 days. During those 5 days, I had fever, cough, body aches, runny nose, and fatigue. By day 5, the fever was gone, as was the fatigue. However, I had a lingering mild cough and nasal congestion. I treated my symptoms with OTC decongestants, pain relievers, and cough suppressants, which all helped. Even though I had a lingering cough and congestion after the first 5 days, I felt well enough to return to my normal activities. When I resumed my normal activities, I always made sure to mask. I am also happy to report that my senses of taste and smell were not affected. Also, I don't know if this is related to the booster or the bout of COVID-19, but in September 2022, I began to feel increasingly fatigued. I was really concerned that this could be a sign of something serious, so I contacted my doctor on 11/17/2022. My doctor ordered blood work to test for diabetes and other conditions. Thankfully, it turned out that I did not have diabetes. However, I did have iron deficiency anemia. I am currently treating it by taking 650 mg of iron a day. I now have more energy, but when I had more lab work done on 12/1/2022, the results did not indicate much of a change since the lab work from 11/17/2022. My hemoglobulin level was 8.8g/dL on 11/17/2022, and it was 9.8g/dL on 12/1/2022.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: I received a Moderna booster for COVID-19 on 12/7/2021. On 8/5/2022, I began to get an itchy, scratchy throat around noon. Later that evening, my eyes also began to itch. When I woke up the morning of 8/6/2022, I had a mild fever and body aches. I went to a testing site that day and took a PCR test, which indicated that I had COVID-19. After that, I self-isolated for 5 days. During those 5 days, I had fever, cough, body aches, runny nose, and fatigue. By day 5, the fever was gone, as was the fatigue. However, I had a lingering mild cough and nasal congestion. I treated my symptoms with OTC decongestants, pain relievers, and cough suppressants, which all helped. Even though I had a lingering cough and congestion after the first 5 days, I felt well enough to return to my normal activities. When I resumed my normal activities, I always made sure to mask. I am also happy to report that my senses of taste and smell were not affected. Also, I don't know if this is related to the booster or the bout of COVID-19, but in September 2022, I began to feel increasingly fatigued. I was really concerned that this could be a sign of something serious, so I contacted my doctor on 11/17/2022. My doctor ordered blood work to test for diabetes and other conditions. Thankfully, it turned out that I did not have diabetes. However, I did have iron deficiency anemia. I am currently treating it by taking 650 mg of iron a day. I now have more energy, but when I had more lab work done on 12/1/2022, the results did not indicate much of a change since the lab work from 11/17/2022. My hemoglobulin level was 8.8g/dL on 11/17/2022, and it was 9.8g/dL on 12/1/2022.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient had a breakthrough infection and passed away.
Age: 72.0
Sex: F
Vaccine: FLUA4
Symptoms: Asthenia, Blood thyroid stimulating hormone, Cerebral infarction, Dysarthria, Facial paralysis
Clinical narrative: FEELING POORLY; BODY ACHES; GENERALIZED WEAKNESS WENT TO THE ER DX UTI; THEN CAME TO DR'S OFFICE AND STARTED HAVING HEADACHE; FACIAL DROOP AND SLURRED SPEECH. WAS SENT TO THE ER AND DX WITH CEREBRAL INFARTCTION
Age: 72.0
Sex: F
Vaccine: FLUA4
Symptoms: Feeling abnormal, Full blood count, Glycosylated haemoglobin, Headache, Laboratory test
Clinical narrative: FEELING POORLY; BODY ACHES; GENERALIZED WEAKNESS WENT TO THE ER DX UTI; THEN CAME TO DR'S OFFICE AND STARTED HAVING HEADACHE; FACIAL DROOP AND SLURRED SPEECH. WAS SENT TO THE ER AND DX WITH CEREBRAL INFARTCTION
Age: 72.0
Sex: F
Vaccine: FLUA4
Symptoms: Magnetic resonance imaging head, Pain, Urinary tract infection
Clinical narrative: FEELING POORLY; BODY ACHES; GENERALIZED WEAKNESS WENT TO THE ER DX UTI; THEN CAME TO DR'S OFFICE AND STARTED HAVING HEADACHE; FACIAL DROOP AND SLURRED SPEECH. WAS SENT TO THE ER AND DX WITH CEREBRAL INFARTCTION
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was administered the bivalent injection and should have received the primary series, he had not received the primary series before the bivalent was given. No adverse events occurred and we didn't find out about the mistake until patient was taken to Health Department to receive second dose.
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Suppressed lactation
Clinical narrative: I am a breastfeeding mother (my baby was born 2022). I exclusively pump my breastmilk and feed my baby via bottle. I track the amount of breastmilk I pump on a daily basis.   The day after I received my COVID vaccine (2nd booster), my breastmilk supply started to drop precipitously. In the month prior to my COVID vaccine, I pumped an average of 47 oz of breastmilk daily, with a minimum of 44 oz. On day 4 after receiving my COVID vaccine, my breastmilk supply had dropped to 40 oz, which is the lowest amount of breastmilk I had ever pumped over the prior 7 months.   In response, on days 5-18 I pumped 1 extra hour per day to increase my breastmilk supply (I normally pump for 2 hours per day). My breastmilk supply returned to normal levels (about 47 oz daily) on day 11 and has remained stable to date.
Age: 12.0
Sex: U
Vaccine: COVID19, COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Multiple instances (about 30) of patients receiving incorrect vaccine due to look alike vials between monovalent and bivalent vaccine.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: THIS WAS THE FIRST COVID VACCINE AND THEY RECIEVED THE BIVALENT INSTEAD OF THE PRIMARY
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 17 Y.O GIVEN Flublok which is not recommended for use in patients under the age of 18
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Product preparation issue
Clinical narrative: No adverse reaction Menveo was not mixed properly. MA used sterile H2O not the diluent from the box.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Heavy menstrual bleeding, Loss of personal independence in daily activities
Clinical narrative: Began a heavy menstrual cycle within 3 weeks of last injection. Heavier than normal, unable to participate in normal activities due to flow. This lasted 6 weeks. The flow then held a schedule of on for 3 days and off for 7 for the next 3 weeks. After that the flow stopped entirely. I have been amenorrhea since August 2021, Within months of receiving my vaccine I went from having a normal menstrual cycle to being menopausal.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alcohol abuse, Alcohol poisoning, Alcoholic, Balance disorder, Blood alcohol increased
Clinical narrative: Patient with COVID vaccine with positive COVID PCR and admission to hospital with dyspnea.  Provider d/c note:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 66 YO-year-old female with h/o anxiety/depression, hypertension (not on home meds), and alcohol abuse who presented to the emergency department with complaints of shortness of breath and concern for altered mental status.  Patient reports she started experiencing chills, cough, increased shortness of breath, sore throat, and generalized body aches day after holiday.  Patient was worried about possible exposures during holiday and subsequently tested positive for COVID-19 via home test kit November 25th.  Patient reports she has had COVID before however did not require hospitalization and it was not to the extent that it required any supplemental oxygen.  Patient recently has been describing being increasingly "sleepy" during the day and per reports by husband patient seemed confused at times.  Patient spoke with her PCP who prescribed Paxlovid  however patient reports that for after reading the black box label she refused to start it.  Patient otherwise has received COVID vaccinations and boosters however did not receive the most recent booster.  Patient reports that over the past few days she has been having difficulty sleeping and that over the past year has been increasingly depressed so patient began to self medicate with alcohol.  Patient reports last night she drank an entire bottle of brandy to ?help her sleep.?  Patient reports she wants to quit and that it was only a 1 time thing.  Patient otherwise denied any fevers, chest pain, abdominal pain or any nausea/vomiting/diarrhea.(HPI per Dr.)   Hospital Course: No notes on file- Patient is a 66yr old female with a histoyr of HTN, Anxiety/Depression, ETOH abuse who presented with SOB and was found to have COVID. She says symptoms started the day after holiday and have progressively worsened. She quit smoking a couple of years ago though she sneaks a cigarrette every now and then. She drinks pretty heavily, says she is trying to get rehab and came in intoxicated with an ETOH level of 0.369. She was quite unsteady initially on presentation but has since improved as she has sobered up a bit. Today she feels a lot better and is breathing better. Her oxygen saturation is stable off oxygen and she would like to go home. Husband felt she should stay a bit but she insists that she will do better at home.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chills, Condition aggravated, Confusional state, Cough
Clinical narrative: Patient with COVID vaccine with positive COVID PCR and admission to hospital with dyspnea.  Provider d/c note:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 66 YO-year-old female with h/o anxiety/depression, hypertension (not on home meds), and alcohol abuse who presented to the emergency department with complaints of shortness of breath and concern for altered mental status.  Patient reports she started experiencing chills, cough, increased shortness of breath, sore throat, and generalized body aches day after holiday.  Patient was worried about possible exposures during holiday and subsequently tested positive for COVID-19 via home test kit November 25th.  Patient reports she has had COVID before however did not require hospitalization and it was not to the extent that it required any supplemental oxygen.  Patient recently has been describing being increasingly "sleepy" during the day and per reports by husband patient seemed confused at times.  Patient spoke with her PCP who prescribed Paxlovid  however patient reports that for after reading the black box label she refused to start it.  Patient otherwise has received COVID vaccinations and boosters however did not receive the most recent booster.  Patient reports that over the past few days she has been having difficulty sleeping and that over the past year has been increasingly depressed so patient began to self medicate with alcohol.  Patient reports last night she drank an entire bottle of brandy to ?help her sleep.?  Patient reports she wants to quit and that it was only a 1 time thing.  Patient otherwise denied any fevers, chest pain, abdominal pain or any nausea/vomiting/diarrhea.(HPI per Dr.)   Hospital Course: No notes on file- Patient is a 66yr old female with a histoyr of HTN, Anxiety/Depression, ETOH abuse who presented with SOB and was found to have COVID. She says symptoms started the day after holiday and have progressively worsened. She quit smoking a couple of years ago though she sneaks a cigarrette every now and then. She drinks pretty heavily, says she is trying to get rehab and came in intoxicated with an ETOH level of 0.369. She was quite unsteady initially on presentation but has since improved as she has sobered up a bit. Today she feels a lot better and is breathing better. Her oxygen saturation is stable off oxygen and she would like to go home. Husband felt she should stay a bit but she insists that she will do better at home.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Depression, Dyspnoea, Insomnia, Oropharyngeal pain, Pain
Clinical narrative: Patient with COVID vaccine with positive COVID PCR and admission to hospital with dyspnea.  Provider d/c note:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 66 YO-year-old female with h/o anxiety/depression, hypertension (not on home meds), and alcohol abuse who presented to the emergency department with complaints of shortness of breath and concern for altered mental status.  Patient reports she started experiencing chills, cough, increased shortness of breath, sore throat, and generalized body aches day after holiday.  Patient was worried about possible exposures during holiday and subsequently tested positive for COVID-19 via home test kit November 25th.  Patient reports she has had COVID before however did not require hospitalization and it was not to the extent that it required any supplemental oxygen.  Patient recently has been describing being increasingly "sleepy" during the day and per reports by husband patient seemed confused at times.  Patient spoke with her PCP who prescribed Paxlovid  however patient reports that for after reading the black box label she refused to start it.  Patient otherwise has received COVID vaccinations and boosters however did not receive the most recent booster.  Patient reports that over the past few days she has been having difficulty sleeping and that over the past year has been increasingly depressed so patient began to self medicate with alcohol.  Patient reports last night she drank an entire bottle of brandy to ?help her sleep.?  Patient reports she wants to quit and that it was only a 1 time thing.  Patient otherwise denied any fevers, chest pain, abdominal pain or any nausea/vomiting/diarrhea.(HPI per Dr.)   Hospital Course: No notes on file- Patient is a 66yr old female with a histoyr of HTN, Anxiety/Depression, ETOH abuse who presented with SOB and was found to have COVID. She says symptoms started the day after holiday and have progressively worsened. She quit smoking a couple of years ago though she sneaks a cigarrette every now and then. She drinks pretty heavily, says she is trying to get rehab and came in intoxicated with an ETOH level of 0.369. She was quite unsteady initially on presentation but has since improved as she has sobered up a bit. Today she feels a lot better and is breathing better. Her oxygen saturation is stable off oxygen and she would like to go home. Husband felt she should stay a bit but she insists that she will do better at home.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Somnolence, Tobacco user
Clinical narrative: Patient with COVID vaccine with positive COVID PCR and admission to hospital with dyspnea.  Provider d/c note:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 66 YO-year-old female with h/o anxiety/depression, hypertension (not on home meds), and alcohol abuse who presented to the emergency department with complaints of shortness of breath and concern for altered mental status.  Patient reports she started experiencing chills, cough, increased shortness of breath, sore throat, and generalized body aches day after holiday.  Patient was worried about possible exposures during holiday and subsequently tested positive for COVID-19 via home test kit November 25th.  Patient reports she has had COVID before however did not require hospitalization and it was not to the extent that it required any supplemental oxygen.  Patient recently has been describing being increasingly "sleepy" during the day and per reports by husband patient seemed confused at times.  Patient spoke with her PCP who prescribed Paxlovid  however patient reports that for after reading the black box label she refused to start it.  Patient otherwise has received COVID vaccinations and boosters however did not receive the most recent booster.  Patient reports that over the past few days she has been having difficulty sleeping and that over the past year has been increasingly depressed so patient began to self medicate with alcohol.  Patient reports last night she drank an entire bottle of brandy to ?help her sleep.?  Patient reports she wants to quit and that it was only a 1 time thing.  Patient otherwise denied any fevers, chest pain, abdominal pain or any nausea/vomiting/diarrhea.(HPI per Dr.)   Hospital Course: No notes on file- Patient is a 66yr old female with a histoyr of HTN, Anxiety/Depression, ETOH abuse who presented with SOB and was found to have COVID. She says symptoms started the day after holiday and have progressively worsened. She quit smoking a couple of years ago though she sneaks a cigarrette every now and then. She drinks pretty heavily, says she is trying to get rehab and came in intoxicated with an ETOH level of 0.369. She was quite unsteady initially on presentation but has since improved as she has sobered up a bit. Today she feels a lot better and is breathing better. Her oxygen saturation is stable off oxygen and she would like to go home. Husband felt she should stay a bit but she insists that she will do better at home.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: PATIENT RECIEVED THE BIVALENT INSTEAD OF THE PRIMARY DOSE , IT WAS THEIR FIRST VACCINE
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient had breakthrough infection.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Headache, Pain, Swelling
Clinical narrative: Body ache/headache/redness and swelling
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Feeling abnormal, Malaise, Pain
Clinical narrative: After each COVID-19 vaccine I had body aches, tiredness and a mild fever for 36 hours body. On 12/04/2022 I began to not feel well with a weird feeling, and I was tired. On 12/05/2022 I tested positive with a home test for COVID-19. This was my second COVID-19 infection as I had tested positive previously on 04/28/2022. I contacted my doctor after both infections and was given the prescription PAXLOVID.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: After each COVID-19 vaccine I had body aches, tiredness and a mild fever for 36 hours body. On 12/04/2022 I began to not feel well with a weird feeling, and I was tired. On 12/05/2022 I tested positive with a home test for COVID-19. This was my second COVID-19 infection as I had tested positive previously on 04/28/2022. I contacted my doctor after both infections and was given the prescription PAXLOVID.
Age: 59.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Chills, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I started having bad chills and a fever of 102. The next day, I woke up and didn't feel any better. I took a rapid test on 12/6/22 and tested positive. I called the doctor, and they prescribed 5 days' worth of PAXLOVID. I have been feeling better up until today. I have had the metallic taste in my mouth that everyone talks about. Since lunchtime today, I have been feeling a little nauseated.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent vaccine incorrectly administered for the primary series - Patient was given Moderna Bivalent Booster as primary series shot 1
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received 0.5ml instead of the normal 0.3ml dose.  Two days post injection, he had not had any adverse reactions.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acidosis, Acute respiratory failure, Blood glucose decreased, COVID-19, Cardiac arrest
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with dyspnea and acute hypoxic respiratory failure who subsequently died.  Provider d/c note:  "Patient is a 66 yo F with hx of metastatic colon cancer with known metastases to the lungs and liver who presented to the ED after being found unresponsive in her room. GCS 3 in the emergency department. Patient had a brief cardiac arrest while preparing for intubation, underwent 4 minutes of compressions and received 1 round epinephrine. She was noted to have glucose of 20, given total of 3 amps D50. She was intubated for airway protection. Work up in the ED revealed + COVID.  Pt was admitted to the ICU for further management.   Per family, the patient was towards the end stages of her cancer. She was originally diagnosed with colon cancer in 2002, has been through multiple cycles of chemotherapy and underwent left lung lobectomy for lung metastases. She was diagnosed with stage 4 disease in 2015, continued with multiple rounds of chemotherapy.    Patient's blood pressure was low on arrival to the intensive care unit and was initiated on norepinephrine without resolution of hypotension and vasopressin was also added.  Patient's acidosis, lactic acidosis and troponin all continue to worsen overnight. Family was contacted and discussed likely poor outcome. Attending discussed goals of care with the family. Would like no further escalation of care but did not want to withdraw current level of support. pt is currently DNR. After further discussion with family pt placed on spontaneous ventilation as they did not wish to proceed with extubation yet. Pt had increasing ventricular ectopy and then became asystolic."
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Coma scale, Condition aggravated, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with dyspnea and acute hypoxic respiratory failure who subsequently died.  Provider d/c note:  "Patient is a 66 yo F with hx of metastatic colon cancer with known metastases to the lungs and liver who presented to the ED after being found unresponsive in her room. GCS 3 in the emergency department. Patient had a brief cardiac arrest while preparing for intubation, underwent 4 minutes of compressions and received 1 round epinephrine. She was noted to have glucose of 20, given total of 3 amps D50. She was intubated for airway protection. Work up in the ED revealed + COVID.  Pt was admitted to the ICU for further management.   Per family, the patient was towards the end stages of her cancer. She was originally diagnosed with colon cancer in 2002, has been through multiple cycles of chemotherapy and underwent left lung lobectomy for lung metastases. She was diagnosed with stage 4 disease in 2015, continued with multiple rounds of chemotherapy.    Patient's blood pressure was low on arrival to the intensive care unit and was initiated on norepinephrine without resolution of hypotension and vasopressin was also added.  Patient's acidosis, lactic acidosis and troponin all continue to worsen overnight. Family was contacted and discussed likely poor outcome. Attending discussed goals of care with the family. Would like no further escalation of care but did not want to withdraw current level of support. pt is currently DNR. After further discussion with family pt placed on spontaneous ventilation as they did not wish to proceed with extubation yet. Pt had increasing ventricular ectopy and then became asystolic."
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypotension, Intensive care, Lactic acidosis, Mechanical ventilation, Neoplasm malignant
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with dyspnea and acute hypoxic respiratory failure who subsequently died.  Provider d/c note:  "Patient is a 66 yo F with hx of metastatic colon cancer with known metastases to the lungs and liver who presented to the ED after being found unresponsive in her room. GCS 3 in the emergency department. Patient had a brief cardiac arrest while preparing for intubation, underwent 4 minutes of compressions and received 1 round epinephrine. She was noted to have glucose of 20, given total of 3 amps D50. She was intubated for airway protection. Work up in the ED revealed + COVID.  Pt was admitted to the ICU for further management.   Per family, the patient was towards the end stages of her cancer. She was originally diagnosed with colon cancer in 2002, has been through multiple cycles of chemotherapy and underwent left lung lobectomy for lung metastases. She was diagnosed with stage 4 disease in 2015, continued with multiple rounds of chemotherapy.    Patient's blood pressure was low on arrival to the intensive care unit and was initiated on norepinephrine without resolution of hypotension and vasopressin was also added.  Patient's acidosis, lactic acidosis and troponin all continue to worsen overnight. Family was contacted and discussed likely poor outcome. Attending discussed goals of care with the family. Would like no further escalation of care but did not want to withdraw current level of support. pt is currently DNR. After further discussion with family pt placed on spontaneous ventilation as they did not wish to proceed with extubation yet. Pt had increasing ventricular ectopy and then became asystolic."
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Resuscitation, SARS-CoV-2 test positive, Troponin abnormal, Unresponsive to stimuli, Ventricular extrasystoles
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with dyspnea and acute hypoxic respiratory failure who subsequently died.  Provider d/c note:  "Patient is a 66 yo F with hx of metastatic colon cancer with known metastases to the lungs and liver who presented to the ED after being found unresponsive in her room. GCS 3 in the emergency department. Patient had a brief cardiac arrest while preparing for intubation, underwent 4 minutes of compressions and received 1 round epinephrine. She was noted to have glucose of 20, given total of 3 amps D50. She was intubated for airway protection. Work up in the ED revealed + COVID.  Pt was admitted to the ICU for further management.   Per family, the patient was towards the end stages of her cancer. She was originally diagnosed with colon cancer in 2002, has been through multiple cycles of chemotherapy and underwent left lung lobectomy for lung metastases. She was diagnosed with stage 4 disease in 2015, continued with multiple rounds of chemotherapy.    Patient's blood pressure was low on arrival to the intensive care unit and was initiated on norepinephrine without resolution of hypotension and vasopressin was also added.  Patient's acidosis, lactic acidosis and troponin all continue to worsen overnight. Family was contacted and discussed likely poor outcome. Attending discussed goals of care with the family. Would like no further escalation of care but did not want to withdraw current level of support. pt is currently DNR. After further discussion with family pt placed on spontaneous ventilation as they did not wish to proceed with extubation yet. Pt had increasing ventricular ectopy and then became asystolic."
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anxiety, COVID-19, Ear disorder, Middle ear effusion, Nasal congestion
Clinical narrative: No reaction to the vaccine, but I got COVID-19, I had a home test, when I was traveling, head cold, stuffy nose, rash spread in different parts of my body, it lasted for 10 days. I had ear problems and I saw a doctor; she said I had fluid on the ear and gave me medicine for 9 days, I was flying so I was worried, but everything was okay.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nasopharyngitis, Rash, SARS-CoV-2 test positive
Clinical narrative: No reaction to the vaccine, but I got COVID-19, I had a home test, when I was traveling, head cold, stuffy nose, rash spread in different parts of my body, it lasted for 10 days. I had ear problems and I saw a doctor; she said I had fluid on the ear and gave me medicine for 9 days, I was flying so I was worried, but everything was okay.
Age: 14.0
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 14y.o patient administered flublok
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Dyspnoea, Epistaxis, Fatigue, Nasal disorder
Clinical narrative: One week after my fourth total Pfizer COVID shot (second booster), I caught COVID at a large, packed music event. I was fatigued for two days and my throat hurt, but no other symptoms. On the third or fourth day, I swapped symptoms entirely to congestion and a sharp pain on the left side of my nose, near my eye. Approximately where my glasses nose piece rested, but the pain was present without my glasses on. I was no longer fatigued and my throat was no linger sore, bit the co getting was enough that I had trouble breathing even when taking OTC medication such as Dayquil or Nyquil. I made a telehealth appointment on 11/07/2022 and was seen by a doctor who I had not seen before or since. I had tested myself with an at-home rapid test on 11/02/2022 and I knew it was positive for COVID, and I told the doctor all of this. She told me to stop taking the medications I had been taking, and instead take Afrin for a maximum of 3 days to relieve the symptoms, and Mucinex instead of Dayquil/Nyquil as the active ingredient phenylephrine was no linger relieving symptoms. She also told me to use a nasal rinse. I did so, and this alleviated the syptoms enough. I continued taking Mucinex and using the saline nasal rinse through 11/14/2022 to be able to breathe through the nights. I am no longer needing to take medicine or perform a saline rinse every day/night to breathe, but I am still congested as of 12/08/2022. I need to blow my nose multiple times a day, and the snot that is expelled is thick and a darker color than normal. Occasionally there is blood in the snot as well, likely from blowing too aggressively. I have an appointment with my primary doctor on 12/30/2022 where I plan to bring this up if I am still congested. If i get worse I will of course make a new telehealth appointment.
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Respiratory tract congestion, Rhinalgia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: One week after my fourth total Pfizer COVID shot (second booster), I caught COVID at a large, packed music event. I was fatigued for two days and my throat hurt, but no other symptoms. On the third or fourth day, I swapped symptoms entirely to congestion and a sharp pain on the left side of my nose, near my eye. Approximately where my glasses nose piece rested, but the pain was present without my glasses on. I was no longer fatigued and my throat was no linger sore, bit the co getting was enough that I had trouble breathing even when taking OTC medication such as Dayquil or Nyquil. I made a telehealth appointment on 11/07/2022 and was seen by a doctor who I had not seen before or since. I had tested myself with an at-home rapid test on 11/02/2022 and I knew it was positive for COVID, and I told the doctor all of this. She told me to stop taking the medications I had been taking, and instead take Afrin for a maximum of 3 days to relieve the symptoms, and Mucinex instead of Dayquil/Nyquil as the active ingredient phenylephrine was no linger relieving symptoms. She also told me to use a nasal rinse. I did so, and this alleviated the syptoms enough. I continued taking Mucinex and using the saline nasal rinse through 11/14/2022 to be able to breathe through the nights. I am no longer needing to take medicine or perform a saline rinse every day/night to breathe, but I am still congested as of 12/08/2022. I need to blow my nose multiple times a day, and the snot that is expelled is thick and a darker color than normal. Occasionally there is blood in the snot as well, likely from blowing too aggressively. I have an appointment with my primary doctor on 12/30/2022 where I plan to bring this up if I am still congested. If i get worse I will of course make a new telehealth appointment.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Angioplasty, Blood culture negative, COVID-19, Central venous catheterisation
Clinical narrative: Patient with 3 COVID vaccines who admitted with pulmonary embolism and positive COVID PCR.  Provider d/c note: "50 year old female with PMHx significant for active cholangiocarcinoma s/p unsuccessful chemotherapy, pulmonary embolism on Lovenox, asthma, and depression who presented to the emergency department following a positive COVID-19 test the evening prior to admission. Since she had her diagnosis of a PE she has had shortness of breath but feels that it has worsened in the past week. In addition she endorses nausea, poor appetite, worsening fever, and generalized malaise x3 days. She also had a cough that has become more productive in the last 24 hours. She has not examined her sputum. Patient has recently underwent a second opinion for her cholangiocarcinoma at Clinic, and is set to begin gemcitabine, dose attenuated cisplatin, and durvalumab for further palliation. Infusion was to begin today. She recently underwent a port exchange approximately once week prior to admission, during the procedure was found to have SVC occlusion and required angioplasty.             Upon arrival the patient underwent a CTA, finding a right sided pleural effusion without signs of pulmonary embolism. In addition she was found to have a consolidation in the right lower lobe concerning for pneumonia. She again tested + for COVID-19.    Hospital Course:  1. CAP: from COVID-19 URI with likely supraimposed bacterial PNA. Pt initially febrile though improved. Otherwise hemodynamically stable. Urine strep/legionella Ag negative. Blood cx also negative She was started on empiric ceftriaxone/doxycycline with improvement in symptoms. She was discharged on Levaquin to complete course of abx   2. R pleural effusion: possibly related to above vs malignant effusion. Given elevated INR and lack of hypoxia thoracentesis was deferred   3. Cholangiocarcinoma: follows with Health    4. Hyponatremia: suspectd due to dehydration. Improving    5. Thrombocytopenia: likely reactive-repeat CBC in few days    6. Normocytic anemia    7. Hx PE - Continue Lovenox   8. MDD - Lexapro   Issues Requiring Follow Up:  - Follow up with PCP, oncology"
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Decreased appetite, Dehydration, Dyspnoea, Hyponatraemia, International normalised ratio increased
Clinical narrative: Patient with 3 COVID vaccines who admitted with pulmonary embolism and positive COVID PCR.  Provider d/c note: "50 year old female with PMHx significant for active cholangiocarcinoma s/p unsuccessful chemotherapy, pulmonary embolism on Lovenox, asthma, and depression who presented to the emergency department following a positive COVID-19 test the evening prior to admission. Since she had her diagnosis of a PE she has had shortness of breath but feels that it has worsened in the past week. In addition she endorses nausea, poor appetite, worsening fever, and generalized malaise x3 days. She also had a cough that has become more productive in the last 24 hours. She has not examined her sputum. Patient has recently underwent a second opinion for her cholangiocarcinoma at Clinic, and is set to begin gemcitabine, dose attenuated cisplatin, and durvalumab for further palliation. Infusion was to begin today. She recently underwent a port exchange approximately once week prior to admission, during the procedure was found to have SVC occlusion and required angioplasty.             Upon arrival the patient underwent a CTA, finding a right sided pleural effusion without signs of pulmonary embolism. In addition she was found to have a consolidation in the right lower lobe concerning for pneumonia. She again tested + for COVID-19.    Hospital Course:  1. CAP: from COVID-19 URI with likely supraimposed bacterial PNA. Pt initially febrile though improved. Otherwise hemodynamically stable. Urine strep/legionella Ag negative. Blood cx also negative She was started on empiric ceftriaxone/doxycycline with improvement in symptoms. She was discharged on Levaquin to complete course of abx   2. R pleural effusion: possibly related to above vs malignant effusion. Given elevated INR and lack of hypoxia thoracentesis was deferred   3. Cholangiocarcinoma: follows with Health    4. Hyponatremia: suspectd due to dehydration. Improving    5. Thrombocytopenia: likely reactive-repeat CBC in few days    6. Normocytic anemia    7. Hx PE - Continue Lovenox   8. MDD - Lexapro   Issues Requiring Follow Up:  - Follow up with PCP, oncology"
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Legionella test, Lung consolidation, Malaise, Nausea, Normocytic anaemia
Clinical narrative: Patient with 3 COVID vaccines who admitted with pulmonary embolism and positive COVID PCR.  Provider d/c note: "50 year old female with PMHx significant for active cholangiocarcinoma s/p unsuccessful chemotherapy, pulmonary embolism on Lovenox, asthma, and depression who presented to the emergency department following a positive COVID-19 test the evening prior to admission. Since she had her diagnosis of a PE she has had shortness of breath but feels that it has worsened in the past week. In addition she endorses nausea, poor appetite, worsening fever, and generalized malaise x3 days. She also had a cough that has become more productive in the last 24 hours. She has not examined her sputum. Patient has recently underwent a second opinion for her cholangiocarcinoma at Clinic, and is set to begin gemcitabine, dose attenuated cisplatin, and durvalumab for further palliation. Infusion was to begin today. She recently underwent a port exchange approximately once week prior to admission, during the procedure was found to have SVC occlusion and required angioplasty.             Upon arrival the patient underwent a CTA, finding a right sided pleural effusion without signs of pulmonary embolism. In addition she was found to have a consolidation in the right lower lobe concerning for pneumonia. She again tested + for COVID-19.    Hospital Course:  1. CAP: from COVID-19 URI with likely supraimposed bacterial PNA. Pt initially febrile though improved. Otherwise hemodynamically stable. Urine strep/legionella Ag negative. Blood cx also negative She was started on empiric ceftriaxone/doxycycline with improvement in symptoms. She was discharged on Levaquin to complete course of abx   2. R pleural effusion: possibly related to above vs malignant effusion. Given elevated INR and lack of hypoxia thoracentesis was deferred   3. Cholangiocarcinoma: follows with Health    4. Hyponatremia: suspectd due to dehydration. Improving    5. Thrombocytopenia: likely reactive-repeat CBC in few days    6. Normocytic anemia    7. Hx PE - Continue Lovenox   8. MDD - Lexapro   Issues Requiring Follow Up:  - Follow up with PCP, oncology"
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pleural effusion, Pneumonia, Pneumonia bacterial, Productive cough, Pulmonary embolism
Clinical narrative: Patient with 3 COVID vaccines who admitted with pulmonary embolism and positive COVID PCR.  Provider d/c note: "50 year old female with PMHx significant for active cholangiocarcinoma s/p unsuccessful chemotherapy, pulmonary embolism on Lovenox, asthma, and depression who presented to the emergency department following a positive COVID-19 test the evening prior to admission. Since she had her diagnosis of a PE she has had shortness of breath but feels that it has worsened in the past week. In addition she endorses nausea, poor appetite, worsening fever, and generalized malaise x3 days. She also had a cough that has become more productive in the last 24 hours. She has not examined her sputum. Patient has recently underwent a second opinion for her cholangiocarcinoma at Clinic, and is set to begin gemcitabine, dose attenuated cisplatin, and durvalumab for further palliation. Infusion was to begin today. She recently underwent a port exchange approximately once week prior to admission, during the procedure was found to have SVC occlusion and required angioplasty.             Upon arrival the patient underwent a CTA, finding a right sided pleural effusion without signs of pulmonary embolism. In addition she was found to have a consolidation in the right lower lobe concerning for pneumonia. She again tested + for COVID-19.    Hospital Course:  1. CAP: from COVID-19 URI with likely supraimposed bacterial PNA. Pt initially febrile though improved. Otherwise hemodynamically stable. Urine strep/legionella Ag negative. Blood cx also negative She was started on empiric ceftriaxone/doxycycline with improvement in symptoms. She was discharged on Levaquin to complete course of abx   2. R pleural effusion: possibly related to above vs malignant effusion. Given elevated INR and lack of hypoxia thoracentesis was deferred   3. Cholangiocarcinoma: follows with Health    4. Hyponatremia: suspectd due to dehydration. Improving    5. Thrombocytopenia: likely reactive-repeat CBC in few days    6. Normocytic anemia    7. Hx PE - Continue Lovenox   8. MDD - Lexapro   Issues Requiring Follow Up:  - Follow up with PCP, oncology"
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Streptococcus test negative, Superinfection, Superior vena cava occlusion
Clinical narrative: Patient with 3 COVID vaccines who admitted with pulmonary embolism and positive COVID PCR.  Provider d/c note: "50 year old female with PMHx significant for active cholangiocarcinoma s/p unsuccessful chemotherapy, pulmonary embolism on Lovenox, asthma, and depression who presented to the emergency department following a positive COVID-19 test the evening prior to admission. Since she had her diagnosis of a PE she has had shortness of breath but feels that it has worsened in the past week. In addition she endorses nausea, poor appetite, worsening fever, and generalized malaise x3 days. She also had a cough that has become more productive in the last 24 hours. She has not examined her sputum. Patient has recently underwent a second opinion for her cholangiocarcinoma at Clinic, and is set to begin gemcitabine, dose attenuated cisplatin, and durvalumab for further palliation. Infusion was to begin today. She recently underwent a port exchange approximately once week prior to admission, during the procedure was found to have SVC occlusion and required angioplasty.             Upon arrival the patient underwent a CTA, finding a right sided pleural effusion without signs of pulmonary embolism. In addition she was found to have a consolidation in the right lower lobe concerning for pneumonia. She again tested + for COVID-19.    Hospital Course:  1. CAP: from COVID-19 URI with likely supraimposed bacterial PNA. Pt initially febrile though improved. Otherwise hemodynamically stable. Urine strep/legionella Ag negative. Blood cx also negative She was started on empiric ceftriaxone/doxycycline with improvement in symptoms. She was discharged on Levaquin to complete course of abx   2. R pleural effusion: possibly related to above vs malignant effusion. Given elevated INR and lack of hypoxia thoracentesis was deferred   3. Cholangiocarcinoma: follows with Health    4. Hyponatremia: suspectd due to dehydration. Improving    5. Thrombocytopenia: likely reactive-repeat CBC in few days    6. Normocytic anemia    7. Hx PE - Continue Lovenox   8. MDD - Lexapro   Issues Requiring Follow Up:  - Follow up with PCP, oncology"