chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: M
Vaccine: UNK
Symptoms: Nausea, Night sweats, Pain in extremity, Rash, Skin lesion
Clinical narrative: 45 yo MALE presents today for side effects from J&J covid vaccine. Patient reports he had received the vaccine 11/16/2021. He reports within a couple hours he got redness/rash all over his body, next day right leg rash which cleared then left leg he developed a rash left leg with sores, he reports he put ointment on it and it went away after a few days. Patient reports he then developed a lymph node in the L armpit painful to the touch for 3 weeks. He reports he has since then had bilateral neck lymph nodes which swell and have continued to do so and is nonpainful. Patient reports pain in his bilateral hands/feet and he reports continued nausea and problems eating, especially meat. Patient reports he has had 30 lb unintentional weight loss since he received the vaccine. Patient reports his paternal grandfather passed of lung cancer and his biological father passed away from colon cancer a few weeks ago. Patient does not endorse any blood in his stools, he does endorse non consistent bowel patterns over the past 6 mos. He is also endorsing night sweats since the vaccine, waking up with wet shirt about 3 times/week.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Malnutrition, Pyrexia
Clinical narrative: Patient presented to the hospital with fevers and he had severe protein calorie malnutrion. He was given MAB treatment of bamlanivimab and he felt great afterwards.
Age: 2.0
Sex: F
Vaccine: HEP
Symptoms: Condition aggravated, Endotracheal intubation, Enterovirus test positive, Human rhinovirus test positive, Seizure
Clinical narrative: Patient started to have seizures post vaccine administration about 3hrs after vaccine
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Rash
Clinical narrative: She has had some redness around the injection site since then when she got up today she had a little bit of rash on her arm and some on her upper chest area.  As the day progressed it got worse.  It is on both of her legs, her buttocks, her trunk, and her arms
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Cough, Headache, Pain
Clinical narrative: In the middle of the night I woke up with a terrible headache. Then, a few hour later, I had tremendous body aches and joint pain. I started coughing and getting fluid in my cough. I ended up going to urgent care. They gave me a COVID-19 test and I tested positive.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive
Clinical narrative: In the middle of the night I woke up with a terrible headache. Then, a few hour later, I had tremendous body aches and joint pain. I started coughing and getting fluid in my cough. I ended up going to urgent care. They gave me a COVID-19 test and I tested positive.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Nausea, Pyrexia
Clinical narrative: headache, fever of 101.8, nausu on day after vaccine; fever gone next day but nauseu and headache continue
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: There were no adverse events to this 10 year 7 month old who recieved the 12 year old dose of vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Respiratory tract congestion
Clinical narrative: Patient presented with cough and congestion and COVID-19 diagnosed and was in isolation for 10 days. She was given Mucinex for congestion.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Hyperaesthesia, Lip swelling, Pharyngeal swelling
Clinical narrative: I experienced itching around tight clothing area, whelps developed, my lips began to swell, my throat began to swell shut, and I had to take Benadryl for that reaction. After I recovered from the reaction my asthma has been flaring up more than normal. When I went to the doctors office for the reaction I was prescribed a steroid pack. It took 2 weeks to recover and return to normalcy.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: I experienced itching around tight clothing area, whelps developed, my lips began to swell, my throat began to swell shut, and I had to take Benadryl for that reaction. After I recovered from the reaction my asthma has been flaring up more than normal. When I went to the doctors office for the reaction I was prescribed a steroid pack. It took 2 weeks to recover and return to normalcy.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted.  COVID infection breakthrough
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Anaemia, Autoimmune disorder, Bicytopenia, Biopsy kidney abnormal
Clinical narrative: Patient received COVID vaccine (1st dose 11/2/21 lot # FH8028, 2nd dose as above)  In late December noted to have abnormal thyroid functions and new hyperlipidemia. in March 2022 she presented w/menorrhagia and anemia/thrombocytopenia as well as new nephrotic range proteinuria and AKI.  Renal biopsy consistent with membranous nephropathy, treated with steroids and rituximab
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood immunoglobulin A, Blood immunoglobulin G, Blood immunoglobulin M, Capillary disorder
Clinical narrative: Patient received COVID vaccine (1st dose 11/2/21 lot # FH8028, 2nd dose as above)  In late December noted to have abnormal thyroid functions and new hyperlipidemia. in March 2022 she presented w/menorrhagia and anemia/thrombocytopenia as well as new nephrotic range proteinuria and AKI.  Renal biopsy consistent with membranous nephropathy, treated with steroids and rituximab
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Complement factor C3, Glomerulonephritis, Glomerulonephritis membranous, Heavy menstrual bleeding, Hyperlipidaemia
Clinical narrative: Patient received COVID vaccine (1st dose 11/2/21 lot # FH8028, 2nd dose as above)  In late December noted to have abnormal thyroid functions and new hyperlipidemia. in March 2022 she presented w/menorrhagia and anemia/thrombocytopenia as well as new nephrotic range proteinuria and AKI.  Renal biopsy consistent with membranous nephropathy, treated with steroids and rituximab
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Immune complex assay, Inappropriate schedule of product administration, Inflammation, Light chain analysis, Nephrotic syndrome
Clinical narrative: Patient received COVID vaccine (1st dose 11/2/21 lot # FH8028, 2nd dose as above)  In late December noted to have abnormal thyroid functions and new hyperlipidemia. in March 2022 she presented w/menorrhagia and anemia/thrombocytopenia as well as new nephrotic range proteinuria and AKI.  Renal biopsy consistent with membranous nephropathy, treated with steroids and rituximab
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema, Proteinuria, Renal tubular injury, Renal tubular necrosis, Thrombocytopenia
Clinical narrative: Patient received COVID vaccine (1st dose 11/2/21 lot # FH8028, 2nd dose as above)  In late December noted to have abnormal thyroid functions and new hyperlipidemia. in March 2022 she presented w/menorrhagia and anemia/thrombocytopenia as well as new nephrotic range proteinuria and AKI.  Renal biopsy consistent with membranous nephropathy, treated with steroids and rituximab
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid disorder
Clinical narrative: Patient received COVID vaccine (1st dose 11/2/21 lot # FH8028, 2nd dose as above)  In late December noted to have abnormal thyroid functions and new hyperlipidemia. in March 2022 she presented w/menorrhagia and anemia/thrombocytopenia as well as new nephrotic range proteinuria and AKI.  Renal biopsy consistent with membranous nephropathy, treated with steroids and rituximab
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deafness, Sudden hearing loss
Clinical narrative: Sudden Hearing Loss in both ears.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Gait disturbance, Headache
Clinical narrative: Patient called reporting she received her vaccination at 2pm and by 9pm she had chills, a headache, fatigue and difficulty walking.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna 2/24/21, 3/26/21, 12/15/21. Positive on 4/13/22
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Injection site pain, Night sweats, Pyrexia
Clinical narrative: Fever, night sweats, got dizzy in the morning and fell over, much pain in injection arm
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Arthritis, Asthenia, Exercise tolerance decreased, Fatigue
Clinical narrative: Initial symptoms became noticeable about 2 weeks (around the second week of APR 21) after second dose of vaccine. Symptoms began as a drop in strength and endurance. These continued until about mid AUG 21 when my strength and endurance got so bad that I could not run and my strength significantly. Fatigue was a major issue and also inflammation in all my joints and lower back. A small tendon tear also occurred in my left arm during this time period as well which required physical therapy. The inflammation in my knees also resulted in my requiring physical therapy for my knees as well which also became so bad that I had to submit and was approved for a running profile. The inflammation was so bad and consistent that I was using a prescribed anti-inflammatory (Diclofenac Sodium) which resulted in kidney issues. I am no longer able to use NSAIDs and the joint pain is constant and limits my normal activities to the point that I am barely able to do some of the activities that I usually do or that are required for my job. Strength and Endurance have not returned to normal levels at this time and due to limitations caused by the increased inflammation in my joints, it is unlikely that they will do so.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Impaired work ability, Inflammation, Loss of personal independence in daily activities, Mobility decreased, Tendon injury
Clinical narrative: Initial symptoms became noticeable about 2 weeks (around the second week of APR 21) after second dose of vaccine. Symptoms began as a drop in strength and endurance. These continued until about mid AUG 21 when my strength and endurance got so bad that I could not run and my strength significantly. Fatigue was a major issue and also inflammation in all my joints and lower back. A small tendon tear also occurred in my left arm during this time period as well which required physical therapy. The inflammation in my knees also resulted in my requiring physical therapy for my knees as well which also became so bad that I had to submit and was approved for a running profile. The inflammation was so bad and consistent that I was using a prescribed anti-inflammatory (Diclofenac Sodium) which resulted in kidney issues. I am no longer able to use NSAIDs and the joint pain is constant and limits my normal activities to the point that I am barely able to do some of the activities that I usually do or that are required for my job. Strength and Endurance have not returned to normal levels at this time and due to limitations caused by the increased inflammation in my joints, it is unlikely that they will do so.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Fall, Viral sepsis
Clinical narrative: Patient presented with a fall and confusion and was diagnosed with Covid upon hospitalization. He had viral sepsis and required oxygen.
Age: 0.17
Sex: U
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Patient was given vaccine 5 days after lot expiration date.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, HEP
Symptoms: Extra dose administered
Clinical narrative: Patient was given both Pediarix and Engerix Peds which means he received 2 doses of Hep B vaccine.
Sex: U
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Gait disturbance, Gait inability, Impaired driving ability
Clinical narrative: inflammation is right thigh, excruciatingly painful, started May 6, 2021, pain is still present. Was unable to drive so unable to work as usual, I did however do work virtually, but affected my life fairly significantly. Couldn't walk, used crutches, used a walker. Due to incorrect gait, I developed an issue with the IT Band on right leg and a Gluteus Mininus tear is the opposite hip which is painful.
Sex: U
Vaccine: COVID19
Symptoms: Impaired work ability, Inflammation, Laboratory test, Magnetic resonance imaging, Muscle rupture
Clinical narrative: inflammation is right thigh, excruciatingly painful, started May 6, 2021, pain is still present. Was unable to drive so unable to work as usual, I did however do work virtually, but affected my life fairly significantly. Couldn't walk, used crutches, used a walker. Due to incorrect gait, I developed an issue with the IT Band on right leg and a Gluteus Mininus tear is the opposite hip which is painful.
Sex: U
Vaccine: COVID19
Symptoms: Nerve conduction studies, Pain in extremity, Tendon disorder, Ultrasound scan, Walking aid user
Clinical narrative: inflammation is right thigh, excruciatingly painful, started May 6, 2021, pain is still present. Was unable to drive so unable to work as usual, I did however do work virtually, but affected my life fairly significantly. Couldn't walk, used crutches, used a walker. Due to incorrect gait, I developed an issue with the IT Band on right leg and a Gluteus Mininus tear is the opposite hip which is painful.
Age: 15.0
Sex: M
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Developed small and large generalized hives approx 18 hours after receiving booster dose for COVID-19 vaccine.  Hives are located on extremities only including, arms, hands, and feet.  Seen by physician and started a 5 day course of Prednisone 30mg PO BID and Benadryl 50mg PO ATC.  Referred to allergist.  No improvement in symptoms after 3 days of treatment.  Awaiting additional instructions from physician.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: This youngster was given an adult dose of vaccine
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Diarrhoea, Dyspnoea, Pneumonia
Clinical narrative: Patient presented to the hospital with diarrhea, low appetite, SOB, and was diagnosed with COVID-19. Patient acquired PNA and need to be on levaquin and steroids.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Asthenia, Bone pain, Chills, Fatigue
Clinical narrative: I experienced chills to the point I felt hypothermic, and was unable to get warm with multiple layers of blankets and the heat turned up. I was extremely fatigued as well, and I could not physically leave the bed to go see my doctor in person. My temperature was 95.2 degrees Fahrenheit, every bone in my body ached, my sense of smell is muted, I was sweating profusely, completely incapacitated, and it took me 2 weeks to recover. I'm still experiencing fatigue, my sense of smell is muted, body aches.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Hyperhidrosis, Mobility decreased, Pain
Clinical narrative: I experienced chills to the point I felt hypothermic, and was unable to get warm with multiple layers of blankets and the heat turned up. I was extremely fatigued as well, and I could not physically leave the bed to go see my doctor in person. My temperature was 95.2 degrees Fahrenheit, every bone in my body ached, my sense of smell is muted, I was sweating profusely, completely incapacitated, and it took me 2 weeks to recover. I'm still experiencing fatigue, my sense of smell is muted, body aches.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Blood glucose decreased, COVID-19
Clinical narrative: On November 1, 2021 I woke up with a bad headache around 07:00AM. I went to the Urgent Care. They tested me and told me I had COVID. I went on the 5th because I called my Pulmonologist and I spoke to the nurse and they told me to go to Urgent Care. I was so weak by the 5th and felt really sick. My Glucose level dropped 53 and Blood Pressure was 90/60. I do have Postural Hypotension. They sent me to the Hospital. I was treated with Remdesivir and Dexamethasone 6mg by IV. I was checked for blood clots and my heart rate. I had tachycardia that I often get when I get sick. My BP will dropped and HR goes up. I had a touched of Pneumonia but it wasn't bad. I did lose taste and smell. I am still haven't got full sense of taste and smell back. I also did loss my appetite. I do feel like I recovered but I still haven't got my sense of taste and smell back yet.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Decreased appetite, Electrocardiogram, Fibrin D dimer, Headache
Clinical narrative: On November 1, 2021 I woke up with a bad headache around 07:00AM. I went to the Urgent Care. They tested me and told me I had COVID. I went on the 5th because I called my Pulmonologist and I spoke to the nurse and they told me to go to Urgent Care. I was so weak by the 5th and felt really sick. My Glucose level dropped 53 and Blood Pressure was 90/60. I do have Postural Hypotension. They sent me to the Hospital. I was treated with Remdesivir and Dexamethasone 6mg by IV. I was checked for blood clots and my heart rate. I had tachycardia that I often get when I get sick. My BP will dropped and HR goes up. I had a touched of Pneumonia but it wasn't bad. I did lose taste and smell. I am still haven't got full sense of taste and smell back. I also did loss my appetite. I do feel like I recovered but I still haven't got my sense of taste and smell back yet.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Malaise, Pneumonia, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: On November 1, 2021 I woke up with a bad headache around 07:00AM. I went to the Urgent Care. They tested me and told me I had COVID. I went on the 5th because I called my Pulmonologist and I spoke to the nurse and they told me to go to Urgent Care. I was so weak by the 5th and felt really sick. My Glucose level dropped 53 and Blood Pressure was 90/60. I do have Postural Hypotension. They sent me to the Hospital. I was treated with Remdesivir and Dexamethasone 6mg by IV. I was checked for blood clots and my heart rate. I had tachycardia that I often get when I get sick. My BP will dropped and HR goes up. I had a touched of Pneumonia but it wasn't bad. I did lose taste and smell. I am still haven't got full sense of taste and smell back. I also did loss my appetite. I do feel like I recovered but I still haven't got my sense of taste and smell back yet.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Feeling hot, Headache, Hyperhidrosis
Clinical narrative: Patient received her Pfizer COVID 19 booster shot. remained in the area but returned to the department to report she has a headache (which she had before she came - reported by mom later), chest feels weird- she could not describe the exact feeling, she was dizzy, feeling hot and sweaty, Pt was monitored for an hour. During that time patient drank water and used ice packs to cool herself. After the hour pt stated she felt much better. discussed with Dr. Okay for discharge. Advised she could take Claritin, Allegra or Zyrtec when she got home and to rest the remained of the day.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient was seen in office 4/13/22 for complaints of itchy rash that was present on patient's upper and lower extremities, back, neck, feet, and hands.  Patient reported receiving the COVID Moderna Booster vaccine 3 weeks prior and rash had developed 3 days after receiving the vaccine.  The rash had continued to spread since beginning.  Per Immunization System the patient received the Moderna COVID booster on 3/30/22 at pharmacy.  Patient was started on Vistaril and Prednisone for treatment of rash.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: DRY COUGH, WEAKNESS
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Booster administered too early. Last COVID vaccine given in Feb. 2022. Pt walked in today, Thurs. April 14, 2022 for Booster. Pt made aware that vaccine was given too early. Medial director made aware immediately. Pt waited 15 mins after vaccine administration. No adverse reaction voiced by patient.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Exercise tolerance decreased, Musculoskeletal stiffness, Neck pain
Clinical narrative: Joint pain specifically on the left side.  Left neck, shoulder, and hip pain since vaccine was given.  My neck and spine have been stiff and sore since the vaccine.  I am unable to complete upper body workouts due to the pain after lifting even 10 lbs.  I was healthy and athletic prior to the vaccine and will not continue the shot sequence. There is not enough data on this vaccine to determine the long term effects of administration. I should have never received the 1st shot.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Pain of skin, Sensitive skin
Clinical narrative: Surface of all skin very sensitive/painful to touch.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted.  Asymptomatic COVID + breakthrough infection
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal
Clinical narrative: Chills, mind foggy-ness, very tired all day 4/12/22, the day after the injection. Resolved by 4/13/22 so 1 day duration.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Anaemia macrocytic, Anticoagulant therapy, Back pain, Blood lactic acid increased
Clinical narrative: Patient with 2 Pfizer COVID vaccines, last dose on 04/17/21 who admitted to the hospital with COVID complications.  Provider discharge note below:  "Brief Summary of Hospital Stay:  Patient is a 79 YO year old female with past medical history of T2DM, CAD s/p NSTEMI and DES (2015), hypertension, hyperlipidemia, and depression. She is presenting to  Hospital with complaint of worsening diarrhea and cough x3 days. Of note, she was treated for C diff one month ago. Diarrhea initially worsened and there was associated nausea and vomiting. Only had two loose stools during this hospitalization, then resolved and GI PCR was negative. Cough was new onset 3 days ago and testing revealed she was positive for COVID pneumonia, she was vaccinated. Initial workup also demonstrated AKI on CKD stage IV, elevated lactate, elevated liver enzymes and hepatic steatosis on  RUQ US. Blood counts significant for macrocytic anemia likely secondary of anemia of chronic kidney disease, folic acid given. Patient given 2 units of PRBC with inadequate hgb response. Epoetin given 12/28. Of note, SPEP performed demonstrating elevated IgG Kappa. Additionally patient complained of lower extremity cramping and back/pelvic pain. Magnesium was low and replaced. There is history of pelvic fracture, which may be causing some ongoing pain. PT/OT evaluated and receommended that it would be benificial with SNF. However pt refused to go to a such facility and chose home instead. Pt was participating on PT sessions since last November to help with her mobility and we will place PT on discharge. Prescribed Tylenolol, avoid opiates and NSAIDS. Follow up with PCP to address anemia and labs (BMP) as out pt on 1/3/21. Pt currently on 5mg BID eliquis and pt is approaching her 80th Birthday. PCP can discuss about decreasing her eliquis dose appropriate with the dose. "  Of note, patient has since died on hospice services on 04/01/22.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood magnesium decreased, COVID-19, COVID-19 pneumonia, Chronic kidney disease, Clostridium difficile infection
Clinical narrative: Patient with 2 Pfizer COVID vaccines, last dose on 04/17/21 who admitted to the hospital with COVID complications.  Provider discharge note below:  "Brief Summary of Hospital Stay:  Patient is a 79 YO year old female with past medical history of T2DM, CAD s/p NSTEMI and DES (2015), hypertension, hyperlipidemia, and depression. She is presenting to  Hospital with complaint of worsening diarrhea and cough x3 days. Of note, she was treated for C diff one month ago. Diarrhea initially worsened and there was associated nausea and vomiting. Only had two loose stools during this hospitalization, then resolved and GI PCR was negative. Cough was new onset 3 days ago and testing revealed she was positive for COVID pneumonia, she was vaccinated. Initial workup also demonstrated AKI on CKD stage IV, elevated lactate, elevated liver enzymes and hepatic steatosis on  RUQ US. Blood counts significant for macrocytic anemia likely secondary of anemia of chronic kidney disease, folic acid given. Patient given 2 units of PRBC with inadequate hgb response. Epoetin given 12/28. Of note, SPEP performed demonstrating elevated IgG Kappa. Additionally patient complained of lower extremity cramping and back/pelvic pain. Magnesium was low and replaced. There is history of pelvic fracture, which may be causing some ongoing pain. PT/OT evaluated and receommended that it would be benificial with SNF. However pt refused to go to a such facility and chose home instead. Pt was participating on PT sessions since last November to help with her mobility and we will place PT on discharge. Prescribed Tylenolol, avoid opiates and NSAIDS. Follow up with PCP to address anemia and labs (BMP) as out pt on 1/3/21. Pt currently on 5mg BID eliquis and pt is approaching her 80th Birthday. PCP can discuss about decreasing her eliquis dose appropriate with the dose. "  Of note, patient has since died on hospice services on 04/01/22.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Cough, Death, Diarrhoea, Electrophoresis protein
Clinical narrative: Patient with 2 Pfizer COVID vaccines, last dose on 04/17/21 who admitted to the hospital with COVID complications.  Provider discharge note below:  "Brief Summary of Hospital Stay:  Patient is a 79 YO year old female with past medical history of T2DM, CAD s/p NSTEMI and DES (2015), hypertension, hyperlipidemia, and depression. She is presenting to  Hospital with complaint of worsening diarrhea and cough x3 days. Of note, she was treated for C diff one month ago. Diarrhea initially worsened and there was associated nausea and vomiting. Only had two loose stools during this hospitalization, then resolved and GI PCR was negative. Cough was new onset 3 days ago and testing revealed she was positive for COVID pneumonia, she was vaccinated. Initial workup also demonstrated AKI on CKD stage IV, elevated lactate, elevated liver enzymes and hepatic steatosis on  RUQ US. Blood counts significant for macrocytic anemia likely secondary of anemia of chronic kidney disease, folic acid given. Patient given 2 units of PRBC with inadequate hgb response. Epoetin given 12/28. Of note, SPEP performed demonstrating elevated IgG Kappa. Additionally patient complained of lower extremity cramping and back/pelvic pain. Magnesium was low and replaced. There is history of pelvic fracture, which may be causing some ongoing pain. PT/OT evaluated and receommended that it would be benificial with SNF. However pt refused to go to a such facility and chose home instead. Pt was participating on PT sessions since last November to help with her mobility and we will place PT on discharge. Prescribed Tylenolol, avoid opiates and NSAIDS. Follow up with PCP to address anemia and labs (BMP) as out pt on 1/3/21. Pt currently on 5mg BID eliquis and pt is approaching her 80th Birthday. PCP can discuss about decreasing her eliquis dose appropriate with the dose. "  Of note, patient has since died on hospice services on 04/01/22.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count abnormal, Haemoglobin, Hepatic enzyme increased, Hepatic steatosis, Light chain analysis increased
Clinical narrative: Patient with 2 Pfizer COVID vaccines, last dose on 04/17/21 who admitted to the hospital with COVID complications.  Provider discharge note below:  "Brief Summary of Hospital Stay:  Patient is a 79 YO year old female with past medical history of T2DM, CAD s/p NSTEMI and DES (2015), hypertension, hyperlipidemia, and depression. She is presenting to  Hospital with complaint of worsening diarrhea and cough x3 days. Of note, she was treated for C diff one month ago. Diarrhea initially worsened and there was associated nausea and vomiting. Only had two loose stools during this hospitalization, then resolved and GI PCR was negative. Cough was new onset 3 days ago and testing revealed she was positive for COVID pneumonia, she was vaccinated. Initial workup also demonstrated AKI on CKD stage IV, elevated lactate, elevated liver enzymes and hepatic steatosis on  RUQ US. Blood counts significant for macrocytic anemia likely secondary of anemia of chronic kidney disease, folic acid given. Patient given 2 units of PRBC with inadequate hgb response. Epoetin given 12/28. Of note, SPEP performed demonstrating elevated IgG Kappa. Additionally patient complained of lower extremity cramping and back/pelvic pain. Magnesium was low and replaced. There is history of pelvic fracture, which may be causing some ongoing pain. PT/OT evaluated and receommended that it would be benificial with SNF. However pt refused to go to a such facility and chose home instead. Pt was participating on PT sessions since last November to help with her mobility and we will place PT on discharge. Prescribed Tylenolol, avoid opiates and NSAIDS. Follow up with PCP to address anemia and labs (BMP) as out pt on 1/3/21. Pt currently on 5mg BID eliquis and pt is approaching her 80th Birthday. PCP can discuss about decreasing her eliquis dose appropriate with the dose. "  Of note, patient has since died on hospice services on 04/01/22.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Muscle spasms, Nausea, Pelvic pain, Red blood cell transfusion
Clinical narrative: Patient with 2 Pfizer COVID vaccines, last dose on 04/17/21 who admitted to the hospital with COVID complications.  Provider discharge note below:  "Brief Summary of Hospital Stay:  Patient is a 79 YO year old female with past medical history of T2DM, CAD s/p NSTEMI and DES (2015), hypertension, hyperlipidemia, and depression. She is presenting to  Hospital with complaint of worsening diarrhea and cough x3 days. Of note, she was treated for C diff one month ago. Diarrhea initially worsened and there was associated nausea and vomiting. Only had two loose stools during this hospitalization, then resolved and GI PCR was negative. Cough was new onset 3 days ago and testing revealed she was positive for COVID pneumonia, she was vaccinated. Initial workup also demonstrated AKI on CKD stage IV, elevated lactate, elevated liver enzymes and hepatic steatosis on  RUQ US. Blood counts significant for macrocytic anemia likely secondary of anemia of chronic kidney disease, folic acid given. Patient given 2 units of PRBC with inadequate hgb response. Epoetin given 12/28. Of note, SPEP performed demonstrating elevated IgG Kappa. Additionally patient complained of lower extremity cramping and back/pelvic pain. Magnesium was low and replaced. There is history of pelvic fracture, which may be causing some ongoing pain. PT/OT evaluated and receommended that it would be benificial with SNF. However pt refused to go to a such facility and chose home instead. Pt was participating on PT sessions since last November to help with her mobility and we will place PT on discharge. Prescribed Tylenolol, avoid opiates and NSAIDS. Follow up with PCP to address anemia and labs (BMP) as out pt on 1/3/21. Pt currently on 5mg BID eliquis and pt is approaching her 80th Birthday. PCP can discuss about decreasing her eliquis dose appropriate with the dose. "  Of note, patient has since died on hospice services on 04/01/22.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: Patient with 2 Pfizer COVID vaccines, last dose on 04/17/21 who admitted to the hospital with COVID complications.  Provider discharge note below:  "Brief Summary of Hospital Stay:  Patient is a 79 YO year old female with past medical history of T2DM, CAD s/p NSTEMI and DES (2015), hypertension, hyperlipidemia, and depression. She is presenting to  Hospital with complaint of worsening diarrhea and cough x3 days. Of note, she was treated for C diff one month ago. Diarrhea initially worsened and there was associated nausea and vomiting. Only had two loose stools during this hospitalization, then resolved and GI PCR was negative. Cough was new onset 3 days ago and testing revealed she was positive for COVID pneumonia, she was vaccinated. Initial workup also demonstrated AKI on CKD stage IV, elevated lactate, elevated liver enzymes and hepatic steatosis on  RUQ US. Blood counts significant for macrocytic anemia likely secondary of anemia of chronic kidney disease, folic acid given. Patient given 2 units of PRBC with inadequate hgb response. Epoetin given 12/28. Of note, SPEP performed demonstrating elevated IgG Kappa. Additionally patient complained of lower extremity cramping and back/pelvic pain. Magnesium was low and replaced. There is history of pelvic fracture, which may be causing some ongoing pain. PT/OT evaluated and receommended that it would be benificial with SNF. However pt refused to go to a such facility and chose home instead. Pt was participating on PT sessions since last November to help with her mobility and we will place PT on discharge. Prescribed Tylenolol, avoid opiates and NSAIDS. Follow up with PCP to address anemia and labs (BMP) as out pt on 1/3/21. Pt currently on 5mg BID eliquis and pt is approaching her 80th Birthday. PCP can discuss about decreasing her eliquis dose appropriate with the dose. "  Of note, patient has since died on hospice services on 04/01/22.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: This COVID booster (#2) was given SQ instead of IM. I had no reaction as I had with previous vaccines (flu-like symptoms) and I have a swollen, tender, itchy area where the vaccine was given subcutaneously.  I called Allergy dr and the message sent to me was that Dr said I would have an immune response anyway. Nothing else. It is too early to know if there will be other issues with this medication error.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess drainage, Bronchoscopy, COVID-19, Central venous catheterisation, Death
Clinical narrative: Patient with extensive hospital stay d/t multiple .severe comorbidities. Patient initially admitted due to malaria infection. Patient underwent treatment was also found to have Covid infection. She had significant respiratory distress as well as kidney failure and was placed on hemodialysis. Patient respiratory status had shown some improvement patient developed peripancreatic abscess and warm autoimmune hemolytic anemia. Patient underwent percutaneous drainage and antibiotics were placed to treat ESBL E.coli infection. Patient had significant metabolic encephalopathy which was waxing and waning was evaluated by neurology.  Patient later to have infarct on MRI.  Patient had an upper GI bleed and underwent an EGD and was found to have perforated duodenal ulcer.  Developed severe sepsis requiring vasopressor support.  She had respiratory distress and placed on mechanical ventilation.  Patient was placed on comfort care, terminally extubated and quickly passed.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Delirium, Drain placement, Duodenal ulcer perforation, Endotracheal intubation, Escherichia infection
Clinical narrative: Patient with extensive hospital stay d/t multiple .severe comorbidities. Patient initially admitted due to malaria infection. Patient underwent treatment was also found to have Covid infection. She had significant respiratory distress as well as kidney failure and was placed on hemodialysis. Patient respiratory status had shown some improvement patient developed peripancreatic abscess and warm autoimmune hemolytic anemia. Patient underwent percutaneous drainage and antibiotics were placed to treat ESBL E.coli infection. Patient had significant metabolic encephalopathy which was waxing and waning was evaluated by neurology.  Patient later to have infarct on MRI.  Patient had an upper GI bleed and underwent an EGD and was found to have perforated duodenal ulcer.  Developed severe sepsis requiring vasopressor support.  She had respiratory distress and placed on mechanical ventilation.  Patient was placed on comfort care, terminally extubated and quickly passed.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Haemodialysis, Infarction, Magnetic resonance imaging abnormal, Malaria, Mechanical ventilation
Clinical narrative: Patient with extensive hospital stay d/t multiple .severe comorbidities. Patient initially admitted due to malaria infection. Patient underwent treatment was also found to have Covid infection. She had significant respiratory distress as well as kidney failure and was placed on hemodialysis. Patient respiratory status had shown some improvement patient developed peripancreatic abscess and warm autoimmune hemolytic anemia. Patient underwent percutaneous drainage and antibiotics were placed to treat ESBL E.coli infection. Patient had significant metabolic encephalopathy which was waxing and waning was evaluated by neurology.  Patient later to have infarct on MRI.  Patient had an upper GI bleed and underwent an EGD and was found to have perforated duodenal ulcer.  Developed severe sepsis requiring vasopressor support.  She had respiratory distress and placed on mechanical ventilation.  Patient was placed on comfort care, terminally extubated and quickly passed.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Oesophagogastroduodenoscopy abnormal, Pancreatic abscess, Pathogen resistance, Renal failure
Clinical narrative: Patient with extensive hospital stay d/t multiple .severe comorbidities. Patient initially admitted due to malaria infection. Patient underwent treatment was also found to have Covid infection. She had significant respiratory distress as well as kidney failure and was placed on hemodialysis. Patient respiratory status had shown some improvement patient developed peripancreatic abscess and warm autoimmune hemolytic anemia. Patient underwent percutaneous drainage and antibiotics were placed to treat ESBL E.coli infection. Patient had significant metabolic encephalopathy which was waxing and waning was evaluated by neurology.  Patient later to have infarct on MRI.  Patient had an upper GI bleed and underwent an EGD and was found to have perforated duodenal ulcer.  Developed severe sepsis requiring vasopressor support.  She had respiratory distress and placed on mechanical ventilation.  Patient was placed on comfort care, terminally extubated and quickly passed.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory distress, Sepsis, Upper gastrointestinal haemorrhage, Warm autoimmune haemolytic anaemia
Clinical narrative: Patient with extensive hospital stay d/t multiple .severe comorbidities. Patient initially admitted due to malaria infection. Patient underwent treatment was also found to have Covid infection. She had significant respiratory distress as well as kidney failure and was placed on hemodialysis. Patient respiratory status had shown some improvement patient developed peripancreatic abscess and warm autoimmune hemolytic anemia. Patient underwent percutaneous drainage and antibiotics were placed to treat ESBL E.coli infection. Patient had significant metabolic encephalopathy which was waxing and waning was evaluated by neurology.  Patient later to have infarct on MRI.  Patient had an upper GI bleed and underwent an EGD and was found to have perforated duodenal ulcer.  Developed severe sepsis requiring vasopressor support.  She had respiratory distress and placed on mechanical ventilation.  Patient was placed on comfort care, terminally extubated and quickly passed.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID vaccinated 2/10/21 & 3/3/21. Hospitalized with COVID infection 4/13/22
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron, Cardiac flutter, Chest X-ray normal, Dyspnoea exertional, Fatigue
Clinical narrative: Shortness of breath with any physical exertion Racing pulse with any physical exertion  Intense fatigue after any physical exertion  Heart fluttering / palpitations after physical exertion   All consistently have gotten more intense / worse over the past 3 weeks since the day of noticing the adverse reactions.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Heart rate increased, Laboratory test, Metabolic function test
Clinical narrative: Shortness of breath with any physical exertion Racing pulse with any physical exertion  Intense fatigue after any physical exertion  Heart fluttering / palpitations after physical exertion   All consistently have gotten more intense / worse over the past 3 weeks since the day of noticing the adverse reactions.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Serum ferritin
Clinical narrative: Shortness of breath with any physical exertion Racing pulse with any physical exertion  Intense fatigue after any physical exertion  Heart fluttering / palpitations after physical exertion   All consistently have gotten more intense / worse over the past 3 weeks since the day of noticing the adverse reactions.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient presented with possible aspiration pneumonia and was found to be positive with COVID. She required oxygen and was able to wean off and remain stable in room oxygen. She was treated with rocephin and doxycycline and a 5 day course of prednisone.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Headache, Inflammation, Injection site erythema, Injection site warmth
Clinical narrative: The next day after the vaccine, I had a slight headache. It started to progressively getting worse with a stiff neck and nausea. I started breaking out in a rash with red bumps all over my body. On my left bicep, it turned red and was hot to the touch. By 11/10/2021, I went to the ER. I had blood work that was normal. I was told it was an inflammatory response. I got a shot of Toradol that helped. This lasted for about 5 days. I did get a 4th booster but it was Pfizer yesterday and everything seems fine so far.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Nausea, Rash
Clinical narrative: The next day after the vaccine, I had a slight headache. It started to progressively getting worse with a stiff neck and nausea. I started breaking out in a rash with red bumps all over my body. On my left bicep, it turned red and was hot to the touch. By 11/10/2021, I went to the ER. I had blood work that was normal. I was told it was an inflammatory response. I got a shot of Toradol that helped. This lasted for about 5 days. I did get a 4th booster but it was Pfizer yesterday and everything seems fine so far.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was given 0.3ml undiluted vaccine
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging, Pain
Clinical narrative: Much pain.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Influenza like illness, Laboratory test, Magnetic resonance imaging, Nerve injury
Clinical narrative: 5 days later, developed tinnitus, hand numbness, flu like symptoms, fever. It had SARS in 2003 following a business trip to another country. Have been to 9 difference doctors. Per neurologist symptoms are permanent. I had steroid shots. Nerves in legs are gone.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Neurological examination abnormal, Pyrexia, Tinnitus
Clinical narrative: 5 days later, developed tinnitus, hand numbness, flu like symptoms, fever. It had SARS in 2003 following a business trip to another country. Have been to 9 difference doctors. Per neurologist symptoms are permanent. I had steroid shots. Nerves in legs are gone.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Nausea, Nocturia
Clinical narrative: Patient reported feeling nauseated the morning 4/13/22; vaccine administered 4/13/22 at 1539. Patient was up several times throughout noc to bathroom. Last observed well at 0530 on 4/14/22.  Patient was noted deceased just prior to 0800 on 4/14/22 when CNA went to wake for bath. No signs of localized reaction from injection.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.2 ml of  Pfizer-BioNTech 12 and up dose, instead of the recommended Pfizer vaccine for ages 5-11.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted to inpatient facility and tested positive for covid. No access to vaccination information
Age: 17.0
Sex: M
Vaccine: COVID19, HPV9
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No reaction to vaccine, incorrect vaccination given for 3rd booster.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness  and swelling to right thigh
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Decreased appetite, Dysstasia, Fatigue, Malaise
Clinical narrative: Sleepy, tired, followed by a 24 hour fever,  as high as 101.5 Achy, malaise, weakness, could barely stand., no appetite.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Somnolence
Clinical narrative: Sleepy, tired, followed by a 24 hour fever,  as high as 101.5 Achy, malaise, weakness, could barely stand., no appetite.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.2 ml of Pfizer-BioNTech 12 and older vaccine, instead of the pediatric 5-11 vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Asymptomatic came in with hip pain, possible fx
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Facial pain, Pain, Pain in jaw, Sinusitis
Clinical narrative: PATIENT STARTED TO HAVE RIGHT JAW FACIAL PAIN THAT RADIATED PAIN AND CHANGED LOCATIONS. FORWARD AND THEN BACKWARD  MOVEMENT, ALONG THE SIDE OF THE EAR AND PAIN CONTINUED TO RIGHT CHEEK, SLIGHTLY CHANGING PLACES. DENTIST BELIEVES THIS IS A SINUS PROBLEM BUT IT FEELS LIKE PAIN. ONGOING SINUS INFECTION
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray dental normal
Clinical narrative: PATIENT STARTED TO HAVE RIGHT JAW FACIAL PAIN THAT RADIATED PAIN AND CHANGED LOCATIONS. FORWARD AND THEN BACKWARD  MOVEMENT, ALONG THE SIDE OF THE EAR AND PAIN CONTINUED TO RIGHT CHEEK, SLIGHTLY CHANGING PLACES. DENTIST BELIEVES THIS IS A SINUS PROBLEM BUT IT FEELS LIKE PAIN. ONGOING SINUS INFECTION
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, COVID-19 pneumonia, Cardiac arrest, Death
Clinical narrative: pt had a positive COVID test on 12/17/21 in Senior Living facility; transferred to hospital on 12/20/21 with COVID pneumonia and ARF; O2 supplementation; given Remdesivir, but family requested it to be stopped early; ABX; O2 demands increased; ICU; made some improvement; became unresponsive; intubated; vasopressors started; pt experienced cardiac arrest; CPR with ACLS protocol performed without success; pt died in the hospital
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Intensive care, Life support, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test on 12/17/21 in Senior Living facility; transferred to hospital on 12/20/21 with COVID pneumonia and ARF; O2 supplementation; given Remdesivir, but family requested it to be stopped early; ABX; O2 demands increased; ICU; made some improvement; became unresponsive; intubated; vasopressors started; pt experienced cardiac arrest; CPR with ACLS protocol performed without success; pt died in the hospital