chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Fatigue, Hypoxia
Clinical narrative: 8/2/21: Patient arrived at the ER due to hypoxia secondary to COVID-19 infection. Patient notes his symptoms started 3 weeks ago with sore throat and fatigue. Patient tested positive for COVID-19 on 7/28/2021.  Diagnosed with: COVID-19 pneumonia, acute hypoxic respiratory failure Please note: Patient received First dose of Pfizer COVID-19 vaccine on 1/23/2021, followed by the second dose on 2/15/2021 (confirmed through DOH)  8/9/2021: patient discharged
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: 8/2/21: Patient arrived at the ER due to hypoxia secondary to COVID-19 infection. Patient notes his symptoms started 3 weeks ago with sore throat and fatigue. Patient tested positive for COVID-19 on 7/28/2021.  Diagnosed with: COVID-19 pneumonia, acute hypoxic respiratory failure Please note: Patient received First dose of Pfizer COVID-19 vaccine on 1/23/2021, followed by the second dose on 2/15/2021 (confirmed through DOH)  8/9/2021: patient discharged
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test abnormal, Electrocardiogram abnormal, Heart rate abnormal, Ventricular extrasystoles
Clinical narrative: Began experiencing strong heartbeat approx. every 2 seconds, self check with smart watch showed small beat between large beats.  Thought it could be just response to caffeine use..  Wife was going to visit family, waited until 01April to go to clinic, doctor sent me to emergency room.  EKG used indicated PVCs more than 50% of my heartbeats.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Affective disorder, Anxiety, Condition aggravated, Delusion
Clinical narrative: Family and patient believe she had decompensation of mood/anxiety/delusions in weeks post vaccine  Symptoms are not new however, just worse. Other psychosocial stressors could be contributing.  Compliant with psych meds  They pressed for a report and thus I am complying.
Age: 0.58
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Wrong product administered
Clinical narrative: Immunization given with another immunization (Hexavalent).    Prevnar 13 should have been given, not Pentacel.  No current adverse reaction.  Mother notified.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: About 10 minutes after receiving the vaccine, patient fainted while he was walking in the store.  Ambulance was immediately called and they arrived within 10 minutes.  Patient regained consciousness prior to ambulance's arrival.
Age: 1.67
Sex: M
Vaccine: TDAP
Symptoms: Wrong product administered
Clinical narrative: Patient was given Tdap and should have been given Dtap.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, COVID-19, Central vision loss, Feeling abnormal, Nasopharyngitis
Clinical narrative: The patient presents with Potential stroke. Pt reports intermittent left central vision changes, onset "yesterday evening." Pt describes it as blurred vision that begins in the center of her vision and gradually expands. Pt adds that her family describes her as "foggy" states that her speech is not as clear, states onset was 2 days ago. PMHx significant for prior right sided CVA in 02/21, CAD, HTN, DM. Pt is not anticoagulated. Pt denies headache, dizziness, nausea, vomiting, altered gait, and all other symptoms.  The onset was "Yesterday evening".  63-year-old female with past medical history of coronary disease, hypertension, diabetes, carotid end arterectomy, depression, presents to ED with vision loss in the left-sided central vision loss that did not get better.   Patient has had complaints of cold symptoms and states that she was going to go and get a COVID test done but has not done so as of yet.  Furthermore states that she felt that her mentation was foggy and speech was not as clear either overnight.  Due to the vision loss she became extremely concerned and came to the hospital further evaluation.  Patient has a history of CVA on the right side back in February of 2021.  Patient is anticoagulated with Xarelto.  Upon arrival to the ED patient continues to have the vision loss but denies any other complaints besides the ones above.  COVID test was done and patient was positive for COVID-19.  Patient will be admitted for possible CVA and COVID-19 treatment.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Speech disorder, Vision blurred, Visual field defect
Clinical narrative: The patient presents with Potential stroke. Pt reports intermittent left central vision changes, onset "yesterday evening." Pt describes it as blurred vision that begins in the center of her vision and gradually expands. Pt adds that her family describes her as "foggy" states that her speech is not as clear, states onset was 2 days ago. PMHx significant for prior right sided CVA in 02/21, CAD, HTN, DM. Pt is not anticoagulated. Pt denies headache, dizziness, nausea, vomiting, altered gait, and all other symptoms.  The onset was "Yesterday evening".  63-year-old female with past medical history of coronary disease, hypertension, diabetes, carotid end arterectomy, depression, presents to ED with vision loss in the left-sided central vision loss that did not get better.   Patient has had complaints of cold symptoms and states that she was going to go and get a COVID test done but has not done so as of yet.  Furthermore states that she felt that her mentation was foggy and speech was not as clear either overnight.  Due to the vision loss she became extremely concerned and came to the hospital further evaluation.  Patient has a history of CVA on the right side back in February of 2021.  Patient is anticoagulated with Xarelto.  Upon arrival to the ED patient continues to have the vision loss but denies any other complaints besides the ones above.  COVID test was done and patient was positive for COVID-19.  Patient will be admitted for possible CVA and COVID-19 treatment.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Dyspnoea, Electrocardiogram T wave inversion, Electrocardiogram abnormal
Clinical narrative: struggling to breathe, blurred vision, heavy chest, extreme fatigue
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Full blood count, Inflammatory marker test, Stress echocardiogram, Vision blurred
Clinical narrative: struggling to breathe, blurred vision, heavy chest, extreme fatigue
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: left deltoid region has the redness and tendernes following  meningococcal and TdaP vaccines there was No fever and not too much of discomfort.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Cerebral infarction, Cerebral venous sinus thrombosis, Cerebrovascular accident, Methylenetetrahydrofolate reductase gene mutation
Clinical narrative: Acute venous dural sinus thrombosis. Started on argatroban drip.  Discharged on eliquis.  Found to have left temporal stroke and venous infarct in left temporal lobe
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus, Urine homocystine
Clinical narrative: Acute venous dural sinus thrombosis. Started on argatroban drip.  Discharged on eliquis.  Found to have left temporal stroke and venous infarct in left temporal lobe
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Incorrect route of product administration
Clinical narrative: Patient was given her MMR vaccine intramuscularly instead of subcutaneously.  Patient had no immediate reaction, but counseled her to watch for injection site reaction and to notify us if she notices anything.  A twinrix vaccine was also given in the same arm.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: 102 fever for 2 days Severe redness, heat, pain and swelling at the injection site for 10 days from shoulder to elbow
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Presyncope
Clinical narrative: Disequilibrium and Presyncope
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for CVA within 6 weeks of receiving COVID vaccination.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Injected limb mobility decreased, Injection site swelling, Injection site warmth, Insomnia
Clinical narrative: * days after getting my first Moderna shot, I woke up with a swollen left arm at the injection site.  It was hot and I couldn't lift my arm above my chest.  By the end of the day, I had a SEVERE welted rash ALL over my body.  You could feel it though my clothing.  The rash proceeded to spread and it hot and itchy beyond anything able to describe.  You just can't itch it deep enough.  I took Benadryl but it did nothing.  We called my dermatologist who suggested Zyrtec and Cortisone cream for the rash.  It helped alleviate the initial, itch for a little bit,  but it was still welted and hot and spreading.  I have tried other creams, and was given a prescription of prednisone.   The rash has mostly subsided but the UNCONTRLLABLE itch is still there.  It's a deep itch that you can't seem to get to. Unable to sleep because of the itching, and discomfort has been a huge issue for me.   My question is, how long is this expected to last,  is there anything else I should be doing or doing different, and  should I proceed with the second shot???
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Skin warm, Urticaria
Clinical narrative: * days after getting my first Moderna shot, I woke up with a swollen left arm at the injection site.  It was hot and I couldn't lift my arm above my chest.  By the end of the day, I had a SEVERE welted rash ALL over my body.  You could feel it though my clothing.  The rash proceeded to spread and it hot and itchy beyond anything able to describe.  You just can't itch it deep enough.  I took Benadryl but it did nothing.  We called my dermatologist who suggested Zyrtec and Cortisone cream for the rash.  It helped alleviate the initial, itch for a little bit,  but it was still welted and hot and spreading.  I have tried other creams, and was given a prescription of prednisone.   The rash has mostly subsided but the UNCONTRLLABLE itch is still there.  It's a deep itch that you can't seem to get to. Unable to sleep because of the itching, and discomfort has been a huge issue for me.   My question is, how long is this expected to last,  is there anything else I should be doing or doing different, and  should I proceed with the second shot???
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Exposure to SARS-CoV-2, Pyrexia
Clinical narrative: The patient presents with 44 year old female with a medical Hx of DM, HTN and CAD presents with a covid positive test on 8/7/21. Patient reports of worsening cough, shortness of breath and fever. Pt does note of receiving both of her covid Pfizer vaccinations. Patient was seen here x5 days ago in the ED after being exposed to son who is covid positive but has worsened since. Pt denies any chest pain, abdominal pain, urinary complications, diarrhea or vomiting.  The onset was 5  days ago.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sick relative
Clinical narrative: The patient presents with 44 year old female with a medical Hx of DM, HTN and CAD presents with a covid positive test on 8/7/21. Patient reports of worsening cough, shortness of breath and fever. Pt does note of receiving both of her covid Pfizer vaccinations. Patient was seen here x5 days ago in the ED after being exposed to son who is covid positive but has worsened since. Pt denies any chest pain, abdominal pain, urinary complications, diarrhea or vomiting.  The onset was 5  days ago.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test negative, Arthralgia, Back pain, Blood thyroid stimulating hormone increased, Brain natriuretic peptide normal
Clinical narrative: 2 hours after shots: woozy, felt heart skipping beats. Took pulse and it was in the 50?s. (Mine is normally in 70s) That day and for weeks after: intense heart palpitations, like heart was in my throat. Not like anxiety palpitations (which I have experienced) About a week and a half after: heart squeezing affect. Like someone teaching in and grabbing my heart. Back abs shoulder pain. I originally assumed this was anxiety, though I have never experienced this before. (Chest tightening) About a week or two after shot: freezing cold hands and feet. Also tingling hands and feet. Some tingling in my face.   I was not able to see my doctor for tests until May.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Electrocardiogram normal, Heart rate irregular, Palpitations
Clinical narrative: 2 hours after shots: woozy, felt heart skipping beats. Took pulse and it was in the 50?s. (Mine is normally in 70s) That day and for weeks after: intense heart palpitations, like heart was in my throat. Not like anxiety palpitations (which I have experienced) About a week and a half after: heart squeezing affect. Like someone teaching in and grabbing my heart. Back abs shoulder pain. I originally assumed this was anxiety, though I have never experienced this before. (Chest tightening) About a week or two after shot: freezing cold hands and feet. Also tingling hands and feet. Some tingling in my face.   I was not able to see my doctor for tests until May.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral coldness, Red blood cell sedimentation rate normal, Troponin T normal
Clinical narrative: 2 hours after shots: woozy, felt heart skipping beats. Took pulse and it was in the 50?s. (Mine is normally in 70s) That day and for weeks after: intense heart palpitations, like heart was in my throat. Not like anxiety palpitations (which I have experienced) About a week and a half after: heart squeezing affect. Like someone teaching in and grabbing my heart. Back abs shoulder pain. I originally assumed this was anxiety, though I have never experienced this before. (Chest tightening) About a week or two after shot: freezing cold hands and feet. Also tingling hands and feet. Some tingling in my face.   I was not able to see my doctor for tests until May.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Gait disturbance, Hyperhidrosis, Pallor, Syncope
Clinical narrative: PATIENT RECEIVED 2ND DOSE OF PFIZER COVID VACCINE AT 1220. AT 1228 PATIENT WALKED TO THIS RN AND STATED HE WAS FEELING FLUSHED. PATIENT WAS OBSERVED TO BE PALE AND DIAPHORETIC. THIS RN ATTEMPTED TO GET PATIENT BACK IN CHAIR BUT PATIENT STUMBLED; ATTEMPTED TO LOWER PATIENT TO GROUND BUT PATIENT AND THIS RN COLLAPSED ONTO FLOOR. NO INJURY NOTED. PATIENT DOES NOT RECALL THIS HAPPENING. PATIENT ASSESSED AND TAKEN TO ED FOR FURTHER EVALUATION.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient received Johnson and Johnson vaccine. Was diagnosed and hospitalized with COVID-19
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Myalgia, Oropharyngeal pain, Pain in extremity
Clinical narrative: My artificial Right hip has always given me pain, but this increased exponentially. I had extreme pain, in my hip, which continued to develop so that the pain by bedtime was debilitating, all the way down my right leg. I began to run a mild fever, I got no rest until morning, but at that point every joint, both shoulders, both hips, both elbows, both knees were painful to move. The muscles in my thighs were sore like someone had beaten me, and at first I thought I was developing a sore throat or swollen lymph nodes in my neck, but I've now determined this is the same as the pain in my thighs,
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Restlessness
Clinical narrative: My artificial Right hip has always given me pain, but this increased exponentially. I had extreme pain, in my hip, which continued to develop so that the pain by bedtime was debilitating, all the way down my right leg. I began to run a mild fever, I got no rest until morning, but at that point every joint, both shoulders, both hips, both elbows, both knees were painful to move. The muscles in my thighs were sore like someone had beaten me, and at first I thought I was developing a sore throat or swollen lymph nodes in my neck, but I've now determined this is the same as the pain in my thighs,
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: There is pain in the area about palm size where they vaccinated.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Anion gap, Bilevel positive airway pressure, Blood glucose increased, Blood lactic acid decreased
Clinical narrative: The patient presents with 4 day hx of shortness of breath with cough, chest pain upon coughing, and chills. EMS services were called and pt was noted to be hypoxic on 54% RA, pt was immediately placed on a nonrebreather. Pt denies recent sick contacts. Pt has been adminsitering with OTC medication with cough without relief. Pt denies fevers, headache, nausea, vomiting, diarrhea, and all other symptoms.  The onset was 4  days ago..  The course/duration of symptoms is worsening. Patient is a 55-year-old language-speaking male with a history of untreated diabetes mellitus who presents to the ED with acute respiratory distress.  Patient says he has been sick for the past week.  He has had significant shortness of breath,  Patient is a 55-year-old language-speaking male with a history of untreated diabetes mellitus who presents to the ED with acute respiratory distress.  Patient says he has been sick for the past week.  He has had significant shortness of breath, exacerbated by coughing.  He denies any fevers, chills, nausea, vomiting or diarrhea.  Patient's wife called EMS and on their arrival sats were noted to be in the mid 50s.  He was placed on a non-rebreather.  On arrival to the ED patient was placed on heated high-flow oxygen 40 liters/minute.  COVID-19 is positive in the ED.  Patient is diabetic and says he has not been on any medication, only taking vitamins.  He did get both COVID vaccinations with the first being on 06/26/2021 and the second vaccination 2 weeks ago.  After arrival to the medical floor the patient has been increased to high-flow 60 liters/minute with sats 80-90%.  He does desat to 80% with any movement or talking.   Patient was tachycardic and tachypneic on arrival.  He had ABG showed a PO2 of 59 on high-flow 40 liters/minute.  Patient also has a white blood cell count of 23.  He is in diabetic ketoacidosis with a blood glucose of 529, CO2 of 14, anion gap of 24 and a serum sodium of 127.  His initial lactic acid was 5.3 which is come down to 3.4.  His chest x-ray shows multifocal ground-glass infiltrates consistent with COVID pneumonia.  CT the chest is negative for pulmonary embolus but does demonstrate diffuse bilateral mixed pulmonary infiltrates.    Given patient's continue desaturations into the high 70s to low 80s, after discussing with RT we have now transitioned him to BiPAP and placed him in a semi prone position.  O2 sats are now in the low 90s
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium, COVID-19, COVID-19 pneumonia, Carbon dioxide abnormal, Chest X-ray abnormal
Clinical narrative: The patient presents with 4 day hx of shortness of breath with cough, chest pain upon coughing, and chills. EMS services were called and pt was noted to be hypoxic on 54% RA, pt was immediately placed on a nonrebreather. Pt denies recent sick contacts. Pt has been adminsitering with OTC medication with cough without relief. Pt denies fevers, headache, nausea, vomiting, diarrhea, and all other symptoms.  The onset was 4  days ago..  The course/duration of symptoms is worsening. Patient is a 55-year-old language-speaking male with a history of untreated diabetes mellitus who presents to the ED with acute respiratory distress.  Patient says he has been sick for the past week.  He has had significant shortness of breath,  Patient is a 55-year-old language-speaking male with a history of untreated diabetes mellitus who presents to the ED with acute respiratory distress.  Patient says he has been sick for the past week.  He has had significant shortness of breath, exacerbated by coughing.  He denies any fevers, chills, nausea, vomiting or diarrhea.  Patient's wife called EMS and on their arrival sats were noted to be in the mid 50s.  He was placed on a non-rebreather.  On arrival to the ED patient was placed on heated high-flow oxygen 40 liters/minute.  COVID-19 is positive in the ED.  Patient is diabetic and says he has not been on any medication, only taking vitamins.  He did get both COVID vaccinations with the first being on 06/26/2021 and the second vaccination 2 weeks ago.  After arrival to the medical floor the patient has been increased to high-flow 60 liters/minute with sats 80-90%.  He does desat to 80% with any movement or talking.   Patient was tachycardic and tachypneic on arrival.  He had ABG showed a PO2 of 59 on high-flow 40 liters/minute.  Patient also has a white blood cell count of 23.  He is in diabetic ketoacidosis with a blood glucose of 529, CO2 of 14, anion gap of 24 and a serum sodium of 127.  His initial lactic acid was 5.3 which is come down to 3.4.  His chest x-ray shows multifocal ground-glass infiltrates consistent with COVID pneumonia.  CT the chest is negative for pulmonary embolus but does demonstrate diffuse bilateral mixed pulmonary infiltrates.    Given patient's continue desaturations into the high 70s to low 80s, after discussing with RT we have now transitioned him to BiPAP and placed him in a semi prone position.  O2 sats are now in the low 90s
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Computerised tomogram thorax abnormal, Cough, Diabetic ketoacidosis
Clinical narrative: The patient presents with 4 day hx of shortness of breath with cough, chest pain upon coughing, and chills. EMS services were called and pt was noted to be hypoxic on 54% RA, pt was immediately placed on a nonrebreather. Pt denies recent sick contacts. Pt has been adminsitering with OTC medication with cough without relief. Pt denies fevers, headache, nausea, vomiting, diarrhea, and all other symptoms.  The onset was 4  days ago..  The course/duration of symptoms is worsening. Patient is a 55-year-old language-speaking male with a history of untreated diabetes mellitus who presents to the ED with acute respiratory distress.  Patient says he has been sick for the past week.  He has had significant shortness of breath,  Patient is a 55-year-old language-speaking male with a history of untreated diabetes mellitus who presents to the ED with acute respiratory distress.  Patient says he has been sick for the past week.  He has had significant shortness of breath, exacerbated by coughing.  He denies any fevers, chills, nausea, vomiting or diarrhea.  Patient's wife called EMS and on their arrival sats were noted to be in the mid 50s.  He was placed on a non-rebreather.  On arrival to the ED patient was placed on heated high-flow oxygen 40 liters/minute.  COVID-19 is positive in the ED.  Patient is diabetic and says he has not been on any medication, only taking vitamins.  He did get both COVID vaccinations with the first being on 06/26/2021 and the second vaccination 2 weeks ago.  After arrival to the medical floor the patient has been increased to high-flow 60 liters/minute with sats 80-90%.  He does desat to 80% with any movement or talking.   Patient was tachycardic and tachypneic on arrival.  He had ABG showed a PO2 of 59 on high-flow 40 liters/minute.  Patient also has a white blood cell count of 23.  He is in diabetic ketoacidosis with a blood glucose of 529, CO2 of 14, anion gap of 24 and a serum sodium of 127.  His initial lactic acid was 5.3 which is come down to 3.4.  His chest x-ray shows multifocal ground-glass infiltrates consistent with COVID pneumonia.  CT the chest is negative for pulmonary embolus but does demonstrate diffuse bilateral mixed pulmonary infiltrates.    Given patient's continue desaturations into the high 70s to low 80s, after discussing with RT we have now transitioned him to BiPAP and placed him in a semi prone position.  O2 sats are now in the low 90s
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, Lung infiltration, Lung opacity, Malaise
Clinical narrative: The patient presents with 4 day hx of shortness of breath with cough, chest pain upon coughing, and chills. EMS services were called and pt was noted to be hypoxic on 54% RA, pt was immediately placed on a nonrebreather. Pt denies recent sick contacts. Pt has been adminsitering with OTC medication with cough without relief. Pt denies fevers, headache, nausea, vomiting, diarrhea, and all other symptoms.  The onset was 4  days ago..  The course/duration of symptoms is worsening. Patient is a 55-year-old language-speaking male with a history of untreated diabetes mellitus who presents to the ED with acute respiratory distress.  Patient says he has been sick for the past week.  He has had significant shortness of breath,  Patient is a 55-year-old language-speaking male with a history of untreated diabetes mellitus who presents to the ED with acute respiratory distress.  Patient says he has been sick for the past week.  He has had significant shortness of breath, exacerbated by coughing.  He denies any fevers, chills, nausea, vomiting or diarrhea.  Patient's wife called EMS and on their arrival sats were noted to be in the mid 50s.  He was placed on a non-rebreather.  On arrival to the ED patient was placed on heated high-flow oxygen 40 liters/minute.  COVID-19 is positive in the ED.  Patient is diabetic and says he has not been on any medication, only taking vitamins.  He did get both COVID vaccinations with the first being on 06/26/2021 and the second vaccination 2 weeks ago.  After arrival to the medical floor the patient has been increased to high-flow 60 liters/minute with sats 80-90%.  He does desat to 80% with any movement or talking.   Patient was tachycardic and tachypneic on arrival.  He had ABG showed a PO2 of 59 on high-flow 40 liters/minute.  Patient also has a white blood cell count of 23.  He is in diabetic ketoacidosis with a blood glucose of 529, CO2 of 14, anion gap of 24 and a serum sodium of 127.  His initial lactic acid was 5.3 which is come down to 3.4.  His chest x-ray shows multifocal ground-glass infiltrates consistent with COVID pneumonia.  CT the chest is negative for pulmonary embolus but does demonstrate diffuse bilateral mixed pulmonary infiltrates.    Given patient's continue desaturations into the high 70s to low 80s, after discussing with RT we have now transitioned him to BiPAP and placed him in a semi prone position.  O2 sats are now in the low 90s
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, SARS-CoV-2 test, Tachycardia, Tachypnoea, White blood cell count normal
Clinical narrative: The patient presents with 4 day hx of shortness of breath with cough, chest pain upon coughing, and chills. EMS services were called and pt was noted to be hypoxic on 54% RA, pt was immediately placed on a nonrebreather. Pt denies recent sick contacts. Pt has been adminsitering with OTC medication with cough without relief. Pt denies fevers, headache, nausea, vomiting, diarrhea, and all other symptoms.  The onset was 4  days ago..  The course/duration of symptoms is worsening. Patient is a 55-year-old language-speaking male with a history of untreated diabetes mellitus who presents to the ED with acute respiratory distress.  Patient says he has been sick for the past week.  He has had significant shortness of breath,  Patient is a 55-year-old language-speaking male with a history of untreated diabetes mellitus who presents to the ED with acute respiratory distress.  Patient says he has been sick for the past week.  He has had significant shortness of breath, exacerbated by coughing.  He denies any fevers, chills, nausea, vomiting or diarrhea.  Patient's wife called EMS and on their arrival sats were noted to be in the mid 50s.  He was placed on a non-rebreather.  On arrival to the ED patient was placed on heated high-flow oxygen 40 liters/minute.  COVID-19 is positive in the ED.  Patient is diabetic and says he has not been on any medication, only taking vitamins.  He did get both COVID vaccinations with the first being on 06/26/2021 and the second vaccination 2 weeks ago.  After arrival to the medical floor the patient has been increased to high-flow 60 liters/minute with sats 80-90%.  He does desat to 80% with any movement or talking.   Patient was tachycardic and tachypneic on arrival.  He had ABG showed a PO2 of 59 on high-flow 40 liters/minute.  Patient also has a white blood cell count of 23.  He is in diabetic ketoacidosis with a blood glucose of 529, CO2 of 14, anion gap of 24 and a serum sodium of 127.  His initial lactic acid was 5.3 which is come down to 3.4.  His chest x-ray shows multifocal ground-glass infiltrates consistent with COVID pneumonia.  CT the chest is negative for pulmonary embolus but does demonstrate diffuse bilateral mixed pulmonary infiltrates.    Given patient's continue desaturations into the high 70s to low 80s, after discussing with RT we have now transitioned him to BiPAP and placed him in a semi prone position.  O2 sats are now in the low 90s
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac failure congestive, Cardiac stress test, Electrocardiogram, Fatigue
Clinical narrative: My arm was sore, and I was fatigue. I slept for 20 hours the next day. Even after I slept, I was still tired for the next few weeks.  Three months later, I had congestive heart failure. I went to the ER. They pumped 7 liters of fluid off my heart. They did an EKG, stress test, and blood work.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Pain in extremity, Pericardial drainage
Clinical narrative: My arm was sore, and I was fatigue. I slept for 20 hours the next day. Even after I slept, I was still tired for the next few weeks.  Three months later, I had congestive heart failure. I went to the ER. They pumped 7 liters of fluid off my heart. They did an EKG, stress test, and blood work.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Acute respiratory failure, COVID-19, General physical health deterioration, Intensive care
Clinical narrative: 8/3/21: Patient arrived at the ER due to worsening O2 saturations (low 70s) due to COVID diagnosis. Patient tested positive for COVID on 7/31/21.  Patient transferred to ER on 8/3. Upon admission to PCU, patient had rapid response, and is now in ICU on mech vent. Diagnosed with acute resp failure 2/2 ARDS/COVID, viral pneumonia Please note: Patient received First dose of Pfizer COVID-19 vaccine on 3/30/2021, followed by the second dose on 4/20/2021 (confirmed through electronic system)  8/12/2021: patient still admitted at the time of this report submission
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mechanical ventilation, Oxygen saturation decreased, Pneumonia viral, SARS-CoV-2 test positive
Clinical narrative: 8/3/21: Patient arrived at the ER due to worsening O2 saturations (low 70s) due to COVID diagnosis. Patient tested positive for COVID on 7/31/21.  Patient transferred to ER on 8/3. Upon admission to PCU, patient had rapid response, and is now in ICU on mech vent. Diagnosed with acute resp failure 2/2 ARDS/COVID, viral pneumonia Please note: Patient received First dose of Pfizer COVID-19 vaccine on 3/30/2021, followed by the second dose on 4/20/2021 (confirmed through electronic system)  8/12/2021: patient still admitted at the time of this report submission
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Injection site muscle weakness, Injection site pruritus, Muscular weakness, Myalgia
Clinical narrative: My right arm from the second shot continues to itch & I can still see the needle mark. After 2nd shot I notice that at times both upper arms feel weak in the area from the injection sites downwards. At times both arms still have a mildly stabbing achy pain deep in the muscle. After I've mowed my lawn with a push mower both arms feel weak, & I have to sometimes just sit down because I feel weak all over. I also still have itching at the right arm injection site. I don't know if these are typical this long after the shots. I guess since I actually had had covid my reactions to the vaccines were awful-fevers of 101° along with horrible body aches just like I had with covid.  Or maybe this is normal. But I didn't think the arm pain & weakness would continue. I only took the vaccine because I was afraid my retinal vein occlusion could have something to do with covid blood clot issues, but I am aware there isn't enough research at this stage. But I did not want to get it again or the delta variant. Maybe my case can help with research, as I never noticed strange visual "spots" until after I had covid--they would come & go, & then in June became permanent unfortunately.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Needle track marks, Pain, Pain in extremity, Pyrexia, Thrombosis
Clinical narrative: My right arm from the second shot continues to itch & I can still see the needle mark. After 2nd shot I notice that at times both upper arms feel weak in the area from the injection sites downwards. At times both arms still have a mildly stabbing achy pain deep in the muscle. After I've mowed my lawn with a push mower both arms feel weak, & I have to sometimes just sit down because I feel weak all over. I also still have itching at the right arm injection site. I don't know if these are typical this long after the shots. I guess since I actually had had covid my reactions to the vaccines were awful-fevers of 101° along with horrible body aches just like I had with covid.  Or maybe this is normal. But I didn't think the arm pain & weakness would continue. I only took the vaccine because I was afraid my retinal vein occlusion could have something to do with covid blood clot issues, but I am aware there isn't enough research at this stage. But I did not want to get it again or the delta variant. Maybe my case can help with research, as I never noticed strange visual "spots" until after I had covid--they would come & go, & then in June became permanent unfortunately.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Visual impairment
Clinical narrative: My right arm from the second shot continues to itch & I can still see the needle mark. After 2nd shot I notice that at times both upper arms feel weak in the area from the injection sites downwards. At times both arms still have a mildly stabbing achy pain deep in the muscle. After I've mowed my lawn with a push mower both arms feel weak, & I have to sometimes just sit down because I feel weak all over. I also still have itching at the right arm injection site. I don't know if these are typical this long after the shots. I guess since I actually had had covid my reactions to the vaccines were awful-fevers of 101° along with horrible body aches just like I had with covid.  Or maybe this is normal. But I didn't think the arm pain & weakness would continue. I only took the vaccine because I was afraid my retinal vein occlusion could have something to do with covid blood clot issues, but I am aware there isn't enough research at this stage. But I did not want to get it again or the delta variant. Maybe my case can help with research, as I never noticed strange visual "spots" until after I had covid--they would come & go, & then in June became permanent unfortunately.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Pain, Pyrexia
Clinical narrative: Low grade fever - 99-100; body aches and headaches - general malaise and not feeling well. It's usually at night that I feel this. It's associated with nighttime. Urgent Care.  Drinking fluids and take Tylenol and Ibuprofen as needed. I'm still having these symptoms at night - the last few nights for sure. I have had to take Tylenol for it the last few nights. I am feeling tired, too.  Note: I had my second shingles shot  after the second Pfizer vaccine - not that  long after it- it took me down. I was so very sick after it.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Low grade fever - 99-100; body aches and headaches - general malaise and not feeling well. It's usually at night that I feel this. It's associated with nighttime. Urgent Care.  Drinking fluids and take Tylenol and Ibuprofen as needed. I'm still having these symptoms at night - the last few nights for sure. I have had to take Tylenol for it the last few nights. I am feeling tired, too.  Note: I had my second shingles shot  after the second Pfizer vaccine - not that  long after it- it took me down. I was so very sick after it.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient was self admitted vaccinated. Hospitalized and diagnosed with COVID-19
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: tested positive for covid19 and is having some symptoms but is feeling better.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropod bite, Breast mass, Injection site rash, Joint swelling, Rash
Clinical narrative: Patient reports rash on neck and arm at injection site, bump on breast, increased mosquito bites, bilateral feet skin peeling, and ankles swollen.  Patient reports this is her second vaccine. registry only reports one vaccination occurred. Patient is from another area, however.  Patient called pharmacy 8/12/2021 at 115 pm to report adverse events. Patient was boarding a plane. Patient asked about taking benadryl for the rash. I also recommended putting feet up for swelling, monitoring feet/ankle swelling and rash, using a cold pack on swelling, and calling physician if worsening symptoms.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Skin exfoliation
Clinical narrative: Patient reports rash on neck and arm at injection site, bump on breast, increased mosquito bites, bilateral feet skin peeling, and ankles swollen.  Patient reports this is her second vaccine. registry only reports one vaccination occurred. Patient is from another area, however.  Patient called pharmacy 8/12/2021 at 115 pm to report adverse events. Patient was boarding a plane. Patient asked about taking benadryl for the rash. I also recommended putting feet up for swelling, monitoring feet/ankle swelling and rash, using a cold pack on swelling, and calling physician if worsening symptoms.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for atrial fibrillation within 6 weeks of receiving COVID vaccination.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Patient was seen in the ED and hospitalized multiple times after second dose of vaccine, tested positive for COVID on 2/22/2021. Patient passed away on 8/11/2021
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient reported dizziness and fainting after first dose of Pfizer vaccine.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: dx with CoVid 8/10/2021
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Pain, Pyrexia
Clinical narrative: Headache, serve body aches, fever, numbness in leg, fatigue.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Decreased appetite, Pain, Pyrexia
Clinical narrative: Admitted to hospital 8/11/21 with weakness, body aches, loss of appetite, febrile up to 101. Tested positive for COVID
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital 8/11/21 with weakness, body aches, loss of appetite, febrile up to 101. Tested positive for COVID
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Contracted covid
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Fever, felt very sick the evening after my vaccine  then developed Covid 19 five days later still with 102 fever and terrible coughing.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cerebral thrombosis, Cerebral venous sinus thrombosis, Computerised tomogram head abnormal, Haemorrhagic cerebral infarction
Clinical narrative: Patient developed altered mental status, weakness. Her CT scan showed infarcts and hemorrhage. She required mechanical ventilation. Her MRI venogram of brain showed cerebral venous and sinus thrombosis. She was referred for Mechanical thrombectomy to another institution.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhagic transformation stroke, Magnetic resonance imaging head abnormal, Mechanical ventilation, Mental status changes, Venogram abnormal
Clinical narrative: Patient developed altered mental status, weakness. Her CT scan showed infarcts and hemorrhage. She required mechanical ventilation. Her MRI venogram of brain showed cerebral venous and sinus thrombosis. She was referred for Mechanical thrombectomy to another institution.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Sore swollen lymphnodes in arm pit
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Cold sweat, Eye movement disorder, Heart rate decreased, Hyperhidrosis
Clinical narrative: Patient became unconscious cold, clammy and sweaty. and eyes rolled back. Was unresponsive for about 15 seconds, but had a pulse in the mid 50s. Blood pressure was in the 80s/50s. Nurses from nearby clinic intervened. Patient was placed in the supine position with legs raised up, She slowly became more and more conscious. Responded to verbal commands and became more and more alert.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Nasopharyngitis, Unresponsive to stimuli
Clinical narrative: Patient became unconscious cold, clammy and sweaty. and eyes rolled back. Was unresponsive for about 15 seconds, but had a pulse in the mid 50s. Blood pressure was in the 80s/50s. Nurses from nearby clinic intervened. Patient was placed in the supine position with legs raised up, She slowly became more and more conscious. Responded to verbal commands and became more and more alert.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye disorder, Head discomfort, Presyncope, Visual impairment
Clinical narrative: Sudden onset vision changes - felt like my eyes were looking in different directions; vision skewed; felt pressure in my head, dizziness and felt like I was going to pass out. I thought I was having a stroke. The feeling passed after about 5 minutes. Did not seek treatment.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Urticaria
Clinical narrative: chronic hives (urticaria) have occurred full body, found everywhere with the exception of my face and feet.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient came into the pharmacy requesting the moderna covid vaccine. Patient wrote on the consent form that it is his first dose of covid vaccine; also confirmed so right before administration. Patient was given the moderna vaccine, had no adverse reactions at the pharmacy during observation. However, later on in the day,  there was a patient profile found on system with the same name and phone number although different address and slightly different birth date (05/22/1962 versus 05/21/1962 on the consent form) who had a record of previously receiving both doses of moderna on 01/27/21 and 02/24/21.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac pacemaker insertion, Heart rate decreased
Clinical narrative: Pulse dropped to 25.  Pacemaker installed.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Headache, Pain, Rash
Clinical narrative: COVID vaccine dose Moderna 07/24 to L arm- headache  07/27- upper back pain/ chest pain 07/29- rash with well demarcated redness/ tenderness/ itching/ blisters to L upper back/ L upper chest/ axilla  currently today improved, pain 1.5/10
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Tenderness
Clinical narrative: COVID vaccine dose Moderna 07/24 to L arm- headache  07/27- upper back pain/ chest pain 07/29- rash with well demarcated redness/ tenderness/ itching/ blisters to L upper back/ L upper chest/ axilla  currently today improved, pain 1.5/10
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Extreme swelling all upper left arm around injection site. Started 6 days after shot was given. Lasted 5 days
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Laboratory test, Paraesthesia, Vision blurred
Clinical narrative: Patient had left facial paresthesias, left arm paresthesias within 24 hours and b/l blurry vision with headache 72 hours after the vaccination that lasted at least 48 hours. Negative workup for CVA, recurrent cancer or thrombus.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, C-reactive protein normal, Chest pain, Electrocardiogram ST segment elevation
Clinical narrative: Myopericarditis. Chest pain 2 days after second vaccine.  Ekg consistent with pericarditis and troponin elevated.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Pericarditis, Troponin increased
Clinical narrative: Myopericarditis. Chest pain 2 days after second vaccine.  Ekg consistent with pericarditis and troponin elevated.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient death within 60 days of receiving a COVID vaccine
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Intracardiac thrombus
Clinical narrative: Blood clot to heart death
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Loss of consciousness
Clinical narrative: Patient received vaccine in left arm. She was noted to be sitting in waiting area and had been given water to drink. A few minutes later, she was observed slumping over to her left side, where she fell off her chair and her head was heard hitting the gym floor. Per EMT notes it was her left parietal-posterior area, but no lump or bump noted. Pupils equal and reactive and patient was responsive within seconds of staff arrival. Ice was applied to her C-spine area to assist in cooling her down. Patient reports that she had not had anything to eat or drink since 10:30 in the morning. It was very hot in the gym where vaccines were being given. Vital signs were stable the entire time (120/78, HR100regular, SPO2 99%, then 122/76, 80reg, resp rate of 12)  Pt is answering questions appropriately and is asking to be let go, but we did keep her for 30 minutes to ensure that she was OK. She left in the company of her mother.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Pyrexia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Dose #1 - My son first started feeling hot or slightly feverish late morning followed by a headache. We checked his temperature a few different times throughout the day and it never got above 99F which was a good sign. However, the headache continued to worsen as the day went on (we gave him plenty of water to drink) and it got to the point where he was laying down crying while gripping his head. Since he was experiencing a severe headache and asking for some type of relief due to the intensity of the pain, we decided to give him some ibuprofen (one 200mg tablet). My son has never had to take any pain medication for a headache in the past so this was unusual and we believed that this headache was most likely caused by the vaccine. The ibuprofen subsided the pain and he was feeling better by the evening of that same day.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Patient presented to the ED with tachycardia within 6 weeks of receiving COVID vaccination. Per notes: "He says that he increased his pills from 3 to 4. Unclear which pill this was. He arranges his own meds." patient has consistently tested positive for covid in the past, as well as this visit.