chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chest pain, Cough, Fatigue
Clinical narrative: Patient tested positive for COVID on 11/17/2021. Fully vaccinated and also vaccinated with a booster. 52-year-old female presents complaining of cough and fatigue.Admits to some chest aching but denies any chest pain with exertion. Denies any leg pain, leg swelling, shortness of breath.She was given IVF, Toradol, Tylenol, and Decadron. CXR negative for acute process. Labs reviewed, no significant abnormalities. Pt agreed to giving Dr. clinic her information for monoclonal antibody infusion.Told to return to ED for any new, worsening, changing or persistent symptoms.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID on 11/17/2021. Fully vaccinated and also vaccinated with a booster. 52-year-old female presents complaining of cough and fatigue.Admits to some chest aching but denies any chest pain with exertion. Denies any leg pain, leg swelling, shortness of breath.She was given IVF, Toradol, Tylenol, and Decadron. CXR negative for acute process. Labs reviewed, no significant abnormalities. Pt agreed to giving Dr. clinic her information for monoclonal antibody infusion.Told to return to ED for any new, worsening, changing or persistent symptoms.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Arthralgia, Asthenia, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient with 2 doses of Pfizer vaccine, last dose February of 2021.  Admitted through ED from facility with hypoxia and dyspnea found to have COVID pneumonia.  Continued to decompensate during stay, requested comfort measures only.  Died on 01/10/22 of COVID related complications.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Delirium, Diabetic neuropathy, Dyspnoea, Gait disturbance
Clinical narrative: Patient with 2 doses of Pfizer vaccine, last dose February of 2021.  Admitted through ED from facility with hypoxia and dyspnea found to have COVID pneumonia.  Continued to decompensate during stay, requested comfort measures only.  Died on 01/10/22 of COVID related complications.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gastrooesophageal reflux disease, Genital candidiasis, Hypomagnesaemia, Hypoxia, Interstitial lung disease
Clinical narrative: Patient with 2 doses of Pfizer vaccine, last dose February of 2021.  Admitted through ED from facility with hypoxia and dyspnea found to have COVID pneumonia.  Continued to decompensate during stay, requested comfort measures only.  Died on 01/10/22 of COVID related complications.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphoedema, Metapneumovirus pneumonia, Metatarsalgia, Neuropathy peripheral, Obesity
Clinical narrative: Patient with 2 doses of Pfizer vaccine, last dose February of 2021.  Admitted through ED from facility with hypoxia and dyspnea found to have COVID pneumonia.  Continued to decompensate during stay, requested comfort measures only.  Died on 01/10/22 of COVID related complications.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Osteoarthritis, Peroneal nerve palsy, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 doses of Pfizer vaccine, last dose February of 2021.  Admitted through ED from facility with hypoxia and dyspnea found to have COVID pneumonia.  Continued to decompensate during stay, requested comfort measures only.  Died on 01/10/22 of COVID related complications.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 RNA
Clinical narrative: 1/10/22: ST
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chapped lips, Erythema, Lip exfoliation, Lip swelling, Rash
Clinical narrative: Less than 24 hours after receiving 3rd Pfizer Covid booster vaccine, there was significant swelling on my eyelids, and lips with redness. It progressively worsened and I went to the ER on 9 December 2021. I still had the facial swelling, a rash developed in splotches in my face, neck, around my lips. My face was sensitive/painful to touch, it was peeling in the affected areas. During this time I had been taking antihistamines. For treatment, I was given a steroid injection, prescription for high dose oral steroids x5days, mupirocin topical ointment x14 days for my lips which were cracked/peeling and this point, and vanicream ointment for the other affected areas. I had a consult with dermatology on 11 Jan 2021 and I was told it was a systemic reaction that could take 4 to 6 weeks to recover, and I am in the recovery mode still and not recovered.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Sensitive skin, Skin exfoliation, Swelling face, Swelling of eyelid
Clinical narrative: Less than 24 hours after receiving 3rd Pfizer Covid booster vaccine, there was significant swelling on my eyelids, and lips with redness. It progressively worsened and I went to the ER on 9 December 2021. I still had the facial swelling, a rash developed in splotches in my face, neck, around my lips. My face was sensitive/painful to touch, it was peeling in the affected areas. During this time I had been taking antihistamines. For treatment, I was given a steroid injection, prescription for high dose oral steroids x5days, mupirocin topical ointment x14 days for my lips which were cracked/peeling and this point, and vanicream ointment for the other affected areas. I had a consult with dermatology on 11 Jan 2021 and I was told it was a systemic reaction that could take 4 to 6 weeks to recover, and I am in the recovery mode still and not recovered.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Less than 24 hours after receiving 3rd Pfizer Covid booster vaccine, there was significant swelling on my eyelids, and lips with redness. It progressively worsened and I went to the ER on 9 December 2021. I still had the facial swelling, a rash developed in splotches in my face, neck, around my lips. My face was sensitive/painful to touch, it was peeling in the affected areas. During this time I had been taking antihistamines. For treatment, I was given a steroid injection, prescription for high dose oral steroids x5days, mupirocin topical ointment x14 days for my lips which were cracked/peeling and this point, and vanicream ointment for the other affected areas. I had a consult with dermatology on 11 Jan 2021 and I was told it was a systemic reaction that could take 4 to 6 weeks to recover, and I am in the recovery mode still and not recovered.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Cheilitis, Chills, Fatigue, Hyperhidrosis, Injection site pain
Clinical narrative: I have sores on my lip that appear to be a herpes (HSV-1) response to my body being stressed from the vaccine. They are irritating, liquid filled sores on the right side of my mouth where my upper and lower lips merge. I am  currently treating with medicated lip balm.  I also had common, mild symptoms including fever, sweats/chills, exhaustion and pain at injection site. Those side effects have gone away.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Irritability, Oral herpes, Pyrexia
Clinical narrative: I have sores on my lip that appear to be a herpes (HSV-1) response to my body being stressed from the vaccine. They are irritating, liquid filled sores on the right side of my mouth where my upper and lower lips merge. I am  currently treating with medicated lip balm.  I also had common, mild symptoms including fever, sweats/chills, exhaustion and pain at injection site. Those side effects have gone away.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Feeling cold, Headache, Hypoaesthesia
Clinical narrative: almost instantly as soon as the shot was administered I had a pain in the top of my hand that lasted the entire day. Approx 30 minutes after the vaccine I was home and had tingles like pins and needles in my body at different locations. I also had the palms of my hands were both all blotchy red and burned a little and itched a little but the biggest issue was they were blotchy red almost like hives but not. these issues lasted approx 3-4 days. I spiked a low fever which corrected on its own and had an terrible headache for 2 days. Im on day 17 post booster vaccine and approx 3 days ago i started having some numbess and or cold feeling on my buttocks as if you had been sitting for hours on a chair or a feeling as if you were outside in the cold and came inside..hard to explain. and for 2 days now i have faint constant ringing in my ears. Not sure if the most recent effects are from the booster as its been 2 weeks when these started however the first few were almost immediate.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Pruritus, Pyrexia, Rash macular
Clinical narrative: almost instantly as soon as the shot was administered I had a pain in the top of my hand that lasted the entire day. Approx 30 minutes after the vaccine I was home and had tingles like pins and needles in my body at different locations. I also had the palms of my hands were both all blotchy red and burned a little and itched a little but the biggest issue was they were blotchy red almost like hives but not. these issues lasted approx 3-4 days. I spiked a low fever which corrected on its own and had an terrible headache for 2 days. Im on day 17 post booster vaccine and approx 3 days ago i started having some numbess and or cold feeling on my buttocks as if you had been sitting for hours on a chair or a feeling as if you were outside in the cold and came inside..hard to explain. and for 2 days now i have faint constant ringing in my ears. Not sure if the most recent effects are from the booster as its been 2 weeks when these started however the first few were almost immediate.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: almost instantly as soon as the shot was administered I had a pain in the top of my hand that lasted the entire day. Approx 30 minutes after the vaccine I was home and had tingles like pins and needles in my body at different locations. I also had the palms of my hands were both all blotchy red and burned a little and itched a little but the biggest issue was they were blotchy red almost like hives but not. these issues lasted approx 3-4 days. I spiked a low fever which corrected on its own and had an terrible headache for 2 days. Im on day 17 post booster vaccine and approx 3 days ago i started having some numbess and or cold feeling on my buttocks as if you had been sitting for hours on a chair or a feeling as if you were outside in the cold and came inside..hard to explain. and for 2 days now i have faint constant ringing in my ears. Not sure if the most recent effects are from the booster as its been 2 weeks when these started however the first few were almost immediate.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Blood test, Exposure during pregnancy, Ultrasound scan
Clinical narrative: After first dose I found out I was pregnant and before second dose I miscarried. Since then I have had three more miscarriages. Prior I have one live birth resulting in a healthy child. No other reasons have been found for resulting miscarriages.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: developed covid symptoms
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Cough, Myalgia, Neck pain
Clinical narrative: I have been experiencing neck and back pain, I am currently in physical therapy and seeing an orthopedic surgeon. I also have been having chest pains that radiates to the left arm and causes muscle pains, runny nose, and coughing.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Rhinorrhoea
Clinical narrative: I have been experiencing neck and back pain, I am currently in physical therapy and seeing an orthopedic surgeon. I also have been having chest pains that radiates to the left arm and causes muscle pains, runny nose, and coughing.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Lung infiltration
Clinical narrative: 01/10/2022: 64-year-old female with history of COPD normally on 3 L presents for worsening shortness of breath overnight.  She states she was here few days ago for similar symptoms and diagnosed with COVID-19.  She has had to use 4 L of oxygen at home over the past few days.  She complains of cough.  Denies any chest pain or lower extremity edema.  No fevers.   Tested externally as per patients report.  Not tested at facility 01/12/2022: Agree with remdesivir and baricitinib as the patient is requiring BiPAP/high flow. -Daily decadron for 7-10 days
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: 01/10/2022: 64-year-old female with history of COPD normally on 3 L presents for worsening shortness of breath overnight.  She states she was here few days ago for similar symptoms and diagnosed with COVID-19.  She has had to use 4 L of oxygen at home over the past few days.  She complains of cough.  Denies any chest pain or lower extremity edema.  No fevers.   Tested externally as per patients report.  Not tested at facility 01/12/2022: Agree with remdesivir and baricitinib as the patient is requiring BiPAP/high flow. -Daily decadron for 7-10 days
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given an expired Moderna vaccine lot # 041C21A expired on 11/1/2021. Clinical went by the label expiration date, which was sent to us with the vaccine shipment. Some of the labels were printed with wrong expiration date. Clinician gave vaccine then tried to click administer and that is when she caught the error. Epic didn't let her click administer and a window popped up stating she was giving an expired vaccine
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticaria- itching and hives throughout all areas of skin
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pelvic venous thrombosis, Superficial vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: ?  Right external iliac vein: A(n) acute deep vein thrombosis is present and appears to be slightly mobile. ?  Right common femoral vein: A(n) acute deep vein thrombosis is present and appears to be slightly mobile. ?  Right femoral vein: A(n) acute deep vein thrombosis is present. ?  Right popliteal vein: A(n) acute deep vein thrombosis is present. ?  Right posterior tibial vein: A(n) acute deep vein thrombosis is present. ?  Right peroneal vein: A(n) acute deep vein thrombosis is present. ?  Right gastrocnemius vein: A(n) acute deep vein thrombosis is present. ?  Right greater saphenous vein: A(n) acute superficial thrombophlebitis is present. ?  Right small saphenous vein: A(n) acute  superficial thrombophlebitis is present.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/28/21 documented to have positive covid. PT received Moderna 1/27/21 Lot 028L20A for dose 1. Dose 2 was Moderna given on 2/22/21 Lot 030M20A.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness neurosensory, Sudden hearing loss
Clinical narrative: Sudden sensorineural hearing loss left ear.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: 01/10/22: FEVER, BODY ACHES, FATIGUE, HA, RN, EAR PAIN, COUGH, SOB, DIARRHEA, LOSS OF APPETITE
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: 01/10/22: FEVER, BODY ACHES, FATIGUE, HA, RN, EAR PAIN, COUGH, SOB, DIARRHEA, LOSS OF APPETITE
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 01/10/22: FEVER, BODY ACHES, FATIGUE, HA, RN, EAR PAIN, COUGH, SOB, DIARRHEA, LOSS OF APPETITE
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dizziness, Fall, Fatigue
Clinical narrative: Patient is fully vaccinated. ED visit for cough, fatigue, syncope.  Patient presents to the emergency department due to fatigue, syncopal episode at home, as well as a cough. Patient states that she was diagnosed with Covid approximately 10 days ago. She states that she has been feeling relatively okay. Denies any recent fevers, nausea or vomiting. She states today she walked over to use the restroom, had lightheadedness, as well as presyncope. She does state that she fell, denies striking her head or complete loss of consciousness.patient was discharged this time. Patient encouraged to continue monitoring her symptoms are worsening shortness of breath or chest pain.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Syncope
Clinical narrative: Patient is fully vaccinated. ED visit for cough, fatigue, syncope.  Patient presents to the emergency department due to fatigue, syncopal episode at home, as well as a cough. Patient states that she was diagnosed with Covid approximately 10 days ago. She states that she has been feeling relatively okay. Denies any recent fevers, nausea or vomiting. She states today she walked over to use the restroom, had lightheadedness, as well as presyncope. She does state that she fell, denies striking her head or complete loss of consciousness.patient was discharged this time. Patient encouraged to continue monitoring her symptoms are worsening shortness of breath or chest pain.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: developed covid symptoms 12/21/2021
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cardiac discomfort, Chest discomfort, Chest pain, Computerised tomogram normal
Clinical narrative: "Moderna COVID-19 Vaccine EUA". Approximately 8 hours after receiving the Moderna vaccine - very rapid heartbeat, weakness, difficulty breathing, feeling of having a heart attack, severe chest pain, pounding heart and shortness of breathe. On 1/7/22 - went to Emergency Room where blood work and two EKG's were done. Blood work showed a slightly elevated white blood cell count. EKG was normal.  On 1/12/22 - went to Emergency Room again where blood work, EKG and CAT scan were completed. Results were normal.  Still having tightness in chest along with feeling of heart pounding.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Heart rate increased, Palpitations, White blood cell count increased
Clinical narrative: "Moderna COVID-19 Vaccine EUA". Approximately 8 hours after receiving the Moderna vaccine - very rapid heartbeat, weakness, difficulty breathing, feeling of having a heart attack, severe chest pain, pounding heart and shortness of breathe. On 1/7/22 - went to Emergency Room where blood work and two EKG's were done. Blood work showed a slightly elevated white blood cell count. EKG was normal.  On 1/12/22 - went to Emergency Room again where blood work, EKG and CAT scan were completed. Results were normal.  Still having tightness in chest along with feeling of heart pounding.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Blood culture positive, COVID-19, Chest X-ray normal, Computerised tomogram head normal
Clinical narrative: Patient with 2 doses of Moderna, with last dose on 07/21/21.  Admitted through ED after nose bleed and seizures at home (testing positive for COVID on 01/08/22).  Patient continued to decompensate and died on 01/11/22.  Provider discharge note below.  "74 yo female, with PMH significant for COPD, CAD, hx of CVA, HLD, HTN and seizures, who presented to ED 1/10 via EMS for a nasal bleed. Hx obtained from ED staff, as pt was intubated, sedated and family was  not present. Pt had reportedly tested positive for COVID a few days ago and was noted to have a nasal bleed 5 days prior to presentation. EMS was called on 1/10 due to nasal bleed. Upon arrival, pt had two witnessed seizures. She was brought to the ED, where she was minimally responsive and having desaturations into the 80s. Decision was made to intubate. There was concern for a possible seizure in the ED due to pt having nystagmus and pt was given ativan. CT head and CTA were ordered. Pulmonary CTA was negative for pulmonary embolism but showed moderate pulmonary emphysema and moderate nonspecific airspace disease with features of bronchitis and bronchiolitis. Head CT showed no acute intracranial abnormality to the limits of noncontrast CT technique with layering fluid in the left nasal cavity and nasopharynx and within the left-sided paranasal sinuses. She was started on Zosyn and admitted to ICU for further care.    ED staff had long discussion with family regarding code status and family remained full code time of  admission to ICU. Overnight, she was noted to have a large dark liquid stool with blood.    1/11: UA was positive  for E. Coli. 1 of 2 blood cultures was suggestive  of coagulase negative staph. Her MAP dropped to 57 and the patient was escalated three pressor therapy with levophed,  vasopressin, and phenylephrine with minimal response. The attending physician, Dr.  had discussions with family this AM regarding worsening condition. Patient was unable to maintain O2 on maximum ventilator support. No other reversible etiology identified other than underlying lung injury. Multiple attempts at bagging without improvement. CXR without pneumothorax. Also on 3 pressors, maximum dosing in shock with hypotension. After discussion with family by my attending, family ultimately chose comfort measures and no further escalation of care.    Resident was called to bedside by nursing stating the patient had no pulse. Patient was  evaluated, no pulse or heart sounds were heard after one minute. She was cyanotic in appearance, cold in PEA. Given family's wishes to not escalate care and DNR comfort care status, called. "
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cyanosis, Death, Diarrhoea, Emphysema, Endotracheal intubation
Clinical narrative: Patient with 2 doses of Moderna, with last dose on 07/21/21.  Admitted through ED after nose bleed and seizures at home (testing positive for COVID on 01/08/22).  Patient continued to decompensate and died on 01/11/22.  Provider discharge note below.  "74 yo female, with PMH significant for COPD, CAD, hx of CVA, HLD, HTN and seizures, who presented to ED 1/10 via EMS for a nasal bleed. Hx obtained from ED staff, as pt was intubated, sedated and family was  not present. Pt had reportedly tested positive for COVID a few days ago and was noted to have a nasal bleed 5 days prior to presentation. EMS was called on 1/10 due to nasal bleed. Upon arrival, pt had two witnessed seizures. She was brought to the ED, where she was minimally responsive and having desaturations into the 80s. Decision was made to intubate. There was concern for a possible seizure in the ED due to pt having nystagmus and pt was given ativan. CT head and CTA were ordered. Pulmonary CTA was negative for pulmonary embolism but showed moderate pulmonary emphysema and moderate nonspecific airspace disease with features of bronchitis and bronchiolitis. Head CT showed no acute intracranial abnormality to the limits of noncontrast CT technique with layering fluid in the left nasal cavity and nasopharynx and within the left-sided paranasal sinuses. She was started on Zosyn and admitted to ICU for further care.    ED staff had long discussion with family regarding code status and family remained full code time of  admission to ICU. Overnight, she was noted to have a large dark liquid stool with blood.    1/11: UA was positive  for E. Coli. 1 of 2 blood cultures was suggestive  of coagulase negative staph. Her MAP dropped to 57 and the patient was escalated three pressor therapy with levophed,  vasopressin, and phenylephrine with minimal response. The attending physician, Dr.  had discussions with family this AM regarding worsening condition. Patient was unable to maintain O2 on maximum ventilator support. No other reversible etiology identified other than underlying lung injury. Multiple attempts at bagging without improvement. CXR without pneumothorax. Also on 3 pressors, maximum dosing in shock with hypotension. After discussion with family by my attending, family ultimately chose comfort measures and no further escalation of care.    Resident was called to bedside by nursing stating the patient had no pulse. Patient was  evaluated, no pulse or heart sounds were heard after one minute. She was cyanotic in appearance, cold in PEA. Given family's wishes to not escalate care and DNR comfort care status, called. "
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epistaxis, Escherichia infection, Faeces discoloured, Haematochezia, Hyporesponsive to stimuli
Clinical narrative: Patient with 2 doses of Moderna, with last dose on 07/21/21.  Admitted through ED after nose bleed and seizures at home (testing positive for COVID on 01/08/22).  Patient continued to decompensate and died on 01/11/22.  Provider discharge note below.  "74 yo female, with PMH significant for COPD, CAD, hx of CVA, HLD, HTN and seizures, who presented to ED 1/10 via EMS for a nasal bleed. Hx obtained from ED staff, as pt was intubated, sedated and family was  not present. Pt had reportedly tested positive for COVID a few days ago and was noted to have a nasal bleed 5 days prior to presentation. EMS was called on 1/10 due to nasal bleed. Upon arrival, pt had two witnessed seizures. She was brought to the ED, where she was minimally responsive and having desaturations into the 80s. Decision was made to intubate. There was concern for a possible seizure in the ED due to pt having nystagmus and pt was given ativan. CT head and CTA were ordered. Pulmonary CTA was negative for pulmonary embolism but showed moderate pulmonary emphysema and moderate nonspecific airspace disease with features of bronchitis and bronchiolitis. Head CT showed no acute intracranial abnormality to the limits of noncontrast CT technique with layering fluid in the left nasal cavity and nasopharynx and within the left-sided paranasal sinuses. She was started on Zosyn and admitted to ICU for further care.    ED staff had long discussion with family regarding code status and family remained full code time of  admission to ICU. Overnight, she was noted to have a large dark liquid stool with blood.    1/11: UA was positive  for E. Coli. 1 of 2 blood cultures was suggestive  of coagulase negative staph. Her MAP dropped to 57 and the patient was escalated three pressor therapy with levophed,  vasopressin, and phenylephrine with minimal response. The attending physician, Dr.  had discussions with family this AM regarding worsening condition. Patient was unable to maintain O2 on maximum ventilator support. No other reversible etiology identified other than underlying lung injury. Multiple attempts at bagging without improvement. CXR without pneumothorax. Also on 3 pressors, maximum dosing in shock with hypotension. After discussion with family by my attending, family ultimately chose comfort measures and no further escalation of care.    Resident was called to bedside by nursing stating the patient had no pulse. Patient was  evaluated, no pulse or heart sounds were heard after one minute. She was cyanotic in appearance, cold in PEA. Given family's wishes to not escalate care and DNR comfort care status, called. "
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Intensive care, Mean arterial pressure decreased, Mechanical ventilation, Nystagmus
Clinical narrative: Patient with 2 doses of Moderna, with last dose on 07/21/21.  Admitted through ED after nose bleed and seizures at home (testing positive for COVID on 01/08/22).  Patient continued to decompensate and died on 01/11/22.  Provider discharge note below.  "74 yo female, with PMH significant for COPD, CAD, hx of CVA, HLD, HTN and seizures, who presented to ED 1/10 via EMS for a nasal bleed. Hx obtained from ED staff, as pt was intubated, sedated and family was  not present. Pt had reportedly tested positive for COVID a few days ago and was noted to have a nasal bleed 5 days prior to presentation. EMS was called on 1/10 due to nasal bleed. Upon arrival, pt had two witnessed seizures. She was brought to the ED, where she was minimally responsive and having desaturations into the 80s. Decision was made to intubate. There was concern for a possible seizure in the ED due to pt having nystagmus and pt was given ativan. CT head and CTA were ordered. Pulmonary CTA was negative for pulmonary embolism but showed moderate pulmonary emphysema and moderate nonspecific airspace disease with features of bronchitis and bronchiolitis. Head CT showed no acute intracranial abnormality to the limits of noncontrast CT technique with layering fluid in the left nasal cavity and nasopharynx and within the left-sided paranasal sinuses. She was started on Zosyn and admitted to ICU for further care.    ED staff had long discussion with family regarding code status and family remained full code time of  admission to ICU. Overnight, she was noted to have a large dark liquid stool with blood.    1/11: UA was positive  for E. Coli. 1 of 2 blood cultures was suggestive  of coagulase negative staph. Her MAP dropped to 57 and the patient was escalated three pressor therapy with levophed,  vasopressin, and phenylephrine with minimal response. The attending physician, Dr.  had discussions with family this AM regarding worsening condition. Patient was unable to maintain O2 on maximum ventilator support. No other reversible etiology identified other than underlying lung injury. Multiple attempts at bagging without improvement. CXR without pneumothorax. Also on 3 pressors, maximum dosing in shock with hypotension. After discussion with family by my attending, family ultimately chose comfort measures and no further escalation of care.    Resident was called to bedside by nursing stating the patient had no pulse. Patient was  evaluated, no pulse or heart sounds were heard after one minute. She was cyanotic in appearance, cold in PEA. Given family's wishes to not escalate care and DNR comfort care status, called. "
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Pulse absent, SARS-CoV-2 test positive, Seizure, Shock
Clinical narrative: Patient with 2 doses of Moderna, with last dose on 07/21/21.  Admitted through ED after nose bleed and seizures at home (testing positive for COVID on 01/08/22).  Patient continued to decompensate and died on 01/11/22.  Provider discharge note below.  "74 yo female, with PMH significant for COPD, CAD, hx of CVA, HLD, HTN and seizures, who presented to ED 1/10 via EMS for a nasal bleed. Hx obtained from ED staff, as pt was intubated, sedated and family was  not present. Pt had reportedly tested positive for COVID a few days ago and was noted to have a nasal bleed 5 days prior to presentation. EMS was called on 1/10 due to nasal bleed. Upon arrival, pt had two witnessed seizures. She was brought to the ED, where she was minimally responsive and having desaturations into the 80s. Decision was made to intubate. There was concern for a possible seizure in the ED due to pt having nystagmus and pt was given ativan. CT head and CTA were ordered. Pulmonary CTA was negative for pulmonary embolism but showed moderate pulmonary emphysema and moderate nonspecific airspace disease with features of bronchitis and bronchiolitis. Head CT showed no acute intracranial abnormality to the limits of noncontrast CT technique with layering fluid in the left nasal cavity and nasopharynx and within the left-sided paranasal sinuses. She was started on Zosyn and admitted to ICU for further care.    ED staff had long discussion with family regarding code status and family remained full code time of  admission to ICU. Overnight, she was noted to have a large dark liquid stool with blood.    1/11: UA was positive  for E. Coli. 1 of 2 blood cultures was suggestive  of coagulase negative staph. Her MAP dropped to 57 and the patient was escalated three pressor therapy with levophed,  vasopressin, and phenylephrine with minimal response. The attending physician, Dr.  had discussions with family this AM regarding worsening condition. Patient was unable to maintain O2 on maximum ventilator support. No other reversible etiology identified other than underlying lung injury. Multiple attempts at bagging without improvement. CXR without pneumothorax. Also on 3 pressors, maximum dosing in shock with hypotension. After discussion with family by my attending, family ultimately chose comfort measures and no further escalation of care.    Resident was called to bedside by nursing stating the patient had no pulse. Patient was  evaluated, no pulse or heart sounds were heard after one minute. She was cyanotic in appearance, cold in PEA. Given family's wishes to not escalate care and DNR comfort care status, called. "
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Staphylococcal infection, Traumatic lung injury, Urine analysis abnormal
Clinical narrative: Patient with 2 doses of Moderna, with last dose on 07/21/21.  Admitted through ED after nose bleed and seizures at home (testing positive for COVID on 01/08/22).  Patient continued to decompensate and died on 01/11/22.  Provider discharge note below.  "74 yo female, with PMH significant for COPD, CAD, hx of CVA, HLD, HTN and seizures, who presented to ED 1/10 via EMS for a nasal bleed. Hx obtained from ED staff, as pt was intubated, sedated and family was  not present. Pt had reportedly tested positive for COVID a few days ago and was noted to have a nasal bleed 5 days prior to presentation. EMS was called on 1/10 due to nasal bleed. Upon arrival, pt had two witnessed seizures. She was brought to the ED, where she was minimally responsive and having desaturations into the 80s. Decision was made to intubate. There was concern for a possible seizure in the ED due to pt having nystagmus and pt was given ativan. CT head and CTA were ordered. Pulmonary CTA was negative for pulmonary embolism but showed moderate pulmonary emphysema and moderate nonspecific airspace disease with features of bronchitis and bronchiolitis. Head CT showed no acute intracranial abnormality to the limits of noncontrast CT technique with layering fluid in the left nasal cavity and nasopharynx and within the left-sided paranasal sinuses. She was started on Zosyn and admitted to ICU for further care.    ED staff had long discussion with family regarding code status and family remained full code time of  admission to ICU. Overnight, she was noted to have a large dark liquid stool with blood.    1/11: UA was positive  for E. Coli. 1 of 2 blood cultures was suggestive  of coagulase negative staph. Her MAP dropped to 57 and the patient was escalated three pressor therapy with levophed,  vasopressin, and phenylephrine with minimal response. The attending physician, Dr.  had discussions with family this AM regarding worsening condition. Patient was unable to maintain O2 on maximum ventilator support. No other reversible etiology identified other than underlying lung injury. Multiple attempts at bagging without improvement. CXR without pneumothorax. Also on 3 pressors, maximum dosing in shock with hypotension. After discussion with family by my attending, family ultimately chose comfort measures and no further escalation of care.    Resident was called to bedside by nursing stating the patient had no pulse. Patient was  evaluated, no pulse or heart sounds were heard after one minute. She was cyanotic in appearance, cold in PEA. Given family's wishes to not escalate care and DNR comfort care status, called. "
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Peripheral coldness
Clinical narrative: Patient in immunization area felt dizzy and weak. The patient was taken to the Treatment area in a wheelchair. The patient was moved to the stretcher where the lower extremities were raised and she was covered because she is cold to the touch. The patient is evaluated and consulted by Doctor. She leaves her under observation for 30 minutes. At 4:03 Doctor was consulted again, and she authorized the discharge of the patient wish states she felt good.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: A continuing stinging pain in my arm at the vaccination spot.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Nausea
Clinical narrative: I had a bad headache, felt like throwing up so I went to bed. and then I had chills overnight in addition to the other 2 symptoms. My arm is tender at injection site but not bad.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/20/21 documented to have positive covid. PT received Moderna 7/28/21 Lot 050C21A for dose 1. Dose 2 was Moderna given on 8/26/21 Lot 017A21A.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: patient's mother called the pharmacy reporting that her daughter had no fever and no trouble breathing but mild bump in her arm (warm to touch lymph node)
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Significant increase in tinnitus. Wife also participates in a group support web site where many, many participants have reported same.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: Developed Covid-19 symptoms 1/1/2022.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Patient was accidentally given the Pfizer vaccine rather than the Moderna vaccine for her booster. Staff called to check on the patient on 10/20/21 and the patient's daughter reported that she had a light headache but was otherwise doing well.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Magnetic resonance imaging, Tinnitus
Clinical narrative: Ringing in the ears, loss of hearing in right ear, mri, and hearing test
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: Patient came to vaccination site to receive 2nd primary Pfizer vaccination. He was given a Pediatric dose at 0.2ml, despite being over 12 years old. There was a language barrier that aided in this medication error. Troubleshooting: Found in data mining; reviewed what a 12+ year old patient should get for a vaccination, reviewed system checks on how to make sure this child receives the correct dose. Found in data mining.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered expired dose from previous day
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Pyrexia, SARS-CoV-2 RNA
Clinical narrative: 01/10/22: COUGH, ST, FEVER.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 01/10/22: COUGH, ST, FEVER.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dyspnoea, Electrocardiogram, Hypoaesthesia
Clinical narrative: Fever, chills and body aches the day after the vaccine. On day 2 post vaccine, started having numbness, tingling in both feet and left arm. On day 3, continued with numbness/tingling in left arm and bilateral feet and started with on/off  left side chest pain and shortness of breath. On day 4 chest pain was sharp, stabbing and was constant. Finally went to ER on 12/11/2021.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pain, Paraesthesia, Pyrexia
Clinical narrative: Fever, chills and body aches the day after the vaccine. On day 2 post vaccine, started having numbness, tingling in both feet and left arm. On day 3, continued with numbness/tingling in left arm and bilateral feet and started with on/off  left side chest pain and shortness of breath. On day 4 chest pain was sharp, stabbing and was constant. Finally went to ER on 12/11/2021.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest pain, Contusion, Electrocardiogram normal, Headache
Clinical narrative: Immediate pain when given injection. The following morning my entire arm, neck and chest throbbed. I started the following afternoon with daily headaches that lasted for 3 months. I developed a bad bruise that lasted for 2 weeks. The arm and neck pain lasted for 3 weeks. A nurse viewing the bruise told me the shot was not given in the correct part of my arm. On sept 17 I developed sudden severe chest pain. I couldn?t talk or move. It lasted about 15 seconds. I proceeded to check my blood pressure and it was high. After 4 checks it remained high. I also had a very rapid heart beat (120 + bpm). I went to the ER. Bloodwork showed no issues nor did ekg, though my BP and heart rate stayed high for the rest of the night.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypertension, Immediate post-injection reaction, Incorrect route of product administration, Injection site pain
Clinical narrative: Immediate pain when given injection. The following morning my entire arm, neck and chest throbbed. I started the following afternoon with daily headaches that lasted for 3 months. I developed a bad bruise that lasted for 2 weeks. The arm and neck pain lasted for 3 weeks. A nurse viewing the bruise told me the shot was not given in the correct part of my arm. On sept 17 I developed sudden severe chest pain. I couldn?t talk or move. It lasted about 15 seconds. I proceeded to check my blood pressure and it was high. After 4 checks it remained high. I also had a very rapid heart beat (120 + bpm). I went to the ER. Bloodwork showed no issues nor did ekg, though my BP and heart rate stayed high for the rest of the night.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Neck pain, Pain, Pain in extremity, Speech disorder
Clinical narrative: Immediate pain when given injection. The following morning my entire arm, neck and chest throbbed. I started the following afternoon with daily headaches that lasted for 3 months. I developed a bad bruise that lasted for 2 weeks. The arm and neck pain lasted for 3 weeks. A nurse viewing the bruise told me the shot was not given in the correct part of my arm. On sept 17 I developed sudden severe chest pain. I couldn?t talk or move. It lasted about 15 seconds. I proceeded to check my blood pressure and it was high. After 4 checks it remained high. I also had a very rapid heart beat (120 + bpm). I went to the ER. Bloodwork showed no issues nor did ekg, though my BP and heart rate stayed high for the rest of the night.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Tinnitus
Clinical narrative: Incessant ringing in my ears that started approximately 4-5 hours after receiving the vaccine. The ringing has been very persistent since then. It has seemingly gotten slightly better at times and then worse. I followed up with my Dr. and she said to take Flonase for a week as that may help with any inflammation in the sinus area that may be causing/contributing to the tinnitus.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Cold sweat, Fatigue, Migraine, Nausea
Clinical narrative: Cold sweats, migraine, nausea, stomach ache, body aches, and exhaustion.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Cold sweats, migraine, nausea, stomach ache, body aches, and exhaustion.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalized
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Respiratory arrest, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/25/22 documented to have positive covid. PT received Janssen 6/3/21 Lot 204A21A for dose 1. PT expired on 1/1/22 due to COVID19 and pulmonary arrest according to death summary.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Respiratory arrest, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/25/22 documented to have positive covid. PT received Janssen 6/3/21 Lot 204A21A for dose 1. PT expired on 1/1/22 due to COVID19 and pulmonary arrest according to death summary.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion
Clinical narrative: 5Jan2022- bad headache on 6Jan2022 sore throat started and continued until 11Jan2022. A few body aches. Little congestion.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 5Jan2022- bad headache on 6Jan2022 sore throat started and continued until 11Jan2022. A few body aches. Little congestion.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The vaccine was given past it?s refrigeration expiration date, the date on the vial was still within date.  Patient was revaccinated.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient Contracted COVID-19 on 01/04/2022.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Tremor
Clinical narrative: Patient reports having chest pain and involuntary tremors. Evaluation is carried out S/V. Patient is well oriented at this time of place and herself/person. A consultation with Doctor is made, which indicates that she remains under observation then contacted the ambulance to transport the patient to the nearest hospital. After evaluation of the ambulance staff. Vital signs are reassessed and an EKG is performed.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Acute respiratory failure, Anticoagulant therapy, Asthenia
Clinical narrative: Patient is fully vaccinated. COVID + on 11/18/2021. 84-year-old gentleman with significant past medical history for diabetes mellitus type 2/hypertension/COPD, who presented due to complaint of shortness of breath.  He has been vaccinated with Moderna back in March 3rd and April 2nd, started having with generalized weakness/fatigue/shortness of breath.  On presentation to the ER, he was noted to have a pulse ox of 70%. Admitting dx:  pneumonia due to COVID.  acute hypoxic respiratory failure.  Treatment:  decadron, remdesivir, ceftriaxone, azithromycin, BiPAP 100% O2.  CXR: bilateral diffuse airspace opacities. D-dimer 539. NSTEMI elevated troponin.AKI.  Heparin drip.  Patient expired.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Death, Dyspnoea
Clinical narrative: Patient is fully vaccinated. COVID + on 11/18/2021. 84-year-old gentleman with significant past medical history for diabetes mellitus type 2/hypertension/COPD, who presented due to complaint of shortness of breath.  He has been vaccinated with Moderna back in March 3rd and April 2nd, started having with generalized weakness/fatigue/shortness of breath.  On presentation to the ER, he was noted to have a pulse ox of 70%. Admitting dx:  pneumonia due to COVID.  acute hypoxic respiratory failure.  Treatment:  decadron, remdesivir, ceftriaxone, azithromycin, BiPAP 100% O2.  CXR: bilateral diffuse airspace opacities. D-dimer 539. NSTEMI elevated troponin.AKI.  Heparin drip.  Patient expired.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Lung opacity, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated. COVID + on 11/18/2021. 84-year-old gentleman with significant past medical history for diabetes mellitus type 2/hypertension/COPD, who presented due to complaint of shortness of breath.  He has been vaccinated with Moderna back in March 3rd and April 2nd, started having with generalized weakness/fatigue/shortness of breath.  On presentation to the ER, he was noted to have a pulse ox of 70%. Admitting dx:  pneumonia due to COVID.  acute hypoxic respiratory failure.  Treatment:  decadron, remdesivir, ceftriaxone, azithromycin, BiPAP 100% O2.  CXR: bilateral diffuse airspace opacities. D-dimer 539. NSTEMI elevated troponin.AKI.  Heparin drip.  Patient expired.