chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell abnormality
Clinical narrative: Red Blood Cell Platelets deformed and fractured. Dr started infusions in April 12/2021. Patient was put on oxygen. Patient was transported to Hospital on June 8th, 2021. Once again the three doctors told me that his red blood cell platelets were deforming. That it was similar to anemia, but that he was given something.  He was unable to expel CO2. They put him on a breathing machine but it was clear that he would not recover, his blood oxygen level remained low and dropped once the machine was removed per our direction on June 8th 2021. My father passed, the end result was death. My mother has also at the same time had similar difficulties and they both were vaccinated at the same time with the same Pfizer BioNTech vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was given an injection that had been out of the vial for more than the time it was supposed to be. no adverse reaction seen.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pruritus
Clinical narrative: Patient had Pfizer vaccine 6/30/2021 and 7/21/2021 Has no side effects to 1st dose of covid-19 vaccine 3 days after having 2nd dose of vaccine, reports back pain which lasted 2 weeks Also had itchy sensation on face and arms, but no rash
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Initial sore arm, similar to first dose.  Continued for over a month.  Discussed with coworkers, some had lingering pain, others did not.  Mine has now lasted for almost 9 months with little to no relief despite over the counter medications, exercise, stretching, heat/cold application, etc.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Rash, Skin irritation
Clinical narrative: I developed rash on right side of my chest and back one day after receiving my first Moderna COVID 19.  I contacted a Physician's Assistant of my employer who administered vaccine by phone to describe my symptoms  and was told my symptoms resembled Shingles symptoms. I subsequently went to urgent care and was diagnosed with Shingles.  The Shingles rash provided some minor skin irritation but was not painful. The rash dissipated after four weeks. I subsequently received the Shingles vaccination in late July and early September of 2021.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: The patient was supposed to get covid vaccine booster but she received a flu shot because one of my technicians typed it as a flu shot instead. Patient didnt experience any side effects. I offered to give the covid vaccine to her, she said she will get it  friday.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient was given an injection that was drawn up longer than that is recommended. No reaction seen.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: hospitalization (non-ICU)
Age: 1.58
Sex: F
Vaccine: HEPA
Symptoms: Allergy test, Blood thyroid stimulating hormone, Culture stool, Diarrhoea, Full blood count
Clinical narrative: Vomiting x 1 every night and 5 loose stools per day (reported to PCP 1 month after vaccine).
Age: 1.58
Sex: F
Vaccine: HEPA
Symptoms: Giardia test, Hepatitis viral test, Metabolic function test, Vomiting, White blood cell count
Clinical narrative: Vomiting x 1 every night and 5 loose stools per day (reported to PCP 1 month after vaccine).
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray, Dehydration, Dyspnoea, Mental status changes
Clinical narrative: Shortness of breath, altered mental status, dehydration, positive COVID 19
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Shortness of breath, altered mental status, dehydration, positive COVID 19
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injury, Myalgia, Nasopharyngitis, Pain, Swelling face
Clinical narrative: About 30 minutes to N hour afterwards my face swelled and broke out in hives everywhere. Throat felt like it was closing  like it does if I am stung by a wasp. Took Benadryl that helped, but the hives remained for days. Also an avid runner/yoga. Weight 110. Height 5 ft 5 inches. Body ache and pain for three weeks afterwards. Went to the doctor and said I probably had a cold and a running injury. But no fever and X-ray did show anything wrong so they diagnosed as myalgia
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Urticaria, X-ray normal
Clinical narrative: About 30 minutes to N hour afterwards my face swelled and broke out in hives everywhere. Throat felt like it was closing  like it does if I am stung by a wasp. Took Benadryl that helped, but the hives remained for days. Also an avid runner/yoga. Weight 110. Height 5 ft 5 inches. Body ache and pain for three weeks afterwards. Went to the doctor and said I probably had a cold and a running injury. But no fever and X-ray did show anything wrong so they diagnosed as myalgia
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging, Mobility decreased
Clinical narrative: Diagnosed with transverse myelitis on March 29, 2021.  Hospitalized for 2 weeks with loss of mobility in both legs, numbness, tingling, stiffness.  Followed by 2 weeks of residential rehab with PT and OT.  Regained mobility with continued spasticity and neuropathy.  Continued out-patient PT.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasticity, Musculoskeletal stiffness, Myelitis transverse, Neuropathy peripheral, Paraesthesia
Clinical narrative: Diagnosed with transverse myelitis on March 29, 2021.  Hospitalized for 2 weeks with loss of mobility in both legs, numbness, tingling, stiffness.  Followed by 2 weeks of residential rehab with PT and OT.  Regained mobility with continued spasticity and neuropathy.  Continued out-patient PT.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Pulmonary embolism
Clinical narrative: Bilateral pulmonary embolism Hopitalization Placed on Xarelto
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Chest discomfort, Confusional state, Decreased appetite
Clinical narrative: Pt came to ER with confusion, nausea, fever one week prior, loss of appetite, on/off pressure to chest.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt came to ER with confusion, nausea, fever one week prior, loss of appetite, on/off pressure to chest.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Chills, Diarrhoea, Dyspnoea
Clinical narrative: Breakthrough COVID-19 case. Symptomatic:  Fever >100.4,  Subjective fever (felt feverish), Chills,  Shortness of breath or difficulty breathing,  Nausea or vomiting,  Headache,  Abdominal pain,  Diarrhea (>/=3 loose/looser stools in 24 hr period). She stated she went to the hospital (MEDICAL CENTER) on 07/17/2021 but was released later that night.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 case. Symptomatic:  Fever >100.4,  Subjective fever (felt feverish), Chills,  Shortness of breath or difficulty breathing,  Nausea or vomiting,  Headache,  Abdominal pain,  Diarrhea (>/=3 loose/looser stools in 24 hr period). She stated she went to the hospital (MEDICAL CENTER) on 07/17/2021 but was released later that night.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Breakthrough COVID-19 case. Symptomatic:  Fever >100.4,  Subjective fever (felt feverish), Chills,  Shortness of breath or difficulty breathing,  Nausea or vomiting,  Headache,  Abdominal pain,  Diarrhea (>/=3 loose/looser stools in 24 hr period). She stated she went to the hospital (MEDICAL CENTER) on 07/17/2021 but was released later that night.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: Patient is under 18 y.o and was administered moderna vaccine. Patient reports sore arm with first dose, no other compliants.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Pt was given Pzifer for 2nd vaccine instead of Moderna
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Dyspnoea, Headache, SARS-CoV-2 test positive
Clinical narrative: Breakthrough Case 06/2021  Covid + Pt. states that after receiving the 1st dose of Moderna 03/28/2021, started experiencing symptoms of hives/sores, tongue swelling, shortness of breath, headaches, and rattling in the chest. Still continuing to experience symptoms with treatment with inhalants.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Urticaria, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case 06/2021  Covid + Pt. states that after receiving the 1st dose of Moderna 03/28/2021, started experiencing symptoms of hives/sores, tongue swelling, shortness of breath, headaches, and rattling in the chest. Still continuing to experience symptoms with treatment with inhalants.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Injection site erythema, Limb mass, Loss of personal independence in daily activities
Clinical narrative: Received second dose of Moderna. Developed a headache one hour after receiving vaccine (08/17/2021) and has a headache daily since then. Taking naps every afternoon (2-6 hours). Injection site is still red (~28 days later), developed lumps and bumps on injection site arm that have varied in size since 08/17/2021. Larger muscles fatigue quickly, trouble bringing in groceries. Notices SOB and palpitations upon exertion.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle fatigue, New daily persistent headache, Palpitations, Rash, Somnolence
Clinical narrative: Received second dose of Moderna. Developed a headache one hour after receiving vaccine (08/17/2021) and has a headache daily since then. Taking naps every afternoon (2-6 hours). Injection site is still red (~28 days later), developed lumps and bumps on injection site arm that have varied in size since 08/17/2021. Larger muscles fatigue quickly, trouble bringing in groceries. Notices SOB and palpitations upon exertion.
Age: 12.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal discomfort, Abdominal pain, Immediate post-injection reaction, Syncope, Vomiting
Clinical narrative: Patient received seasonal flu shot on the left arm, immediately after administering the vaccine, patient fainted. Patient complained of abdominal pain and throw up right after. Gave patient some water to help with stomach discomfort, had patient sit  on chair for 30 minutes, before leaving.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Hyperhidrosis, Hypoaesthesia, Nausea, Tremor
Clinical narrative: pt received 1st dose moderna and experienced nausea, vision changes.  He became hot, sweaty and shaky.  Pt was administered first aid and 911 was called.  Pt reported numbness in arms, hands and legs.  Emergency staff arrived and ambulance and took patient to local er
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: pt received 1st dose moderna and experienced nausea, vision changes.  He became hot, sweaty and shaky.  Pt was administered first aid and 911 was called.  Pt reported numbness in arms, hands and legs.  Emergency staff arrived and ambulance and took patient to local er
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Condition aggravated, Fatigue, Feeling abnormal, Headache
Clinical narrative: High fever, aches, pains, headache, lethargy, hypersomnia, fatigue, malaise - lasting 6 days before becoming functional again, but with lessened symptoms.   Chronic inflammation of underlying autoimmune disorders lasting in renewed and continuing musculoskeletal pain, brain fog, extreme fatigue, muscle spasms to date with no signs of ending to date. Could be permanent disability if it does not improve.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Inflammation, Lethargy, Malaise, Muscle spasms
Clinical narrative: High fever, aches, pains, headache, lethargy, hypersomnia, fatigue, malaise - lasting 6 days before becoming functional again, but with lessened symptoms.   Chronic inflammation of underlying autoimmune disorders lasting in renewed and continuing musculoskeletal pain, brain fog, extreme fatigue, muscle spasms to date with no signs of ending to date. Could be permanent disability if it does not improve.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Pain, Pyrexia
Clinical narrative: High fever, aches, pains, headache, lethargy, hypersomnia, fatigue, malaise - lasting 6 days before becoming functional again, but with lessened symptoms.   Chronic inflammation of underlying autoimmune disorders lasting in renewed and continuing musculoskeletal pain, brain fog, extreme fatigue, muscle spasms to date with no signs of ending to date. Could be permanent disability if it does not improve.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Paraesthesia
Clinical narrative: Both Knees and Feet have burning and tingling sensation that radiates from knees to toes
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient had a positive COVID test on 9/14/2021
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: hospitalization (non-ICU)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dyspnoea, Heart rate increased, Stress
Clinical narrative: Rapid heart beat, fullness in chest, difficulty taking deep breaths. Lasted for about 6 days. Felt a lot like a stress/ anxiety response, but I was not anxious mentally.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Fall, Head injury
Clinical narrative: Pt was ok after vaccines was given, 5 minutes after the vaccine the patient walked out of the room, and once he arrived to the door he hit his head on the door and slowly started to fall. Pt did not hit the floor, was carried to the first patient room where he was laid down with feet raised. Pt was given ice packs and water to help.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient had positive COVID test on 9/14/2021.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Acidosis, Acute kidney injury, Acute respiratory failure, Anuria
Clinical narrative: Admit date: 9/11/2021   Date of Death and Time: 09/13/21 at 12:05   Admitting Physician:     Physician:    Admission Diagnoses: Hyperkalemia [E87.5] Lactic acidosis [E87.2] Hypotension [I95.9] SIRS (systemic inflammatory response syndrome) (CMS/HCC) [R65.10] AKI (acute kidney injury) (CMS/HCC) [N17.9] Septic shock (CMS/HCC) [A41.9, R65.21] Left lower quadrant abdominal pain [R10.32]   Diagnoses at Time of Death:  Septic shock Acute kidney injury on CKD SARS-CoV-2 infection Acute hypoxemic respiratory failure History of atrial fibrillation History of hypertension Morbid obesity Diabetes mellitus History of hypothyroidism   Admission Condition: critical   Indication for Admission:    Hospital Course:  Patient was admitted with abdominal and back pain, cough and hypoxia. Documented to be hypotensive at the emergency department with evidence of worsening creatinine and hyperkalemia. CT imaging demonstrated peripancreatic, duodenal stranding with mild rectal wall thickening and vascular calcifications. Patient required vasopressors through central venous catheter as well as broad-spectrum antibiotics. She was known to have chronic kidney disease with new acute kidney injury, was treated with bicarbonate, calcium gluconate. Patient had worsening of her respiratory status and required bilevel positive airway pressure.  She changed her CODE STATUS to DO NOT RESUSCITATE after admission. Was seen by nephrology with a recommendation for continued dialysis, started after placement of temporary dialysis catheter.  Patient had worsening mental status becoming minimally responsive. Had progressive deterioration with increasing requirements for hemodynamic support, at some point on maximal dose of norepinephrine and phenylephrine. Testing was positive for SARS-CoV-2 for which she was treated with dexamethasone She continued to have deterioration of her overall status, hypothermic, acidemic, with severely elevated creatinine, anuria, dependent on noninvasive ventilatory support.  This was discussed with her POA who mentioned that patient would not want to depend on artificial life-sustaining measures. A decision was made to change focus of care to comfort and aggressive management was discontinued   Patient was pronounced deceased on September 13, 2021 at 12:05 PM   Consults:  Critical Care Nephrology    Pulmonary and Critical Care Medicine
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Blood creatinine increased, COVID-19, Central venous catheterisation, Computerised tomogram abdomen abnormal
Clinical narrative: Admit date: 9/11/2021   Date of Death and Time: 09/13/21 at 12:05   Admitting Physician:     Physician:    Admission Diagnoses: Hyperkalemia [E87.5] Lactic acidosis [E87.2] Hypotension [I95.9] SIRS (systemic inflammatory response syndrome) (CMS/HCC) [R65.10] AKI (acute kidney injury) (CMS/HCC) [N17.9] Septic shock (CMS/HCC) [A41.9, R65.21] Left lower quadrant abdominal pain [R10.32]   Diagnoses at Time of Death:  Septic shock Acute kidney injury on CKD SARS-CoV-2 infection Acute hypoxemic respiratory failure History of atrial fibrillation History of hypertension Morbid obesity Diabetes mellitus History of hypothyroidism   Admission Condition: critical   Indication for Admission:    Hospital Course:  Patient was admitted with abdominal and back pain, cough and hypoxia. Documented to be hypotensive at the emergency department with evidence of worsening creatinine and hyperkalemia. CT imaging demonstrated peripancreatic, duodenal stranding with mild rectal wall thickening and vascular calcifications. Patient required vasopressors through central venous catheter as well as broad-spectrum antibiotics. She was known to have chronic kidney disease with new acute kidney injury, was treated with bicarbonate, calcium gluconate. Patient had worsening of her respiratory status and required bilevel positive airway pressure.  She changed her CODE STATUS to DO NOT RESUSCITATE after admission. Was seen by nephrology with a recommendation for continued dialysis, started after placement of temporary dialysis catheter.  Patient had worsening mental status becoming minimally responsive. Had progressive deterioration with increasing requirements for hemodynamic support, at some point on maximal dose of norepinephrine and phenylephrine. Testing was positive for SARS-CoV-2 for which she was treated with dexamethasone She continued to have deterioration of her overall status, hypothermic, acidemic, with severely elevated creatinine, anuria, dependent on noninvasive ventilatory support.  This was discussed with her POA who mentioned that patient would not want to depend on artificial life-sustaining measures. A decision was made to change focus of care to comfort and aggressive management was discontinued   Patient was pronounced deceased on September 13, 2021 at 12:05 PM   Consults:  Critical Care Nephrology    Pulmonary and Critical Care Medicine
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Death, Diabetes mellitus, Dialysis, Gastrointestinal inflammation
Clinical narrative: Admit date: 9/11/2021   Date of Death and Time: 09/13/21 at 12:05   Admitting Physician:     Physician:    Admission Diagnoses: Hyperkalemia [E87.5] Lactic acidosis [E87.2] Hypotension [I95.9] SIRS (systemic inflammatory response syndrome) (CMS/HCC) [R65.10] AKI (acute kidney injury) (CMS/HCC) [N17.9] Septic shock (CMS/HCC) [A41.9, R65.21] Left lower quadrant abdominal pain [R10.32]   Diagnoses at Time of Death:  Septic shock Acute kidney injury on CKD SARS-CoV-2 infection Acute hypoxemic respiratory failure History of atrial fibrillation History of hypertension Morbid obesity Diabetes mellitus History of hypothyroidism   Admission Condition: critical   Indication for Admission:    Hospital Course:  Patient was admitted with abdominal and back pain, cough and hypoxia. Documented to be hypotensive at the emergency department with evidence of worsening creatinine and hyperkalemia. CT imaging demonstrated peripancreatic, duodenal stranding with mild rectal wall thickening and vascular calcifications. Patient required vasopressors through central venous catheter as well as broad-spectrum antibiotics. She was known to have chronic kidney disease with new acute kidney injury, was treated with bicarbonate, calcium gluconate. Patient had worsening of her respiratory status and required bilevel positive airway pressure.  She changed her CODE STATUS to DO NOT RESUSCITATE after admission. Was seen by nephrology with a recommendation for continued dialysis, started after placement of temporary dialysis catheter.  Patient had worsening mental status becoming minimally responsive. Had progressive deterioration with increasing requirements for hemodynamic support, at some point on maximal dose of norepinephrine and phenylephrine. Testing was positive for SARS-CoV-2 for which she was treated with dexamethasone She continued to have deterioration of her overall status, hypothermic, acidemic, with severely elevated creatinine, anuria, dependent on noninvasive ventilatory support.  This was discussed with her POA who mentioned that patient would not want to depend on artificial life-sustaining measures. A decision was made to change focus of care to comfort and aggressive management was discontinued   Patient was pronounced deceased on September 13, 2021 at 12:05 PM   Consults:  Critical Care Nephrology    Pulmonary and Critical Care Medicine
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gastrointestinal wall thickening, General physical health deterioration, Haemodynamic instability, Hyperkalaemia, Hypotension
Clinical narrative: Admit date: 9/11/2021   Date of Death and Time: 09/13/21 at 12:05   Admitting Physician:     Physician:    Admission Diagnoses: Hyperkalemia [E87.5] Lactic acidosis [E87.2] Hypotension [I95.9] SIRS (systemic inflammatory response syndrome) (CMS/HCC) [R65.10] AKI (acute kidney injury) (CMS/HCC) [N17.9] Septic shock (CMS/HCC) [A41.9, R65.21] Left lower quadrant abdominal pain [R10.32]   Diagnoses at Time of Death:  Septic shock Acute kidney injury on CKD SARS-CoV-2 infection Acute hypoxemic respiratory failure History of atrial fibrillation History of hypertension Morbid obesity Diabetes mellitus History of hypothyroidism   Admission Condition: critical   Indication for Admission:    Hospital Course:  Patient was admitted with abdominal and back pain, cough and hypoxia. Documented to be hypotensive at the emergency department with evidence of worsening creatinine and hyperkalemia. CT imaging demonstrated peripancreatic, duodenal stranding with mild rectal wall thickening and vascular calcifications. Patient required vasopressors through central venous catheter as well as broad-spectrum antibiotics. She was known to have chronic kidney disease with new acute kidney injury, was treated with bicarbonate, calcium gluconate. Patient had worsening of her respiratory status and required bilevel positive airway pressure.  She changed her CODE STATUS to DO NOT RESUSCITATE after admission. Was seen by nephrology with a recommendation for continued dialysis, started after placement of temporary dialysis catheter.  Patient had worsening mental status becoming minimally responsive. Had progressive deterioration with increasing requirements for hemodynamic support, at some point on maximal dose of norepinephrine and phenylephrine. Testing was positive for SARS-CoV-2 for which she was treated with dexamethasone She continued to have deterioration of her overall status, hypothermic, acidemic, with severely elevated creatinine, anuria, dependent on noninvasive ventilatory support.  This was discussed with her POA who mentioned that patient would not want to depend on artificial life-sustaining measures. A decision was made to change focus of care to comfort and aggressive management was discontinued   Patient was pronounced deceased on September 13, 2021 at 12:05 PM   Consults:  Critical Care Nephrology    Pulmonary and Critical Care Medicine
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypothermia, Hypoxia, Lactic acidosis, Mechanical ventilation, Mental status changes
Clinical narrative: Admit date: 9/11/2021   Date of Death and Time: 09/13/21 at 12:05   Admitting Physician:     Physician:    Admission Diagnoses: Hyperkalemia [E87.5] Lactic acidosis [E87.2] Hypotension [I95.9] SIRS (systemic inflammatory response syndrome) (CMS/HCC) [R65.10] AKI (acute kidney injury) (CMS/HCC) [N17.9] Septic shock (CMS/HCC) [A41.9, R65.21] Left lower quadrant abdominal pain [R10.32]   Diagnoses at Time of Death:  Septic shock Acute kidney injury on CKD SARS-CoV-2 infection Acute hypoxemic respiratory failure History of atrial fibrillation History of hypertension Morbid obesity Diabetes mellitus History of hypothyroidism   Admission Condition: critical   Indication for Admission:    Hospital Course:  Patient was admitted with abdominal and back pain, cough and hypoxia. Documented to be hypotensive at the emergency department with evidence of worsening creatinine and hyperkalemia. CT imaging demonstrated peripancreatic, duodenal stranding with mild rectal wall thickening and vascular calcifications. Patient required vasopressors through central venous catheter as well as broad-spectrum antibiotics. She was known to have chronic kidney disease with new acute kidney injury, was treated with bicarbonate, calcium gluconate. Patient had worsening of her respiratory status and required bilevel positive airway pressure.  She changed her CODE STATUS to DO NOT RESUSCITATE after admission. Was seen by nephrology with a recommendation for continued dialysis, started after placement of temporary dialysis catheter.  Patient had worsening mental status becoming minimally responsive. Had progressive deterioration with increasing requirements for hemodynamic support, at some point on maximal dose of norepinephrine and phenylephrine. Testing was positive for SARS-CoV-2 for which she was treated with dexamethasone She continued to have deterioration of her overall status, hypothermic, acidemic, with severely elevated creatinine, anuria, dependent on noninvasive ventilatory support.  This was discussed with her POA who mentioned that patient would not want to depend on artificial life-sustaining measures. A decision was made to change focus of care to comfort and aggressive management was discontinued   Patient was pronounced deceased on September 13, 2021 at 12:05 PM   Consults:  Critical Care Nephrology    Pulmonary and Critical Care Medicine
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Obesity, Pancreatitis, Respiratory failure, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Admit date: 9/11/2021   Date of Death and Time: 09/13/21 at 12:05   Admitting Physician:     Physician:    Admission Diagnoses: Hyperkalemia [E87.5] Lactic acidosis [E87.2] Hypotension [I95.9] SIRS (systemic inflammatory response syndrome) (CMS/HCC) [R65.10] AKI (acute kidney injury) (CMS/HCC) [N17.9] Septic shock (CMS/HCC) [A41.9, R65.21] Left lower quadrant abdominal pain [R10.32]   Diagnoses at Time of Death:  Septic shock Acute kidney injury on CKD SARS-CoV-2 infection Acute hypoxemic respiratory failure History of atrial fibrillation History of hypertension Morbid obesity Diabetes mellitus History of hypothyroidism   Admission Condition: critical   Indication for Admission:    Hospital Course:  Patient was admitted with abdominal and back pain, cough and hypoxia. Documented to be hypotensive at the emergency department with evidence of worsening creatinine and hyperkalemia. CT imaging demonstrated peripancreatic, duodenal stranding with mild rectal wall thickening and vascular calcifications. Patient required vasopressors through central venous catheter as well as broad-spectrum antibiotics. She was known to have chronic kidney disease with new acute kidney injury, was treated with bicarbonate, calcium gluconate. Patient had worsening of her respiratory status and required bilevel positive airway pressure.  She changed her CODE STATUS to DO NOT RESUSCITATE after admission. Was seen by nephrology with a recommendation for continued dialysis, started after placement of temporary dialysis catheter.  Patient had worsening mental status becoming minimally responsive. Had progressive deterioration with increasing requirements for hemodynamic support, at some point on maximal dose of norepinephrine and phenylephrine. Testing was positive for SARS-CoV-2 for which she was treated with dexamethasone She continued to have deterioration of her overall status, hypothermic, acidemic, with severely elevated creatinine, anuria, dependent on noninvasive ventilatory support.  This was discussed with her POA who mentioned that patient would not want to depend on artificial life-sustaining measures. A decision was made to change focus of care to comfort and aggressive management was discontinued   Patient was pronounced deceased on September 13, 2021 at 12:05 PM   Consults:  Critical Care Nephrology    Pulmonary and Critical Care Medicine
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Slow response to stimuli, Systemic inflammatory response syndrome, Vascular calcification
Clinical narrative: Admit date: 9/11/2021   Date of Death and Time: 09/13/21 at 12:05   Admitting Physician:     Physician:    Admission Diagnoses: Hyperkalemia [E87.5] Lactic acidosis [E87.2] Hypotension [I95.9] SIRS (systemic inflammatory response syndrome) (CMS/HCC) [R65.10] AKI (acute kidney injury) (CMS/HCC) [N17.9] Septic shock (CMS/HCC) [A41.9, R65.21] Left lower quadrant abdominal pain [R10.32]   Diagnoses at Time of Death:  Septic shock Acute kidney injury on CKD SARS-CoV-2 infection Acute hypoxemic respiratory failure History of atrial fibrillation History of hypertension Morbid obesity Diabetes mellitus History of hypothyroidism   Admission Condition: critical   Indication for Admission:    Hospital Course:  Patient was admitted with abdominal and back pain, cough and hypoxia. Documented to be hypotensive at the emergency department with evidence of worsening creatinine and hyperkalemia. CT imaging demonstrated peripancreatic, duodenal stranding with mild rectal wall thickening and vascular calcifications. Patient required vasopressors through central venous catheter as well as broad-spectrum antibiotics. She was known to have chronic kidney disease with new acute kidney injury, was treated with bicarbonate, calcium gluconate. Patient had worsening of her respiratory status and required bilevel positive airway pressure.  She changed her CODE STATUS to DO NOT RESUSCITATE after admission. Was seen by nephrology with a recommendation for continued dialysis, started after placement of temporary dialysis catheter.  Patient had worsening mental status becoming minimally responsive. Had progressive deterioration with increasing requirements for hemodynamic support, at some point on maximal dose of norepinephrine and phenylephrine. Testing was positive for SARS-CoV-2 for which she was treated with dexamethasone She continued to have deterioration of her overall status, hypothermic, acidemic, with severely elevated creatinine, anuria, dependent on noninvasive ventilatory support.  This was discussed with her POA who mentioned that patient would not want to depend on artificial life-sustaining measures. A decision was made to change focus of care to comfort and aggressive management was discontinued   Patient was pronounced deceased on September 13, 2021 at 12:05 PM   Consults:  Critical Care Nephrology    Pulmonary and Critical Care Medicine
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Blood creatinine increased, Chest discomfort, Chest pain
Clinical narrative: A day after she got vaccination, she noticed rashes down her left arm. A few days later she noticed that she had dysphagia, became weaker and more tired and she felt as though her throat was closing off. She went to the ER on 3/8/21 and she was given Benadryl, Prednisone and Pepcid and sent home. SHe had also been given Rx for Epi pen, and Prednisone . She subsequently had chest pain, significant dyspnea, the sensation that her throat will close off, joint pain and a sensation of lung constriction. She came to see me with these symptoms on 3/11/21. I Sent her to the ER again and she was given solumedrol, IV Benadryl & epinephrine by EMS en route. At the ER, her D dimer, chest X ray, troponins and EKG were unremarkable. GFR was decreased at 48 at that time with mildly low K of 3.4. She was given Ativan, and oxygen and she was discharged. She continued to have dyspnea, chest pain, and fatigue. She was experiencing nausea as well. She was prescribed Asmanex and refered to pulmonology. Repeat labs were mostly unremarkable with normalization of GFR and K. Her dyspnea,chest pain, nausea, rash, muscle & joint pain and sensation of throat closing off, resolved by the end of March. Fatigue also improved.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Full blood count, Monocyte percentage decreased, Myalgia
Clinical narrative: A day after she got vaccination, she noticed rashes down her left arm. A few days later she noticed that she had dysphagia, became weaker and more tired and she felt as though her throat was closing off. She went to the ER on 3/8/21 and she was given Benadryl, Prednisone and Pepcid and sent home. SHe had also been given Rx for Epi pen, and Prednisone . She subsequently had chest pain, significant dyspnea, the sensation that her throat will close off, joint pain and a sensation of lung constriction. She came to see me with these symptoms on 3/11/21. I Sent her to the ER again and she was given solumedrol, IV Benadryl & epinephrine by EMS en route. At the ER, her D dimer, chest X ray, troponins and EKG were unremarkable. GFR was decreased at 48 at that time with mildly low K of 3.4. She was given Ativan, and oxygen and she was discharged. She continued to have dyspnea, chest pain, and fatigue. She was experiencing nausea as well. She was prescribed Asmanex and refered to pulmonology. Repeat labs were mostly unremarkable with normalization of GFR and K. Her dyspnea,chest pain, nausea, rash, muscle & joint pain and sensation of throat closing off, resolved by the end of March. Fatigue also improved.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neutrophil count decreased, Platelet count increased, Rash, SARS-CoV-2 test negative
Clinical narrative: A day after she got vaccination, she noticed rashes down her left arm. A few days later she noticed that she had dysphagia, became weaker and more tired and she felt as though her throat was closing off. She went to the ER on 3/8/21 and she was given Benadryl, Prednisone and Pepcid and sent home. SHe had also been given Rx for Epi pen, and Prednisone . She subsequently had chest pain, significant dyspnea, the sensation that her throat will close off, joint pain and a sensation of lung constriction. She came to see me with these symptoms on 3/11/21. I Sent her to the ER again and she was given solumedrol, IV Benadryl & epinephrine by EMS en route. At the ER, her D dimer, chest X ray, troponins and EKG were unremarkable. GFR was decreased at 48 at that time with mildly low K of 3.4. She was given Ativan, and oxygen and she was discharged. She continued to have dyspnea, chest pain, and fatigue. She was experiencing nausea as well. She was prescribed Asmanex and refered to pulmonology. Repeat labs were mostly unremarkable with normalization of GFR and K. Her dyspnea,chest pain, nausea, rash, muscle & joint pain and sensation of throat closing off, resolved by the end of March. Fatigue also improved.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, White blood cell count increased
Clinical narrative: A day after she got vaccination, she noticed rashes down her left arm. A few days later she noticed that she had dysphagia, became weaker and more tired and she felt as though her throat was closing off. She went to the ER on 3/8/21 and she was given Benadryl, Prednisone and Pepcid and sent home. SHe had also been given Rx for Epi pen, and Prednisone . She subsequently had chest pain, significant dyspnea, the sensation that her throat will close off, joint pain and a sensation of lung constriction. She came to see me with these symptoms on 3/11/21. I Sent her to the ER again and she was given solumedrol, IV Benadryl & epinephrine by EMS en route. At the ER, her D dimer, chest X ray, troponins and EKG were unremarkable. GFR was decreased at 48 at that time with mildly low K of 3.4. She was given Ativan, and oxygen and she was discharged. She continued to have dyspnea, chest pain, and fatigue. She was experiencing nausea as well. She was prescribed Asmanex and refered to pulmonology. Repeat labs were mostly unremarkable with normalization of GFR and K. Her dyspnea,chest pain, nausea, rash, muscle & joint pain and sensation of throat closing off, resolved by the end of March. Fatigue also improved.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU)
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Joint stiffness, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: On April 15, 2021, stiffness in my right shoulder, it has gotten worse over time, until recently they put me on prednisone. It spread to all my joints, wrist, knees, fingers, hips, elbows, shoulders it took a couple of months to spread that far. On 08/01/2021, Dr. diagnosed it as polymyalgia rheumatica. He referred me to a rheumatologist. I have an appointment 09/15/2021 to see the rheumatologist. I am doing well with the Prednisone. I mainly still have pain in my wrist and fingers, but I am doing better than I was.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Polymyalgia rheumatica, Urine analysis
Clinical narrative: On April 15, 2021, stiffness in my right shoulder, it has gotten worse over time, until recently they put me on prednisone. It spread to all my joints, wrist, knees, fingers, hips, elbows, shoulders it took a couple of months to spread that far. On 08/01/2021, Dr. diagnosed it as polymyalgia rheumatica. He referred me to a rheumatologist. I have an appointment 09/15/2021 to see the rheumatologist. I am doing well with the Prednisone. I mainly still have pain in my wrist and fingers, but I am doing better than I was.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Insomnia, Muscle tightness, Neck pain, Pain in extremity
Clinical narrative: About 1/2 hour after vax, as I was driving home, shooting pains in my mastoid bones, and under my ears.  Later same day, pain in left arm but not at the injection site.  It was on the inside of  upper arm, mid way up and up to arm pit level (Coracobrachialis muscle).  For two days it hurt to the touch. Very hard to sleep.  Then evening of day 2 the pain/tightness went up into left side of my neck.  Mastoid bones continued to hurt off and on with shooting pains less often than at first.  Tightness spread all along sub-occipital ridge.  This has continued to this day. Very tight in neck, headaches, and the mild tinnitus I have had is now much louder.  The pain in my arm lasted for 2 days.  The other symptoms continue. Sleep continues to be to difficult due uncomfortable, painful, tight neck and loud ringing in ears
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Tenderness, Tinnitus
Clinical narrative: About 1/2 hour after vax, as I was driving home, shooting pains in my mastoid bones, and under my ears.  Later same day, pain in left arm but not at the injection site.  It was on the inside of  upper arm, mid way up and up to arm pit level (Coracobrachialis muscle).  For two days it hurt to the touch. Very hard to sleep.  Then evening of day 2 the pain/tightness went up into left side of my neck.  Mastoid bones continued to hurt off and on with shooting pains less often than at first.  Tightness spread all along sub-occipital ridge.  This has continued to this day. Very tight in neck, headaches, and the mild tinnitus I have had is now much louder.  The pain in my arm lasted for 2 days.  The other symptoms continue. Sleep continues to be to difficult due uncomfortable, painful, tight neck and loud ringing in ears
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Headache, Injection site pain, Lymph node pain, Lymphadenopathy
Clinical narrative: SORE ARM & AT INJECTION SITE, HEADACHES, SWOLLEN LYMPH NODES IN ARMPIT REGION CAUSING SHARP PAINS, TINGLING TO THE ELBOW & BURNING FEELING
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: SORE ARM & AT INJECTION SITE, HEADACHES, SWOLLEN LYMPH NODES IN ARMPIT REGION CAUSING SHARP PAINS, TINGLING TO THE ELBOW & BURNING FEELING
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Grip strength decreased, Injection site pain, Pain in extremity
Clinical narrative: 8/6/21: soreness at injection site lasting approximately 24 hours.  8/23/21: noticed soreness at injection site returned. I had been exposed to covid the day before and assumed the pain meant the vaccine was working.  9/5: Quarantine ended, I tested negative throughout. Pain gradually intensified.  8/23/21-9/14/21: soreness gradually spread throughout left arm starting at the shoulder. Pain level gradually intensified, but is not severe. It has become difficult to hold objects in my left hand.  9/14/21: called Dept of Health for guidance about getting the 2nd shot. Was instructed to report the incident here and see my physician.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Balance disorder, COVID-19, Chest X-ray normal, Cough
Clinical narrative: Sore throat, cough, fatigue, fever, chest and head congestion  7/29/21 thru 8/5/21. Treatment was bed rest and fluids Fatigue, afternoon fever, chest and head congestion, physical weakness, poor balance 8/6 thru 8/16.  Treatment included antibiotics, rest, fluids. Fatigue, physical weakness, balance, head congestion 8/16 - 9/8.  Treatment included another week of antibiotics. Ongoing fatigue, physical weakness, shortness of breath, and balance issues continue.  Treatment is reduced activity and rest..
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Head discomfort, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: Sore throat, cough, fatigue, fever, chest and head congestion  7/29/21 thru 8/5/21. Treatment was bed rest and fluids Fatigue, afternoon fever, chest and head congestion, physical weakness, poor balance 8/6 thru 8/16.  Treatment included antibiotics, rest, fluids. Fatigue, physical weakness, balance, head congestion 8/16 - 9/8.  Treatment included another week of antibiotics. Ongoing fatigue, physical weakness, shortness of breath, and balance issues continue.  Treatment is reduced activity and rest..
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Sore throat, cough, fatigue, fever, chest and head congestion  7/29/21 thru 8/5/21. Treatment was bed rest and fluids Fatigue, afternoon fever, chest and head congestion, physical weakness, poor balance 8/6 thru 8/16.  Treatment included antibiotics, rest, fluids. Fatigue, physical weakness, balance, head congestion 8/16 - 9/8.  Treatment included another week of antibiotics. Ongoing fatigue, physical weakness, shortness of breath, and balance issues continue.  Treatment is reduced activity and rest..
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear pain, Eye pain, Fatigue, Headache
Clinical narrative: Soreness in right arm immediately after injection. Fatigue ensued around 8pm on 9/8/21. Around 4am on 9/9/21 body aches, fever, chills and a head ache came on. Fever rose up to 102* at 10am then up to 103* by 5pm with severe head pains behind the eyes and ears. Nerve pains shot up and down the back of my neck the whole time the fever was active. Took a small dose of Ibuprofen 3 times the day of 9/9/21 along with a cold shower. Fever began to go down around midnight on 9/9/21 and stayed at 101* until  it broke at 9am on 9/10/21. Lingering headache and fatigue the following 4 days after fever broke.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Neck pain, Neuralgia, Pain, Pain in extremity
Clinical narrative: Soreness in right arm immediately after injection. Fatigue ensued around 8pm on 9/8/21. Around 4am on 9/9/21 body aches, fever, chills and a head ache came on. Fever rose up to 102* at 10am then up to 103* by 5pm with severe head pains behind the eyes and ears. Nerve pains shot up and down the back of my neck the whole time the fever was active. Took a small dose of Ibuprofen 3 times the day of 9/9/21 along with a cold shower. Fever began to go down around midnight on 9/9/21 and stayed at 101* until  it broke at 9am on 9/10/21. Lingering headache and fatigue the following 4 days after fever broke.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Soreness in right arm immediately after injection. Fatigue ensued around 8pm on 9/8/21. Around 4am on 9/9/21 body aches, fever, chills and a head ache came on. Fever rose up to 102* at 10am then up to 103* by 5pm with severe head pains behind the eyes and ears. Nerve pains shot up and down the back of my neck the whole time the fever was active. Took a small dose of Ibuprofen 3 times the day of 9/9/21 along with a cold shower. Fever began to go down around midnight on 9/9/21 and stayed at 101* until  it broke at 9am on 9/10/21. Lingering headache and fatigue the following 4 days after fever broke.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU)
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain
Clinical narrative: Entire body ached for 24 hours, difficult to move. Self medicated with 800 milligrams of ibuprofen to relieve symptoms
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Suicide attempt
Clinical narrative: Patient presented to the ED for suicide attempt by drug ingestion and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Haematology test, Laboratory test
Clinical narrative: SOB, cough, fever, positive COVID 19
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Serology test
Clinical narrative: SOB, cough, fever, positive COVID 19
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis, Chills, Computerised tomogram abdomen abnormal
Clinical narrative: Developed a slight temperature and fever with some chills the night after getting the shot which is 9/11/2021.  On 9/12/2021, the fever broke in the morning and returned to normalcy the next morning till mid afternoon. I proceeded to feel intense stomach pain in  my abdomen around 3pm, this continued despite efforts to treat with basic over the counter medications (Tylenol) and some laxatives (mirilax) to relieve what I thought was constipation issue at the time based on what I ate for lunch. Finally went to the ER around 9:45pm with an intensely high heart rate of 140 (bpm). Got some Cat scans done and they determined that the issue was that I had appendicitis around 11:30pm-11:45pm from what I recall.  Stayed at the ER until 2:45am on 9/13/2021 where I was transferred after receiving and lot of fluids, antibiotic, and magnesium. Was transferred to the hospital after that were around 3-5pm I had an appendectomy to resolve my appendicitis. Currently on the course for recovery and discharged the next day in the morning.