chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Acidosis, Blood glucose decreased, COVID-19, Cardiac arrest, Death
Clinical narrative: EMS found pt with BG of 30, may not have eaten in several days per family stating he's felt so ill; Brought to ED with multiorgan failure; experienced PEA arrest x 6 min; intubated; admitted to ICU; hematemesis, seizure, hypoglycemic; positive for COVID; treated hypoglycemia; gave ABX; vasopressors; pt's condition worsened; progressive acidosis and persistent shock despite aggressive measures; family made pt a DNR; removed life support and pt died in the hospital
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Haematemesis, Hypoglycaemia, Intensive care
Clinical narrative: EMS found pt with BG of 30, may not have eaten in several days per family stating he's felt so ill; Brought to ED with multiorgan failure; experienced PEA arrest x 6 min; intubated; admitted to ICU; hematemesis, seizure, hypoglycemic; positive for COVID; treated hypoglycemia; gave ABX; vasopressors; pt's condition worsened; progressive acidosis and persistent shock despite aggressive measures; family made pt a DNR; removed life support and pt died in the hospital
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Life support, Malaise, Multiple organ dysfunction syndrome, Pulseless electrical activity, SARS-CoV-2 test positive
Clinical narrative: EMS found pt with BG of 30, may not have eaten in several days per family stating he's felt so ill; Brought to ED with multiorgan failure; experienced PEA arrest x 6 min; intubated; admitted to ICU; hematemesis, seizure, hypoglycemic; positive for COVID; treated hypoglycemia; gave ABX; vasopressors; pt's condition worsened; progressive acidosis and persistent shock despite aggressive measures; family made pt a DNR; removed life support and pt died in the hospital
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Shock
Clinical narrative: EMS found pt with BG of 30, may not have eaten in several days per family stating he's felt so ill; Brought to ED with multiorgan failure; experienced PEA arrest x 6 min; intubated; admitted to ICU; hematemesis, seizure, hypoglycemic; positive for COVID; treated hypoglycemia; gave ABX; vasopressors; pt's condition worsened; progressive acidosis and persistent shock despite aggressive measures; family made pt a DNR; removed life support and pt died in the hospital
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Back pain, Cardiac stress test normal, Dizziness
Clinical narrative: I started getting symptoms of left shoulder pain and left knee pain which had swelling. It eventually moved to all joints with inflammation. I went to my doctor and got some anti-inflammatory medication. It was not working and went back and had a medication change. He was wanting to put me on HUMIRA which I did not want to take. The pain was progressing and months went by. I had to miss working for a few days and could not walk. It was very painful. When I would wake up, I could not move. I was worried that I could not work again and did have to miss work often. I could not move my left hand and had to do everything with my right arm. All of my joints including feet, wrist, neck, back, and hips were in pain. Now I am having to take HUMIRA injections every 2 weeks. I am walking better now but still pain in the joints. I did go to urgent care 4/17/2021 because I was feeling dizzy and had an EKG. Then I called my doctor and cardiologist. At the cardiologist I had a stress test which came back normal. I did have arthritis 15 years ago and it has been in remission with no major issues.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Gait disturbance, Impaired work ability, Injection, Joint swelling
Clinical narrative: I started getting symptoms of left shoulder pain and left knee pain which had swelling. It eventually moved to all joints with inflammation. I went to my doctor and got some anti-inflammatory medication. It was not working and went back and had a medication change. He was wanting to put me on HUMIRA which I did not want to take. The pain was progressing and months went by. I had to miss working for a few days and could not walk. It was very painful. When I would wake up, I could not move. I was worried that I could not work again and did have to miss work often. I could not move my left hand and had to do everything with my right arm. All of my joints including feet, wrist, neck, back, and hips were in pain. Now I am having to take HUMIRA injections every 2 weeks. I am walking better now but still pain in the joints. I did go to urgent care 4/17/2021 because I was feeling dizzy and had an EKG. Then I called my doctor and cardiologist. At the cardiologist I had a stress test which came back normal. I did have arthritis 15 years ago and it has been in remission with no major issues.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Movement disorder, Neck pain, Pain, Pain in extremity, X-ray
Clinical narrative: I started getting symptoms of left shoulder pain and left knee pain which had swelling. It eventually moved to all joints with inflammation. I went to my doctor and got some anti-inflammatory medication. It was not working and went back and had a medication change. He was wanting to put me on HUMIRA which I did not want to take. The pain was progressing and months went by. I had to miss working for a few days and could not walk. It was very painful. When I would wake up, I could not move. I was worried that I could not work again and did have to miss work often. I could not move my left hand and had to do everything with my right arm. All of my joints including feet, wrist, neck, back, and hips were in pain. Now I am having to take HUMIRA injections every 2 weeks. I am walking better now but still pain in the joints. I did go to urgent care 4/17/2021 because I was feeling dizzy and had an EKG. Then I called my doctor and cardiologist. At the cardiologist I had a stress test which came back normal. I did have arthritis 15 years ago and it has been in remission with no major issues.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Scratch, Urticaria
Clinical narrative: Hives a week later all over my body 24/7 constant itching and scratching. Now currently on two medications everyday to calm the symptoms.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient had gotten pfizer for all 3 shots so far and accidently got moderna for their 4th booster. Got 0.25mL of Moderna.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Condition aggravated, Headache, Malaise, Pericarditis
Clinical narrative: I had a major headache begin within ten minutes after the vaccination, my blood pressure rose and I could not get it down. Within the next two months I began to get sick and also began to suffer from pericarditis for the three months.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given. Vaccine expiration date: 03/27/2022.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Pain, SARS-CoV-2 test positive
Clinical narrative: COVID breakthrough. Patient presented to the hospital on 3/12/22 with generalized body aches, weakness, and mild cough. He was discharged home on 3/16/22.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID breakthrough. Patient presented to the hospital on 3/12/22 with generalized body aches, weakness, and mild cough. He was discharged home on 3/16/22.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Acute hepatic failure, Acute kidney injury, Acute respiratory failure, COVID-19, COVID-19 pneumonia
Clinical narrative: He was recently diagnosed with COVID-19 with a positive test on 12/30 and symptoms beginning on 12/28/2021. He reports cough that is nonproductive, subjective fevers without chills, nausea without vomiting and diffuse myalgias.  In the ED his 02 sat was 68% on RA. He was placed on HFNC 15 LPM.  Cause of death: Acute Hypoxic Respiratory Failure d/t Covid 19 PNA.  Secondary diagnosis  septic shock due to pseudomonas, acute renal failure, acute liver failure, recent chemotherapy for stage IV colon cancer with liver metastasis.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Central venous catheterisation, Chemotherapy, Chest X-ray abnormal, Colon cancer stage IV, Condition aggravated
Clinical narrative: He was recently diagnosed with COVID-19 with a positive test on 12/30 and symptoms beginning on 12/28/2021. He reports cough that is nonproductive, subjective fevers without chills, nausea without vomiting and diffuse myalgias.  In the ED his 02 sat was 68% on RA. He was placed on HFNC 15 LPM.  Cause of death: Acute Hypoxic Respiratory Failure d/t Covid 19 PNA.  Secondary diagnosis  septic shock due to pseudomonas, acute renal failure, acute liver failure, recent chemotherapy for stage IV colon cancer with liver metastasis.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Death, Dyspnoea, Lung opacity, Malaise
Clinical narrative: He was recently diagnosed with COVID-19 with a positive test on 12/30 and symptoms beginning on 12/28/2021. He reports cough that is nonproductive, subjective fevers without chills, nausea without vomiting and diffuse myalgias.  In the ED his 02 sat was 68% on RA. He was placed on HFNC 15 LPM.  Cause of death: Acute Hypoxic Respiratory Failure d/t Covid 19 PNA.  Secondary diagnosis  septic shock due to pseudomonas, acute renal failure, acute liver failure, recent chemotherapy for stage IV colon cancer with liver metastasis.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Metastases to liver, Myalgia, Nausea, Pneumonia, Pseudomonas infection
Clinical narrative: He was recently diagnosed with COVID-19 with a positive test on 12/30 and symptoms beginning on 12/28/2021. He reports cough that is nonproductive, subjective fevers without chills, nausea without vomiting and diffuse myalgias.  In the ED his 02 sat was 68% on RA. He was placed on HFNC 15 LPM.  Cause of death: Acute Hypoxic Respiratory Failure d/t Covid 19 PNA.  Secondary diagnosis  septic shock due to pseudomonas, acute renal failure, acute liver failure, recent chemotherapy for stage IV colon cancer with liver metastasis.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Septic shock, Total lung capacity decreased, Vascular device user
Clinical narrative: He was recently diagnosed with COVID-19 with a positive test on 12/30 and symptoms beginning on 12/28/2021. He reports cough that is nonproductive, subjective fevers without chills, nausea without vomiting and diffuse myalgias.  In the ED his 02 sat was 68% on RA. He was placed on HFNC 15 LPM.  Cause of death: Acute Hypoxic Respiratory Failure d/t Covid 19 PNA.  Secondary diagnosis  septic shock due to pseudomonas, acute renal failure, acute liver failure, recent chemotherapy for stage IV colon cancer with liver metastasis.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood urine present, Confusional state, Full blood count abnormal, Haemoglobin decreased
Clinical narrative: Fever 101 at 4:35P,  BP elevated on 7/8 1pm 192/84, pulse 97 O2 dropped to 90% on room air and continued to drop.  Resident was confused and less responsive. She was incontinent (not her usual).
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Hyporesponsive to stimuli, Incontinence, Neutrophil count increased, Oxygen saturation decreased, Pyrexia
Clinical narrative: Fever 101 at 4:35P,  BP elevated on 7/8 1pm 192/84, pulse 97 O2 dropped to 90% on room air and continued to drop.  Resident was confused and less responsive. She was incontinent (not her usual).
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Urine leukocyte esterase positive, White blood cell count increased, White blood cells urine positive
Clinical narrative: Fever 101 at 4:35P,  BP elevated on 7/8 1pm 192/84, pulse 97 O2 dropped to 90% on room air and continued to drop.  Resident was confused and less responsive. She was incontinent (not her usual).
Age: 57.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Anaphylactic reaction, Blindness, Body temperature increased, Dizziness, Eye irritation
Clinical narrative: pt stated she started having like an anaphylaxis reaction about 15 minutes after getting the booster shot.  Her throat was closing up and she was light headed.  After about half hour she decided to drive home.  Her vision was blurry and she had a tempurature of 102.  She contacted her PCP and she was told to her eye doctor which she had seen recently.  She saw her Eye physician and he compared the condition of her eyes from the last visit.  She was told there was drastic change from the last visit to this visit.  Her eyes were burning and were painful.  There are dry patches on them.  She had some vision loss.  She was advised not to use her eye drops at the time due to the condition her eyes were in. She will try Sustain gel when her eyes are better to help them heal.  She is using a mask at night which helps a little and also using a cool cloth. She will have to FU for further treatment.
Age: 57.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Eye pain, Eyelid skin dryness, Ophthalmological examination abnormal, Throat tightness, Vision blurred
Clinical narrative: pt stated she started having like an anaphylaxis reaction about 15 minutes after getting the booster shot.  Her throat was closing up and she was light headed.  After about half hour she decided to drive home.  Her vision was blurry and she had a tempurature of 102.  She contacted her PCP and she was told to her eye doctor which she had seen recently.  She saw her Eye physician and he compared the condition of her eyes from the last visit.  She was told there was drastic change from the last visit to this visit.  Her eyes were burning and were painful.  There are dry patches on them.  She had some vision loss.  She was advised not to use her eye drops at the time due to the condition her eyes were in. She will try Sustain gel when her eyes are better to help them heal.  She is using a mask at night which helps a little and also using a cool cloth. She will have to FU for further treatment.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pain in extremity
Clinical narrative: Mild pain in upper arm lasting months. Continuous from injection (10/24/21) to this report (4/7/2022). Sharp twinge when arm is moved.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Myalgia, Pain in extremity
Clinical narrative: The next day I got swollen lymph nodes under both my arms..  My lymph nodes became fairly large multiple grapes size.  The subsided but still continue to have constant pain under my arm pit,  underneath my breast tissue on muscle and also on the underside of my upper arm. This pain is low grade and constant.
Age: 68.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: 70x70mm erythema and wheel at the site of injection. Patient denies.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine given was expired, vaccine expired 03/27/2022
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Small intestinal obstruction
Clinical narrative: Patient hospitalized for   SBO (small bowel obstruction) ,   Acute renal failure (ARF)  within 6 weeks of receiving covid vaccination.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Endotracheal intubation, Extubation
Clinical narrative: 10/19/21 EMS called to pt's house because she was unresponsive; has been SOB; pt intubated; hypotensive; vasopressors given; recently diagnosed positive for COVID (10/10/21); breathing has gotten worse since then; admitted to hospital; GI bleed; pt was made DNR by family and transitioned to comfort measures; extubated and she passed away in the hospital
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal haemorrhage, Hypotension, Respiration abnormal, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: 10/19/21 EMS called to pt's house because she was unresponsive; has been SOB; pt intubated; hypotensive; vasopressors given; recently diagnosed positive for COVID (10/10/21); breathing has gotten worse since then; admitted to hospital; GI bleed; pt was made DNR by family and transitioned to comfort measures; extubated and she passed away in the hospital
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: Patient called the pharmacy the day after receiving her 2nd booster COVID-19 vaccine with complaints of new onset lip swelling. Upon questioning, patient stated she has lip fillers. Patient instructed to use Benadryl; let the pharmacy know if she wasn't seeing any improvement and possibly reach-out to her doctor. Two days after the vaccine, pharmacy called patient to check-in on her. She stated the swelling has gone down, but still having a little bit of swelling and continues to use Benadryl.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Fracture, Hip fracture, Internal fixation of fracture, Pain
Clinical narrative: Closed intertrochanteric fracture of hip;Surgical evaluation led to Procedure(s): Right - TROCHANTERIC FIXATION NAILING. The patient tolerated the surgical procedure without complications and was hospitalized for a total of 3 nights following the surgical procedure. The hospitalization was necessary for pain control, therapy, medical care and discharge placement. Ultimately, the patient was discharged to skilled nursing facility under satisfactory medical and post-operative condition. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site extravasation
Clinical narrative: Vaccination for COVID19 Pfizer 4th dose/booster was administered to patient by a certified technician with a 1inch, 1ml vanishpoint safety syringe/needle.  After administration, the technician activated the safety feature by retracting needle into syringe, a small amount of liquid came out of the patient's arm. The patient stated that there was a "bubbling." Patient does not feel that she received the entire dose.  I assured patient during a phone call after the vaccination date, that I believe she received the entire dose, as the syringe requires the entire dose to be administered. There may have been some that came out from the retraction, but the entire dose was administered. No adverse event has occured but that patient believes she may not receive full protection.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Aortic arteriosclerosis, Asthenia, Atelectasis, Blood creatinine increased
Clinical narrative: Patient initially presented to the hospital with weakness.  2 to 3 days prior to admission she developed cough.  Her cough is progressively gotten worse. Yesterday she noticed worsening of her lower extremity edema along with weakness and shortness of breath. She has been vaccinated for Covid x3. Yesterday she fell in her home. She also endorses nausea and vomiting along with poor p.o. intake and lack of appetite. Weakness was her main reason for presenting to the hospital.  When she arrived to the hospital her vital signs were stable. Her lab work was remarkable for AKI on CKD with creatinine of 2.3, metabolic acidosis, glucose of 35, elevated troponin at 0.26 and elevated BNP at 2600. Rapid Covid test positive.  No pneumonia seen on chest x-ray.   Cardiology was consulted for assistance with diuresis, recommendations to initiate milrinone infusion. This was started but patient became very hypotensive and hence effective diuresis could not be continued. She also had worsening renal function and did not qualify for hemodialysis; her hypotension could not support this procedure. She was subsequently switched to dobutamine infusion to see if this would help initiate diuresis but remained hypotensive. She subsequently started becoming more obtunded with systolic dropping to the 60s and had to be transferred to the ICU for pressor supports. At presentation no CODE STATUS was established. With clinical deterioration her listed emergency contacts was reached -her daughter, and following my discussion with her she made decision was to keep patient full code as patient could not voice her desires at the time. She had central venous access and outflow placed for close hemodynamic monitoring and initiated on vasopressor supports after transfer to the ICU. However she continued to have progressively declining blood pressures with MAP less than 50 while on 4 vasopressors, which was no longer compatible with survival. Palliative care saw in consultation today 1/6/2021 with her daughters and rest of family and decision was made to transition to comfort care measures with palliative extubation which took place at 10:40 A.M. Patient subsequently expired 2 minutes after extubation at 10:42 AM.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose decreased, Blood pressure decreased, Bone disorder, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Patient initially presented to the hospital with weakness.  2 to 3 days prior to admission she developed cough.  Her cough is progressively gotten worse. Yesterday she noticed worsening of her lower extremity edema along with weakness and shortness of breath. She has been vaccinated for Covid x3. Yesterday she fell in her home. She also endorses nausea and vomiting along with poor p.o. intake and lack of appetite. Weakness was her main reason for presenting to the hospital.  When she arrived to the hospital her vital signs were stable. Her lab work was remarkable for AKI on CKD with creatinine of 2.3, metabolic acidosis, glucose of 35, elevated troponin at 0.26 and elevated BNP at 2600. Rapid Covid test positive.  No pneumonia seen on chest x-ray.   Cardiology was consulted for assistance with diuresis, recommendations to initiate milrinone infusion. This was started but patient became very hypotensive and hence effective diuresis could not be continued. She also had worsening renal function and did not qualify for hemodialysis; her hypotension could not support this procedure. She was subsequently switched to dobutamine infusion to see if this would help initiate diuresis but remained hypotensive. She subsequently started becoming more obtunded with systolic dropping to the 60s and had to be transferred to the ICU for pressor supports. At presentation no CODE STATUS was established. With clinical deterioration her listed emergency contacts was reached -her daughter, and following my discussion with her she made decision was to keep patient full code as patient could not voice her desires at the time. She had central venous access and outflow placed for close hemodynamic monitoring and initiated on vasopressor supports after transfer to the ICU. However she continued to have progressively declining blood pressures with MAP less than 50 while on 4 vasopressors, which was no longer compatible with survival. Palliative care saw in consultation today 1/6/2021 with her daughters and rest of family and decision was made to transition to comfort care measures with palliative extubation which took place at 10:40 A.M. Patient subsequently expired 2 minutes after extubation at 10:42 AM.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Condition aggravated, Cough, Death
Clinical narrative: Patient initially presented to the hospital with weakness.  2 to 3 days prior to admission she developed cough.  Her cough is progressively gotten worse. Yesterday she noticed worsening of her lower extremity edema along with weakness and shortness of breath. She has been vaccinated for Covid x3. Yesterday she fell in her home. She also endorses nausea and vomiting along with poor p.o. intake and lack of appetite. Weakness was her main reason for presenting to the hospital.  When she arrived to the hospital her vital signs were stable. Her lab work was remarkable for AKI on CKD with creatinine of 2.3, metabolic acidosis, glucose of 35, elevated troponin at 0.26 and elevated BNP at 2600. Rapid Covid test positive.  No pneumonia seen on chest x-ray.   Cardiology was consulted for assistance with diuresis, recommendations to initiate milrinone infusion. This was started but patient became very hypotensive and hence effective diuresis could not be continued. She also had worsening renal function and did not qualify for hemodialysis; her hypotension could not support this procedure. She was subsequently switched to dobutamine infusion to see if this would help initiate diuresis but remained hypotensive. She subsequently started becoming more obtunded with systolic dropping to the 60s and had to be transferred to the ICU for pressor supports. At presentation no CODE STATUS was established. With clinical deterioration her listed emergency contacts was reached -her daughter, and following my discussion with her she made decision was to keep patient full code as patient could not voice her desires at the time. She had central venous access and outflow placed for close hemodynamic monitoring and initiated on vasopressor supports after transfer to the ICU. However she continued to have progressively declining blood pressures with MAP less than 50 while on 4 vasopressors, which was no longer compatible with survival. Palliative care saw in consultation today 1/6/2021 with her daughters and rest of family and decision was made to transition to comfort care measures with palliative extubation which took place at 10:40 A.M. Patient subsequently expired 2 minutes after extubation at 10:42 AM.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Depressed level of consciousness, Dyspnoea, Endotracheal intubation, Fall
Clinical narrative: Patient initially presented to the hospital with weakness.  2 to 3 days prior to admission she developed cough.  Her cough is progressively gotten worse. Yesterday she noticed worsening of her lower extremity edema along with weakness and shortness of breath. She has been vaccinated for Covid x3. Yesterday she fell in her home. She also endorses nausea and vomiting along with poor p.o. intake and lack of appetite. Weakness was her main reason for presenting to the hospital.  When she arrived to the hospital her vital signs were stable. Her lab work was remarkable for AKI on CKD with creatinine of 2.3, metabolic acidosis, glucose of 35, elevated troponin at 0.26 and elevated BNP at 2600. Rapid Covid test positive.  No pneumonia seen on chest x-ray.   Cardiology was consulted for assistance with diuresis, recommendations to initiate milrinone infusion. This was started but patient became very hypotensive and hence effective diuresis could not be continued. She also had worsening renal function and did not qualify for hemodialysis; her hypotension could not support this procedure. She was subsequently switched to dobutamine infusion to see if this would help initiate diuresis but remained hypotensive. She subsequently started becoming more obtunded with systolic dropping to the 60s and had to be transferred to the ICU for pressor supports. At presentation no CODE STATUS was established. With clinical deterioration her listed emergency contacts was reached -her daughter, and following my discussion with her she made decision was to keep patient full code as patient could not voice her desires at the time. She had central venous access and outflow placed for close hemodynamic monitoring and initiated on vasopressor supports after transfer to the ICU. However she continued to have progressively declining blood pressures with MAP less than 50 while on 4 vasopressors, which was no longer compatible with survival. Palliative care saw in consultation today 1/6/2021 with her daughters and rest of family and decision was made to transition to comfort care measures with palliative extubation which took place at 10:40 A.M. Patient subsequently expired 2 minutes after extubation at 10:42 AM.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Granuloma, Hypophagia, Hypotension, Intensive care
Clinical narrative: Patient initially presented to the hospital with weakness.  2 to 3 days prior to admission she developed cough.  Her cough is progressively gotten worse. Yesterday she noticed worsening of her lower extremity edema along with weakness and shortness of breath. She has been vaccinated for Covid x3. Yesterday she fell in her home. She also endorses nausea and vomiting along with poor p.o. intake and lack of appetite. Weakness was her main reason for presenting to the hospital.  When she arrived to the hospital her vital signs were stable. Her lab work was remarkable for AKI on CKD with creatinine of 2.3, metabolic acidosis, glucose of 35, elevated troponin at 0.26 and elevated BNP at 2600. Rapid Covid test positive.  No pneumonia seen on chest x-ray.   Cardiology was consulted for assistance with diuresis, recommendations to initiate milrinone infusion. This was started but patient became very hypotensive and hence effective diuresis could not be continued. She also had worsening renal function and did not qualify for hemodialysis; her hypotension could not support this procedure. She was subsequently switched to dobutamine infusion to see if this would help initiate diuresis but remained hypotensive. She subsequently started becoming more obtunded with systolic dropping to the 60s and had to be transferred to the ICU for pressor supports. At presentation no CODE STATUS was established. With clinical deterioration her listed emergency contacts was reached -her daughter, and following my discussion with her she made decision was to keep patient full code as patient could not voice her desires at the time. She had central venous access and outflow placed for close hemodynamic monitoring and initiated on vasopressor supports after transfer to the ICU. However she continued to have progressively declining blood pressures with MAP less than 50 while on 4 vasopressors, which was no longer compatible with survival. Palliative care saw in consultation today 1/6/2021 with her daughters and rest of family and decision was made to transition to comfort care measures with palliative extubation which took place at 10:40 A.M. Patient subsequently expired 2 minutes after extubation at 10:42 AM.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Lung disorder, Metabolic acidosis, Nausea, Oedema peripheral, Pulmonary oedema
Clinical narrative: Patient initially presented to the hospital with weakness.  2 to 3 days prior to admission she developed cough.  Her cough is progressively gotten worse. Yesterday she noticed worsening of her lower extremity edema along with weakness and shortness of breath. She has been vaccinated for Covid x3. Yesterday she fell in her home. She also endorses nausea and vomiting along with poor p.o. intake and lack of appetite. Weakness was her main reason for presenting to the hospital.  When she arrived to the hospital her vital signs were stable. Her lab work was remarkable for AKI on CKD with creatinine of 2.3, metabolic acidosis, glucose of 35, elevated troponin at 0.26 and elevated BNP at 2600. Rapid Covid test positive.  No pneumonia seen on chest x-ray.   Cardiology was consulted for assistance with diuresis, recommendations to initiate milrinone infusion. This was started but patient became very hypotensive and hence effective diuresis could not be continued. She also had worsening renal function and did not qualify for hemodialysis; her hypotension could not support this procedure. She was subsequently switched to dobutamine infusion to see if this would help initiate diuresis but remained hypotensive. She subsequently started becoming more obtunded with systolic dropping to the 60s and had to be transferred to the ICU for pressor supports. At presentation no CODE STATUS was established. With clinical deterioration her listed emergency contacts was reached -her daughter, and following my discussion with her she made decision was to keep patient full code as patient could not voice her desires at the time. She had central venous access and outflow placed for close hemodynamic monitoring and initiated on vasopressor supports after transfer to the ICU. However she continued to have progressively declining blood pressures with MAP less than 50 while on 4 vasopressors, which was no longer compatible with survival. Palliative care saw in consultation today 1/6/2021 with her daughters and rest of family and decision was made to transition to comfort care measures with palliative extubation which took place at 10:40 A.M. Patient subsequently expired 2 minutes after extubation at 10:42 AM.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Renal impairment, SARS-CoV-2 test positive, Troponin increased, Vomiting
Clinical narrative: Patient initially presented to the hospital with weakness.  2 to 3 days prior to admission she developed cough.  Her cough is progressively gotten worse. Yesterday she noticed worsening of her lower extremity edema along with weakness and shortness of breath. She has been vaccinated for Covid x3. Yesterday she fell in her home. She also endorses nausea and vomiting along with poor p.o. intake and lack of appetite. Weakness was her main reason for presenting to the hospital.  When she arrived to the hospital her vital signs were stable. Her lab work was remarkable for AKI on CKD with creatinine of 2.3, metabolic acidosis, glucose of 35, elevated troponin at 0.26 and elevated BNP at 2600. Rapid Covid test positive.  No pneumonia seen on chest x-ray.   Cardiology was consulted for assistance with diuresis, recommendations to initiate milrinone infusion. This was started but patient became very hypotensive and hence effective diuresis could not be continued. She also had worsening renal function and did not qualify for hemodialysis; her hypotension could not support this procedure. She was subsequently switched to dobutamine infusion to see if this would help initiate diuresis but remained hypotensive. She subsequently started becoming more obtunded with systolic dropping to the 60s and had to be transferred to the ICU for pressor supports. At presentation no CODE STATUS was established. With clinical deterioration her listed emergency contacts was reached -her daughter, and following my discussion with her she made decision was to keep patient full code as patient could not voice her desires at the time. She had central venous access and outflow placed for close hemodynamic monitoring and initiated on vasopressor supports after transfer to the ICU. However she continued to have progressively declining blood pressures with MAP less than 50 while on 4 vasopressors, which was no longer compatible with survival. Palliative care saw in consultation today 1/6/2021 with her daughters and rest of family and decision was made to transition to comfort care measures with palliative extubation which took place at 10:40 A.M. Patient subsequently expired 2 minutes after extubation at 10:42 AM.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: Atrial fibrillation with rapid ventricular response. Seen in consultation by cardiology with diltiazem drip started.  Continued on her usual meds, although metoprolol tartrate 25 mg BID rather than metoprolol succinate 25 mg daily.  LHC also recommended. Discharging home in stable and improving condition. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Nausea, Tension headache
Clinical narrative: Intermittent days of dizziness, off-balance and nausea upon waking. Tension in head.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Endotracheal intubation, General physical health deterioration
Clinical narrative: pt transferred from Health center in town to Hospital for higher level of care; transferred to ICU; positive for COVID;  respiratory failure secondary to COVID pneumonia; intubated;  given dexamethasone, Tocilizumab, ABX; pt's condition worsened; family desired to transition pt to comfort care and she passed away in the hospital
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: pt transferred from Health center in town to Hospital for higher level of care; transferred to ICU; positive for COVID;  respiratory failure secondary to COVID pneumonia; intubated;  given dexamethasone, Tocilizumab, ABX; pt's condition worsened; family desired to transition pt to comfort care and she passed away in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: Lost my sense of smell and taste after about 3 hours.  Senses both returned about 36 hours after vaccination
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse drug reaction, Angioedema, Expired product administered
Clinical narrative: Angioedema, suspected due to ACEi -Patient admitted under the impression listed above. This resolved. Suspected trigger ACEi, also could be an expired nasal spray patient use prior the episode. Will continue 3 days of prednisone, famotidine and benadryl. Epipen prescribed if another episode of angioedema occurs. Patient stable for discharge. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine given to patient was expired, Vaccine expiration date 03/27/2022 Est date of delivery is 09/03/2022
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Muscle spasms
Clinical narrative: It started at 3am that Sunday morning, I was getting spasms on the right side of my head. I couldn't lift my head up the pain was excruciating. It went on all day Sunday and Monday, I attempted to go to work on Tuesday but I had to leave because it was painful. It went on for about a week.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Culture, Debridement, Diabetic foot infection, Laboratory test, Toe amputation
Clinical narrative: Diabetic foot infection -  taken to the OR for irrigation and debridement and also amputation of the left 5th metatarsal. # days later he was taken back to the OR for a second irrigation and debridement of the left foot and cultures were taken. 4 days after that given his improvement as far as labs were concerned, he was taken back to the OR for another irrigation and debridement of the left foot and also delayed primary closure of the left foot. Patient was discharged home the next day as his labs continued to show improvement. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Wound treatment
Clinical narrative: Diabetic foot infection -  taken to the OR for irrigation and debridement and also amputation of the left 5th metatarsal. # days later he was taken back to the OR for a second irrigation and debridement of the left foot and cultures were taken. 4 days after that given his improvement as far as labs were concerned, he was taken back to the OR for another irrigation and debridement of the left foot and also delayed primary closure of the left foot. Patient was discharged home the next day as his labs continued to show improvement. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: COVID vaccinated 12/2/2021, 2/26/2021, 1/29/2021. Hospitalized with COVID pneumonia 4/7/22.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Brain operation, Laboratory test
Clinical narrative: Asymptomatic. Admitted to hospital for brain surgery, tested pre-operatively.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Sinus disorder
Clinical narrative: It felt like a sinus issue. I had swollen lymph nodes on my left side by my ear. This lasted for about a week or two.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac monitoring abnormal, Condition aggravated, Feeling abnormal, Palpitations, Supraventricular extrasystoles
Clinical narrative: Six days after the first vaccine on 03/11/2021, my PVC/PACs started to increase in numbers, particularly after the second COVID-19 vaccine on 04/01/2021; I would normally get a few PVC/PACs a day but the vaccine (presumably) really increased the number to about 20-30/day, enough for me to see a cardiologist and get 10-day heart monitor that recorded every heart beat for that duration.  Upon analysis of hundreds of events, the cardiologist said that palpitations were all benign; however, these PVC/PACs were very pronounced, enough to make my life miserable for three months, and enough that I did not even slightly consider gettng a booster shot.  I live in isolation (except for wife).
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: Six days after the first vaccine on 03/11/2021, my PVC/PACs started to increase in numbers, particularly after the second COVID-19 vaccine on 04/01/2021; I would normally get a few PVC/PACs a day but the vaccine (presumably) really increased the number to about 20-30/day, enough for me to see a cardiologist and get 10-day heart monitor that recorded every heart beat for that duration.  Upon analysis of hundreds of events, the cardiologist said that palpitations were all benign; however, these PVC/PACs were very pronounced, enough to make my life miserable for three months, and enough that I did not even slightly consider gettng a booster shot.  I live in isolation (except for wife).
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain in extremity, Peripheral swelling
Clinical narrative: Woke-up at 0600 hrs. on 4/7/22 with uncontrolled shivering over entire body. Oral temp of 96.6. Severe upper right arm pain and swelling. Placed in 3 cotton blankets x 19 minutes to control shivering. Oral temp increased to 97.8.  .
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Formication, Laboratory test normal, Rash
Clinical narrative: Started getting rash     until just a couple of weeks ago figured it might be the booster shot    they asked if I had any medicial items and it just did not register on my mind about being possibly the booster     but had skin crawling      been to ER   been to doctors       home health nurse
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient administered expired dose
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Discomfort, Herpes zoster, Pruritus, Rash
Clinical narrative: That my back starting hurting feeling very uncomfortable and itchy. The next day my back was broke out and I knew by looking at it that I had shingles. I went to the doctor to confirm that what I suspected was correct. Doctor prescribed acyclovir 800mg to clear the shingles and a shot for the itching (I cannot remember the name of this).
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Asthenia, Blood test abnormal, Chills, Dizziness
Clinical narrative: I experienced heart palpitations on 4/11/21 after the vaccination. The day after the vaccination I felt faint and weak. I had a fever of 99.6 and bad chills on 4/10/21. I took Aspirin on 5/19/21 as I was experiencing painful heart palpitations.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Heart rate increased, Hyperthyroidism, Palpitations, Pyrexia
Clinical narrative: I experienced heart palpitations on 4/11/21 after the vaccination. The day after the vaccination I felt faint and weak. I had a fever of 99.6 and bad chills on 4/10/21. I took Aspirin on 5/19/21 as I was experiencing painful heart palpitations.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, COVID-19, Chest pain, Cough
Clinical narrative: COVID Breakthrough Case *************************************************************************************************************** When I was at work, I started having a dry cough. a min to two min later I would just keep coughing. Then I had runny just crazy clear nonstop snot from my nose. Then I went and took my temperature and it was 100.1. I then called my supervisor ad was instructed to go home. Made a appoint with my doctor the next day. I told them i with had the flu or COVID and as the day went by, I felt worse. they did the COVID test, and they told me to wait 5 days until I could get results. I then went home and was very dizzy and needed assistance walking around. I took my oxygen, and it was down and kept dropping.  Symptoms  Body aches  fever runny nose  cough felt very weak my balance was off  sob chest pain
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Feeling abnormal, Gait disturbance, Impaired work ability
Clinical narrative: COVID Breakthrough Case *************************************************************************************************************** When I was at work, I started having a dry cough. a min to two min later I would just keep coughing. Then I had runny just crazy clear nonstop snot from my nose. Then I went and took my temperature and it was 100.1. I then called my supervisor ad was instructed to go home. Made a appoint with my doctor the next day. I told them i with had the flu or COVID and as the day went by, I felt worse. they did the COVID test, and they told me to wait 5 days until I could get results. I then went home and was very dizzy and needed assistance walking around. I took my oxygen, and it was down and kept dropping.  Symptoms  Body aches  fever runny nose  cough felt very weak my balance was off  sob chest pain
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: COVID Breakthrough Case *************************************************************************************************************** When I was at work, I started having a dry cough. a min to two min later I would just keep coughing. Then I had runny just crazy clear nonstop snot from my nose. Then I went and took my temperature and it was 100.1. I then called my supervisor ad was instructed to go home. Made a appoint with my doctor the next day. I told them i with had the flu or COVID and as the day went by, I felt worse. they did the COVID test, and they told me to wait 5 days until I could get results. I then went home and was very dizzy and needed assistance walking around. I took my oxygen, and it was down and kept dropping.  Symptoms  Body aches  fever runny nose  cough felt very weak my balance was off  sob chest pain
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough Case *************************************************************************************************************** When I was at work, I started having a dry cough. a min to two min later I would just keep coughing. Then I had runny just crazy clear nonstop snot from my nose. Then I went and took my temperature and it was 100.1. I then called my supervisor ad was instructed to go home. Made a appoint with my doctor the next day. I told them i with had the flu or COVID and as the day went by, I felt worse. they did the COVID test, and they told me to wait 5 days until I could get results. I then went home and was very dizzy and needed assistance walking around. I took my oxygen, and it was down and kept dropping.  Symptoms  Body aches  fever runny nose  cough felt very weak my balance was off  sob chest pain
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Night sweats, Pyrexia, Restlessness
Clinical narrative: 11:30 the night of vaccination I was woken up by my girlfriend because I had soaked the bed from night sweats. Nauseous but no fever. Was restless all night long. Began running fever about 0830 the next morning. Fever was consistently above 103 for 1-2 days. Fever peaked at 105 and I went to urgent clinic. Urgent clinic doctor prescribed steroid cocktail and symptoms subsided completely subsided within two hours.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient administered expired dose
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Anger, Feeling hot, Haemorrhage, Pain, Peripheral swelling
Clinical narrative: Next Morning left arm swollen, extremely red, itching, painful, hot.  Still red and angry one week later, turning purple, and a blood spot the size of a pinky finger above the vaccination site. The red spot is moving around to the back of the arm.