chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Acute kidney injury, Acute respiratory failure, Atrial fibrillation, Body temperature increased
Clinical narrative: Patient seen in follow up for severe acute hypoxic respiratory failure/ multifocal pneumonia due to COVID + 12/15.  Moderna Vaccine 3-4 2021. Patient is requiring 100% BIPAP Critical care has discussed cautious monitoring for potential need for intubation and vent support. High dose Decadron/Remdesivir and Baricitinib in progress 12/26 AKI 1.41 Intermittent Bradycardia ? Related to covid, ? remdesivir
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, COVID-19 pneumonia, Cardioversion, Endotracheal intubation
Clinical narrative: Patient seen in follow up for severe acute hypoxic respiratory failure/ multifocal pneumonia due to COVID + 12/15.  Moderna Vaccine 3-4 2021. Patient is requiring 100% BIPAP Critical care has discussed cautious monitoring for potential need for intubation and vent support. High dose Decadron/Remdesivir and Baricitinib in progress 12/26 AKI 1.41 Intermittent Bradycardia ? Related to covid, ? remdesivir
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia, Oxygen saturation decreased, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Patient seen in follow up for severe acute hypoxic respiratory failure/ multifocal pneumonia due to COVID + 12/15.  Moderna Vaccine 3-4 2021. Patient is requiring 100% BIPAP Critical care has discussed cautious monitoring for potential need for intubation and vent support. High dose Decadron/Remdesivir and Baricitinib in progress 12/26 AKI 1.41 Intermittent Bradycardia ? Related to covid, ? remdesivir
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient seen in follow up for severe acute hypoxic respiratory failure/ multifocal pneumonia due to COVID + 12/15.  Moderna Vaccine 3-4 2021. Patient is requiring 100% BIPAP Critical care has discussed cautious monitoring for potential need for intubation and vent support. High dose Decadron/Remdesivir and Baricitinib in progress 12/26 AKI 1.41 Intermittent Bradycardia ? Related to covid, ? remdesivir
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood glucose normal, Chest pain, Full blood count, Joint range of motion decreased
Clinical narrative: Patient reports diffuse arthralgias for "every since I got the shot starting from the Monday or Tuesday after I got the shot".  Reports decreased range of motion.  Reports bilateral knees, ankles, wrists, elbows and back.   Denied redness, swelling, warmth, instability, stiffness or fevers.  Also complained of chest pain.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Metabolic function test, Troponin, Urine analysis
Clinical narrative: Patient reports diffuse arthralgias for "every since I got the shot starting from the Monday or Tuesday after I got the shot".  Reports decreased range of motion.  Reports bilateral knees, ankles, wrists, elbows and back.   Denied redness, swelling, warmth, instability, stiffness or fevers.  Also complained of chest pain.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Asthenia, Body temperature increased, Breath sounds abnormal, Death
Clinical narrative: Patient received the Pfizer booster from DPH on Thursday 1/13/2022. On Friday 1/14 he complained of general malaise and weakness s/p booster shot from yesterday. Temp that morning was 99.6; Tylenol 650 mg given with effect = 97.8. Later that day on 1/14 temp temp 101.7 at 1553 medicated with tylenol 650mg at that time with +effect follow up temp at 2000 99.1 At 2200 99.7 np made aware of elevated temp s/p receiving booster injection. New order for cxr in the AM on 1/15.  At 2300 patient found lying on bathroom floor alert with baseline mentation & no injuries noted. Denied pain/disc at that time BP 142/82 pulse 80 regular resp 20 slight increase sob noted with transfer o2 sat 88-92% room air temp 97.9  At ~midnight- O2 sat 85% room air, lungs diminished to bilateral upper and lower lobes with occasional upper lobe wheeze placed in o2 at 2/l vnc with little effect. Increased to 3/l with little effect increase 4/l o2 sat 93% no s/s acute resp distress neuros maintained through out shift without incident. 1/15/22 Patient continues to Desat despite supplemental O2 at 5liters/min via nasal cannula. temp 99.8 NP notified and order to send to a local Hospital via ambulance for evaluation and treatment.  At 0430 Dyspnea worsening. De sat into 70's LS with bilateral rhonchi. temp 99.8 Very SOB, placed in O2 at 15 liters/min via non-rebreather with no relief. NP c/f Dr. notified. 0450 Transferred to a local Hospital ER via EMS. Wife notified of transfer. He was admitted with sepsis pneumonia on 1/15/22. Facility was notified of patients expiration on 1/16/22.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Malaise, Oxygen saturation decreased, Pneumonia, Rhonchi
Clinical narrative: Patient received the Pfizer booster from DPH on Thursday 1/13/2022. On Friday 1/14 he complained of general malaise and weakness s/p booster shot from yesterday. Temp that morning was 99.6; Tylenol 650 mg given with effect = 97.8. Later that day on 1/14 temp temp 101.7 at 1553 medicated with tylenol 650mg at that time with +effect follow up temp at 2000 99.1 At 2200 99.7 np made aware of elevated temp s/p receiving booster injection. New order for cxr in the AM on 1/15.  At 2300 patient found lying on bathroom floor alert with baseline mentation & no injuries noted. Denied pain/disc at that time BP 142/82 pulse 80 regular resp 20 slight increase sob noted with transfer o2 sat 88-92% room air temp 97.9  At ~midnight- O2 sat 85% room air, lungs diminished to bilateral upper and lower lobes with occasional upper lobe wheeze placed in o2 at 2/l vnc with little effect. Increased to 3/l with little effect increase 4/l o2 sat 93% no s/s acute resp distress neuros maintained through out shift without incident. 1/15/22 Patient continues to Desat despite supplemental O2 at 5liters/min via nasal cannula. temp 99.8 NP notified and order to send to a local Hospital via ambulance for evaluation and treatment.  At 0430 Dyspnea worsening. De sat into 70's LS with bilateral rhonchi. temp 99.8 Very SOB, placed in O2 at 15 liters/min via non-rebreather with no relief. NP c/f Dr. notified. 0450 Transferred to a local Hospital ER via EMS. Wife notified of transfer. He was admitted with sepsis pneumonia on 1/15/22. Facility was notified of patients expiration on 1/16/22.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Wheezing
Clinical narrative: Patient received the Pfizer booster from DPH on Thursday 1/13/2022. On Friday 1/14 he complained of general malaise and weakness s/p booster shot from yesterday. Temp that morning was 99.6; Tylenol 650 mg given with effect = 97.8. Later that day on 1/14 temp temp 101.7 at 1553 medicated with tylenol 650mg at that time with +effect follow up temp at 2000 99.1 At 2200 99.7 np made aware of elevated temp s/p receiving booster injection. New order for cxr in the AM on 1/15.  At 2300 patient found lying on bathroom floor alert with baseline mentation & no injuries noted. Denied pain/disc at that time BP 142/82 pulse 80 regular resp 20 slight increase sob noted with transfer o2 sat 88-92% room air temp 97.9  At ~midnight- O2 sat 85% room air, lungs diminished to bilateral upper and lower lobes with occasional upper lobe wheeze placed in o2 at 2/l vnc with little effect. Increased to 3/l with little effect increase 4/l o2 sat 93% no s/s acute resp distress neuros maintained through out shift without incident. 1/15/22 Patient continues to Desat despite supplemental O2 at 5liters/min via nasal cannula. temp 99.8 NP notified and order to send to a local Hospital via ambulance for evaluation and treatment.  At 0430 Dyspnea worsening. De sat into 70's LS with bilateral rhonchi. temp 99.8 Very SOB, placed in O2 at 15 liters/min via non-rebreather with no relief. NP c/f Dr. notified. 0450 Transferred to a local Hospital ER via EMS. Wife notified of transfer. He was admitted with sepsis pneumonia on 1/15/22. Facility was notified of patients expiration on 1/16/22.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Loss of consciousness, Malaise
Clinical narrative: Patient came in to get first Pfizer Vaccine of the series. Within one minute Patient stated he was not feeling well. Went to take Patient blood pressure and he passed out for 30 seconds then came to, and was able to answer questions. Blood pressure was about 130/112. EMS was called and responded within 4 minutes. EMS lied patient down, retook blood pressure and it was low. They started a central line on scene and transported to hospital.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Discomfort, Malaise, Syncope
Clinical narrative: Patient came in to get first Pfizer Vaccine of the series. Within one minute Patient stated he was not feeling well. Went to take Patient blood pressure and he passed out for 30 seconds then came to, and was able to answer questions. Blood pressure was about 130/112. EMS was called and responded within 4 minutes. EMS lied patient down, retook blood pressure and it was low. They started a central line on scene and transported to hospital.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Superficial vein thrombosis, Thrombosis
Clinical narrative: Thrombosed superficial vein on outside of right shin indicative of a likely clot. Resolved on its own within 48 hours.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was fully vaccinated for COVID-19, but tested positive for COVID-19.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: CLIENT RECEIVED DOSE 1 ON 12/8/2021. INTERVAL BETWEEN DOSE #1 AND DOSE #2 TOO SHORT, NOT AUTHORIZED INTERVAL.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Diarrhoea, Fall, Syncope, Vomiting
Clinical narrative: Pt arrives with confusion, syncope, and fall 2 days ago along with vomiting and diarrhea.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: STARTED THE DAY RECIVED RED , PUFFY , ITCHY . THURSDAY IT STARTED AS A SMALL RASH. LATER THAT DAY ARM BROKEN OUT IN BIGGER RASH. SUNDAY MORNING RASH WAS ON FACE MORE SO EYES, EARS , AND CHEST. WENT BACK SUNDAY THE 16TH TO RECIVE STERIODS. CALMED DOWN ON 17TH OF JANUARY.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Pain in extremity, Pruritus, Pyrexia, Rash
Clinical narrative: WED MID MORNING GOT REALLY ITCHY,  GOT REALLY COLD, CENTERED IN THE TORSO AND HEAD AREA. ON THURSDAY 6PM SCRATCHING REPEATEDLY, FRI RASH PRESENTED AND CONSTANT ARM PAIN DEVELOPED WELPS AND HIVES TOOK BENADRYL DEVELOPED TEMP OF 99 THEN IT SPIKE TO 101.5 TOOK 2 EXTRA STRENGTH TYLENOL FEVER BROKE
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: WED MID MORNING GOT REALLY ITCHY,  GOT REALLY COLD, CENTERED IN THE TORSO AND HEAD AREA. ON THURSDAY 6PM SCRATCHING REPEATEDLY, FRI RASH PRESENTED AND CONSTANT ARM PAIN DEVELOPED WELPS AND HIVES TOOK BENADRYL DEVELOPED TEMP OF 99 THEN IT SPIKE TO 101.5 TOOK 2 EXTRA STRENGTH TYLENOL FEVER BROKE
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest pain, Echocardiogram, Ejection fraction normal, Electrocardiogram abnormal
Clinical narrative: Currently admitted at health Care. Likely adverse event is viral myocarditis (chest pain, elevated troponin, changes in ekg) possibly due to booster covid vaccination.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Viral myocarditis
Clinical narrative: Currently admitted at health Care. Likely adverse event is viral myocarditis (chest pain, elevated troponin, changes in ekg) possibly due to booster covid vaccination.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 21.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Continued arm pain and soreness at injection site 2 weeks following injection,
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Pulmonary embolism, Pulmonary mass, Retroperitoneal haematoma, Suspected COVID-19
Clinical narrative: hospitalization
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: hospitalization
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site indentation, Injection site pain
Clinical narrative: pain at injection site, dimpling at site,
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated for COVID-19 tested positive for COVID-19.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart palpitations
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Asthenia, Atrial fibrillation, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient vaccinated with Moderna x2 (last in 03/21) admitted to hospital after fall with COVID detected test and subsequent respiratory decline and ultimate death.  Provider discharge note below:    "78 YO male w/ history of CAD, vfib with AICD presented with weakness and after ground level fall. He was found to be COVID positive with imaging noting unstable acute L2 fracture.   During his hospitalization stay, Neurosurgery was consulted who initially planned on surgical intervention due to the unstable nature of his L2 fracture. He received aggressive IV hydration due to suspected rhabdomyolysis. Plan for surgical intervention was then postponed due to acute onset of worsening hypoxia in setting of covid 19 pneumonia. Decadron, Vancomycin and Zosyn were started for COVID 19 pneumonia with possible superimposed bacterial pneumonia respectively. Remdesivir was declined by patient. Rapid response was later called due to concern for hypertensive emergency, encephalopathy and worsening hypoxia. CT imaging later in the day revealed acute pulmonary embolism. Heparin drip started. His hospitalization was further complicated by development of atrial fibrillation with rapid ventricular rate likely due to worsening COVID 19 pneumonia infection. Cardiology was consulted who then started Cardizem drip.    Despite multiple efforts of care escalation, patient continues to decline. ICU was consulted who deemed patient's prognosis very poor. They have spoken with patient's family (son and wife) who changed patient's code status to DNR/DNI from Full code. After patient's wife visited him and witnessed his critical condition and noted to be removing BIPAP mask, she decided to transition him to comfort care. Comfort care placed. Patient passed subsequently. "
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Death, Fall, General physical health deterioration, Hypoxia
Clinical narrative: Patient vaccinated with Moderna x2 (last in 03/21) admitted to hospital after fall with COVID detected test and subsequent respiratory decline and ultimate death.  Provider discharge note below:    "78 YO male w/ history of CAD, vfib with AICD presented with weakness and after ground level fall. He was found to be COVID positive with imaging noting unstable acute L2 fracture.   During his hospitalization stay, Neurosurgery was consulted who initially planned on surgical intervention due to the unstable nature of his L2 fracture. He received aggressive IV hydration due to suspected rhabdomyolysis. Plan for surgical intervention was then postponed due to acute onset of worsening hypoxia in setting of covid 19 pneumonia. Decadron, Vancomycin and Zosyn were started for COVID 19 pneumonia with possible superimposed bacterial pneumonia respectively. Remdesivir was declined by patient. Rapid response was later called due to concern for hypertensive emergency, encephalopathy and worsening hypoxia. CT imaging later in the day revealed acute pulmonary embolism. Heparin drip started. His hospitalization was further complicated by development of atrial fibrillation with rapid ventricular rate likely due to worsening COVID 19 pneumonia infection. Cardiology was consulted who then started Cardizem drip.    Despite multiple efforts of care escalation, patient continues to decline. ICU was consulted who deemed patient's prognosis very poor. They have spoken with patient's family (son and wife) who changed patient's code status to DNR/DNI from Full code. After patient's wife visited him and witnessed his critical condition and noted to be removing BIPAP mask, she decided to transition him to comfort care. Comfort care placed. Patient passed subsequently. "
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Imaging procedure abnormal, Intensive care, Lumbar vertebral fracture, Pneumonia bacterial, Positive airway pressure therapy
Clinical narrative: Patient vaccinated with Moderna x2 (last in 03/21) admitted to hospital after fall with COVID detected test and subsequent respiratory decline and ultimate death.  Provider discharge note below:    "78 YO male w/ history of CAD, vfib with AICD presented with weakness and after ground level fall. He was found to be COVID positive with imaging noting unstable acute L2 fracture.   During his hospitalization stay, Neurosurgery was consulted who initially planned on surgical intervention due to the unstable nature of his L2 fracture. He received aggressive IV hydration due to suspected rhabdomyolysis. Plan for surgical intervention was then postponed due to acute onset of worsening hypoxia in setting of covid 19 pneumonia. Decadron, Vancomycin and Zosyn were started for COVID 19 pneumonia with possible superimposed bacterial pneumonia respectively. Remdesivir was declined by patient. Rapid response was later called due to concern for hypertensive emergency, encephalopathy and worsening hypoxia. CT imaging later in the day revealed acute pulmonary embolism. Heparin drip started. His hospitalization was further complicated by development of atrial fibrillation with rapid ventricular rate likely due to worsening COVID 19 pneumonia infection. Cardiology was consulted who then started Cardizem drip.    Despite multiple efforts of care escalation, patient continues to decline. ICU was consulted who deemed patient's prognosis very poor. They have spoken with patient's family (son and wife) who changed patient's code status to DNR/DNI from Full code. After patient's wife visited him and witnessed his critical condition and noted to be removing BIPAP mask, she decided to transition him to comfort care. Comfort care placed. Patient passed subsequently. "
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism, Rhabdomyolysis, SARS-CoV-2 test positive, Superinfection
Clinical narrative: Patient vaccinated with Moderna x2 (last in 03/21) admitted to hospital after fall with COVID detected test and subsequent respiratory decline and ultimate death.  Provider discharge note below:    "78 YO male w/ history of CAD, vfib with AICD presented with weakness and after ground level fall. He was found to be COVID positive with imaging noting unstable acute L2 fracture.   During his hospitalization stay, Neurosurgery was consulted who initially planned on surgical intervention due to the unstable nature of his L2 fracture. He received aggressive IV hydration due to suspected rhabdomyolysis. Plan for surgical intervention was then postponed due to acute onset of worsening hypoxia in setting of covid 19 pneumonia. Decadron, Vancomycin and Zosyn were started for COVID 19 pneumonia with possible superimposed bacterial pneumonia respectively. Remdesivir was declined by patient. Rapid response was later called due to concern for hypertensive emergency, encephalopathy and worsening hypoxia. CT imaging later in the day revealed acute pulmonary embolism. Heparin drip started. His hospitalization was further complicated by development of atrial fibrillation with rapid ventricular rate likely due to worsening COVID 19 pneumonia infection. Cardiology was consulted who then started Cardizem drip.    Despite multiple efforts of care escalation, patient continues to decline. ICU was consulted who deemed patient's prognosis very poor. They have spoken with patient's family (son and wife) who changed patient's code status to DNR/DNI from Full code. After patient's wife visited him and witnessed his critical condition and noted to be removing BIPAP mask, she decided to transition him to comfort care. Comfort care placed. Patient passed subsequently. "
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Chills, Discomfort, Fatigue, Peripheral swelling
Clinical narrative: On 01/14/2021 - regular symptoms. When the injection went in,  I felt like the fluid went to my neck. I had chills, fatigue, the chills were much stronger than the 1st 2 vaccines.  I woke up Saturday morning, there was a lump under my arm, about the size of a dollar bill. The swelling is on my neck and my upper arm, and the swelling is preventing my arm from resting.  On Sunday afternoon, I felt perfectly fine. But the swelling increased in my skin like a 1/2 an inch or more. It feels like the medicine went to my neck and its swelling and it's uncomfortable. When the medicine was going in, I could feel like my heartrate changed. I could just tell when the injection went into my body it was different than the other 2 vaccines. My arm itched a bit on the left side after they injected the vaccine.  I am trying to get in to see my doctor today. If not today, I am going to try to get a telehealth today, 01/18/2022 I have not recovered from my AE, as of today, 01/18/2022, I still have the swelling on my neck. It is a slight swelling on my left arm, it is a swelling that is not normal.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, SARS-CoV-2 test negative, Swelling
Clinical narrative: On 01/14/2021 - regular symptoms. When the injection went in,  I felt like the fluid went to my neck. I had chills, fatigue, the chills were much stronger than the 1st 2 vaccines.  I woke up Saturday morning, there was a lump under my arm, about the size of a dollar bill. The swelling is on my neck and my upper arm, and the swelling is preventing my arm from resting.  On Sunday afternoon, I felt perfectly fine. But the swelling increased in my skin like a 1/2 an inch or more. It feels like the medicine went to my neck and its swelling and it's uncomfortable. When the medicine was going in, I could feel like my heartrate changed. I could just tell when the injection went into my body it was different than the other 2 vaccines. My arm itched a bit on the left side after they injected the vaccine.  I am trying to get in to see my doctor today. If not today, I am going to try to get a telehealth today, 01/18/2022 I have not recovered from my AE, as of today, 01/18/2022, I still have the swelling on my neck. It is a slight swelling on my left arm, it is a swelling that is not normal.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated for COVID-19 tested positive for COVID-19.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Rash erythematous, Rash pruritic
Clinical narrative: The site of injection was itchy and red as soon as I received the vaccine. About 7-8 days later, I had a rash appear that was very itchy and red. I called the hospital helpline after about 48 hours of my adverse event and I was told to take Benadryl and put hydrocortisone cream on my rash. It seemed to help day by day, but it did last about 10 days. I also received my 2nd dose and booster and I do have times where my skin will itch still.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain
Clinical narrative: Pain traveling from collar bone, to shoulder and elbow. Pain has been ongoing since 08/13/2021.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Joint range of motion decreased, Myalgia, Pain, Pain in extremity, Pain in jaw
Clinical narrative: Pain traveling from collar bone, to shoulder and elbow. Pain has been ongoing since 08/13/2021.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Chest X-ray abnormal, Cough, Dizziness
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 02/26/2021.  77 y/o PMH HTN, HLD, Glaucoma, ESRD on HD, DJD, Goiter, Hypothyroidism, Aortic stenosis, Orthostatic Hypotension, HTN presents to ED after dialysis.  Pt states had been having SOB, cough and dizziness that worsened after dialysis.  Pt found to be in Afib with RVR, CXR- multifocal PNA. T-101.  Treated with IV ABX.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Pneumonia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 02/26/2021.  77 y/o PMH HTN, HLD, Glaucoma, ESRD on HD, DJD, Goiter, Hypothyroidism, Aortic stenosis, Orthostatic Hypotension, HTN presents to ED after dialysis.  Pt states had been having SOB, cough and dizziness that worsened after dialysis.  Pt found to be in Afib with RVR, CXR- multifocal PNA. T-101.  Treated with IV ABX.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Loss of personal independence in daily activities, Muscle strain
Clinical narrative: 10 days after vaccine I developed a constant cough which disrupted my daily life for at least six months.  I was unable to talk for any length of time without coughing.  was unable to run (which is something I do in all year round). There were times where I was coughing so bad I couldn't breathe and other times where the violent coughing caused me to pull muscles in my back.  Almost one year later, if I stop taking Zyrtec the cough will return.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer batch/lot #FJ6369 with temperature excursion. Reported to Pfizer and they ok'd for use. Instructed by Pfizer staff to report each dose given in this system.
Age: 68.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Chills, Eye pain, Facial pain, Hypoaesthesia, Oral herpes
Clinical narrative: Severe Left Side Face Pain, tingling and numbness.  This is SEVERE., unable to touch face, anything that touches the left side inside my mouth causes pain to shoot up my face into my left eye,  and around the side of my face toward my left ear.  Left cheek pain. Jaw pain. Severe severe pain around left eye.   Severe pain trying to drink any liquids.  Hard shaking, chills and fever for days. Total face numbness. Face pain possibly like Trigeminal Neuralgia. Pain remains still. Has not gone away!!!!!
Age: 68.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Pain, Pain in jaw, Paraesthesia, Tremor
Clinical narrative: Severe Left Side Face Pain, tingling and numbness.  This is SEVERE., unable to touch face, anything that touches the left side inside my mouth causes pain to shoot up my face into my left eye,  and around the side of my face toward my left ear.  Left cheek pain. Jaw pain. Severe severe pain around left eye.   Severe pain trying to drink any liquids.  Hard shaking, chills and fever for days. Total face numbness. Face pain possibly like Trigeminal Neuralgia. Pain remains still. Has not gone away!!!!!
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after use date.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated for COVID-19 tested positive for COVID-19.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt transferred for NSTEMI and was found to be COVID positive at transferring facility.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Myalgia, Pain in extremity
Clinical narrative: Shivering and teeth chattering. Also muscle pain in legs.
Age: 98.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 12/28/21 presents to EC ED for "shortness of breath and fatigue". PMHx of "bed-bound/wheelchair bound, Dementia, CVA,  GERD, chronic atrial fibrillation, essential HTN, PE, chronic lower back pain, and prostate CA"
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dizziness, SARS-CoV-2 test positive
Clinical narrative: 01/01/22 presents to EC ED for "dizziness". PMHx of "DM, GERD"
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia
Clinical narrative: headache, muscle aches x 24 hrs. took tylenol and rested
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Dyspnoea, Heart rate increased, Heart rate irregular, Menstrual disorder
Clinical narrative: faint, short of breath, high heart rate, irregular heart beat, muscular weakness, rapid weight gain, changes in menstruation
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Syncope, Weight increased
Clinical narrative: faint, short of breath, high heart rate, irregular heart beat, muscular weakness, rapid weight gain, changes in menstruation
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/28/21 presents to EC ED for "Shortness of breath". PMHx of "pulmonary fibrosis currently enrolled in Hospice"
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea exertional
Clinical narrative: Pfizer vaccinated patient x2, last dose 02/05/22 admitted to hospital with COVID related respiratory concerns.  Discharged note below:  "74-year-old male with past medical history of COPD and COVID vaccination x2 without booster who presented to emergency department with shortness of breath on exertion.  Patient presented hypoxic 86% responding well to 2 L oxygen nasal cannula.  Chest x-ray showed patchy infiltrates.  Patient admitted for acute respiratory failure secondary to COVID pneumonia. "  01/04/22 visit to pulmonology, patient able to be taken off of daytime home oxygen (remains needed at night).
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Lung infiltration, Respiratory disorder
Clinical narrative: Pfizer vaccinated patient x2, last dose 02/05/22 admitted to hospital with COVID related respiratory concerns.  Discharged note below:  "74-year-old male with past medical history of COPD and COVID vaccination x2 without booster who presented to emergency department with shortness of breath on exertion.  Patient presented hypoxic 86% responding well to 2 L oxygen nasal cannula.  Chest x-ray showed patchy infiltrates.  Patient admitted for acute respiratory failure secondary to COVID pneumonia. "  01/04/22 visit to pulmonology, patient able to be taken off of daytime home oxygen (remains needed at night).
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID breakthrough case
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atelectasis, Blood creatinine increased, Blood loss anaemia, Bundle branch block right, COVID-19
Clinical narrative: Hospitalized 1/9/2022; COVID-19 positive 01/09/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: DO Admission Date: 1/9/2022 Discharge Date: Jan 14, 2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 59-year-old female with past medical history significant for HTN, DM2, HLD, right cerebral infarct (2017) with left-sided hemiparesis, also multifocal multi vascular territory ischemic strokes,history of left-sided hydronephrosis secondary to compression from an adnexal mass (status post cystoscopy, left ureteral stent placement 11/13/2021), history of left ovarian mass 08/2021 (with plans for surgery on 01/13), presents to the hospital on 1/9 with complaints of malaise, weakness, diarrhea, cough and headache.  She was evaluated in ER and was found to have COVID-19 and was attributed to be the etiology of her diarrhea and malaise.   COVID-19 infection:  Chest x-ray showing atelectasis without infiltrate, patient on room air 100 not need any therapeutics.   Malaise and diarrhea:  This was attributed to COVID-19 infection, was put on Imodium but only needed 1 dose, subsequently was put on fiber as well, diarrhea improved.  PT/OT evaluated her and recommended subacute rehab and was transferred on 01/14.   Enlarging ovarian mass:  Patient was previously scheduled to have intervention done on 01/13 for this known the left adnexal mass however, to hospitalization, this was canceled and needs to be scheduled in the future.  Patient will be needing ureteral stent exchange on 02/13.   Diabetes:  Patient on Ozempic along with Lantus/Humalog at home, but needed significantly lower doses of insulin during the hospital stay.  Discharge instructions reflected this change.   Iron deficiency/anemia:  No bleeding was noted however patient was noted to have iron deficiency and received 2 doses of Venofer while in the hospital.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Diarrhoea, Electrocardiogram abnormal, Full blood count, Haemoglobin decreased
Clinical narrative: Hospitalized 1/9/2022; COVID-19 positive 01/09/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: DO Admission Date: 1/9/2022 Discharge Date: Jan 14, 2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 59-year-old female with past medical history significant for HTN, DM2, HLD, right cerebral infarct (2017) with left-sided hemiparesis, also multifocal multi vascular territory ischemic strokes,history of left-sided hydronephrosis secondary to compression from an adnexal mass (status post cystoscopy, left ureteral stent placement 11/13/2021), history of left ovarian mass 08/2021 (with plans for surgery on 01/13), presents to the hospital on 1/9 with complaints of malaise, weakness, diarrhea, cough and headache.  She was evaluated in ER and was found to have COVID-19 and was attributed to be the etiology of her diarrhea and malaise.   COVID-19 infection:  Chest x-ray showing atelectasis without infiltrate, patient on room air 100 not need any therapeutics.   Malaise and diarrhea:  This was attributed to COVID-19 infection, was put on Imodium but only needed 1 dose, subsequently was put on fiber as well, diarrhea improved.  PT/OT evaluated her and recommended subacute rehab and was transferred on 01/14.   Enlarging ovarian mass:  Patient was previously scheduled to have intervention done on 01/13 for this known the left adnexal mass however, to hospitalization, this was canceled and needs to be scheduled in the future.  Patient will be needing ureteral stent exchange on 02/13.   Diabetes:  Patient on Ozempic along with Lantus/Humalog at home, but needed significantly lower doses of insulin during the hospital stay.  Discharge instructions reflected this change.   Iron deficiency/anemia:  No bleeding was noted however patient was noted to have iron deficiency and received 2 doses of Venofer while in the hospital.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Leukocytosis, Malaise, Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 1/9/2022; COVID-19 positive 01/09/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: DO Admission Date: 1/9/2022 Discharge Date: Jan 14, 2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 59-year-old female with past medical history significant for HTN, DM2, HLD, right cerebral infarct (2017) with left-sided hemiparesis, also multifocal multi vascular territory ischemic strokes,history of left-sided hydronephrosis secondary to compression from an adnexal mass (status post cystoscopy, left ureteral stent placement 11/13/2021), history of left ovarian mass 08/2021 (with plans for surgery on 01/13), presents to the hospital on 1/9 with complaints of malaise, weakness, diarrhea, cough and headache.  She was evaluated in ER and was found to have COVID-19 and was attributed to be the etiology of her diarrhea and malaise.   COVID-19 infection:  Chest x-ray showing atelectasis without infiltrate, patient on room air 100 not need any therapeutics.   Malaise and diarrhea:  This was attributed to COVID-19 infection, was put on Imodium but only needed 1 dose, subsequently was put on fiber as well, diarrhea improved.  PT/OT evaluated her and recommended subacute rehab and was transferred on 01/14.   Enlarging ovarian mass:  Patient was previously scheduled to have intervention done on 01/13 for this known the left adnexal mass however, to hospitalization, this was canceled and needs to be scheduled in the future.  Patient will be needing ureteral stent exchange on 02/13.   Diabetes:  Patient on Ozempic along with Lantus/Humalog at home, but needed significantly lower doses of insulin during the hospital stay.  Discharge instructions reflected this change.   Iron deficiency/anemia:  No bleeding was noted however patient was noted to have iron deficiency and received 2 doses of Venofer while in the hospital.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urine analysis
Clinical narrative: Hospitalized 1/9/2022; COVID-19 positive 01/09/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: DO Admission Date: 1/9/2022 Discharge Date: Jan 14, 2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 59-year-old female with past medical history significant for HTN, DM2, HLD, right cerebral infarct (2017) with left-sided hemiparesis, also multifocal multi vascular territory ischemic strokes,history of left-sided hydronephrosis secondary to compression from an adnexal mass (status post cystoscopy, left ureteral stent placement 11/13/2021), history of left ovarian mass 08/2021 (with plans for surgery on 01/13), presents to the hospital on 1/9 with complaints of malaise, weakness, diarrhea, cough and headache.  She was evaluated in ER and was found to have COVID-19 and was attributed to be the etiology of her diarrhea and malaise.   COVID-19 infection:  Chest x-ray showing atelectasis without infiltrate, patient on room air 100 not need any therapeutics.   Malaise and diarrhea:  This was attributed to COVID-19 infection, was put on Imodium but only needed 1 dose, subsequently was put on fiber as well, diarrhea improved.  PT/OT evaluated her and recommended subacute rehab and was transferred on 01/14.   Enlarging ovarian mass:  Patient was previously scheduled to have intervention done on 01/13 for this known the left adnexal mass however, to hospitalization, this was canceled and needs to be scheduled in the future.  Patient will be needing ureteral stent exchange on 02/13.   Diabetes:  Patient on Ozempic along with Lantus/Humalog at home, but needed significantly lower doses of insulin during the hospital stay.  Discharge instructions reflected this change.   Iron deficiency/anemia:  No bleeding was noted however patient was noted to have iron deficiency and received 2 doses of Venofer while in the hospital.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Hot flush, Menstrual disorder, Oligomenorrhoea
Clinical narrative: I began having hot flashes three days after the first dose and my menstrual cycle has changed since. It is now much heavier than the month before the vaccine, and lasts half the amount of days.  I went from regular to light, seven day flow to very heavy, four day flow.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive for covid 1/13/22
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: admitted to hospital for treatment of covid 19.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Blood creatinine increased, C-reactive protein increased, COVID-19 pneumonia
Clinical narrative: DISCHARGE DIAGNOSES Acute Hypoxic Respiratory Failure - secondary to covid-19 pneumonia   HOSPITAL COURSE 90 year old male who has a history of hypertension came tot he hospital for shortness of breath.  It is noted he is vaccinated against Covid-19 but has not received his booster at this time.  Upon arrival to the ER he had been having symptoms for 10 days prior to admission.  In the ER he was noted to be hypoxic with sats at 76%.  Initially the patient required up to 12 L via high flow nasal cannula, but made steady and fairly rapid improvement over the past 3 days, weaned down to 3 L via nasal cannula.  Patient has been very adamant to go home for the last few days.  Patient passed PT OT.  Slum score was 21 out of 30.  Patient does show ability to make his own decisions.  Case was also discussed with family who will help support him.  With his advanced age, O2 needs, increased risk for decompensation, would prefer patient stay in the hospital at least another 1 to 2 days for additional monitoring, but patient remains adamant he like to go home.  Recommend patient follow-up with with his PCP in 1 week.  Will continue with dexamethasone 6 mg daily to complete a 10-day course.   Acute Hypoxic Respiratory Failure - secondary to covid-19 pneumonia - per the notes he has had these symptoms for ~11 days now.  Sepsis ruled out.  Metabolic encephalopathy due to covid has improved, appears he is back to his baseline.  - Home O2 ordered, 3 L at rest, 4 L with exertion  -CRP trended down from 29.6 -- >  9.9  - procal noted to be 0.16 - no antibiotics indicated  - Patient received Decadron 6 mg IV daily in the hospital, will discharge with another 7 days to complete a 10-day course orally. -Elevated D-dimer due to COVID infection; bilateral lower extremity ultrasounds prior to discharge performed ruled out DVT     AKI - Ruled out.  Did have mild acute renal insufficiency.  creatinine only rose to 1.29, now 1.06.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fibrin D dimer increased, Inappropriate schedule of product administration, Metabolic encephalopathy, Procalcitonin
Clinical narrative: DISCHARGE DIAGNOSES Acute Hypoxic Respiratory Failure - secondary to covid-19 pneumonia   HOSPITAL COURSE 90 year old male who has a history of hypertension came tot he hospital for shortness of breath.  It is noted he is vaccinated against Covid-19 but has not received his booster at this time.  Upon arrival to the ER he had been having symptoms for 10 days prior to admission.  In the ER he was noted to be hypoxic with sats at 76%.  Initially the patient required up to 12 L via high flow nasal cannula, but made steady and fairly rapid improvement over the past 3 days, weaned down to 3 L via nasal cannula.  Patient has been very adamant to go home for the last few days.  Patient passed PT OT.  Slum score was 21 out of 30.  Patient does show ability to make his own decisions.  Case was also discussed with family who will help support him.  With his advanced age, O2 needs, increased risk for decompensation, would prefer patient stay in the hospital at least another 1 to 2 days for additional monitoring, but patient remains adamant he like to go home.  Recommend patient follow-up with with his PCP in 1 week.  Will continue with dexamethasone 6 mg daily to complete a 10-day course.   Acute Hypoxic Respiratory Failure - secondary to covid-19 pneumonia - per the notes he has had these symptoms for ~11 days now.  Sepsis ruled out.  Metabolic encephalopathy due to covid has improved, appears he is back to his baseline.  - Home O2 ordered, 3 L at rest, 4 L with exertion  -CRP trended down from 29.6 -- >  9.9  - procal noted to be 0.16 - no antibiotics indicated  - Patient received Decadron 6 mg IV daily in the hospital, will discharge with another 7 days to complete a 10-day course orally. -Elevated D-dimer due to COVID infection; bilateral lower extremity ultrasounds prior to discharge performed ruled out DVT     AKI - Ruled out.  Did have mild acute renal insufficiency.  creatinine only rose to 1.29, now 1.06.