chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Testis cancer, Ultrasound testes abnormal
Clinical narrative: Second dose given Jan 26 (first Jan 4) On March 15 I woke up with pain in my left testicle that grew worse throughout the day. I contacted the health clinic and was referred to the emergency room where an ultrasound indicated possible torsion and was followed up with a bilateral orchidopexy occurring at about 3 AM on March 16. The pain failed to resolve after two weeks and a second ultrasound was taken on April 1 with a diagnosis of testicular cancer on April 2 and a left radical inguinal orchiectomy revealed a T2 nonseminoma with no metasteses on follow-up contrast CT on April 16. Two cycles of bleomycin, etoposide and cisplatin were started on May 3 and finished June 11 and a blood draw and follow-up CT on Sept 27 showed no recurrence; next monitoring follow-up is scheduled for July 2022.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac stress test normal, Echocardiogram normal
Clinical narrative: Went into Atrial Fibrillation Nov. 10, 2021 at around 5:30 am-two weeks after Booster. Taken to Hospital by EMS and symptoms lasted 24 hours.  Out of A Fib at 6:05 am on 11/11/2021.  No recurrence as of 1/3/2022.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Malaise
Clinical narrative: FATIGUE, FEVER, CHILLS, COUGH, MALAISE FOR 3 DAYS AT TIME OF PRESENTATION TO HOSPITAL (1/1/22)
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: FATIGUE, FEVER, CHILLS, COUGH, MALAISE FOR 3 DAYS AT TIME OF PRESENTATION TO HOSPITAL (1/1/22)
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Dyspnoea, Fatigue, Hypotension, Malaise
Clinical narrative: 2 days of fever and malaise followed by cardiac arrhythmia about 1 week later that continued to get worse. Seen by cardiologist and placed on 2-week continuous monitor due to abnormal EKG. Started on verapamil to control heart rhythm (no atrial fibrillation); runs of atrial and ventricular bigeminy and trigemini, all unifocal, not multi-focal. This was along with SOB, fatigue and low BP (to the point where losartan was discontinued). Verapamil increased to 240mg daily to partly control the arrhythmia. This was about 4 weeks later when referred to an electrophysiologist by my cardiologist. The first of December, I was taken off the verapamil due to severe constipation and gastroparesis. I was placed on high dose steroids for 10 days that helped tremendously. Still with occasional PVCs/PACs, but less SOB and fatigue.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 2 days of fever and malaise followed by cardiac arrhythmia about 1 week later that continued to get worse. Seen by cardiologist and placed on 2-week continuous monitor due to abnormal EKG. Started on verapamil to control heart rhythm (no atrial fibrillation); runs of atrial and ventricular bigeminy and trigemini, all unifocal, not multi-focal. This was along with SOB, fatigue and low BP (to the point where losartan was discontinued). Verapamil increased to 240mg daily to partly control the arrhythmia. This was about 4 weeks later when referred to an electrophysiologist by my cardiologist. The first of December, I was taken off the verapamil due to severe constipation and gastroparesis. I was placed on high dose steroids for 10 days that helped tremendously. Still with occasional PVCs/PACs, but less SOB and fatigue.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Patient reporting severe arm pain, has been having arm pain since 03/23/2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Dyspnoea, Fatigue, Malaise
Clinical narrative: Covid19 breakthrough.  Vaccinated with Janssen on 3/31/21.  Pt presents with c/o fevers, nausea, vomiting, diarrhea, fatigue, SOB for past 5 days.  Pt felt so unwell that she did not complete her peritoneal dialysis for those days and wore her home oxygen.  Pt received steroids.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection, Vomiting
Clinical narrative: Covid19 breakthrough.  Vaccinated with Janssen on 3/31/21.  Pt presents with c/o fevers, nausea, vomiting, diarrhea, fatigue, SOB for past 5 days.  Pt felt so unwell that she did not complete her peritoneal dialysis for those days and wore her home oxygen.  Pt received steroids.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dysarthria, Facial paralysis, Movement disorder, Transient ischaemic attack
Clinical narrative: on 11/23/2021 had a mini-stroke (12 days after 2nd covid vaccination. This is the 1st mini-stroke I have ever had. arms and legs weren't moving right, speech slurred, mouth on one side was drooping.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia
Clinical narrative: Per patient- When I got my second shot in my right arm I had excruciating pain from my shoulder through my hands the next 2 days to the point that I couldn't really use my arm.   I just got my booster last week but decided to do my left arm because I was in so much pain in the right one.  Well it was very similar to the right.  My elbow and wrist hurt so bad that I couldn't move or get comfortable to make the pain stop. My hand almost felt like our was asleep but without the tingling that happens if your leg goes to sleep.   I took Tylenol and even the pain meds left over from my surgery throughout the 2 days after to try to get some comfort.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Adrenal adenoma, Angiogram pulmonary abnormal, Arteriosclerosis, Atelectasis, Bronchial wall thickening
Clinical narrative: The patient is a 62-year-old female presented with complaints shortness of breath and cough.  The patient was found to have COVID pneumonia.  Initially the patient was requiring supplementary oxygen to maintain appropriate saturations.  She was started on therapy of Decadron, however fell outside of the time frame recommended for remdesivir.  With steroid therapy and symptomatic management the patient had improvement of her symptoms, although was noted to have persistent cough at time of discharge.  The patient had remained stable on room air for 24 hours prior to discharge.  CRP was noted to be down trending at time of discharge.  We discussed recommendations for ongoing management at home.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal, Cholecystectomy, Computerised tomogram thorax abnormal
Clinical narrative: The patient is a 62-year-old female presented with complaints shortness of breath and cough.  The patient was found to have COVID pneumonia.  Initially the patient was requiring supplementary oxygen to maintain appropriate saturations.  She was started on therapy of Decadron, however fell outside of the time frame recommended for remdesivir.  With steroid therapy and symptomatic management the patient had improvement of her symptoms, although was noted to have persistent cough at time of discharge.  The patient had remained stable on room air for 24 hours prior to discharge.  CRP was noted to be down trending at time of discharge.  We discussed recommendations for ongoing management at home.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fibrin D dimer increased, Hiatus hernia, Lung hypoinflation
Clinical narrative: The patient is a 62-year-old female presented with complaints shortness of breath and cough.  The patient was found to have COVID pneumonia.  Initially the patient was requiring supplementary oxygen to maintain appropriate saturations.  She was started on therapy of Decadron, however fell outside of the time frame recommended for remdesivir.  With steroid therapy and symptomatic management the patient had improvement of her symptoms, although was noted to have persistent cough at time of discharge.  The patient had remained stable on room air for 24 hours prior to discharge.  CRP was noted to be down trending at time of discharge.  We discussed recommendations for ongoing management at home.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Scan with contrast abnormal
Clinical narrative: The patient is a 62-year-old female presented with complaints shortness of breath and cough.  The patient was found to have COVID pneumonia.  Initially the patient was requiring supplementary oxygen to maintain appropriate saturations.  She was started on therapy of Decadron, however fell outside of the time frame recommended for remdesivir.  With steroid therapy and symptomatic management the patient had improvement of her symptoms, although was noted to have persistent cough at time of discharge.  The patient had remained stable on room air for 24 hours prior to discharge.  CRP was noted to be down trending at time of discharge.  We discussed recommendations for ongoing management at home.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid +
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Echocardiogram, Ejection fraction abnormal, Electrocardiogram normal
Clinical narrative: 21 YOM presented to the ED on 1/2  with chest pain and shortness of breath about 2 days after his second Pfizer COVID vaccine. Troponin elevated at 7153 on admission with no changes on EKG. Cardiology suspects that patient has myocarditis. A cardiac MRI is being obtained tomorrow (1/4) to get a closer look at the heart.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myocarditis, Troponin increased
Clinical narrative: 21 YOM presented to the ED on 1/2  with chest pain and shortness of breath about 2 days after his second Pfizer COVID vaccine. Troponin elevated at 7153 on admission with no changes on EKG. Cardiology suspects that patient has myocarditis. A cardiac MRI is being obtained tomorrow (1/4) to get a closer look at the heart.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myocarditis
Clinical narrative: 21 YOM presented to the ED on 1/2  with chest pain and shortness of breath about 2 days after his second Pfizer COVID vaccine. Troponin elevated at 7153 on admission with no changes on EKG. Cardiology suspects that patient has myocarditis. A cardiac MRI is being obtained tomorrow (1/4) to get a closer look at the heart.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac disorder, Myocarditis
Clinical narrative: 21 YOM presented to the ED on 1/2  with chest pain and shortness of breath about 2 days after his second Pfizer COVID vaccine. Troponin elevated at 7153 on admission with no changes on EKG. Cardiology suspects that patient has myocarditis. A cardiac MRI is being obtained tomorrow (1/4) to get a closer look at the heart.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Hypoxia, Mental status changes, Pneumonia
Clinical narrative: This is an 86-year-old white male with past medical history of diabetes insert fibrillation, hypothyroidism CKD coronary artery disease status post bypass who was brought in from Home where he had been staying since he had the hip surgery in July. Patient is not able to provide much of the history hence it is obtained from the brother over phone and ER staff. Patient brought in for altered mentation and hypoxia 87 percent to ER. Patient found to be covid positive, ct scan revealed pneumonia.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: This is an 86-year-old white male with past medical history of diabetes insert fibrillation, hypothyroidism CKD coronary artery disease status post bypass who was brought in from Home where he had been staying since he had the hip surgery in July. Patient is not able to provide much of the history hence it is obtained from the brother over phone and ER staff. Patient brought in for altered mentation and hypoxia 87 percent to ER. Patient found to be covid positive, ct scan revealed pneumonia.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered potentially after BUD was exceeded
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Slight Bloody nose the following morning
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Decreased appetite, Dizziness, Feeding disorder, Insomnia
Clinical narrative: The morning after I received my Covid-19 Booster injection, I became extremely nauseous. I waited it out because I was told that nausea can be one of the side effects. I increasingly became much much worse. I couldn't eat anything, felt like I wanted to vomit constantly (but never did vomit), and had really unbearable stomach cramping.  I could not really sleep too well at all.  Then on Sunday morning, I ate a piece of toast because I was feeling dizzier than what I had expected and knew I should eat something at least. My stomach became increasingly worse throughout the day, and in the late evening, I contacted my PCP's on-call service and requested help for the severe nausea and the doctor prescribed ZOFRAN for me.  I took the dose immediately after picking it up from my pharmacy, but got little relief and I only slept a total of 2 fragmented hours of sleep.  I took the second dose today, (3 days from my booster injection). however my stomach is still cramping pretty bad and I have no appetite and find it hard to even drink water because it seems to exacerbate my symptoms. I fear dehydration, so I am forcing myself to drink water.  It's imperative i drink alot of water due to my Interstitial Cystitis Disease. I'm not feeling well at all.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea
Clinical narrative: The morning after I received my Covid-19 Booster injection, I became extremely nauseous. I waited it out because I was told that nausea can be one of the side effects. I increasingly became much much worse. I couldn't eat anything, felt like I wanted to vomit constantly (but never did vomit), and had really unbearable stomach cramping.  I could not really sleep too well at all.  Then on Sunday morning, I ate a piece of toast because I was feeling dizzier than what I had expected and knew I should eat something at least. My stomach became increasingly worse throughout the day, and in the late evening, I contacted my PCP's on-call service and requested help for the severe nausea and the doctor prescribed ZOFRAN for me.  I took the dose immediately after picking it up from my pharmacy, but got little relief and I only slept a total of 2 fragmented hours of sleep.  I took the second dose today, (3 days from my booster injection). however my stomach is still cramping pretty bad and I have no appetite and find it hard to even drink water because it seems to exacerbate my symptoms. I fear dehydration, so I am forcing myself to drink water.  It's imperative i drink alot of water due to my Interstitial Cystitis Disease. I'm not feeling well at all.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/21/21 documented to have positive covid. PT received 1st dose Pfizer 1/14/21 Lot EL3249, and 2nd dose Pfizer 2/4/21 Lot EL9261.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Injection site induration
Clinical narrative: Had a single booster dose of the Moderna COVID-19 Vaccine, the following are some of the symptoms experience on the administer site: pain, tenderness, swelling (hardness), redness, fatigue, headache, muscle pain, joint pain, and ichiness.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Myalgia, Pruritus
Clinical narrative: Had a single booster dose of the Moderna COVID-19 Vaccine, the following are some of the symptoms experience on the administer site: pain, tenderness, swelling (hardness), redness, fatigue, headache, muscle pain, joint pain, and ichiness.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case after fully vaccinated/Boosted, C/O sore throat, runny nose, sneezing, and head congestion
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sneezing
Clinical narrative: Breakthrough case after fully vaccinated/Boosted, C/O sore throat, runny nose, sneezing, and head congestion
Age: 47.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Chills, Diarrhoea, Dyspnoea, Electrocardiogram
Clinical narrative: Severe muscle and joint pain; chills, headache, SOB, diarrhea and palpitations. Treated muscle/joint pain with OTC NSAIDs. Seen in ER for palpitations; had Holter monitor.
Age: 47.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Electrocardiogram ambulatory, Headache, Myalgia, Palpitations
Clinical narrative: Severe muscle and joint pain; chills, headache, SOB, diarrhea and palpitations. Treated muscle/joint pain with OTC NSAIDs. Seen in ER for palpitations; had Holter monitor.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria, Rash, Urticaria
Clinical narrative: Chronic spontaneous urticaria (skin welts and rash upon mechanical pressure).
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid +
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: shingles outbreak on torso. Never have had shingles before.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Throat tightness, Thrombosis
Clinical narrative: On 12/28/21 patient received first dose pfizer shot, after about 5 minutes patient reported losing her voice and throat starting to close up. Patient stated she did not need epipen. She was given dose of benadryl. After approximately 30 minutes, patient stated she was feeling better and comfortable leaving. We advised that she call us next day with an update and she did call us stating she was back to normal and her voice also had returned to normal. Patient called 1/3/22 to let us know she was admitted to hospital on 12/30/21 and just released 1/3/22. She was diagnosed with a blood clot in hospital but not confirmed if it was covid related. On 1/3/22 patient stated she was feeling well and following up with her PCP and a cardiologist
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Death during the night two weeks after second dose
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Productive cough, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: 12/23: Sore throat with ache 12/24: Runny nose 12/26: Productive cough
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: Dermatographia and hives started on mildly on 12/14. No previous experience with this issue. By 12/16, hives were worst behind ears and on arms and the itching was unbearable.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood immunoglobulin G, Blood immunoglobulin M, COVID-19, Computerised tomogram thorax abnormal
Clinical narrative: This is a 74 year female with a PMH of rheumatoid arthritis ( immunocompromised), Non ischemic cardiomyopathy, LBBB, s/p Biv ICD implantation, HTN, dyslipidemia breast and uterine cancer the pt presented to the hospital with complaints weakness nausea and vomiting. The patient was at a wedding 12/18 it was after them that she began to feel sick. She took a COVID-19 test on the 20 second which was positive. The patient has been in contact with her rheumatologist who is been decreasing her meds to improve her immune status. However the patient has continued weakness in began to have dry heaves came into the hospital for further evaluation and treatment.  Patient had the Pfizer COVID Booster shot (dose #3) in September. Here in the ER she was assessed to be hypoxic 84% started on 4 L nasal cannula now saturating 95%. The patient is comfortable on nasal cannula. Respirations even and unlabored. Her labs are significant for elevated markers including D-dimer 515 and leukocytosis 14.3. Tropes was not assessed given the patient's cardiac will trend trops. CT of the chest was negative for pulmonary embolism, but noted ground-glass opacities bilaterally.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Hypoxia, Inflammatory marker increased, Laboratory test abnormal, Leukocytosis
Clinical narrative: This is a 74 year female with a PMH of rheumatoid arthritis ( immunocompromised), Non ischemic cardiomyopathy, LBBB, s/p Biv ICD implantation, HTN, dyslipidemia breast and uterine cancer the pt presented to the hospital with complaints weakness nausea and vomiting. The patient was at a wedding 12/18 it was after them that she began to feel sick. She took a COVID-19 test on the 20 second which was positive. The patient has been in contact with her rheumatologist who is been decreasing her meds to improve her immune status. However the patient has continued weakness in began to have dry heaves came into the hospital for further evaluation and treatment.  Patient had the Pfizer COVID Booster shot (dose #3) in September. Here in the ER she was assessed to be hypoxic 84% started on 4 L nasal cannula now saturating 95%. The patient is comfortable on nasal cannula. Respirations even and unlabored. Her labs are significant for elevated markers including D-dimer 515 and leukocytosis 14.3. Tropes was not assessed given the patient's cardiac will trend trops. CT of the chest was negative for pulmonary embolism, but noted ground-glass opacities bilaterally.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Malaise, Nausea, Retching, SARS-CoV-2 test positive
Clinical narrative: This is a 74 year female with a PMH of rheumatoid arthritis ( immunocompromised), Non ischemic cardiomyopathy, LBBB, s/p Biv ICD implantation, HTN, dyslipidemia breast and uterine cancer the pt presented to the hospital with complaints weakness nausea and vomiting. The patient was at a wedding 12/18 it was after them that she began to feel sick. She took a COVID-19 test on the 20 second which was positive. The patient has been in contact with her rheumatologist who is been decreasing her meds to improve her immune status. However the patient has continued weakness in began to have dry heaves came into the hospital for further evaluation and treatment.  Patient had the Pfizer COVID Booster shot (dose #3) in September. Here in the ER she was assessed to be hypoxic 84% started on 4 L nasal cannula now saturating 95%. The patient is comfortable on nasal cannula. Respirations even and unlabored. Her labs are significant for elevated markers including D-dimer 515 and leukocytosis 14.3. Tropes was not assessed given the patient's cardiac will trend trops. CT of the chest was negative for pulmonary embolism, but noted ground-glass opacities bilaterally.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: This is a 74 year female with a PMH of rheumatoid arthritis ( immunocompromised), Non ischemic cardiomyopathy, LBBB, s/p Biv ICD implantation, HTN, dyslipidemia breast and uterine cancer the pt presented to the hospital with complaints weakness nausea and vomiting. The patient was at a wedding 12/18 it was after them that she began to feel sick. She took a COVID-19 test on the 20 second which was positive. The patient has been in contact with her rheumatologist who is been decreasing her meds to improve her immune status. However the patient has continued weakness in began to have dry heaves came into the hospital for further evaluation and treatment.  Patient had the Pfizer COVID Booster shot (dose #3) in September. Here in the ER she was assessed to be hypoxic 84% started on 4 L nasal cannula now saturating 95%. The patient is comfortable on nasal cannula. Respirations even and unlabored. Her labs are significant for elevated markers including D-dimer 515 and leukocytosis 14.3. Tropes was not assessed given the patient's cardiac will trend trops. CT of the chest was negative for pulmonary embolism, but noted ground-glass opacities bilaterally.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Agitation, Angiogram pulmonary abnormal, Aortic arteriosclerosis, Aortic valve thickening
Clinical narrative: Patient expired after 5 days hospitalization.  73y Male pm hx ESRD/kidney transplant 2018, CAD, HTN, PHTN, DM-2 -  Presented to BWED 12/27 w/dyspnea - dx'd COVID - HFNC/NRM. Imaging without significant infiltrates c/w COVID - suspect pHTN uncontrolled. Transferred to ICU 12/31 and placed on Veletri. Oxygenation worsened after Veletri increased from 30 to 50 ng - suspected secondary to developing pulmonary edema from increased vasodilation. Patient became encephalopathic - trying to pull off his mask. Code status changed to DNR/DNI. Respiratory status then improved after Veletri decreased back to 30 ng, placed on BiPAP and given a dose of Lasix. Precedex started for agitation. Now having fever - cultures ordered and antibiotics initiated. With his ongoing work of breathing and discomfort the patient's family ultimately transitioned the patient to comfort care "to ease his suffering".  Patient was pronounced dead on 1/1/22 at 18:30 p.m.     Medical Examiner Case Assessment Select Applicable Patient Criteria: Does not meet any of the listed criteria
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriosclerosis, Atelectasis, Bronchiectasis, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient expired after 5 days hospitalization.  73y Male pm hx ESRD/kidney transplant 2018, CAD, HTN, PHTN, DM-2 -  Presented to BWED 12/27 w/dyspnea - dx'd COVID - HFNC/NRM. Imaging without significant infiltrates c/w COVID - suspect pHTN uncontrolled. Transferred to ICU 12/31 and placed on Veletri. Oxygenation worsened after Veletri increased from 30 to 50 ng - suspected secondary to developing pulmonary edema from increased vasodilation. Patient became encephalopathic - trying to pull off his mask. Code status changed to DNR/DNI. Respiratory status then improved after Veletri decreased back to 30 ng, placed on BiPAP and given a dose of Lasix. Precedex started for agitation. Now having fever - cultures ordered and antibiotics initiated. With his ongoing work of breathing and discomfort the patient's family ultimately transitioned the patient to comfort care "to ease his suffering".  Patient was pronounced dead on 1/1/22 at 18:30 p.m.     Medical Examiner Case Assessment Select Applicable Patient Criteria: Does not meet any of the listed criteria
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Condition aggravated, Death, Deep vein thrombosis
Clinical narrative: Patient expired after 5 days hospitalization.  73y Male pm hx ESRD/kidney transplant 2018, CAD, HTN, PHTN, DM-2 -  Presented to BWED 12/27 w/dyspnea - dx'd COVID - HFNC/NRM. Imaging without significant infiltrates c/w COVID - suspect pHTN uncontrolled. Transferred to ICU 12/31 and placed on Veletri. Oxygenation worsened after Veletri increased from 30 to 50 ng - suspected secondary to developing pulmonary edema from increased vasodilation. Patient became encephalopathic - trying to pull off his mask. Code status changed to DNR/DNI. Respiratory status then improved after Veletri decreased back to 30 ng, placed on BiPAP and given a dose of Lasix. Precedex started for agitation. Now having fever - cultures ordered and antibiotics initiated. With his ongoing work of breathing and discomfort the patient's family ultimately transitioned the patient to comfort care "to ease his suffering".  Patient was pronounced dead on 1/1/22 at 18:30 p.m.     Medical Examiner Case Assessment Select Applicable Patient Criteria: Does not meet any of the listed criteria
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Dyspnoea, Echocardiogram, Ejection fraction, Encephalopathy
Clinical narrative: Patient expired after 5 days hospitalization.  73y Male pm hx ESRD/kidney transplant 2018, CAD, HTN, PHTN, DM-2 -  Presented to BWED 12/27 w/dyspnea - dx'd COVID - HFNC/NRM. Imaging without significant infiltrates c/w COVID - suspect pHTN uncontrolled. Transferred to ICU 12/31 and placed on Veletri. Oxygenation worsened after Veletri increased from 30 to 50 ng - suspected secondary to developing pulmonary edema from increased vasodilation. Patient became encephalopathic - trying to pull off his mask. Code status changed to DNR/DNI. Respiratory status then improved after Veletri decreased back to 30 ng, placed on BiPAP and given a dose of Lasix. Precedex started for agitation. Now having fever - cultures ordered and antibiotics initiated. With his ongoing work of breathing and discomfort the patient's family ultimately transitioned the patient to comfort care "to ease his suffering".  Patient was pronounced dead on 1/1/22 at 18:30 p.m.     Medical Examiner Case Assessment Select Applicable Patient Criteria: Does not meet any of the listed criteria
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Hiatus hernia, Hilar lymphadenopathy, Hypopnoea, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Patient expired after 5 days hospitalization.  73y Male pm hx ESRD/kidney transplant 2018, CAD, HTN, PHTN, DM-2 -  Presented to BWED 12/27 w/dyspnea - dx'd COVID - HFNC/NRM. Imaging without significant infiltrates c/w COVID - suspect pHTN uncontrolled. Transferred to ICU 12/31 and placed on Veletri. Oxygenation worsened after Veletri increased from 30 to 50 ng - suspected secondary to developing pulmonary edema from increased vasodilation. Patient became encephalopathic - trying to pull off his mask. Code status changed to DNR/DNI. Respiratory status then improved after Veletri decreased back to 30 ng, placed on BiPAP and given a dose of Lasix. Precedex started for agitation. Now having fever - cultures ordered and antibiotics initiated. With his ongoing work of breathing and discomfort the patient's family ultimately transitioned the patient to comfort care "to ease his suffering".  Patient was pronounced dead on 1/1/22 at 18:30 p.m.     Medical Examiner Case Assessment Select Applicable Patient Criteria: Does not meet any of the listed criteria
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Intentional medical device removal by patient, Interstitial lung disease, Lung consolidation, Lung opacity
Clinical narrative: Patient expired after 5 days hospitalization.  73y Male pm hx ESRD/kidney transplant 2018, CAD, HTN, PHTN, DM-2 -  Presented to BWED 12/27 w/dyspnea - dx'd COVID - HFNC/NRM. Imaging without significant infiltrates c/w COVID - suspect pHTN uncontrolled. Transferred to ICU 12/31 and placed on Veletri. Oxygenation worsened after Veletri increased from 30 to 50 ng - suspected secondary to developing pulmonary edema from increased vasodilation. Patient became encephalopathic - trying to pull off his mask. Code status changed to DNR/DNI. Respiratory status then improved after Veletri decreased back to 30 ng, placed on BiPAP and given a dose of Lasix. Precedex started for agitation. Now having fever - cultures ordered and antibiotics initiated. With his ongoing work of breathing and discomfort the patient's family ultimately transitioned the patient to comfort care "to ease his suffering".  Patient was pronounced dead on 1/1/22 at 18:30 p.m.     Medical Examiner Case Assessment Select Applicable Patient Criteria: Does not meet any of the listed criteria
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy mediastinal, Mitral valve incompetence, Oxygen saturation decreased, Pericardial effusion, Pneumonia
Clinical narrative: Patient expired after 5 days hospitalization.  73y Male pm hx ESRD/kidney transplant 2018, CAD, HTN, PHTN, DM-2 -  Presented to BWED 12/27 w/dyspnea - dx'd COVID - HFNC/NRM. Imaging without significant infiltrates c/w COVID - suspect pHTN uncontrolled. Transferred to ICU 12/31 and placed on Veletri. Oxygenation worsened after Veletri increased from 30 to 50 ng - suspected secondary to developing pulmonary edema from increased vasodilation. Patient became encephalopathic - trying to pull off his mask. Code status changed to DNR/DNI. Respiratory status then improved after Veletri decreased back to 30 ng, placed on BiPAP and given a dose of Lasix. Precedex started for agitation. Now having fever - cultures ordered and antibiotics initiated. With his ongoing work of breathing and discomfort the patient's family ultimately transitioned the patient to comfort care "to ease his suffering".  Patient was pronounced dead on 1/1/22 at 18:30 p.m.     Medical Examiner Case Assessment Select Applicable Patient Criteria: Does not meet any of the listed criteria
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Pulmonary artery dilatation, Pulmonary fibrosis, Pulmonary hypertension, Pulmonary oedema
Clinical narrative: Patient expired after 5 days hospitalization.  73y Male pm hx ESRD/kidney transplant 2018, CAD, HTN, PHTN, DM-2 -  Presented to BWED 12/27 w/dyspnea - dx'd COVID - HFNC/NRM. Imaging without significant infiltrates c/w COVID - suspect pHTN uncontrolled. Transferred to ICU 12/31 and placed on Veletri. Oxygenation worsened after Veletri increased from 30 to 50 ng - suspected secondary to developing pulmonary edema from increased vasodilation. Patient became encephalopathic - trying to pull off his mask. Code status changed to DNR/DNI. Respiratory status then improved after Veletri decreased back to 30 ng, placed on BiPAP and given a dose of Lasix. Precedex started for agitation. Now having fever - cultures ordered and antibiotics initiated. With his ongoing work of breathing and discomfort the patient's family ultimately transitioned the patient to comfort care "to ease his suffering".  Patient was pronounced dead on 1/1/22 at 18:30 p.m.     Medical Examiner Case Assessment Select Applicable Patient Criteria: Does not meet any of the listed criteria
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pulse waveform abnormal, Pyrexia, Renal atrophy, Respiratory syncytial virus test negative, Right atrial dilatation
Clinical narrative: Patient expired after 5 days hospitalization.  73y Male pm hx ESRD/kidney transplant 2018, CAD, HTN, PHTN, DM-2 -  Presented to BWED 12/27 w/dyspnea - dx'd COVID - HFNC/NRM. Imaging without significant infiltrates c/w COVID - suspect pHTN uncontrolled. Transferred to ICU 12/31 and placed on Veletri. Oxygenation worsened after Veletri increased from 30 to 50 ng - suspected secondary to developing pulmonary edema from increased vasodilation. Patient became encephalopathic - trying to pull off his mask. Code status changed to DNR/DNI. Respiratory status then improved after Veletri decreased back to 30 ng, placed on BiPAP and given a dose of Lasix. Precedex started for agitation. Now having fever - cultures ordered and antibiotics initiated. With his ongoing work of breathing and discomfort the patient's family ultimately transitioned the patient to comfort care "to ease his suffering".  Patient was pronounced dead on 1/1/22 at 18:30 p.m.     Medical Examiner Case Assessment Select Applicable Patient Criteria: Does not meet any of the listed criteria
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Right ventricular dilatation, Right ventricular dysfunction, SARS-CoV-2 test positive, Scan with contrast abnormal, Splenic granuloma
Clinical narrative: Patient expired after 5 days hospitalization.  73y Male pm hx ESRD/kidney transplant 2018, CAD, HTN, PHTN, DM-2 -  Presented to BWED 12/27 w/dyspnea - dx'd COVID - HFNC/NRM. Imaging without significant infiltrates c/w COVID - suspect pHTN uncontrolled. Transferred to ICU 12/31 and placed on Veletri. Oxygenation worsened after Veletri increased from 30 to 50 ng - suspected secondary to developing pulmonary edema from increased vasodilation. Patient became encephalopathic - trying to pull off his mask. Code status changed to DNR/DNI. Respiratory status then improved after Veletri decreased back to 30 ng, placed on BiPAP and given a dose of Lasix. Precedex started for agitation. Now having fever - cultures ordered and antibiotics initiated. With his ongoing work of breathing and discomfort the patient's family ultimately transitioned the patient to comfort care "to ease his suffering".  Patient was pronounced dead on 1/1/22 at 18:30 p.m.     Medical Examiner Case Assessment Select Applicable Patient Criteria: Does not meet any of the listed criteria
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Superficial vein thrombosis, Tricuspid valve incompetence, Ultrasound Doppler abnormal, Vasodilatation, Vasodilation procedure
Clinical narrative: Patient expired after 5 days hospitalization.  73y Male pm hx ESRD/kidney transplant 2018, CAD, HTN, PHTN, DM-2 -  Presented to BWED 12/27 w/dyspnea - dx'd COVID - HFNC/NRM. Imaging without significant infiltrates c/w COVID - suspect pHTN uncontrolled. Transferred to ICU 12/31 and placed on Veletri. Oxygenation worsened after Veletri increased from 30 to 50 ng - suspected secondary to developing pulmonary edema from increased vasodilation. Patient became encephalopathic - trying to pull off his mask. Code status changed to DNR/DNI. Respiratory status then improved after Veletri decreased back to 30 ng, placed on BiPAP and given a dose of Lasix. Precedex started for agitation. Now having fever - cultures ordered and antibiotics initiated. With his ongoing work of breathing and discomfort the patient's family ultimately transitioned the patient to comfort care "to ease his suffering".  Patient was pronounced dead on 1/1/22 at 18:30 p.m.     Medical Examiner Case Assessment Select Applicable Patient Criteria: Does not meet any of the listed criteria
Age: 18.0
Sex: F
Vaccine: COVID19, FLU4, HPV9
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Patient was seen in our office on 12/30/21 and given her flu vaccine and HPV vaccine. After leaving our office she went to Pharmacy and received her covid vaccine in the RA.  After receiving that vaccine she developed a golfball size lymph node in her right underarm. Size of lymph node stayed the same but the location changed. The lymph node was very tender to the touch.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: hospitalization
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Anxiety, Burning sensation, Discomfort, Impaired work ability
Clinical narrative: On 11/28/21, 12 days after receiving my booster shot, I woke up with my legs and back of my neck covered in hives -- red, raised, itchy bumps. I took Benadryl all day, woke up Monday 11/29 and they were worse, and also spreading to my trunk area. Went to Urgent Care on 11/29, they prescribed me a 5-day course of Prednisone and told me to follow up with my PCP if they hadn't cleared up in a couple days. They didn't, so I saw my PCP on 12/3/21. Was prescribed another round of Prednisone and told if it didn't clear up by mid next week, around 12/8/21, to call back and they'd get me in to see the dermatologist. They still hadn't cleared up but had changed -- now it's a flat, red rash/hive that randomly appears all over my body and burns and itches. It randomly flares and looks like I've been scratched by a cat or something. On 12/13/21, the dermatologist did a test where he took his pen cap and scratched me a few places around my body; within minutes, each scratch had turned into a large red welt. He told me I was clearly reacting to something, that these hives were not merely a result of stress. He said he thought it was the vaccine and gave me a reference for an allergist. I saw the allergist on 12/16/21, she put me on a strict food elimination diet for a few weeks to see if it was a food allergy and the hives have not cleared up at all. It is clearly not food and given that I've changed nothing about my routine, it's clear I AM having a reaction to my booster shot. After my first two doses of Moderna, I had no abnormal side effects but I'm worried about how long these hives might last. I haven't be able to work in over a month because of severe discomfort. Really hope the CDC can give us some guidance on how to deal with this. This link makes it clear quite a few people are dealing with this
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic, Scratch
Clinical narrative: On 11/28/21, 12 days after receiving my booster shot, I woke up with my legs and back of my neck covered in hives -- red, raised, itchy bumps. I took Benadryl all day, woke up Monday 11/29 and they were worse, and also spreading to my trunk area. Went to Urgent Care on 11/29, they prescribed me a 5-day course of Prednisone and told me to follow up with my PCP if they hadn't cleared up in a couple days. They didn't, so I saw my PCP on 12/3/21. Was prescribed another round of Prednisone and told if it didn't clear up by mid next week, around 12/8/21, to call back and they'd get me in to see the dermatologist. They still hadn't cleared up but had changed -- now it's a flat, red rash/hive that randomly appears all over my body and burns and itches. It randomly flares and looks like I've been scratched by a cat or something. On 12/13/21, the dermatologist did a test where he took his pen cap and scratched me a few places around my body; within minutes, each scratch had turned into a large red welt. He told me I was clearly reacting to something, that these hives were not merely a result of stress. He said he thought it was the vaccine and gave me a reference for an allergist. I saw the allergist on 12/16/21, she put me on a strict food elimination diet for a few weeks to see if it was a food allergy and the hives have not cleared up at all. It is clearly not food and given that I've changed nothing about my routine, it's clear I AM having a reaction to my booster shot. After my first two doses of Moderna, I had no abnormal side effects but I'm worried about how long these hives might last. I haven't be able to work in over a month because of severe discomfort. Really hope the CDC can give us some guidance on how to deal with this. This link makes it clear quite a few people are dealing with this
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: On 11/28/21, 12 days after receiving my booster shot, I woke up with my legs and back of my neck covered in hives -- red, raised, itchy bumps. I took Benadryl all day, woke up Monday 11/29 and they were worse, and also spreading to my trunk area. Went to Urgent Care on 11/29, they prescribed me a 5-day course of Prednisone and told me to follow up with my PCP if they hadn't cleared up in a couple days. They didn't, so I saw my PCP on 12/3/21. Was prescribed another round of Prednisone and told if it didn't clear up by mid next week, around 12/8/21, to call back and they'd get me in to see the dermatologist. They still hadn't cleared up but had changed -- now it's a flat, red rash/hive that randomly appears all over my body and burns and itches. It randomly flares and looks like I've been scratched by a cat or something. On 12/13/21, the dermatologist did a test where he took his pen cap and scratched me a few places around my body; within minutes, each scratch had turned into a large red welt. He told me I was clearly reacting to something, that these hives were not merely a result of stress. He said he thought it was the vaccine and gave me a reference for an allergist. I saw the allergist on 12/16/21, she put me on a strict food elimination diet for a few weeks to see if it was a food allergy and the hives have not cleared up at all. It is clearly not food and given that I've changed nothing about my routine, it's clear I AM having a reaction to my booster shot. After my first two doses of Moderna, I had no abnormal side effects but I'm worried about how long these hives might last. I haven't be able to work in over a month because of severe discomfort. Really hope the CDC can give us some guidance on how to deal with this. This link makes it clear quite a few people are dealing with this
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Arthralgia, Chills, Heart rate increased, Pain
Clinical narrative: Loss of voice x3 days, Joint pain, fever, chills, body ache. Increased heart rate and PVCs. Took over the counter ibuprofen and acetaminophen.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Ventricular extrasystoles
Clinical narrative: Loss of voice x3 days, Joint pain, fever, chills, body ache. Increased heart rate and PVCs. Took over the counter ibuprofen and acetaminophen.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Injection site rash, Memory impairment, Nausea
Clinical narrative: Starting 1/2/22 (day of vaccination) patient reported to spouse a headache and nausea/upset stomach. On 1/3/22 spouse called the pharmacy around noon to report patient called him at work to come home, he had a rash at injection site, nausea, and was having memory problems and does not remember things. When spouse got home, patient told him he  didn't know how he got where he was and didn't remember who people were. Spouse reports rash was red blotches limited to the area near the injection. Denied any swelling of lips, tongue, throat, or trouble breathing.  Spouse was advised to call the patient's physician for evaluation and guidance, but they are currently out of town. Then spouse was advised to take patient to urgent care as the memory issues are not expected and very concerning and need to be evaluated by a doctor.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: Starting 1/2/22 (day of vaccination) patient reported to spouse a headache and nausea/upset stomach. On 1/3/22 spouse called the pharmacy around noon to report patient called him at work to come home, he had a rash at injection site, nausea, and was having memory problems and does not remember things. When spouse got home, patient told him he  didn't know how he got where he was and didn't remember who people were. Spouse reports rash was red blotches limited to the area near the injection. Denied any swelling of lips, tongue, throat, or trouble breathing.  Spouse was advised to call the patient's physician for evaluation and guidance, but they are currently out of town. Then spouse was advised to take patient to urgent care as the memory issues are not expected and very concerning and need to be evaluated by a doctor.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Thirteen days after booster, I experienced right leg pain which progressed over the next two days to the point of excruciating pain.  I noticed both legs were swollen ,although only the right was painful.  I took Alleve and the pain and swelling started to subside over the next two days.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Cough, Decreased appetite, Fall, SARS-CoV-2 antibody test positive
Clinical narrative: Pt reports difficulty eating and falling at home for approx 1 week. Pt denies cough but did cough occ during encounter. No SOB. No fever. Pt's sister states that she was with him on 12/24 and he seemed his normal self and was not sick. When she talked to him on phone 2 days ago he seemed more confused than baseline. .
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: MODERNA BOOSTER GIVEN TO 16 YEAR OLD MALE
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid+
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Inadvertently administered dose 7 days early
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dizziness, Fall, Headache, Influenza A virus test negative
Clinical narrative: Patient got dizzy on the playground and fell down. He said he forgot what happened when he woke up. He ran a 99-100 degree fever for 10 days, had a upper respiratory "barking" cough, headache, sore throat, congestion of paranasal sinus cavity and all around malaise for 15 days. He still complains of a headache.