chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count abnormal, Dyspnoea, Electrocardiogram abnormal, Eosinophil count decreased, Fatigue
Clinical narrative: Patient is a 78 y.o. male with past medical history of persistent AFib, diabetes, bladder cancer and prostate cancer s/p cystectomy with urostomy and prostatectomy, hyperlipidemia, CKD stage 3 who presented to the ED on 10/2 with complaints of fatigue, fevers, chills, dyspnea, productive cough, and nausea. Symptoms started about three days prior to presentation. Pt is fully vaccinated against COVID-19 with Moderna.   Upon arrival to the ED, patient was noted to be hypoxic requiring 2L of supplemental oxygen. He was also noted to be tachypneic and tachycardic. Labs were obtained and notable for Na-132, Cr-1.38, WBC-13.09, pro-bnp of 2471, troponins of 22 followed by 21. COVID PCR was positive. UA also showed evidence of possible infection. EKG demonstrated Afib with no acute ischemic changes. CXR demonstrated evidence of COVID PNA. Patient was given a dose of Decadron as well as Rocephin for possible UTI. He was then transferred to SH Blodgett for further care due to lack of bed availability.   Following admission, patient was continued on decadron and also started on remdesivir. He was diuresed to maintain net negative fluid balance. He was otherwise managed conservatively with improvement in his COVID symptoms. He was not felt to be a candidate for monoclonal Ab infusion given his initial hypoxia. Oxygen was able to be weaned to room air. Patient will discharge on oral decadron to complete 10 days of steroid therapy.   Patient was otherwise continued on Rocephin for possible UTI. Blood cultures and urine culture were obtained. 1/2 blood cultures drawn on 10/2 did return positive for Klebsiella pneumoniae. Repeat blood cultures obtained 10/3 remained NTD. Urine culture showed no growth of bacteria. Given bacteremia presumed to urinary source however, patient will discharge on ciprofloxacin to complete a 10-day course. He was discharged home in stable and improved condition
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Glomerular filtration rate decreased, Haematocrit normal, Haemoglobin decreased, Haemolysis
Clinical narrative: Patient is a 78 y.o. male with past medical history of persistent AFib, diabetes, bladder cancer and prostate cancer s/p cystectomy with urostomy and prostatectomy, hyperlipidemia, CKD stage 3 who presented to the ED on 10/2 with complaints of fatigue, fevers, chills, dyspnea, productive cough, and nausea. Symptoms started about three days prior to presentation. Pt is fully vaccinated against COVID-19 with Moderna.   Upon arrival to the ED, patient was noted to be hypoxic requiring 2L of supplemental oxygen. He was also noted to be tachypneic and tachycardic. Labs were obtained and notable for Na-132, Cr-1.38, WBC-13.09, pro-bnp of 2471, troponins of 22 followed by 21. COVID PCR was positive. UA also showed evidence of possible infection. EKG demonstrated Afib with no acute ischemic changes. CXR demonstrated evidence of COVID PNA. Patient was given a dose of Decadron as well as Rocephin for possible UTI. He was then transferred to SH Blodgett for further care due to lack of bed availability.   Following admission, patient was continued on decadron and also started on remdesivir. He was diuresed to maintain net negative fluid balance. He was otherwise managed conservatively with improvement in his COVID symptoms. He was not felt to be a candidate for monoclonal Ab infusion given his initial hypoxia. Oxygen was able to be weaned to room air. Patient will discharge on oral decadron to complete 10 days of steroid therapy.   Patient was otherwise continued on Rocephin for possible UTI. Blood cultures and urine culture were obtained. 1/2 blood cultures drawn on 10/2 did return positive for Klebsiella pneumoniae. Repeat blood cultures obtained 10/3 remained NTD. Urine culture showed no growth of bacteria. Given bacteremia presumed to urinary source however, patient will discharge on ciprofloxacin to complete a 10-day course. He was discharged home in stable and improved condition
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Immature granulocyte count, Klebsiella infection, Klebsiella test positive, Lymphocyte count
Clinical narrative: Patient is a 78 y.o. male with past medical history of persistent AFib, diabetes, bladder cancer and prostate cancer s/p cystectomy with urostomy and prostatectomy, hyperlipidemia, CKD stage 3 who presented to the ED on 10/2 with complaints of fatigue, fevers, chills, dyspnea, productive cough, and nausea. Symptoms started about three days prior to presentation. Pt is fully vaccinated against COVID-19 with Moderna.   Upon arrival to the ED, patient was noted to be hypoxic requiring 2L of supplemental oxygen. He was also noted to be tachypneic and tachycardic. Labs were obtained and notable for Na-132, Cr-1.38, WBC-13.09, pro-bnp of 2471, troponins of 22 followed by 21. COVID PCR was positive. UA also showed evidence of possible infection. EKG demonstrated Afib with no acute ischemic changes. CXR demonstrated evidence of COVID PNA. Patient was given a dose of Decadron as well as Rocephin for possible UTI. He was then transferred to SH Blodgett for further care due to lack of bed availability.   Following admission, patient was continued on decadron and also started on remdesivir. He was diuresed to maintain net negative fluid balance. He was otherwise managed conservatively with improvement in his COVID symptoms. He was not felt to be a candidate for monoclonal Ab infusion given his initial hypoxia. Oxygen was able to be weaned to room air. Patient will discharge on oral decadron to complete 10 days of steroid therapy.   Patient was otherwise continued on Rocephin for possible UTI. Blood cultures and urine culture were obtained. 1/2 blood cultures drawn on 10/2 did return positive for Klebsiella pneumoniae. Repeat blood cultures obtained 10/3 remained NTD. Urine culture showed no growth of bacteria. Given bacteremia presumed to urinary source however, patient will discharge on ciprofloxacin to complete a 10-day course. He was discharged home in stable and improved condition
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count decreased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased
Clinical narrative: Patient is a 78 y.o. male with past medical history of persistent AFib, diabetes, bladder cancer and prostate cancer s/p cystectomy with urostomy and prostatectomy, hyperlipidemia, CKD stage 3 who presented to the ED on 10/2 with complaints of fatigue, fevers, chills, dyspnea, productive cough, and nausea. Symptoms started about three days prior to presentation. Pt is fully vaccinated against COVID-19 with Moderna.   Upon arrival to the ED, patient was noted to be hypoxic requiring 2L of supplemental oxygen. He was also noted to be tachypneic and tachycardic. Labs were obtained and notable for Na-132, Cr-1.38, WBC-13.09, pro-bnp of 2471, troponins of 22 followed by 21. COVID PCR was positive. UA also showed evidence of possible infection. EKG demonstrated Afib with no acute ischemic changes. CXR demonstrated evidence of COVID PNA. Patient was given a dose of Decadron as well as Rocephin for possible UTI. He was then transferred to SH Blodgett for further care due to lack of bed availability.   Following admission, patient was continued on decadron and also started on remdesivir. He was diuresed to maintain net negative fluid balance. He was otherwise managed conservatively with improvement in his COVID symptoms. He was not felt to be a candidate for monoclonal Ab infusion given his initial hypoxia. Oxygen was able to be weaned to room air. Patient will discharge on oral decadron to complete 10 days of steroid therapy.   Patient was otherwise continued on Rocephin for possible UTI. Blood cultures and urine culture were obtained. 1/2 blood cultures drawn on 10/2 did return positive for Klebsiella pneumoniae. Repeat blood cultures obtained 10/3 remained NTD. Urine culture showed no growth of bacteria. Given bacteremia presumed to urinary source however, patient will discharge on ciprofloxacin to complete a 10-day course. He was discharged home in stable and improved condition
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Monocyte count increased, N-terminal prohormone brain natriuretic peptide increased, Nausea, Neutrophil count increased
Clinical narrative: Patient is a 78 y.o. male with past medical history of persistent AFib, diabetes, bladder cancer and prostate cancer s/p cystectomy with urostomy and prostatectomy, hyperlipidemia, CKD stage 3 who presented to the ED on 10/2 with complaints of fatigue, fevers, chills, dyspnea, productive cough, and nausea. Symptoms started about three days prior to presentation. Pt is fully vaccinated against COVID-19 with Moderna.   Upon arrival to the ED, patient was noted to be hypoxic requiring 2L of supplemental oxygen. He was also noted to be tachypneic and tachycardic. Labs were obtained and notable for Na-132, Cr-1.38, WBC-13.09, pro-bnp of 2471, troponins of 22 followed by 21. COVID PCR was positive. UA also showed evidence of possible infection. EKG demonstrated Afib with no acute ischemic changes. CXR demonstrated evidence of COVID PNA. Patient was given a dose of Decadron as well as Rocephin for possible UTI. He was then transferred to SH Blodgett for further care due to lack of bed availability.   Following admission, patient was continued on decadron and also started on remdesivir. He was diuresed to maintain net negative fluid balance. He was otherwise managed conservatively with improvement in his COVID symptoms. He was not felt to be a candidate for monoclonal Ab infusion given his initial hypoxia. Oxygen was able to be weaned to room air. Patient will discharge on oral decadron to complete 10 days of steroid therapy.   Patient was otherwise continued on Rocephin for possible UTI. Blood cultures and urine culture were obtained. 1/2 blood cultures drawn on 10/2 did return positive for Klebsiella pneumoniae. Repeat blood cultures obtained 10/3 remained NTD. Urine culture showed no growth of bacteria. Given bacteremia presumed to urinary source however, patient will discharge on ciprofloxacin to complete a 10-day course. He was discharged home in stable and improved condition
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Productive cough, Protein total normal, Pyrexia, Red blood cell count normal
Clinical narrative: Patient is a 78 y.o. male with past medical history of persistent AFib, diabetes, bladder cancer and prostate cancer s/p cystectomy with urostomy and prostatectomy, hyperlipidemia, CKD stage 3 who presented to the ED on 10/2 with complaints of fatigue, fevers, chills, dyspnea, productive cough, and nausea. Symptoms started about three days prior to presentation. Pt is fully vaccinated against COVID-19 with Moderna.   Upon arrival to the ED, patient was noted to be hypoxic requiring 2L of supplemental oxygen. He was also noted to be tachypneic and tachycardic. Labs were obtained and notable for Na-132, Cr-1.38, WBC-13.09, pro-bnp of 2471, troponins of 22 followed by 21. COVID PCR was positive. UA also showed evidence of possible infection. EKG demonstrated Afib with no acute ischemic changes. CXR demonstrated evidence of COVID PNA. Patient was given a dose of Decadron as well as Rocephin for possible UTI. He was then transferred to SH Blodgett for further care due to lack of bed availability.   Following admission, patient was continued on decadron and also started on remdesivir. He was diuresed to maintain net negative fluid balance. He was otherwise managed conservatively with improvement in his COVID symptoms. He was not felt to be a candidate for monoclonal Ab infusion given his initial hypoxia. Oxygen was able to be weaned to room air. Patient will discharge on oral decadron to complete 10 days of steroid therapy.   Patient was otherwise continued on Rocephin for possible UTI. Blood cultures and urine culture were obtained. 1/2 blood cultures drawn on 10/2 did return positive for Klebsiella pneumoniae. Repeat blood cultures obtained 10/3 remained NTD. Urine culture showed no growth of bacteria. Given bacteremia presumed to urinary source however, patient will discharge on ciprofloxacin to complete a 10-day course. He was discharged home in stable and improved condition
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell nucleated morphology, Red cell distribution width normal, SARS-CoV-2 test positive, Tachycardia, Tachypnoea
Clinical narrative: Patient is a 78 y.o. male with past medical history of persistent AFib, diabetes, bladder cancer and prostate cancer s/p cystectomy with urostomy and prostatectomy, hyperlipidemia, CKD stage 3 who presented to the ED on 10/2 with complaints of fatigue, fevers, chills, dyspnea, productive cough, and nausea. Symptoms started about three days prior to presentation. Pt is fully vaccinated against COVID-19 with Moderna.   Upon arrival to the ED, patient was noted to be hypoxic requiring 2L of supplemental oxygen. He was also noted to be tachypneic and tachycardic. Labs were obtained and notable for Na-132, Cr-1.38, WBC-13.09, pro-bnp of 2471, troponins of 22 followed by 21. COVID PCR was positive. UA also showed evidence of possible infection. EKG demonstrated Afib with no acute ischemic changes. CXR demonstrated evidence of COVID PNA. Patient was given a dose of Decadron as well as Rocephin for possible UTI. He was then transferred to SH Blodgett for further care due to lack of bed availability.   Following admission, patient was continued on decadron and also started on remdesivir. He was diuresed to maintain net negative fluid balance. He was otherwise managed conservatively with improvement in his COVID symptoms. He was not felt to be a candidate for monoclonal Ab infusion given his initial hypoxia. Oxygen was able to be weaned to room air. Patient will discharge on oral decadron to complete 10 days of steroid therapy.   Patient was otherwise continued on Rocephin for possible UTI. Blood cultures and urine culture were obtained. 1/2 blood cultures drawn on 10/2 did return positive for Klebsiella pneumoniae. Repeat blood cultures obtained 10/3 remained NTD. Urine culture showed no growth of bacteria. Given bacteremia presumed to urinary source however, patient will discharge on ciprofloxacin to complete a 10-day course. He was discharged home in stable and improved condition
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin, Urine analysis, White blood cell count increased
Clinical narrative: Patient is a 78 y.o. male with past medical history of persistent AFib, diabetes, bladder cancer and prostate cancer s/p cystectomy with urostomy and prostatectomy, hyperlipidemia, CKD stage 3 who presented to the ED on 10/2 with complaints of fatigue, fevers, chills, dyspnea, productive cough, and nausea. Symptoms started about three days prior to presentation. Pt is fully vaccinated against COVID-19 with Moderna.   Upon arrival to the ED, patient was noted to be hypoxic requiring 2L of supplemental oxygen. He was also noted to be tachypneic and tachycardic. Labs were obtained and notable for Na-132, Cr-1.38, WBC-13.09, pro-bnp of 2471, troponins of 22 followed by 21. COVID PCR was positive. UA also showed evidence of possible infection. EKG demonstrated Afib with no acute ischemic changes. CXR demonstrated evidence of COVID PNA. Patient was given a dose of Decadron as well as Rocephin for possible UTI. He was then transferred to SH Blodgett for further care due to lack of bed availability.   Following admission, patient was continued on decadron and also started on remdesivir. He was diuresed to maintain net negative fluid balance. He was otherwise managed conservatively with improvement in his COVID symptoms. He was not felt to be a candidate for monoclonal Ab infusion given his initial hypoxia. Oxygen was able to be weaned to room air. Patient will discharge on oral decadron to complete 10 days of steroid therapy.   Patient was otherwise continued on Rocephin for possible UTI. Blood cultures and urine culture were obtained. 1/2 blood cultures drawn on 10/2 did return positive for Klebsiella pneumoniae. Repeat blood cultures obtained 10/3 remained NTD. Urine culture showed no growth of bacteria. Given bacteremia presumed to urinary source however, patient will discharge on ciprofloxacin to complete a 10-day course. He was discharged home in stable and improved condition
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Heart rate irregular
Clinical narrative: Within a few hours after I got the vac my heart went into convulsions that lasted for 15 to 30 seconds. And then I had pressure behind my sternum that lasted for about a month.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID POSTIVE
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Lymphadenopathy, Oedema peripheral
Clinical narrative: Patient reports "Fatigue, lymph nodes in neck, groin, R underarm sore and swelling.". Right underarm swelling is reported as being the size of an "egg."
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Computerised tomogram, Electrocardiogram, Ultrasound scan
Clinical narrative: extreme chest pains worse on deep breathing.  called 911 hospitalized for chest pain
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: EE developed Covid months after completing 2 dose series.  She actually received her 3rd "booster" on 9/30/21.  She turned Covid positive on 10/5/21 after symptoms developed on 10/1/21
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever ~100.2 (24 hours), headache (72 hours), chills (48 hours), body aches (72 hours).
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pharyngeal swelling, Swelling, Swelling face, Tenderness
Clinical narrative: Swelling of face, throat, and neck, pain in throat, hurt to the touch
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Cough, Dysgeusia, Ear pain
Clinical narrative: Sunday, I started having severe chills and headache. I never get headaches. I started coughing. I was really tired. I work 12 hour shifts. I'm a nurse. When I got home, I was so tired that I went straight to bed. I coughed all night long. The next morning, I called my PCP because I thought I was having a flare up on my asthma. We had a Telehealth appointment. My nose was running. My chest was tight. Since I have heart problems history, my PCP wanted me to get an MRI, but I didn't want to get exposed to Covid at the ER. We have had 3 patients at work that tested positive for Covid. My PCP set up a Covid test, but said that it may not be accurate because it was too soon. I went up to the hospital and got a test, then I came home. That's how it all started. I have lost 10lbs in the last week or so. My throat is sore today. I also have an ear ache. Things don't taste right. I can taste, but it's like a metallic taste.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Sunday, I started having severe chills and headache. I never get headaches. I started coughing. I was really tired. I work 12 hour shifts. I'm a nurse. When I got home, I was so tired that I went straight to bed. I coughed all night long. The next morning, I called my PCP because I thought I was having a flare up on my asthma. We had a Telehealth appointment. My nose was running. My chest was tight. Since I have heart problems history, my PCP wanted me to get an MRI, but I didn't want to get exposed to Covid at the ER. We have had 3 patients at work that tested positive for Covid. My PCP set up a Covid test, but said that it may not be accurate because it was too soon. I went up to the hospital and got a test, then I came home. That's how it all started. I have lost 10lbs in the last week or so. My throat is sore today. I also have an ear ache. Things don't taste right. I can taste, but it's like a metallic taste.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: Sunday, I started having severe chills and headache. I never get headaches. I started coughing. I was really tired. I work 12 hour shifts. I'm a nurse. When I got home, I was so tired that I went straight to bed. I coughed all night long. The next morning, I called my PCP because I thought I was having a flare up on my asthma. We had a Telehealth appointment. My nose was running. My chest was tight. Since I have heart problems history, my PCP wanted me to get an MRI, but I didn't want to get exposed to Covid at the ER. We have had 3 patients at work that tested positive for Covid. My PCP set up a Covid test, but said that it may not be accurate because it was too soon. I went up to the hospital and got a test, then I came home. That's how it all started. I have lost 10lbs in the last week or so. My throat is sore today. I also have an ear ache. Things don't taste right. I can taste, but it's like a metallic taste.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Cardiac arrest, Cardio-respiratory arrest, Chest pain, Death
Clinical narrative: employee of facility.  she came to work and was sitting in locker room and noted by another employee to be hyperventilating/shaking. Coworker got nursing staff who went in to assess her. Employee stated she had been having chest pain on and off for the past few days and that her PCP suggested getting tested for covid. She was again complaining of chest pain, stating she can't breath, and became very anxious. BP was high, HR was in 170's, oxygen was 87. Applied O2 via nonrebreather, contacted EMS. At time of EMS arrival employee fainted x 2 and went into asystole. CPR performed for almost an hour before time of death was called.  medical examination performed post death and determined she had a pulmonary embolism.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hypertension, Hyperventilation, Pulmonary embolism, Resuscitation
Clinical narrative: employee of facility.  she came to work and was sitting in locker room and noted by another employee to be hyperventilating/shaking. Coworker got nursing staff who went in to assess her. Employee stated she had been having chest pain on and off for the past few days and that her PCP suggested getting tested for covid. She was again complaining of chest pain, stating she can't breath, and became very anxious. BP was high, HR was in 170's, oxygen was 87. Applied O2 via nonrebreather, contacted EMS. At time of EMS arrival employee fainted x 2 and went into asystole. CPR performed for almost an hour before time of death was called.  medical examination performed post death and determined she had a pulmonary embolism.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Tremor
Clinical narrative: employee of facility.  she came to work and was sitting in locker room and noted by another employee to be hyperventilating/shaking. Coworker got nursing staff who went in to assess her. Employee stated she had been having chest pain on and off for the past few days and that her PCP suggested getting tested for covid. She was again complaining of chest pain, stating she can't breath, and became very anxious. BP was high, HR was in 170's, oxygen was 87. Applied O2 via nonrebreather, contacted EMS. At time of EMS arrival employee fainted x 2 and went into asystole. CPR performed for almost an hour before time of death was called.  medical examination performed post death and determined she had a pulmonary embolism.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Within 5 minutes of injection I have tingling in my lips and tongue, still present now.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: On 10/06/2021 the client presented to the clinic for her 2nd dose of Covid vaccine. Upon assessment of the patient's record the nurse realized the patient was under the age of 18 when she received her 1st dose of Moderna vaccine on 09/08/2021. Patient reports a sore arm at the injection site, but no other side effects. Nursing manager advised that the patient and her parent be made aware of the situation. The patient and parent verbalized understanding that under the EUA for Moderna the patient should not have received Moderna vaccine due to her being under 18. The patient and her parent were given the information necessary to make a decision regarding the 2nd dose of the vaccine. The patient and her parent voiced their concerns of the risk of Covid versus the risk of receiving a 2nd dose of vaccine.  A 2nd dose of vaccine was administered in the LA, the patient was observed for the 15 minutes per guidelines and no adverse effects were noted.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Condition aggravated, Fatigue, Headache
Clinical narrative: Approximately 20 hours from administration of vaccine I developed a low grade fever of 100.3, body aches, headache, abdominal pain, and chills. At approximately 26 hours from administration my temperature (verified on 2 thermometers with my husband acting as control) my tympanic temperature was 105.4. Despite alternating Tylenol and ibuprofen, my fever continued to rise and peaked at 107.1 at approximately 30 hours from administration. Again, this was verified on 2 tympanic thermometers and my husband, who did not receive a vaccine, registered in the normal range with the same thermometers. I am a nurse and would not have believed it if I'd not seen it with my own eyes. I was alert and oriented throughout the night. I experienced severe chills and body aches and severe headache.  Fever went down to 104 after a cool bath and cold compresses and the following day, 10/2,  it stayed at 101-102. I continued to experience the same symptoms, just reduced, for the following  2 days, with a temp max of 100.3. Today, on day 5, my temperature is 99.5. I no longer have chills or body aches but do continue to have abdominal pain and fatigue.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Approximately 20 hours from administration of vaccine I developed a low grade fever of 100.3, body aches, headache, abdominal pain, and chills. At approximately 26 hours from administration my temperature (verified on 2 thermometers with my husband acting as control) my tympanic temperature was 105.4. Despite alternating Tylenol and ibuprofen, my fever continued to rise and peaked at 107.1 at approximately 30 hours from administration. Again, this was verified on 2 tympanic thermometers and my husband, who did not receive a vaccine, registered in the normal range with the same thermometers. I am a nurse and would not have believed it if I'd not seen it with my own eyes. I was alert and oriented throughout the night. I experienced severe chills and body aches and severe headache.  Fever went down to 104 after a cool bath and cold compresses and the following day, 10/2,  it stayed at 101-102. I continued to experience the same symptoms, just reduced, for the following  2 days, with a temp max of 100.3. Today, on day 5, my temperature is 99.5. I no longer have chills or body aches but do continue to have abdominal pain and fatigue.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Joint swelling, Ligament sprain, X-ray limb
Clinical narrative: I was aware of discomfort and slight swelling in left wrist and the next day the swelling was more pronounced. I sought care and that time the diagnosis was made of a sprang. I was given a wrist guard and ibuprofen. The next day, the swelling was much more pronounced and I went back and they diagnosed cellulitis and I was given a prescription for Doxycycline. That began to resolve the symptoms by the next morning. I am 8 days down the line now and it isn't totally resolved but it's getting much better (about 90%).
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Interchange of vaccine products, Wrong product administered
Clinical narrative: Patient had come in to get the flu shot, instead was given Pfizer covid vaccine, however pt is a Moderna patient. Patient was followed up on and experienced some high blood pressure.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Dyspnoea, Migraine, Nausea
Clinical narrative: Patient was experincing diffeuclty breathing, diffucult swallowing, migraine, dizziness, sob and nausea. Pt vitals were stable and was rapidly transported to the ER
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring, Cardiac stress test, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: racing heart, pain/discomfort in chest, felt like heart attack. Heart rate would not go below 100 bpm for better part of day.  eventually went to ER at  Medical Center.  aspirin, chest xray, cardiac CT, nitro, and monitoring.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Palpitations
Clinical narrative: racing heart, pain/discomfort in chest, felt like heart attack. Heart rate would not go below 100 bpm for better part of day.  eventually went to ER at  Medical Center.  aspirin, chest xray, cardiac CT, nitro, and monitoring.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Employee tested positive for Covid-19 after being fully vaccinated
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Patient requested booster dose of Pfizer.  Patient did not bring vaccine cards to his booster appointment nor was he in the state vaccine database due to obtaining first vaccines out of State.  The medical assistant gave the Pfizer booster based on the patient's description and verbalized dates.  Then the patient brought in his vaccine cards the next day and was found to have had Moderna vaccine for the first 2 doses.  Patient had no adverse health events.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Heart rate irregular, Palpitations
Clinical narrative: Started out with irregular heart beat which slowly got worse. Then  heart palpitations and then heart pain
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Superficial vein thrombosis, Ultrasound Doppler abnormal, Vascular pain
Clinical narrative: I developed a blood clot in my lower left leg. On 06/27/2021 the varicose vein in my left leg started to become firm. I did not think anything of it until 7/17/2021 when it started to become painful. It was suggested by a family member that I consult my doctor. On 7/20/2021 I called my doctor to see what her suggestion for action would be. She ordered an ultrasound that was performed on 07/20/2021.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dehydration, Diarrhoea, Myalgia, Pyrexia
Clinical narrative: Extreme diarrhea, Dehydration due to diarrhea, extreme muscle pain, high fever of 103.6F, Required acetaminophen 1300mg, plus ibuprofen 800 mg times3, plus cool bath to bring the temperature down
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Cerebrovascular accident, Computerised tomogram head, Facial paralysis
Clinical narrative: I woke up one morning and I couldn't move the right side of my face I thought I was having a stroke. I went to the ER for treatment where I was diagnosed with Bell's Palsy. I had a CT Scan of my head and brain and I also had bloodwork done. I experienced paralysis on my face.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Brain natriuretic peptide increased, COVID-19, Cardiomegaly, Chest X-ray
Clinical narrative: Patient is a 58 y.o. female  who presents to Hospital with a several day history of upper respiratory infection in which she thought she was having ?allergies.  She took several days of antihistamines with no improvement and drove straight from State back to State arriving early yesterday morning.  Patient contacted her pulmonologist and nursing staff they were instructed her to take her Aldactone and Lasix as directed.  In addition she was instructed to go to the urgent care or emergency room and patient stated that she would go to ER.  Patient complains of worsening lower extremity edema and swelling left greater than right as well as exertional dyspnea and fatigue.  On arrival to the ER she tested positive for COVID-19.   On arrival to the med surge unit this evening patient again is refusing to take her Lasix and Aldactone.  We will contact her pulmonologist in the morning for further recommendations.  All other pulmonary hypertension meds which are listed below or not on formulary and not available nor is there appropriate alternative substitutes.  Patient states that she does wear oxygen at night at home 2 L per nasal cannula and does have sleep apnea but does not wear CPAP.   Patient had transient mild systolic pressure is 88-99 but not tachycardic and no worsening shortness of breath.  Patient does have a BNP of 1400. I do not recommend giving her significant IV fluids at this time.  We will continue to monitor her blood pressure, additionally with a low-potassium restarting her Aldactone she will have to have supplemental potassium increased.     Additionally patient was concerned about pulmonology knowing she was here therefore letters were e-mail to her pulmonology team this evening, as well as her PCP and copied to Doctor.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Fatigue, Hypoxia, Magnetic resonance imaging heart
Clinical narrative: Patient is a 58 y.o. female  who presents to Hospital with a several day history of upper respiratory infection in which she thought she was having ?allergies.  She took several days of antihistamines with no improvement and drove straight from State back to State arriving early yesterday morning.  Patient contacted her pulmonologist and nursing staff they were instructed her to take her Aldactone and Lasix as directed.  In addition she was instructed to go to the urgent care or emergency room and patient stated that she would go to ER.  Patient complains of worsening lower extremity edema and swelling left greater than right as well as exertional dyspnea and fatigue.  On arrival to the ER she tested positive for COVID-19.   On arrival to the med surge unit this evening patient again is refusing to take her Lasix and Aldactone.  We will contact her pulmonologist in the morning for further recommendations.  All other pulmonary hypertension meds which are listed below or not on formulary and not available nor is there appropriate alternative substitutes.  Patient states that she does wear oxygen at night at home 2 L per nasal cannula and does have sleep apnea but does not wear CPAP.   Patient had transient mild systolic pressure is 88-99 but not tachycardic and no worsening shortness of breath.  Patient does have a BNP of 1400. I do not recommend giving her significant IV fluids at this time.  We will continue to monitor her blood pressure, additionally with a low-potassium restarting her Aldactone she will have to have supplemental potassium increased.     Additionally patient was concerned about pulmonology knowing she was here therefore letters were e-mail to her pulmonology team this evening, as well as her PCP and copied to Doctor.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, SARS-CoV-2 test positive, Swelling, Systolic dysfunction, Upper respiratory tract infection
Clinical narrative: Patient is a 58 y.o. female  who presents to Hospital with a several day history of upper respiratory infection in which she thought she was having ?allergies.  She took several days of antihistamines with no improvement and drove straight from State back to State arriving early yesterday morning.  Patient contacted her pulmonologist and nursing staff they were instructed her to take her Aldactone and Lasix as directed.  In addition she was instructed to go to the urgent care or emergency room and patient stated that she would go to ER.  Patient complains of worsening lower extremity edema and swelling left greater than right as well as exertional dyspnea and fatigue.  On arrival to the ER she tested positive for COVID-19.   On arrival to the med surge unit this evening patient again is refusing to take her Lasix and Aldactone.  We will contact her pulmonologist in the morning for further recommendations.  All other pulmonary hypertension meds which are listed below or not on formulary and not available nor is there appropriate alternative substitutes.  Patient states that she does wear oxygen at night at home 2 L per nasal cannula and does have sleep apnea but does not wear CPAP.   Patient had transient mild systolic pressure is 88-99 but not tachycardic and no worsening shortness of breath.  Patient does have a BNP of 1400. I do not recommend giving her significant IV fluids at this time.  We will continue to monitor her blood pressure, additionally with a low-potassium restarting her Aldactone she will have to have supplemental potassium increased.     Additionally patient was concerned about pulmonology knowing she was here therefore letters were e-mail to her pulmonology team this evening, as well as her PCP and copied to Doctor.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, C-reactive protein increased, Pain in extremity, Rheumatoid arthritis, Rheumatoid factor positive
Clinical narrative: Developed Rheumatoid arthritis 2 months after 2 shot.  Started with scalp lesions in May, then right knee pain and hand pain in July.   Used topical medication in beginning with no relief.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Skin lesion
Clinical narrative: Developed Rheumatoid arthritis 2 months after 2 shot.  Started with scalp lesions in May, then right knee pain and hand pain in July.   Used topical medication in beginning with no relief.
Age: 39.0
Sex: F
Vaccine: FLUR4
Symptoms: Bursitis, Injected limb mobility decreased, Injection site pain
Clinical narrative: per pt says her left armhas been extremelt sore.  cannot lift up very far. went to hospital 4 times . last md decided that pt has bursitis in left shoulder due to vaccine flu shot
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID POSTIVE
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: About three days after I had my shot, I noticed I was trembling, mildly shaking and didn't think anything of it until about a week after. I Went to my DR and they told me to see a neurologist but I haven't seen one because I do not have the funds for the co-pay. This happens often, like a tremor all over my body. It hasn't gone away and I have not had this problem before. I have videos of it and everything, it started in my limbs but not it is my whole body. It is kind of like being cold and trembling but all day it happens.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: significant blurred vision
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Laboratory test, Lymphadenopathy, Lymphoma, Peripheral swelling
Clinical narrative: Immediate rash and swelling in groin and upper extremities .  Swollen lymph nodes within two weeks.  Lymphoma diagnosis July
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling
Clinical narrative: Immediate rash and swelling in groin and upper extremities .  Swollen lymph nodes within two weeks.  Lymphoma diagnosis July
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Fatigue, Influenza like illness, Laboratory test abnormal, Myalgia
Clinical narrative: First symptoms started on Friday Oct 1st, test on Sunday the 3rd at park given results today that he is positive. Symptoms are flu like- cough, sore throat and muscle aches, tired all the time. Rec'd 3rd Pfizer dose in September
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: First symptoms started on Friday Oct 1st, test on Sunday the 3rd at park given results today that he is positive. Symptoms are flu like- cough, sore throat and muscle aches, tired all the time. Rec'd 3rd Pfizer dose in September
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cough, Dyspnoea, Fatigue, Pain
Clinical narrative: First symptoms started on Friday Oct 1st, test on Sunday the 3rd at park given results today that he is positive. Symptoms are flu like- cough, sore throat and muscle aches, tired all the time. Rec'd 3rd Pfizer dose in September
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Somnolence
Clinical narrative: First symptoms started on Friday Oct 1st, test on Sunday the 3rd at park given results today that he is positive. Symptoms are flu like- cough, sore throat and muscle aches, tired all the time. Rec'd 3rd Pfizer dose in September
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: I received the flu shot this morning, and around 0900 I started noticing a hive on my left wrist that itches. A hive on the left hand and on the under side of the right arm. After monitoring it throughout the day the one on the Left wrist got bigger and was itching.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Thrombosis
Clinical narrative: 46 year old healthy female, clot within 48 hours, resulting in stroke. No history of cardiovascualr or stroke issues, no family history, etc.
Age: 17.0
Sex: F
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Flublok given to a 17 year old, patient feels okay, no side effects
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Red rash on thigh
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral
Clinical narrative: SWOLLEN ARMPIT RIGHT.
Age: 1.25
Sex: F
Vaccine: FLU4
Symptoms: Macule, Papule, Pruritus, Rash, Rash erythematous
Clinical narrative: Erythematous macules and papules on face, chest, abdomen, and back. None of arms or legs. Woke up with the rash the morning following the vaccine. Itchy. No pain, no fever, no congestion, no runny nose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dry mouth, Dysphagia, Dysphonia, Ear discomfort
Clinical narrative: allergic reaction, my eyes, ears burn,  lips swollen ,stomach hurt and throat felt like I had hair ball , dry mouth , and it became hard to swallow and my voice became horse .
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Hypersensitivity, Lip swelling, Oropharyngeal discomfort
Clinical narrative: allergic reaction, my eyes, ears burn,  lips swollen ,stomach hurt and throat felt like I had hair ball , dry mouth , and it became hard to swallow and my voice became horse .
Age: 17.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Headache, Loss of consciousness, Vomiting
Clinical narrative: Patient passed out about a minute or two after receiving both above vaccines. Patient was unconscious for only a few seconds. Once patient was helped to a chair they stated they felt a strange headache and then blacked out. Patients BP was 111/70, HR 68, and O2 98%. Patient was assessed by APRN-C. Patient stated that they had nothing to eat or drink for the day. Patient was given a juice box which they threw up shortly after. Patient was monitored for 15 minutes where no other adverse affects happened and was cleared to go home by APRN-C.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Condition aggravated, Fatigue, Headache
Clinical narrative: Debilitating, severe headache, fever 99.9, lymph node pain in left armpit, extreme fatigue, chills.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain
Clinical narrative: Debilitating, severe headache, fever 99.9, lymph node pain in left armpit, extreme fatigue, chills.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Biopsy liver, COVID-19, Colonoscopy, Computerised tomogram abdomen abnormal
Clinical narrative: Deceased (10.4.21);  Hospitalized (9.14.21);  COVID-19 positive (9.29.21);  fully vaccinated    Admission Date: 9/14/2021 Date of Death: 10/4/21 Time of Death:  6:56 AM Preliminary Cause of Death: Hypoxia DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Perforated abdominal viscus  Bowel perforation    a 68 y.o. female with past medical history significant for Crohn's disease on immunosuppressive therapy, history of stroke, and PAD who presented to the emergency department with severe abdominal pain.  CT concerning for bowel perforation and Colorectal took patient for urgent laparotomy and was treated with broad spectrum antibiotics and antifungals.  CT also with concern for liver metastasis and biopsy done in the OR showing metastatic neuroendocrine tumor.  Workup further showed a cardiac mass which was biopsied via RHC showing metastatic SCC indicating patient having two primary metastatic diseases.  Patient continued to decline and developed dyspnea; unfortunately she tested positive for COVID19.  Patient ultimately wished to be made comfort care and so hospice was consulted and comfort care orders initiated.  Medicine service took over care to facilitate this on 10/2.  Patient expired on 10/4/2021 at 6:56am.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Death, Dyspnoea, General physical health deterioration, Hypoxia
Clinical narrative: Deceased (10.4.21);  Hospitalized (9.14.21);  COVID-19 positive (9.29.21);  fully vaccinated    Admission Date: 9/14/2021 Date of Death: 10/4/21 Time of Death:  6:56 AM Preliminary Cause of Death: Hypoxia DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Perforated abdominal viscus  Bowel perforation    a 68 y.o. female with past medical history significant for Crohn's disease on immunosuppressive therapy, history of stroke, and PAD who presented to the emergency department with severe abdominal pain.  CT concerning for bowel perforation and Colorectal took patient for urgent laparotomy and was treated with broad spectrum antibiotics and antifungals.  CT also with concern for liver metastasis and biopsy done in the OR showing metastatic neuroendocrine tumor.  Workup further showed a cardiac mass which was biopsied via RHC showing metastatic SCC indicating patient having two primary metastatic diseases.  Patient continued to decline and developed dyspnea; unfortunately she tested positive for COVID19.  Patient ultimately wished to be made comfort care and so hospice was consulted and comfort care orders initiated.  Medicine service took over care to facilitate this on 10/2.  Patient expired on 10/4/2021 at 6:56am.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intestinal perforation, Laparotomy, Leukocytosis, Mass, Metastatic squamous cell carcinoma
Clinical narrative: Deceased (10.4.21);  Hospitalized (9.14.21);  COVID-19 positive (9.29.21);  fully vaccinated    Admission Date: 9/14/2021 Date of Death: 10/4/21 Time of Death:  6:56 AM Preliminary Cause of Death: Hypoxia DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Perforated abdominal viscus  Bowel perforation    a 68 y.o. female with past medical history significant for Crohn's disease on immunosuppressive therapy, history of stroke, and PAD who presented to the emergency department with severe abdominal pain.  CT concerning for bowel perforation and Colorectal took patient for urgent laparotomy and was treated with broad spectrum antibiotics and antifungals.  CT also with concern for liver metastasis and biopsy done in the OR showing metastatic neuroendocrine tumor.  Workup further showed a cardiac mass which was biopsied via RHC showing metastatic SCC indicating patient having two primary metastatic diseases.  Patient continued to decline and developed dyspnea; unfortunately she tested positive for COVID19.  Patient ultimately wished to be made comfort care and so hospice was consulted and comfort care orders initiated.  Medicine service took over care to facilitate this on 10/2.  Patient expired on 10/4/2021 at 6:56am.