chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Wheezing, X-ray
Clinical narrative: 10/02/2021, I experience the red swollen arm at the site of the injection. Welt at the injection site inflamed and red was able to put a compress on it and Ibuprofen and it resolve in a couple of days. On 12/27/2021, PCR COVID test at the testing center and diagnosis on 12/28/2021 COVID positive. I was given the instruction for COVID protocol directives and was given the information to schedule an appoint for the antibody treatment. 12/29/2021 made an appointment Monoclonal antibody was administered at approximately 11:00 AM CT. Went to urgent 01/4/2022 went into urgent care as I began wheezing, my pulse oxygen was dropping into 93, 94 levels and was having respiratory breathing issues. An x-ray was taken, and Nebulizer administered and was sent home with oral steroids and an inhaler, with a new diagnosis of COVID bronchitis. Have sense of smell not that same as prior to COVID, still have shortness of breath and easily winded now more so than prior to COVID. Respiratory check prior to surgery Lungs is clear as of Mid Feb. 2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 71 y/o F presents to the clinic with chief complaint of generalized urticaria. Symptoms began 2 days ago, a total of 4 days after her original vaccination date with her second booster dose of Moderna Vaccine. Treatment was recommended with an antihistaminic agent, and she was instructed to visit her primary physician in case of worsening symptoms.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Breast feeding, Delivery, Exposure during pregnancy
Clinical narrative: Patient hospitalized for Spontaneous Vaginal Delivery within 6 weeks of receiving covid vaccination. Per doctor's notes, "baby is doing well and pt is breast feeding. Baby has a cleft lip (it was known from ultrasound)."
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Feeling abnormal, Heavy menstrual bleeding
Clinical narrative: Just made me very weak and dizzy.  I felt off for weeks after and my period was extremely heavy a few days after.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Echocardiogram normal, Electrocardiogram normal, Nasopharyngitis, Productive cough
Clinical narrative: I began with what felt like a common cold consisting of coughing, sneezing, and a runny nose. That lasted for about 4 weeks before I contacted the doctor. The doctor put me on OTC DM cough medicine and Flonase. 2 weeks later the symptoms still didn't resolve so he put me on amoxicillin and an albuterol inhaler. Things have slowly gotten better. I still have problems in the evening and especially at night after taking a hot shower. I cough about 25 minutes before I end up falling asleep. The cough is always a productive cough with clear mucus and no blood. It is common that I get a cold in the winter, but It has never lasted this long before. It's a bronchial type of cough.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, Secretion discharge, Sneezing
Clinical narrative: I began with what felt like a common cold consisting of coughing, sneezing, and a runny nose. That lasted for about 4 weeks before I contacted the doctor. The doctor put me on OTC DM cough medicine and Flonase. 2 weeks later the symptoms still didn't resolve so he put me on amoxicillin and an albuterol inhaler. Things have slowly gotten better. I still have problems in the evening and especially at night after taking a hot shower. I cough about 25 minutes before I end up falling asleep. The cough is always a productive cough with clear mucus and no blood. It is common that I get a cold in the winter, but It has never lasted this long before. It's a bronchial type of cough.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Chest X-ray normal, Chest pain, Electrocardiogram ambulatory normal
Clinical narrative: About 26 days after vaccine, had been unusually fatigued. Took a nap and when I woke my heart was racing and BP was elevated. Called my Doctor and he had me make an appointment with him on Monday, April 12th. Went to the appointment and got second dose of Moderna Vaccine. Doctor changed Blood pressure med and ordered EKG. Med change helped with Blood pressure and rapid heart rate. Followed up with Doctor in August. Doctor order Holter monitor and results where normal. In Feb of 2022, had annual physical. BP was higher than it should have been on medication. Doctor changed BP med. Woke up that night with burning chest pains and rapid heart rate again. EKG and chest x-ray preformed in ER both normal. Went back to Doctor and he performed another med change to help control tachycardia. Also began having headaches a couple weeks after receiving 1st vaccine. Symptoms are controlled with meds but are not resolved. Received Moderna booster December 2021.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Headache, Heart rate increased, Palpitations
Clinical narrative: About 26 days after vaccine, had been unusually fatigued. Took a nap and when I woke my heart was racing and BP was elevated. Called my Doctor and he had me make an appointment with him on Monday, April 12th. Went to the appointment and got second dose of Moderna Vaccine. Doctor changed Blood pressure med and ordered EKG. Med change helped with Blood pressure and rapid heart rate. Followed up with Doctor in August. Doctor order Holter monitor and results where normal. In Feb of 2022, had annual physical. BP was higher than it should have been on medication. Doctor changed BP med. Woke up that night with burning chest pains and rapid heart rate again. EKG and chest x-ray preformed in ER both normal. Went back to Doctor and he performed another med change to help control tachycardia. Also began having headaches a couple weeks after receiving 1st vaccine. Symptoms are controlled with meds but are not resolved. Received Moderna booster December 2021.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: About 26 days after vaccine, had been unusually fatigued. Took a nap and when I woke my heart was racing and BP was elevated. Called my Doctor and he had me make an appointment with him on Monday, April 12th. Went to the appointment and got second dose of Moderna Vaccine. Doctor changed Blood pressure med and ordered EKG. Med change helped with Blood pressure and rapid heart rate. Followed up with Doctor in August. Doctor order Holter monitor and results where normal. In Feb of 2022, had annual physical. BP was higher than it should have been on medication. Doctor changed BP med. Woke up that night with burning chest pains and rapid heart rate again. EKG and chest x-ray preformed in ER both normal. Went back to Doctor and he performed another med change to help control tachycardia. Also began having headaches a couple weeks after receiving 1st vaccine. Symptoms are controlled with meds but are not resolved. Received Moderna booster December 2021.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Headache, Pain, Pyrexia, Swelling face
Clinical narrative: Systemic: Allergic: Swelling of Face/Eyes/Mouth/Tongue-mild, Systemic: Body aches generalized-Mild, Systemic: fainting/Unresponsive-mild, Systemic: Fever-mild, Systemic: headache-mild.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Allergic: Swelling of Face/Eyes/Mouth/Tongue-mild, Systemic: Body aches generalized-Mild, Systemic: fainting/Unresponsive-mild, Systemic: Fever-mild, Systemic: headache-mild.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Chest pain, Chills, Cough
Clinical narrative: I contracted COVID-19 1/2/22 with symptoms of fever 100, chills, fatigue, cough, body aches, shortness of breathe, chest tightness/pain, headache, sore throat, congestion. I was prescribed a Z-pack and antibiotics. It took me 4 weeks to fully recover.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Oropharyngeal pain, Pain
Clinical narrative: I contracted COVID-19 1/2/22 with symptoms of fever 100, chills, fatigue, cough, body aches, shortness of breathe, chest tightness/pain, headache, sore throat, congestion. I was prescribed a Z-pack and antibiotics. It took me 4 weeks to fully recover.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 1/2/22 with symptoms of fever 100, chills, fatigue, cough, body aches, shortness of breathe, chest tightness/pain, headache, sore throat, congestion. I was prescribed a Z-pack and antibiotics. It took me 4 weeks to fully recover.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Breast swelling, Cough, Peripheral swelling
Clinical narrative: 04/03/2022, non-stop coughing. ( severe swelling of feet and breast- most likely due to side effects from Chemotherapy).
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Confusional state, Dizziness, Ear pain
Clinical narrative: My ear was hurting me so I made a doctor appointment. The day of the appointment I woke up feeling fine and went to work. I went to work and when I was there I started to have a Fever of 102.5 and chills. I was sent home. I called my doctor and they told me I could not come in and gave me a COVID test. The test came back positive. The doctor advised I should take Tylenol and drink a lot of fluids and to rest. While I was recovering I experienced vertigo, lightheadedness and brain fog. I took another test a week later and that came back positive. I started feeling better after about 2.5 weeks. I took another test and it came back negative. I still experience lightheadedness and vertigo. I do still have episodes of brain fog and confusion. I do have an appointment on 05/19/2022 as a follow up to my long COVID symptoms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Impaired work ability, Pyrexia, SARS-CoV-2 test positive, Vertigo
Clinical narrative: My ear was hurting me so I made a doctor appointment. The day of the appointment I woke up feeling fine and went to work. I went to work and when I was there I started to have a Fever of 102.5 and chills. I was sent home. I called my doctor and they told me I could not come in and gave me a COVID test. The test came back positive. The doctor advised I should take Tylenol and drink a lot of fluids and to rest. While I was recovering I experienced vertigo, lightheadedness and brain fog. I took another test a week later and that came back positive. I started feeling better after about 2.5 weeks. I took another test and it came back negative. I still experience lightheadedness and vertigo. I do still have episodes of brain fog and confusion. I do have an appointment on 05/19/2022 as a follow up to my long COVID symptoms.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Lymphadenopathy, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Lymph Node Swelling-Medium, Additional Details: patient states she received flu vaccine in august, reported to pharmacy today (April) and said shes had pain in her arm since august and lymph node swelling in that arm.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Nasal congestion, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 Moderna COVID vaccinations, last dose 04/06/21, who admitted to hospital with COVID complications.  Provider discharge note below:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) the patient presented in extremis requiring BIPAP. Treated with steroids, inhaler therapy with improvement. Also given remdesivir for three days along with decadron for covid. Returned to her home 2LNC and was doing well enough to discharge home. Lives with daughter who will help care for her.   Afrin for nasal congestion.   Added spiriva to her in inhaler regimen."
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Paraesthesia
Clinical narrative: About 4 hours after injection there was neuropathy (tingling) in both hands.  A couple of minutes the same sensation in both feet that simultaneously migrated to mid-calf in both legs.  This lasted 20-30 minutes then completely vanished.  Has not returned as of 04/12/2022.  Mentioned to doctor's nurse 4/11 in conversation on different topic.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Intestinal ischaemia
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for small bowel ischemia within 6 weeks of receiving covid vaccination.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram abnormal, Culture urine negative, Haematochezia, Pyrexia, Red blood cell transfusion
Clinical narrative: Patient presented to ER due to hematochezia. She required 2 units PRBCs. She was seen by IR and underwent angiogram with embolization. She didn't require insulin drip or NPO but improved with IV fluids. She developed fever but did not have sepsis. UA was consistent with UTI but urine culture was negative. She received 2 doses of ceftriaxone during admission and will complete an additional day of treatment with nitrofurantoin. She didn't have recurrence of her fever. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Therapeutic embolisation, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Patient presented to ER due to hematochezia. She required 2 units PRBCs. She was seen by IR and underwent angiogram with embolization. She didn't require insulin drip or NPO but improved with IV fluids. She developed fever but did not have sepsis. UA was consistent with UTI but urine culture was negative. She received 2 doses of ceftriaxone during admission and will complete an additional day of treatment with nitrofurantoin. She didn't have recurrence of her fever. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Asymptomatic COVID-19, Exposure during pregnancy, Infusion, Muscle spasms
Clinical narrative: CASE WAS PREGNANT AT THE TIME OF VACCINATION. SHE HAD A KNOWN DIAGNOSIS OF PLACENTA PREVIA WITH PLACENTA ACCRETA, AND A HISTORY VAGINAL BLEEDING DURING PREGNANCY. CASE WAS ALSO ANEMIC AND NEEDED REGULAR INFUSIONS (LAST INFUSION BEFORE EVENT GIVEN 1/14/22) CASE REC'D FIRST DOSE OF MRNA VACCINE ON 1/13/22. OF NOTE, CASE WAS ALSO DIAGNOSED WITH A URINARY TRACT INFECTION, COLLECTED ON 1/13/22.   ON 1/18/22, CASE PRESENTED TO LABOR AND DELIVERY FOR REGULAR CRAMPING AND VAGINAL BLEEDING. SHE WAS 19 WEEKS PREGNANT (EDD 6/11/22). CASE TESTED POSITIVE FOR COVID ON ADMISSION, BUT WAS ASYMPTOMATIC AT THE TIME. RECIEVED REMDESIVIR WHILE INPATIENT. CASE WAS NEWLY DIAGNOSED WITH chronic placental abruption while inpatient
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Premature separation of placenta, SARS-CoV-2 test positive, Vaginal haemorrhage
Clinical narrative: CASE WAS PREGNANT AT THE TIME OF VACCINATION. SHE HAD A KNOWN DIAGNOSIS OF PLACENTA PREVIA WITH PLACENTA ACCRETA, AND A HISTORY VAGINAL BLEEDING DURING PREGNANCY. CASE WAS ALSO ANEMIC AND NEEDED REGULAR INFUSIONS (LAST INFUSION BEFORE EVENT GIVEN 1/14/22) CASE REC'D FIRST DOSE OF MRNA VACCINE ON 1/13/22. OF NOTE, CASE WAS ALSO DIAGNOSED WITH A URINARY TRACT INFECTION, COLLECTED ON 1/13/22.   ON 1/18/22, CASE PRESENTED TO LABOR AND DELIVERY FOR REGULAR CRAMPING AND VAGINAL BLEEDING. SHE WAS 19 WEEKS PREGNANT (EDD 6/11/22). CASE TESTED POSITIVE FOR COVID ON ADMISSION, BUT WAS ASYMPTOMATIC AT THE TIME. RECIEVED REMDESIVIR WHILE INPATIENT. CASE WAS NEWLY DIAGNOSED WITH chronic placental abruption while inpatient
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Lymph node pain, Swelling
Clinical narrative: on or about February 22, 2022, I began to notice swelling in my neck and soreness in my lymph glands. I made an appointment with my primary physicians office. she was not available so I took a different dr. she prescribled antibiotics amox-clav 875-125. I took those and did not get any relief. I made another appointment and got to see my regular dr. she put me on clyndamiacin. still no relief. was  checked by a dentist for abscess no infection found. went back to first dr for follow up and got referred to another Dr. he said my lymphasites were doing their job . said if any changes to call him.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Pain in extremity
Clinical narrative: My arm was sore and had 3 missed menstrual cycle.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at time of administration
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Debridement, Exploratory operation, Hip arthroplasty, Hip disarticulation, Wound treatment
Clinical narrative: Admission for Procedures: Left - ARTHROPLASTY TOTAL HIP EXPLORATION/ REVISION OF ARTICULATION, IRRIGATION AND DEBRIDEMENT. Recovered in hospital. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: diagnosed with COVID-19 Pneumonia
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine may have been compromised at date of administration.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest pain, Dizziness, Dyspnoea, Electrocardiogram ambulatory abnormal
Clinical narrative: 03/25/2021, He had severe reaction. That evening he was vomiting and shakes. He was fatigue, fever, and muscle aches. He said he could not breath and was constantly vomiting. I called 911 and the did a monitor on him and take him to bed. I was told to prepare better. The did not take him to the hospital, he vomited the entire night. He went to the doctor telehealth on 03/26/2021, the next morning, he was sent straight to the ER. He stayed in the hospital a few hours, they wanted to admit him, but we could not. Post Vaccine trauma was the diagnosis. He does currently have a autoimmune disorder as he did in the beginning. He was sick from 03/25/2021 to 03/29/2021. From there he has a lot of health issues. He has now been suffering from chest pain. 04/05/2022, He had a ER follow-up. He is having severe anxiety, and dizziness and faint spells. He has just gotten off a heart monitor 04/12/2022, he had it 14 days recording for the doctors to view. He heart rate is as high as 214. He has episodes wear his chest hurts and shortness of breath.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Injury, Malaise, Myalgia
Clinical narrative: 03/25/2021, He had severe reaction. That evening he was vomiting and shakes. He was fatigue, fever, and muscle aches. He said he could not breath and was constantly vomiting. I called 911 and the did a monitor on him and take him to bed. I was told to prepare better. The did not take him to the hospital, he vomited the entire night. He went to the doctor telehealth on 03/26/2021, the next morning, he was sent straight to the ER. He stayed in the hospital a few hours, they wanted to admit him, but we could not. Post Vaccine trauma was the diagnosis. He does currently have a autoimmune disorder as he did in the beginning. He was sick from 03/25/2021 to 03/29/2021. From there he has a lot of health issues. He has now been suffering from chest pain. 04/05/2022, He had a ER follow-up. He is having severe anxiety, and dizziness and faint spells. He has just gotten off a heart monitor 04/12/2022, he had it 14 days recording for the doctors to view. He heart rate is as high as 214. He has episodes wear his chest hurts and shortness of breath.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Syncope, Tremor, Vomiting
Clinical narrative: 03/25/2021, He had severe reaction. That evening he was vomiting and shakes. He was fatigue, fever, and muscle aches. He said he could not breath and was constantly vomiting. I called 911 and the did a monitor on him and take him to bed. I was told to prepare better. The did not take him to the hospital, he vomited the entire night. He went to the doctor telehealth on 03/26/2021, the next morning, he was sent straight to the ER. He stayed in the hospital a few hours, they wanted to admit him, but we could not. Post Vaccine trauma was the diagnosis. He does currently have a autoimmune disorder as he did in the beginning. He was sick from 03/25/2021 to 03/29/2021. From there he has a lot of health issues. He has now been suffering from chest pain. 04/05/2022, He had a ER follow-up. He is having severe anxiety, and dizziness and faint spells. He has just gotten off a heart monitor 04/12/2022, he had it 14 days recording for the doctors to view. He heart rate is as high as 214. He has episodes wear his chest hurts and shortness of breath.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Exposure during pregnancy, Normal labour
Clinical narrative: Normal labor and delivery on 10/20/2021. She had a 8# 11oz, male. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood lactic acid increased, COVID-19, Computerised tomogram thorax abnormal, Cough
Clinical narrative: Patient with single Moderna vaccination on 12/08/21 who then tested detected for COVID and was admitted to the hospital on 12/25/21 with COVID complications.  Provider discharge note below:  "Brief Summary of Hospital Stay:  75 y/o M w/ PMH of hypothyroidism, LUTS, known COVID positive 12/19  ED with progressive SOB, weakness, cough. He was vaccinated (1st dose moderna) on Dec 8th.  In the ER he was noted to be hypoxic in the 70s on arrival and was placed on Bipap. WCC is 20K. Procal is pending. His lactate was high, wth some transient hypotension, and was given IV fluids. Initial troponin was 85 -> bumped to 145. No CP., EKG does not show anything acute. D-Dimer came back at 35K. CT was neg for PE but shows bilateral infiltrates. BP has improved with IV. He has been started on Rocephin, doxy, steroids, and Remdesevir. He is being transferred to facility, PCU. Pt was on BiPAP and transitioned to the NC oxygen during the stay. Pt failed walk test couple of times due to de-satting on ambulation. Pt received all 4 doses of remdesivier. Decadron continued during the stay. Pt's condition markedly improved, however still requiring the oxygen at discharge. Pt also mentioned about dysuria on 12/29/21 AM, however, UA was unremarkable. Pt and wife refused the home care support, but accepted the equipments such as shower chair and bedside commode, which we provided at the time of discharge. Pt to f/u with his PCP appropriately as he continue to improving with his oxygen requirements once discharged.   Pt's labs for globin was elevated. With the high suspicion of the multiple myeloma, we ordered the SPEP and UPEP prior to discharge and pt is updated. Pt to f/u with his PCP for the results on those labs upon discharge. This was an incidental findings and with the  Pt discharged on 12/30/21 with oxygen."
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dysuria, Electrocardiogram normal, Fibrin D dimer, Globulins increased
Clinical narrative: Patient with single Moderna vaccination on 12/08/21 who then tested detected for COVID and was admitted to the hospital on 12/25/21 with COVID complications.  Provider discharge note below:  "Brief Summary of Hospital Stay:  75 y/o M w/ PMH of hypothyroidism, LUTS, known COVID positive 12/19  ED with progressive SOB, weakness, cough. He was vaccinated (1st dose moderna) on Dec 8th.  In the ER he was noted to be hypoxic in the 70s on arrival and was placed on Bipap. WCC is 20K. Procal is pending. His lactate was high, wth some transient hypotension, and was given IV fluids. Initial troponin was 85 -> bumped to 145. No CP., EKG does not show anything acute. D-Dimer came back at 35K. CT was neg for PE but shows bilateral infiltrates. BP has improved with IV. He has been started on Rocephin, doxy, steroids, and Remdesevir. He is being transferred to facility, PCU. Pt was on BiPAP and transitioned to the NC oxygen during the stay. Pt failed walk test couple of times due to de-satting on ambulation. Pt received all 4 doses of remdesivier. Decadron continued during the stay. Pt's condition markedly improved, however still requiring the oxygen at discharge. Pt also mentioned about dysuria on 12/29/21 AM, however, UA was unremarkable. Pt and wife refused the home care support, but accepted the equipments such as shower chair and bedside commode, which we provided at the time of discharge. Pt to f/u with his PCP appropriately as he continue to improving with his oxygen requirements once discharged.   Pt's labs for globin was elevated. With the high suspicion of the multiple myeloma, we ordered the SPEP and UPEP prior to discharge and pt is updated. Pt to f/u with his PCP for the results on those labs upon discharge. This was an incidental findings and with the  Pt discharged on 12/30/21 with oxygen."
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia, Lung infiltration, Oxygen saturation decreased, Plasma cell myeloma
Clinical narrative: Patient with single Moderna vaccination on 12/08/21 who then tested detected for COVID and was admitted to the hospital on 12/25/21 with COVID complications.  Provider discharge note below:  "Brief Summary of Hospital Stay:  75 y/o M w/ PMH of hypothyroidism, LUTS, known COVID positive 12/19  ED with progressive SOB, weakness, cough. He was vaccinated (1st dose moderna) on Dec 8th.  In the ER he was noted to be hypoxic in the 70s on arrival and was placed on Bipap. WCC is 20K. Procal is pending. His lactate was high, wth some transient hypotension, and was given IV fluids. Initial troponin was 85 -> bumped to 145. No CP., EKG does not show anything acute. D-Dimer came back at 35K. CT was neg for PE but shows bilateral infiltrates. BP has improved with IV. He has been started on Rocephin, doxy, steroids, and Remdesevir. He is being transferred to facility, PCU. Pt was on BiPAP and transitioned to the NC oxygen during the stay. Pt failed walk test couple of times due to de-satting on ambulation. Pt received all 4 doses of remdesivier. Decadron continued during the stay. Pt's condition markedly improved, however still requiring the oxygen at discharge. Pt also mentioned about dysuria on 12/29/21 AM, however, UA was unremarkable. Pt and wife refused the home care support, but accepted the equipments such as shower chair and bedside commode, which we provided at the time of discharge. Pt to f/u with his PCP appropriately as he continue to improving with his oxygen requirements once discharged.   Pt's labs for globin was elevated. With the high suspicion of the multiple myeloma, we ordered the SPEP and UPEP prior to discharge and pt is updated. Pt to f/u with his PCP for the results on those labs upon discharge. This was an incidental findings and with the  Pt discharged on 12/30/21 with oxygen."
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Procalcitonin, SARS-CoV-2 test positive, Troponin, Urine analysis normal
Clinical narrative: Patient with single Moderna vaccination on 12/08/21 who then tested detected for COVID and was admitted to the hospital on 12/25/21 with COVID complications.  Provider discharge note below:  "Brief Summary of Hospital Stay:  75 y/o M w/ PMH of hypothyroidism, LUTS, known COVID positive 12/19  ED with progressive SOB, weakness, cough. He was vaccinated (1st dose moderna) on Dec 8th.  In the ER he was noted to be hypoxic in the 70s on arrival and was placed on Bipap. WCC is 20K. Procal is pending. His lactate was high, wth some transient hypotension, and was given IV fluids. Initial troponin was 85 -> bumped to 145. No CP., EKG does not show anything acute. D-Dimer came back at 35K. CT was neg for PE but shows bilateral infiltrates. BP has improved with IV. He has been started on Rocephin, doxy, steroids, and Remdesevir. He is being transferred to facility, PCU. Pt was on BiPAP and transitioned to the NC oxygen during the stay. Pt failed walk test couple of times due to de-satting on ambulation. Pt received all 4 doses of remdesivier. Decadron continued during the stay. Pt's condition markedly improved, however still requiring the oxygen at discharge. Pt also mentioned about dysuria on 12/29/21 AM, however, UA was unremarkable. Pt and wife refused the home care support, but accepted the equipments such as shower chair and bedside commode, which we provided at the time of discharge. Pt to f/u with his PCP appropriately as he continue to improving with his oxygen requirements once discharged.   Pt's labs for globin was elevated. With the high suspicion of the multiple myeloma, we ordered the SPEP and UPEP prior to discharge and pt is updated. Pt to f/u with his PCP for the results on those labs upon discharge. This was an incidental findings and with the  Pt discharged on 12/30/21 with oxygen."
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Walking distance test abnormal, White blood cell count increased
Clinical narrative: Patient with single Moderna vaccination on 12/08/21 who then tested detected for COVID and was admitted to the hospital on 12/25/21 with COVID complications.  Provider discharge note below:  "Brief Summary of Hospital Stay:  75 y/o M w/ PMH of hypothyroidism, LUTS, known COVID positive 12/19  ED with progressive SOB, weakness, cough. He was vaccinated (1st dose moderna) on Dec 8th.  In the ER he was noted to be hypoxic in the 70s on arrival and was placed on Bipap. WCC is 20K. Procal is pending. His lactate was high, wth some transient hypotension, and was given IV fluids. Initial troponin was 85 -> bumped to 145. No CP., EKG does not show anything acute. D-Dimer came back at 35K. CT was neg for PE but shows bilateral infiltrates. BP has improved with IV. He has been started on Rocephin, doxy, steroids, and Remdesevir. He is being transferred to facility, PCU. Pt was on BiPAP and transitioned to the NC oxygen during the stay. Pt failed walk test couple of times due to de-satting on ambulation. Pt received all 4 doses of remdesivier. Decadron continued during the stay. Pt's condition markedly improved, however still requiring the oxygen at discharge. Pt also mentioned about dysuria on 12/29/21 AM, however, UA was unremarkable. Pt and wife refused the home care support, but accepted the equipments such as shower chair and bedside commode, which we provided at the time of discharge. Pt to f/u with his PCP appropriately as he continue to improving with his oxygen requirements once discharged.   Pt's labs for globin was elevated. With the high suspicion of the multiple myeloma, we ordered the SPEP and UPEP prior to discharge and pt is updated. Pt to f/u with his PCP for the results on those labs upon discharge. This was an incidental findings and with the  Pt discharged on 12/30/21 with oxygen."
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin abnormal, Computerised tomogram, Dizziness, Dysarthria, Ear congestion
Clinical narrative: A few days after the 1st shot, the discharge I have always had in my right ear stopped. The ear felt stuffy. Saw a local ENT doctor on 3/26/21, 4/5/21 and 4/19/21 . Was treated with steroids and had a CAT scan performed. Dr. referred me to hospital. Symptoms worsened from 4/19/21 to 5/10/21, started to slur speech, noticed facial paralysis and slight dizziness. Saw Dr. 5/10/21 and 5/26/21. Treated with steroid ear drops, two MRI scans performed. Abnormal soft tissue thickening detected in right mastoid sinus/ear. Biopsy performed by Dr. 6/3/21. Results are well defined squamous cell carcinoma.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Facial paralysis, Magnetic resonance imaging abnormal, Mastoid disorder, Positron emission tomogram, Soft tissue disorder
Clinical narrative: A few days after the 1st shot, the discharge I have always had in my right ear stopped. The ear felt stuffy. Saw a local ENT doctor on 3/26/21, 4/5/21 and 4/19/21 . Was treated with steroids and had a CAT scan performed. Dr. referred me to hospital. Symptoms worsened from 4/19/21 to 5/10/21, started to slur speech, noticed facial paralysis and slight dizziness. Saw Dr. 5/10/21 and 5/26/21. Treated with steroid ear drops, two MRI scans performed. Abnormal soft tissue thickening detected in right mastoid sinus/ear. Biopsy performed by Dr. 6/3/21. Results are well defined squamous cell carcinoma.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Squamous cell carcinoma of skin
Clinical narrative: A few days after the 1st shot, the discharge I have always had in my right ear stopped. The ear felt stuffy. Saw a local ENT doctor on 3/26/21, 4/5/21 and 4/19/21 . Was treated with steroids and had a CAT scan performed. Dr. referred me to hospital. Symptoms worsened from 4/19/21 to 5/10/21, started to slur speech, noticed facial paralysis and slight dizziness. Saw Dr. 5/10/21 and 5/26/21. Treated with steroid ear drops, two MRI scans performed. Abnormal soft tissue thickening detected in right mastoid sinus/ear. Biopsy performed by Dr. 6/3/21. Results are well defined squamous cell carcinoma.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Caesarean section, Exposure during pregnancy, Induced labour, Premature rupture of membranes
Clinical narrative: Patient hospitalized for "PROM. She was induced with cytotec followed by pitoicn. She pushed for 4 hours then had a primary CS for failure to progress. Postpartum course complicated by elevated BP. Labs ordered, but she did not meet criteria for preeclampsia. Discharged home on POD 3. BP check in 2 days."
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Prolonged labour
Clinical narrative: Patient hospitalized for "PROM. She was induced with cytotec followed by pitoicn. She pushed for 4 hours then had a primary CS for failure to progress. Postpartum course complicated by elevated BP. Labs ordered, but she did not meet criteria for preeclampsia. Discharged home on POD 3. BP check in 2 days."
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Deafness neurosensory, Ear discomfort, Hypoacusis, Magnetic resonance imaging
Clinical narrative: My ear started clogging up, as the day went on it got worse. They said I had sudden sensor neural hearing loss. The noise in my ear are so serious I can't hardly think. Its double echoing, vibration, and whistling.  It feels like I am under water. The noise is 24/7. It feels like someone is in my head talking from the inside out. It is completely debilitating. It is still going on at this time.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Mental impairment, Tinnitus
Clinical narrative: My ear started clogging up, as the day went on it got worse. They said I had sudden sensor neural hearing loss. The noise in my ear are so serious I can't hardly think. Its double echoing, vibration, and whistling.  It feels like I am under water. The noise is 24/7. It feels like someone is in my head talking from the inside out. It is completely debilitating. It is still going on at this time.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Bladder dilatation, Blood culture positive, Citrobacter sepsis
Clinical narrative: Severe citrobacter induced sepsis complicating acute complicated  UTI, severe due to acute weakness, relative hypotension, slight AKI.  Patient who is a direct admission from an outside hospital because of symptomatic left flank pain due to 7 mm mid ureteral stone with left hydroureteronephrosis and a distended urinary bladder, required urology intervention, later turned to have +ve blood culture in outside facility, managed for this, managed for the above acute issues, improved, today he is cleared by all teams to dc, ID called in am, cleared by her to dc on po Cipro for 2 weeks, stable to dc to f/w ID, PMD, urology for further care after dc.  Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Flank pain, Hydronephrosis, Hypotension, Nephrolithiasis, Urinary tract infection
Clinical narrative: Severe citrobacter induced sepsis complicating acute complicated  UTI, severe due to acute weakness, relative hypotension, slight AKI.  Patient who is a direct admission from an outside hospital because of symptomatic left flank pain due to 7 mm mid ureteral stone with left hydroureteronephrosis and a distended urinary bladder, required urology intervention, later turned to have +ve blood culture in outside facility, managed for this, managed for the above acute issues, improved, today he is cleared by all teams to dc, ID called in am, cleared by her to dc on po Cipro for 2 weeks, stable to dc to f/w ID, PMD, urology for further care after dc.  Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood test, Pain in extremity, Peripheral swelling
Clinical narrative: Approximately 3 weeks after vaccine the opposite arm from the injection site began swelling. Caused pain in arm, shoulder, and upper back. Pain was helped with NSAIDS. Lasted for 6 weeks.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Immunisation reaction, Laryngeal oedema
Clinical narrative: Reported Allergic Reaction to COVID-19 mRNA vaccine. High severity - laryngeal edema.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Inflammation, Pruritus, Skin swelling, Urticaria
Clinical narrative: I started itching uncontrollability. I went to take a shower at 5PM and was covered in large raised whelps all over my body that was very inflamed. I went to my doctor and started on a round of steroids and was prescribed an antihistamine. That only helps when I take them all of the time. They make me sleepy. When I go without taking them the whelps comes back. I am now on Claritin in the mornings and Zyrtec at nights. I went to the dermatologist and an allergist which also states to stay on the antihistamine. Taking these medications makes me tired all of the time and depressed. I don't feel like myself anymore.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Mobility decreased, Pain in extremity
Clinical narrative: When they gave me the shot 30 seconds in I started to taste metallic, could not lift left arm, very painful.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Gait disturbance, Heart rate increased, Hyperhidrosis
Clinical narrative: Case received second Moderna booster at 0815 on morning of 04-11-22; She states she had a very busy day afterwards and that she was "pushing herself" around the time she was in her basement cleaning when she suddenly felt very dizzy and felt like she was going to pass out.She also felt hot and she had sweat on her forehead.She is unable to state exactly how long this lasted. She did not pass out and the faint feeling began to ease as she lowered herself to the floor.She  got herself up the stairs by taking one step at a time  in a sitting position.She checked her pulse which was 102 (slightly elevated for her).As she was continuing to feel better she decided she did not need medical help. Case upset about this  as she is very active in her daily life and has never had any side effects to any vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: About a week and a half after receiving the vaccine, I got my regular period. For the first 72 hours the flow was extremely and abnormally heavy. Due to existing knowledge of my reproductive issues, I know that it was unrelated to pregnancy.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Chills, Headache, SARS-CoV-2 test positive
Clinical narrative: Tested positive for covid. Initially started as allergy type symptoms typical this time of year. Took test just to be sure not covid, but was positive. Feels like I am drowning in mucus, very tight, heavy feeling in chest, coughing, never had a fever, mild chills, headache, blood oxygen levels vary from 94-98. Currently still sick on day 6. Was told to report when someone from VSAFE did a follow up call today.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Sputum increased
Clinical narrative: Tested positive for covid. Initially started as allergy type symptoms typical this time of year. Took test just to be sure not covid, but was positive. Feels like I am drowning in mucus, very tight, heavy feeling in chest, coughing, never had a fever, mild chills, headache, blood oxygen levels vary from 94-98. Currently still sick on day 6. Was told to report when someone from VSAFE did a follow up call today.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine may have been compromised at date of administration
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Acute respiratory failure, Asthenia, Blood glucose increased, Blood lactic acid
Clinical narrative: Patient up to date on Pfizer COVID vaccinations who admitted to the hospital with COVID complications.  Provider d/c note below:    "Brief Summary of Hospital Stay:  Per HPI, a 85 YO male that presented to the ED with c/o shortness of breath. Chronic health conditions include interstitial lung disease, PAF no AC, HFpEF, PVD, T2dm, HLD, rectal cancer history with colostomy, and hypertension.  Patient reports for approximately 4-5 days he has had worsening shortness of breath over his chronic breathing problems in which he is supposed to wear 2 L of oxygen at night when sleeping to treat.  Additionally he reports that he has had a worsening cough with this difficulty in breathing but he was not sure that it was a problem because he has a chronic cough.  He has had a loss of appetite as well.  Today he noticed that he began in feel weak and he had a fall at home outside in the yd for which he denies dizziness or injury of any kind including hitting his head or loss of consciousness.  The patient notices blood sugars were high today running around 280 so he called his PCP who instructed him to go to the emergency department.  The patient called 911 and when they showed up his oxygen levels were approximately 85%.  He reports that his daughter has been recently diagnosed with COVID and that he is vaccinated with all 3 vaccines.  He denies fever, chest pain, nausea and vomiting. He is unsure if he has diarrhea because he has a colostomy.    In the ED, hypoxic with pulse ox 77% on room air - 92% on 5 L nasal cannula, heart rate 137 lactate 2.7, procalcitonin 0.15, troponin 29 > 26 HGB 12.8, glucose 207, sodium 131, COVID positive, CXR shows bilateral infiltrates.  Received Decadron 10 mg and 1 L IV fluid in the emergency department.    Hospital Course:  Acute on Chronic Hypoxic Respiratory Failure -2/2 covid pna/ARDS in setting of underlying interstitial lung disease. Pt was started on remdesivir, dexamethasone, empiric abx with slow improvement, though pt able to wean down to 4L O2 via NC. Pulmonology recommends slow taper of steroids over 6 weeks. "  Of note - patient died on hospice services on 02/10/2022.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood sodium decreased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Condition aggravated
Clinical narrative: Patient up to date on Pfizer COVID vaccinations who admitted to the hospital with COVID complications.  Provider d/c note below:    "Brief Summary of Hospital Stay:  Per HPI, a 85 YO male that presented to the ED with c/o shortness of breath. Chronic health conditions include interstitial lung disease, PAF no AC, HFpEF, PVD, T2dm, HLD, rectal cancer history with colostomy, and hypertension.  Patient reports for approximately 4-5 days he has had worsening shortness of breath over his chronic breathing problems in which he is supposed to wear 2 L of oxygen at night when sleeping to treat.  Additionally he reports that he has had a worsening cough with this difficulty in breathing but he was not sure that it was a problem because he has a chronic cough.  He has had a loss of appetite as well.  Today he noticed that he began in feel weak and he had a fall at home outside in the yd for which he denies dizziness or injury of any kind including hitting his head or loss of consciousness.  The patient notices blood sugars were high today running around 280 so he called his PCP who instructed him to go to the emergency department.  The patient called 911 and when they showed up his oxygen levels were approximately 85%.  He reports that his daughter has been recently diagnosed with COVID and that he is vaccinated with all 3 vaccines.  He denies fever, chest pain, nausea and vomiting. He is unsure if he has diarrhea because he has a colostomy.    In the ED, hypoxic with pulse ox 77% on room air - 92% on 5 L nasal cannula, heart rate 137 lactate 2.7, procalcitonin 0.15, troponin 29 > 26 HGB 12.8, glucose 207, sodium 131, COVID positive, CXR shows bilateral infiltrates.  Received Decadron 10 mg and 1 L IV fluid in the emergency department.    Hospital Course:  Acute on Chronic Hypoxic Respiratory Failure -2/2 covid pna/ARDS in setting of underlying interstitial lung disease. Pt was started on remdesivir, dexamethasone, empiric abx with slow improvement, though pt able to wean down to 4L O2 via NC. Pulmonology recommends slow taper of steroids over 6 weeks. "  Of note - patient died on hospice services on 02/10/2022.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Death, Decreased appetite, Dyspnoea, Fall
Clinical narrative: Patient up to date on Pfizer COVID vaccinations who admitted to the hospital with COVID complications.  Provider d/c note below:    "Brief Summary of Hospital Stay:  Per HPI, a 85 YO male that presented to the ED with c/o shortness of breath. Chronic health conditions include interstitial lung disease, PAF no AC, HFpEF, PVD, T2dm, HLD, rectal cancer history with colostomy, and hypertension.  Patient reports for approximately 4-5 days he has had worsening shortness of breath over his chronic breathing problems in which he is supposed to wear 2 L of oxygen at night when sleeping to treat.  Additionally he reports that he has had a worsening cough with this difficulty in breathing but he was not sure that it was a problem because he has a chronic cough.  He has had a loss of appetite as well.  Today he noticed that he began in feel weak and he had a fall at home outside in the yd for which he denies dizziness or injury of any kind including hitting his head or loss of consciousness.  The patient notices blood sugars were high today running around 280 so he called his PCP who instructed him to go to the emergency department.  The patient called 911 and when they showed up his oxygen levels were approximately 85%.  He reports that his daughter has been recently diagnosed with COVID and that he is vaccinated with all 3 vaccines.  He denies fever, chest pain, nausea and vomiting. He is unsure if he has diarrhea because he has a colostomy.    In the ED, hypoxic with pulse ox 77% on room air - 92% on 5 L nasal cannula, heart rate 137 lactate 2.7, procalcitonin 0.15, troponin 29 > 26 HGB 12.8, glucose 207, sodium 131, COVID positive, CXR shows bilateral infiltrates.  Received Decadron 10 mg and 1 L IV fluid in the emergency department.    Hospital Course:  Acute on Chronic Hypoxic Respiratory Failure -2/2 covid pna/ARDS in setting of underlying interstitial lung disease. Pt was started on remdesivir, dexamethasone, empiric abx with slow improvement, though pt able to wean down to 4L O2 via NC. Pulmonology recommends slow taper of steroids over 6 weeks. "  Of note - patient died on hospice services on 02/10/2022.