chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of deep cough, chest congestion, extreme tiredness, and malaise. I had a positive COVID-19 home test on 4/26/2022. I also developed a sore throat and runny nose. I called my doctor and I also have a home health nurse and have checked my vital and was advised to rest and to take Mucinex and Tylenol. Most of the symptoms lasted for 3 days except for the sore throat and cough.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Feeling hot
Clinical narrative: Limited breathing ability, could only take really short breathes and it felt extremely hard to breath at all. Also because extremely overheated and red. Lasted about 2 minutes. Was fanned and drank water and then started to feel better.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: to young to receive 2nd dose
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: COVID-19 symptoms started on 04/18/22. Tested Positive with home test on 04/19/22. Symptoms included runny nose that started towards the end of day, bad sore throat, and a headache. Symptoms lasted through 04/28/22 and by 04/29/22 the test was negative. It lasted 10-11 days. I called my PCP so they would know just incase they reported numbers and there was a question if I should get the antiviral.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus. No available treatment. Taking vitamins that lessens the ringing.  My sister had the same adverse event.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase increased, Blood potassium increased, Blood sodium decreased, Bradycardia, Bronchial obstruction
Clinical narrative: This is a 62-year-old man with a past medical history of metastatic spindle cell cancer status post recent bronchoscopy for tumor debulking on 2/2/2022 with known left-sided malignant bronchial obstruction, recent new heart failure with reduced ejection fraction who presents via EMS from home for respiratory distress. EMS reports he started out with oxygen saturations in the 70s and talking to them he progressed to unresponsiveness and unable to obtain a stat. They tried treating him with albuterol followed by CPAP followed by bag-valve-mask ventilations which they were doing on arrival. On arrival he was undergoing bag-valve-mask ventilations, on transfer over to our stretcher he became pulseless after briefly becoming bradycardic. CPR was immediately started. An LMA was placed. Epinephrine was given x3. A right humeral 10 was placed. Intubation was performed. Shortly after intubation and return of spontaneous circulation he had a wide tachycardic rhythm. He was synchronized cardioverted at 200 J with no change in rhythm. He was started on epinephrine drip. He was given calcium and bicarb during the rest as well. Chest x-ray shows good positioning of the endotracheal tube, his end-tidal to was coming down from 100 to the 60s. Chest x-ray does also show significant white out of the left lung. He will be given broad-spectrum antibiotics.  On arrival to MICU he became hypotensive and once again had wide complex tachycardia so amiodarone was given and his HR improved to 90 bpm. Changed from epinephrine drip to norepinephrine drip. Treated with Vancomycin and Zosyn for broad spectrum ABX. Continued IV amiodarone load without oral maintenance dose. Notably, he was able to follow simple commands and seemed neurologically intact after his cardiac arrest. He was extubated to BiPAP on 02/16. He had hyperkalemia that was managed with lokelma and IV insulin. Our team and palliative care facilitated ongoing GOC discussion with patient and his family, and ultimately it was decided to pursue comfort care. Patient passed away with his family at bedside
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchoscopy, C-reactive protein increased, COVID-19, Cardiac arrest, Cardiac failure
Clinical narrative: This is a 62-year-old man with a past medical history of metastatic spindle cell cancer status post recent bronchoscopy for tumor debulking on 2/2/2022 with known left-sided malignant bronchial obstruction, recent new heart failure with reduced ejection fraction who presents via EMS from home for respiratory distress. EMS reports he started out with oxygen saturations in the 70s and talking to them he progressed to unresponsiveness and unable to obtain a stat. They tried treating him with albuterol followed by CPAP followed by bag-valve-mask ventilations which they were doing on arrival. On arrival he was undergoing bag-valve-mask ventilations, on transfer over to our stretcher he became pulseless after briefly becoming bradycardic. CPR was immediately started. An LMA was placed. Epinephrine was given x3. A right humeral 10 was placed. Intubation was performed. Shortly after intubation and return of spontaneous circulation he had a wide tachycardic rhythm. He was synchronized cardioverted at 200 J with no change in rhythm. He was started on epinephrine drip. He was given calcium and bicarb during the rest as well. Chest x-ray shows good positioning of the endotracheal tube, his end-tidal to was coming down from 100 to the 60s. Chest x-ray does also show significant white out of the left lung. He will be given broad-spectrum antibiotics.  On arrival to MICU he became hypotensive and once again had wide complex tachycardia so amiodarone was given and his HR improved to 90 bpm. Changed from epinephrine drip to norepinephrine drip. Treated with Vancomycin and Zosyn for broad spectrum ABX. Continued IV amiodarone load without oral maintenance dose. Notably, he was able to follow simple commands and seemed neurologically intact after his cardiac arrest. He was extubated to BiPAP on 02/16. He had hyperkalemia that was managed with lokelma and IV insulin. Our team and palliative care facilitated ongoing GOC discussion with patient and his family, and ultimately it was decided to pursue comfort care. Patient passed away with his family at bedside
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cardioversion, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Cytoreductive surgery, Death
Clinical narrative: This is a 62-year-old man with a past medical history of metastatic spindle cell cancer status post recent bronchoscopy for tumor debulking on 2/2/2022 with known left-sided malignant bronchial obstruction, recent new heart failure with reduced ejection fraction who presents via EMS from home for respiratory distress. EMS reports he started out with oxygen saturations in the 70s and talking to them he progressed to unresponsiveness and unable to obtain a stat. They tried treating him with albuterol followed by CPAP followed by bag-valve-mask ventilations which they were doing on arrival. On arrival he was undergoing bag-valve-mask ventilations, on transfer over to our stretcher he became pulseless after briefly becoming bradycardic. CPR was immediately started. An LMA was placed. Epinephrine was given x3. A right humeral 10 was placed. Intubation was performed. Shortly after intubation and return of spontaneous circulation he had a wide tachycardic rhythm. He was synchronized cardioverted at 200 J with no change in rhythm. He was started on epinephrine drip. He was given calcium and bicarb during the rest as well. Chest x-ray shows good positioning of the endotracheal tube, his end-tidal to was coming down from 100 to the 60s. Chest x-ray does also show significant white out of the left lung. He will be given broad-spectrum antibiotics.  On arrival to MICU he became hypotensive and once again had wide complex tachycardia so amiodarone was given and his HR improved to 90 bpm. Changed from epinephrine drip to norepinephrine drip. Treated with Vancomycin and Zosyn for broad spectrum ABX. Continued IV amiodarone load without oral maintenance dose. Notably, he was able to follow simple commands and seemed neurologically intact after his cardiac arrest. He was extubated to BiPAP on 02/16. He had hyperkalemia that was managed with lokelma and IV insulin. Our team and palliative care facilitated ongoing GOC discussion with patient and his family, and ultimately it was decided to pursue comfort care. Patient passed away with his family at bedside
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Extubation, Fibrin D dimer, Haematocrit decreased, Hyperkalaemia
Clinical narrative: This is a 62-year-old man with a past medical history of metastatic spindle cell cancer status post recent bronchoscopy for tumor debulking on 2/2/2022 with known left-sided malignant bronchial obstruction, recent new heart failure with reduced ejection fraction who presents via EMS from home for respiratory distress. EMS reports he started out with oxygen saturations in the 70s and talking to them he progressed to unresponsiveness and unable to obtain a stat. They tried treating him with albuterol followed by CPAP followed by bag-valve-mask ventilations which they were doing on arrival. On arrival he was undergoing bag-valve-mask ventilations, on transfer over to our stretcher he became pulseless after briefly becoming bradycardic. CPR was immediately started. An LMA was placed. Epinephrine was given x3. A right humeral 10 was placed. Intubation was performed. Shortly after intubation and return of spontaneous circulation he had a wide tachycardic rhythm. He was synchronized cardioverted at 200 J with no change in rhythm. He was started on epinephrine drip. He was given calcium and bicarb during the rest as well. Chest x-ray shows good positioning of the endotracheal tube, his end-tidal to was coming down from 100 to the 60s. Chest x-ray does also show significant white out of the left lung. He will be given broad-spectrum antibiotics.  On arrival to MICU he became hypotensive and once again had wide complex tachycardia so amiodarone was given and his HR improved to 90 bpm. Changed from epinephrine drip to norepinephrine drip. Treated with Vancomycin and Zosyn for broad spectrum ABX. Continued IV amiodarone load without oral maintenance dose. Notably, he was able to follow simple commands and seemed neurologically intact after his cardiac arrest. He was extubated to BiPAP on 02/16. He had hyperkalemia that was managed with lokelma and IV insulin. Our team and palliative care facilitated ongoing GOC discussion with patient and his family, and ultimately it was decided to pursue comfort care. Patient passed away with his family at bedside
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Intensive care, Laryngeal mask airway insertion, Lung consolidation, Lung disorder
Clinical narrative: This is a 62-year-old man with a past medical history of metastatic spindle cell cancer status post recent bronchoscopy for tumor debulking on 2/2/2022 with known left-sided malignant bronchial obstruction, recent new heart failure with reduced ejection fraction who presents via EMS from home for respiratory distress. EMS reports he started out with oxygen saturations in the 70s and talking to them he progressed to unresponsiveness and unable to obtain a stat. They tried treating him with albuterol followed by CPAP followed by bag-valve-mask ventilations which they were doing on arrival. On arrival he was undergoing bag-valve-mask ventilations, on transfer over to our stretcher he became pulseless after briefly becoming bradycardic. CPR was immediately started. An LMA was placed. Epinephrine was given x3. A right humeral 10 was placed. Intubation was performed. Shortly after intubation and return of spontaneous circulation he had a wide tachycardic rhythm. He was synchronized cardioverted at 200 J with no change in rhythm. He was started on epinephrine drip. He was given calcium and bicarb during the rest as well. Chest x-ray shows good positioning of the endotracheal tube, his end-tidal to was coming down from 100 to the 60s. Chest x-ray does also show significant white out of the left lung. He will be given broad-spectrum antibiotics.  On arrival to MICU he became hypotensive and once again had wide complex tachycardia so amiodarone was given and his HR improved to 90 bpm. Changed from epinephrine drip to norepinephrine drip. Treated with Vancomycin and Zosyn for broad spectrum ABX. Continued IV amiodarone load without oral maintenance dose. Notably, he was able to follow simple commands and seemed neurologically intact after his cardiac arrest. He was extubated to BiPAP on 02/16. He had hyperkalemia that was managed with lokelma and IV insulin. Our team and palliative care facilitated ongoing GOC discussion with patient and his family, and ultimately it was decided to pursue comfort care. Patient passed away with his family at bedside
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural mass, Positive airway pressure therapy, Pulmonary mass, Pulse absent, Respiratory distress
Clinical narrative: This is a 62-year-old man with a past medical history of metastatic spindle cell cancer status post recent bronchoscopy for tumor debulking on 2/2/2022 with known left-sided malignant bronchial obstruction, recent new heart failure with reduced ejection fraction who presents via EMS from home for respiratory distress. EMS reports he started out with oxygen saturations in the 70s and talking to them he progressed to unresponsiveness and unable to obtain a stat. They tried treating him with albuterol followed by CPAP followed by bag-valve-mask ventilations which they were doing on arrival. On arrival he was undergoing bag-valve-mask ventilations, on transfer over to our stretcher he became pulseless after briefly becoming bradycardic. CPR was immediately started. An LMA was placed. Epinephrine was given x3. A right humeral 10 was placed. Intubation was performed. Shortly after intubation and return of spontaneous circulation he had a wide tachycardic rhythm. He was synchronized cardioverted at 200 J with no change in rhythm. He was started on epinephrine drip. He was given calcium and bicarb during the rest as well. Chest x-ray shows good positioning of the endotracheal tube, his end-tidal to was coming down from 100 to the 60s. Chest x-ray does also show significant white out of the left lung. He will be given broad-spectrum antibiotics.  On arrival to MICU he became hypotensive and once again had wide complex tachycardia so amiodarone was given and his HR improved to 90 bpm. Changed from epinephrine drip to norepinephrine drip. Treated with Vancomycin and Zosyn for broad spectrum ABX. Continued IV amiodarone load without oral maintenance dose. Notably, he was able to follow simple commands and seemed neurologically intact after his cardiac arrest. He was extubated to BiPAP on 02/16. He had hyperkalemia that was managed with lokelma and IV insulin. Our team and palliative care facilitated ongoing GOC discussion with patient and his family, and ultimately it was decided to pursue comfort care. Patient passed away with his family at bedside
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, SARS-CoV-2 test positive, Tachycardia, Unresponsive to stimuli, White blood cell count increased
Clinical narrative: This is a 62-year-old man with a past medical history of metastatic spindle cell cancer status post recent bronchoscopy for tumor debulking on 2/2/2022 with known left-sided malignant bronchial obstruction, recent new heart failure with reduced ejection fraction who presents via EMS from home for respiratory distress. EMS reports he started out with oxygen saturations in the 70s and talking to them he progressed to unresponsiveness and unable to obtain a stat. They tried treating him with albuterol followed by CPAP followed by bag-valve-mask ventilations which they were doing on arrival. On arrival he was undergoing bag-valve-mask ventilations, on transfer over to our stretcher he became pulseless after briefly becoming bradycardic. CPR was immediately started. An LMA was placed. Epinephrine was given x3. A right humeral 10 was placed. Intubation was performed. Shortly after intubation and return of spontaneous circulation he had a wide tachycardic rhythm. He was synchronized cardioverted at 200 J with no change in rhythm. He was started on epinephrine drip. He was given calcium and bicarb during the rest as well. Chest x-ray shows good positioning of the endotracheal tube, his end-tidal to was coming down from 100 to the 60s. Chest x-ray does also show significant white out of the left lung. He will be given broad-spectrum antibiotics.  On arrival to MICU he became hypotensive and once again had wide complex tachycardia so amiodarone was given and his HR improved to 90 bpm. Changed from epinephrine drip to norepinephrine drip. Treated with Vancomycin and Zosyn for broad spectrum ABX. Continued IV amiodarone load without oral maintenance dose. Notably, he was able to follow simple commands and seemed neurologically intact after his cardiac arrest. He was extubated to BiPAP on 02/16. He had hyperkalemia that was managed with lokelma and IV insulin. Our team and palliative care facilitated ongoing GOC discussion with patient and his family, and ultimately it was decided to pursue comfort care. Patient passed away with his family at bedside
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Chills, Condition aggravated, Fatigue
Clinical narrative: I had same anticipated joint and muscle pain with chills and fatigue for 24-36 hours after both first and second vaccine. I returned to normal health for almost 72 hours and then noted the new symptoms. I am experiencing skin hypersensitivity over the zoster scars (left abdomen) from my zoster outbreak  of roughly 40 years ago. I also now have a headache and some back pain in the same dermatome, but opposite side. I don't know if these are related.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Myalgia, Scar discomfort, Sensitive skin
Clinical narrative: I had same anticipated joint and muscle pain with chills and fatigue for 24-36 hours after both first and second vaccine. I returned to normal health for almost 72 hours and then noted the new symptoms. I am experiencing skin hypersensitivity over the zoster scars (left abdomen) from my zoster outbreak  of roughly 40 years ago. I also now have a headache and some back pain in the same dermatome, but opposite side. I don't know if these are related.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Day 9 after vaccine I had a neck, chest, and arm rash that was very itchy. It lasted a month. I used a cortisone cream and I'm not sure if it helped or if it was psychological.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Pruritus, Rash
Clinical narrative: Pt developed itching evening of injection which became "bad" per pt and did develop "little red bumps"-both were generalized over entire body per pt report.  Was instructed to take benadryl at night and zyrtec or claritin during day and was given rx for prednisone 4/29/2022 due to continuation of itching.
Age: 11.0
Sex: M
Vaccine: HPV9, IPV, MNQ, TDAP, VARCEL
Symptoms: Blood pressure abnormal, Heart rate increased, Hyperhidrosis, Pain in extremity, Pallor
Clinical narrative: Vasovagal response.  Skin color became pale, white lips, but was still able to speak with family and nurses. Pt was shaking, diaphoretic, and rap pulse on assessment. Pt stated, "my ears started ringing, bad pain in my left arm, things got dark, and remembering sitting on the floor when I came to." 911 was called. After deep breathing exercises and cool compresses pt slowed breathing, pinks became pink, and blood pressure/HR came back in normal range for his age. O2 sats were 98%.
Age: 11.0
Sex: M
Vaccine: HPV9, IPV, MNQ, TDAP, VARCEL
Symptoms: Presyncope, Tinnitus, Tremor, Visual impairment
Clinical narrative: Vasovagal response.  Skin color became pale, white lips, but was still able to speak with family and nurses. Pt was shaking, diaphoretic, and rap pulse on assessment. Pt stated, "my ears started ringing, bad pain in my left arm, things got dark, and remembering sitting on the floor when I came to." 911 was called. After deep breathing exercises and cool compresses pt slowed breathing, pinks became pink, and blood pressure/HR came back in normal range for his age. O2 sats were 98%.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Asymptomatic SARS-CoV-2 infection Screening swab on admission was positive.  This could also explain her fever on presentation. three day course of remdesivir IV
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The pediatric patient received an adult dose of the Pfizer/BioNTech vaccine instead of the pediatric dose. Patient had no side effects or symptoms. The Pharmacist did daily follow up to check on the patient.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cerebrovascular accident, Computerised tomogram, Fatigue, Magnetic resonance imaging
Clinical narrative: My right arm started feeling weak. I was really tired, so I rested all day then I took my blood pressure and it 225/111. I went to ER & was told I had a stroke.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: My right arm started feeling weak. I was really tired, so I rested all day then I took my blood pressure and it 225/111. I went to ER & was told I had a stroke.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Agonal respiration, Anal incontinence, Aphasia, Arterial catheterisation, Bedridden
Clinical narrative: Patient transferred from long-term care at department of correction Medical Center Emergency Room with altered mental status and hypoxic respiratory failure. Patient was unresponsive on arrival to the ED with agonal breathing on non-rebreather, BP was immediately intubated for airway protection with improvement in oxygenation. Chest x-ray with significant bilateral ground-glass opacities and infiltrates. Rapid COVID was negative, started on antibiotics and received 3 L normal saline bolus by the ED. Of note patient had a recent multifocal CVA (01/25/2022) involving the cerebellum, frontal, and parietal lobes. He has residual expressive aphasia and right hemiparesis. Per documentation from Department of Corrections the patient has been running a fever since 1/25 /22 when he was admitted to their long term care area. The patient was much more altered today prompting transfer to ER. At baseline patient is alert and oriented x3, bed ridden, urinary/bowel incontinence, expressive aphasia, right hemiparesis. In ER, patient was hypoxic with a sat of 60 and hypotensive with a systolic blood pressure of 70, immediately placed art line and started vasopressors, quickly escalated to max pressers. Central line was placed. He required neo synephrine sticks to get is blood pressure up. COVID PCR came back positive after initial rapid was negative. Starting Decadron and RDV. Continue broad-spectrum antibiotics for suspected secondary bacterial pneumonia and what appears to be septic shock with an added component of cardiogenic shock. Patient's oxygenation continued to worsen despite max ventilator support. Family at bedside. Patient passed away at 12:41 pm 2/21/22
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiogenic shock, Central venous catheterisation, Cerebrovascular accident, Chest X-ray abnormal
Clinical narrative: Patient transferred from long-term care at department of correction Medical Center Emergency Room with altered mental status and hypoxic respiratory failure. Patient was unresponsive on arrival to the ED with agonal breathing on non-rebreather, BP was immediately intubated for airway protection with improvement in oxygenation. Chest x-ray with significant bilateral ground-glass opacities and infiltrates. Rapid COVID was negative, started on antibiotics and received 3 L normal saline bolus by the ED. Of note patient had a recent multifocal CVA (01/25/2022) involving the cerebellum, frontal, and parietal lobes. He has residual expressive aphasia and right hemiparesis. Per documentation from Department of Corrections the patient has been running a fever since 1/25 /22 when he was admitted to their long term care area. The patient was much more altered today prompting transfer to ER. At baseline patient is alert and oriented x3, bed ridden, urinary/bowel incontinence, expressive aphasia, right hemiparesis. In ER, patient was hypoxic with a sat of 60 and hypotensive with a systolic blood pressure of 70, immediately placed art line and started vasopressors, quickly escalated to max pressers. Central line was placed. He required neo synephrine sticks to get is blood pressure up. COVID PCR came back positive after initial rapid was negative. Starting Decadron and RDV. Continue broad-spectrum antibiotics for suspected secondary bacterial pneumonia and what appears to be septic shock with an added component of cardiogenic shock. Patient's oxygenation continued to worsen despite max ventilator support. Family at bedside. Patient passed away at 12:41 pm 2/21/22
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Endotracheal intubation, Hemiparesis, Hypotension, Hypoxia
Clinical narrative: Patient transferred from long-term care at department of correction Medical Center Emergency Room with altered mental status and hypoxic respiratory failure. Patient was unresponsive on arrival to the ED with agonal breathing on non-rebreather, BP was immediately intubated for airway protection with improvement in oxygenation. Chest x-ray with significant bilateral ground-glass opacities and infiltrates. Rapid COVID was negative, started on antibiotics and received 3 L normal saline bolus by the ED. Of note patient had a recent multifocal CVA (01/25/2022) involving the cerebellum, frontal, and parietal lobes. He has residual expressive aphasia and right hemiparesis. Per documentation from Department of Corrections the patient has been running a fever since 1/25 /22 when he was admitted to their long term care area. The patient was much more altered today prompting transfer to ER. At baseline patient is alert and oriented x3, bed ridden, urinary/bowel incontinence, expressive aphasia, right hemiparesis. In ER, patient was hypoxic with a sat of 60 and hypotensive with a systolic blood pressure of 70, immediately placed art line and started vasopressors, quickly escalated to max pressers. Central line was placed. He required neo synephrine sticks to get is blood pressure up. COVID PCR came back positive after initial rapid was negative. Starting Decadron and RDV. Continue broad-spectrum antibiotics for suspected secondary bacterial pneumonia and what appears to be septic shock with an added component of cardiogenic shock. Patient's oxygenation continued to worsen despite max ventilator support. Family at bedside. Patient passed away at 12:41 pm 2/21/22
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Infection, Lung infiltration, Lung opacity, Mechanical ventilation, Mental status changes
Clinical narrative: Patient transferred from long-term care at department of correction Medical Center Emergency Room with altered mental status and hypoxic respiratory failure. Patient was unresponsive on arrival to the ED with agonal breathing on non-rebreather, BP was immediately intubated for airway protection with improvement in oxygenation. Chest x-ray with significant bilateral ground-glass opacities and infiltrates. Rapid COVID was negative, started on antibiotics and received 3 L normal saline bolus by the ED. Of note patient had a recent multifocal CVA (01/25/2022) involving the cerebellum, frontal, and parietal lobes. He has residual expressive aphasia and right hemiparesis. Per documentation from Department of Corrections the patient has been running a fever since 1/25 /22 when he was admitted to their long term care area. The patient was much more altered today prompting transfer to ER. At baseline patient is alert and oriented x3, bed ridden, urinary/bowel incontinence, expressive aphasia, right hemiparesis. In ER, patient was hypoxic with a sat of 60 and hypotensive with a systolic blood pressure of 70, immediately placed art line and started vasopressors, quickly escalated to max pressers. Central line was placed. He required neo synephrine sticks to get is blood pressure up. COVID PCR came back positive after initial rapid was negative. Starting Decadron and RDV. Continue broad-spectrum antibiotics for suspected secondary bacterial pneumonia and what appears to be septic shock with an added component of cardiogenic shock. Patient's oxygenation continued to worsen despite max ventilator support. Family at bedside. Patient passed away at 12:41 pm 2/21/22
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pneumonia bacterial, Pyrexia, Respiratory failure, SARS-CoV-2 test negative
Clinical narrative: Patient transferred from long-term care at department of correction Medical Center Emergency Room with altered mental status and hypoxic respiratory failure. Patient was unresponsive on arrival to the ED with agonal breathing on non-rebreather, BP was immediately intubated for airway protection with improvement in oxygenation. Chest x-ray with significant bilateral ground-glass opacities and infiltrates. Rapid COVID was negative, started on antibiotics and received 3 L normal saline bolus by the ED. Of note patient had a recent multifocal CVA (01/25/2022) involving the cerebellum, frontal, and parietal lobes. He has residual expressive aphasia and right hemiparesis. Per documentation from Department of Corrections the patient has been running a fever since 1/25 /22 when he was admitted to their long term care area. The patient was much more altered today prompting transfer to ER. At baseline patient is alert and oriented x3, bed ridden, urinary/bowel incontinence, expressive aphasia, right hemiparesis. In ER, patient was hypoxic with a sat of 60 and hypotensive with a systolic blood pressure of 70, immediately placed art line and started vasopressors, quickly escalated to max pressers. Central line was placed. He required neo synephrine sticks to get is blood pressure up. COVID PCR came back positive after initial rapid was negative. Starting Decadron and RDV. Continue broad-spectrum antibiotics for suspected secondary bacterial pneumonia and what appears to be septic shock with an added component of cardiogenic shock. Patient's oxygenation continued to worsen despite max ventilator support. Family at bedside. Patient passed away at 12:41 pm 2/21/22
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock, Unresponsive to stimuli, Urinary incontinence
Clinical narrative: Patient transferred from long-term care at department of correction Medical Center Emergency Room with altered mental status and hypoxic respiratory failure. Patient was unresponsive on arrival to the ED with agonal breathing on non-rebreather, BP was immediately intubated for airway protection with improvement in oxygenation. Chest x-ray with significant bilateral ground-glass opacities and infiltrates. Rapid COVID was negative, started on antibiotics and received 3 L normal saline bolus by the ED. Of note patient had a recent multifocal CVA (01/25/2022) involving the cerebellum, frontal, and parietal lobes. He has residual expressive aphasia and right hemiparesis. Per documentation from Department of Corrections the patient has been running a fever since 1/25 /22 when he was admitted to their long term care area. The patient was much more altered today prompting transfer to ER. At baseline patient is alert and oriented x3, bed ridden, urinary/bowel incontinence, expressive aphasia, right hemiparesis. In ER, patient was hypoxic with a sat of 60 and hypotensive with a systolic blood pressure of 70, immediately placed art line and started vasopressors, quickly escalated to max pressers. Central line was placed. He required neo synephrine sticks to get is blood pressure up. COVID PCR came back positive after initial rapid was negative. Starting Decadron and RDV. Continue broad-spectrum antibiotics for suspected secondary bacterial pneumonia and what appears to be septic shock with an added component of cardiogenic shock. Patient's oxygenation continued to worsen despite max ventilator support. Family at bedside. Patient passed away at 12:41 pm 2/21/22
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vial was expired, past 10 weeks in the fridge.  Called patient to advise re-vaccination.  Patient was not interested in that.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Arthralgia, Chills, Myalgia, Nausea
Clinical narrative: Upset stomach, nausea, muscle and joint pain, shivering
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injected limb mobility decreased, Magnetic resonance imaging, Pain, X-ray
Clinical narrative: In a few days had left severe shoulder, lost strength. Weakness persist to present. Pain with motion. Self PT.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site warmth
Clinical narrative: He developed a red, bruise-like reaction on his arm below his injection site. It was about the size of a softball and was warm to the touch. It developed the same day as the vaccination and has improved in size over the next two days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Cough, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: I started having COVID-19 symptoms on 04/20/2022. I had lunch with someone who tested positive and then I started feeling bad, so I had taken 5 COVID-19 tests and they all were negative. But I had lost my taste and smell. The entire time I had a very bad cough and I was congested, sneezing, headache, fatigue, low grade fever and sore throat. I had contact my doctor and doctor prescribe me prednisone and cough medicine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Malaise, Oropharyngeal pain, Pyrexia
Clinical narrative: I started having COVID-19 symptoms on 04/20/2022. I had lunch with someone who tested positive and then I started feeling bad, so I had taken 5 COVID-19 tests and they all were negative. But I had lost my taste and smell. The entire time I had a very bad cough and I was congested, sneezing, headache, fatigue, low grade fever and sore throat. I had contact my doctor and doctor prescribe me prednisone and cough medicine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative, Sneezing
Clinical narrative: I started having COVID-19 symptoms on 04/20/2022. I had lunch with someone who tested positive and then I started feeling bad, so I had taken 5 COVID-19 tests and they all were negative. But I had lost my taste and smell. The entire time I had a very bad cough and I was congested, sneezing, headache, fatigue, low grade fever and sore throat. I had contact my doctor and doctor prescribe me prednisone and cough medicine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Diarrhoea, Fatigue, Throat irritation
Clinical narrative: I had an itching throat and asthma breathing. For the first 20 mins I used my inhaler. For four days I was really tired. The next day after vaccine I experienced diarrhea.
Age: 4.0
Sex: M
Vaccine: DTAP, MMRV
Symptoms: Blister, Blister rupture, Injection site erythema, Injection site swelling
Clinical narrative: Parent noticed redness and swelling in left deltoid the day after vaccination was given.  The day after parent reports to clinic for with more swelling, blisters begin to form with drainage.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vial used to give the vaccine expired yesterday (5/3/2022).  It was kept under appropriate conditions, and the patient has had no untoward effects thus far.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Blood test, Chest pain, Electrocardiogram, Headache
Clinical narrative: Three weeks after receiving dose, my blood pressure was out of control, and severe pain in my lower extremities, I was having blurred vision and chest pain. I went to the ER and the said I was negative from blood clots and I was told to take a aspirin to prevent clotting and follow up with my provider. My blood pressure was still uncontrolled and my medication was increased. I was instructed to follow up with a cardiologist and they performed blood work and EKG. I went to ER three weeks after that because my blood pressure was high again. I was given cardiac enzymes, a EKG and sent home. Two days I went back to ER I had chest pain, numbness in my left arm, and numbness in my face. They gave me medication and was discharged home and told to follow with my PCP. I went to my PCP and reviewed my meds and lab work. I still had uncontrolled blood pressure. I quit my work because my blood pressure was so high I was unable to function. I still have left arm and face numbness. I have pain in my temples with severe headaches. I am having lab results show that I have kidney damage due to my high blood pressure. I have to have a stress test done and 7 more weeks of follow ups and lab work done to see if there is a blockage in my heart. I have quit my job and have sold my house due to not being able to work. I have now applied for disability.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Hypoaesthesia, Impaired work ability, Laboratory test, Laboratory test abnormal
Clinical narrative: Three weeks after receiving dose, my blood pressure was out of control, and severe pain in my lower extremities, I was having blurred vision and chest pain. I went to the ER and the said I was negative from blood clots and I was told to take a aspirin to prevent clotting and follow up with my provider. My blood pressure was still uncontrolled and my medication was increased. I was instructed to follow up with a cardiologist and they performed blood work and EKG. I went to ER three weeks after that because my blood pressure was high again. I was given cardiac enzymes, a EKG and sent home. Two days I went back to ER I had chest pain, numbness in my left arm, and numbness in my face. They gave me medication and was discharged home and told to follow with my PCP. I went to my PCP and reviewed my meds and lab work. I still had uncontrolled blood pressure. I quit my work because my blood pressure was so high I was unable to function. I still have left arm and face numbness. I have pain in my temples with severe headaches. I am having lab results show that I have kidney damage due to my high blood pressure. I have to have a stress test done and 7 more weeks of follow ups and lab work done to see if there is a blockage in my heart. I have quit my job and have sold my house due to not being able to work. I have now applied for disability.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Renal injury, Thyroid function test, Ultrasound Doppler normal, Vision blurred
Clinical narrative: Three weeks after receiving dose, my blood pressure was out of control, and severe pain in my lower extremities, I was having blurred vision and chest pain. I went to the ER and the said I was negative from blood clots and I was told to take a aspirin to prevent clotting and follow up with my provider. My blood pressure was still uncontrolled and my medication was increased. I was instructed to follow up with a cardiologist and they performed blood work and EKG. I went to ER three weeks after that because my blood pressure was high again. I was given cardiac enzymes, a EKG and sent home. Two days I went back to ER I had chest pain, numbness in my left arm, and numbness in my face. They gave me medication and was discharged home and told to follow with my PCP. I went to my PCP and reviewed my meds and lab work. I still had uncontrolled blood pressure. I quit my work because my blood pressure was so high I was unable to function. I still have left arm and face numbness. I have pain in my temples with severe headaches. I am having lab results show that I have kidney damage due to my high blood pressure. I have to have a stress test done and 7 more weeks of follow ups and lab work done to see if there is a blockage in my heart. I have quit my job and have sold my house due to not being able to work. I have now applied for disability.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody negative, Anti-thyroid antibody negative, Antinuclear antibody negative, Asthenia, Blood creatine phosphokinase normal
Clinical narrative: Severe pain, muscle soreness, difficulty with mobility, weakness due to pain. Difficulty with ADL's. Treated with prednisone (continues to present), initially hydroxychloroquine, then methotrexate added. As soon as prednisone dc'd in January 2022, symptoms flared. Now on Sulfasalazine 1500 mg bid and prednisone 2.5 mg daily. Seeing a Rheumatologist.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood immunoglobulin A normal, Blood immunoglobulin G normal, Blood magnesium normal, Blood thyroid stimulating hormone normal, Borrelia test negative
Clinical narrative: Severe pain, muscle soreness, difficulty with mobility, weakness due to pain. Difficulty with ADL's. Treated with prednisone (continues to present), initially hydroxychloroquine, then methotrexate added. As soon as prednisone dc'd in January 2022, symptoms flared. Now on Sulfasalazine 1500 mg bid and prednisone 2.5 mg daily. Seeing a Rheumatologist.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein normal, Full blood count normal, HLA-B*27 positive, Loss of personal independence in daily activities, Metabolic function test normal
Clinical narrative: Severe pain, muscle soreness, difficulty with mobility, weakness due to pain. Difficulty with ADL's. Treated with prednisone (continues to present), initially hydroxychloroquine, then methotrexate added. As soon as prednisone dc'd in January 2022, symptoms flared. Now on Sulfasalazine 1500 mg bid and prednisone 2.5 mg daily. Seeing a Rheumatologist.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Myalgia, Pain, Red blood cell sedimentation rate normal, Rheumatoid factor negative
Clinical narrative: Severe pain, muscle soreness, difficulty with mobility, weakness due to pain. Difficulty with ADL's. Treated with prednisone (continues to present), initially hydroxychloroquine, then methotrexate added. As soon as prednisone dc'd in January 2022, symptoms flared. Now on Sulfasalazine 1500 mg bid and prednisone 2.5 mg daily. Seeing a Rheumatologist.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Symptom recurrence, Thyroxine free normal, Tri-iodothyronine normal, Ultrasound Doppler
Clinical narrative: Severe pain, muscle soreness, difficulty with mobility, weakness due to pain. Difficulty with ADL's. Treated with prednisone (continues to present), initially hydroxychloroquine, then methotrexate added. As soon as prednisone dc'd in January 2022, symptoms flared. Now on Sulfasalazine 1500 mg bid and prednisone 2.5 mg daily. Seeing a Rheumatologist.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Productive cough, SARS-CoV-2 test negative
Clinical narrative: A few months ago I started having a cough, but no other symptoms. I don't have any chills or anything else. I never tested positive for having COVID-19. I was taking steroids and albuterol, but those didn't help. I am going to see a pulmonologist. I have some medical tests scheduled to see what's wrong. I have been having horrible coughing and a little shortness of breath. The cough started off being dry and then now there is a little bit of phlegm. I was having some tightness of chest as well.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomyopathy
Clinical narrative: New development of cardiomyolpathy
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chorioretinitis, Choroiditis, Laboratory test, Macular oedema
Clinical narrative: Patient used to have 20/20 vision. A little after one week of her vaccination, patient reported a grey blob blocking her central vision along with distortion that continued to get worst. We thought it was anxiety at first but took her to the eye doctor on February 5. They found posterior uveitis and macular edema and her vision had reduced to 300/20. They immediately sent us to retina specialists. Since then, we have seen multiple specialists to try to figure out what was going on. She has been diagnosed with ampiginous choroiditis. She is on prednison and Cellcept to try to stop the inflammation and restore vision. Her vision has improved but is around 125/20. We are still trying to restore vision.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Metamorphopsia, Visual impairment
Clinical narrative: Patient used to have 20/20 vision. A little after one week of her vaccination, patient reported a grey blob blocking her central vision along with distortion that continued to get worst. We thought it was anxiety at first but took her to the eye doctor on February 5. They found posterior uveitis and macular edema and her vision had reduced to 300/20. They immediately sent us to retina specialists. Since then, we have seen multiple specialists to try to figure out what was going on. She has been diagnosed with ampiginous choroiditis. She is on prednison and Cellcept to try to stop the inflammation and restore vision. Her vision has improved but is around 125/20. We are still trying to restore vision.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Condition aggravated, Fibromyalgia, Pain, Rheumatoid arthritis
Clinical narrative: My Rheumatoid Arthritis went into a flare starting April 2021 and I am still in a flare. There is inflammation on all my joints and even between joins. It feels more like fibromyalgia with RA. It feels like a ping pong match in my body. One day one area of my body hurts the next another. I am in pain and with inflammation everyday.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance
Clinical narrative: My Rheumatoid Arthritis went into a flare starting April 2021 and I am still in a flare. There is inflammation on all my joints and even between joins. It feels more like fibromyalgia with RA. It feels like a ping pong match in my body. One day one area of my body hurts the next another. I am in pain and with inflammation everyday.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic dilatation, Arthralgia, Bladder dilatation, Bladder hypertrophy, Blood chloride increased
Clinical narrative: 82 yo man pmh of dementia (minimally verbal at baseline), prior stroke, gout presents with hip pain and hypernatremia.  The EMS offload say the patient fell 2 to 3 days ago in his facility and has had right hip pain since then. Emergency room department called facility who denies the patient ever fell. However he was diagnosed with COVID-19 on January 6, 2022 after an outbreak in the facility. On my interaction with the patient he was nonverbal they would not let me move his right hip. In the emergency department he was afebrile, pulse 84, blood pressure 118/79. Chemistry of hyponatremia 156, chloride 122 creatinine 0. 79. CBC with mild cytosis 12.4. CT of the hip showed no visible fracture though occult still possible. Also noted groundglass opacities in left lung. Patient was discharged back to Skilled Nursing facility on 01/17/2022. Skilled Nursing Facility: for Rehab and Healing. Patient expired on 02/05/2022.