chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Oropharyngeal pain, Palpitations, Sleep disorder, Sneezing
Clinical narrative: Later that evening after the vaccine I got so tired I just couldn't stay awake resulting in me laying down a little earlier than usual. About a week and a half later several times I would get a feeling like I was coming down with a cold with a burning sensation in the chest, a sore throat, severe coughing and sneezing was associated and occurred periodically throughout the day. This occurred off and on for about three weeks, finally about a week and a half ago the cold symptoms diminished. Since the vaccine I have this feeling in my chest as if I have pressure baring down on my sternum area which is still occurring to date causing me to not wear a bra because it feels as if it is on too tightly. When I laid down it felt as if I could feel my heart doing a flip but this also occurred only at rest, when laying down and upon the exhale of breath feeling as if it was skipping a beat and I could feel it in my throat area. No pain is associated but it wakes me up at night sometimes because of the discomfort and it scares the heck out of me. Because of the discomfort and I thought I was going to have a heart attack so on November 16, 2021, I went to the ER and a Chest X-ray, EKG and bloodwork was performed. I was given a solution to try to alleviate the pressure on my sternum but it didn't work. I was monitored for a while and released from the hospital ER. I have an appointment tomorrow with my PCP for further evaluation.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase, Brain natriuretic peptide, C-reactive protein, COVID-19, Chest X-ray
Clinical narrative: 46-year-old female with no reported chronic medical problems presents to the emergency department sent over from the infusion clinic for oxygen saturation of 85% on room air.  Patient tested positive for COVID-19 on 11/1/2021 and began having symptoms on 10/29/2021.  Patient was referred to the infusion clinic to receive monoclonal antibody infusion however did not receive it due to her hypoxia.  Patient reports over the last 2 days she has had worsening shortness of breath and nonproductive cough.  Patient reports that she feels fatigued and easily winded.  Patient denies known sick contacts and is unclear where she may have contracted the virus noting that her family members have been tested and are all negative.  Patient is fully vaccinated for COVID-19 with 2 doses of mRNA vaccination received in December 2020 in January 2021.  Patient denies other associated symptoms or pain currently.  10 point review of systems otherwise negative.  Admitted to Respiratory Care Unit for monitoring.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulation test, Cough, Dyspnoea, Electrocardiogram, Fatigue
Clinical narrative: 46-year-old female with no reported chronic medical problems presents to the emergency department sent over from the infusion clinic for oxygen saturation of 85% on room air.  Patient tested positive for COVID-19 on 11/1/2021 and began having symptoms on 10/29/2021.  Patient was referred to the infusion clinic to receive monoclonal antibody infusion however did not receive it due to her hypoxia.  Patient reports over the last 2 days she has had worsening shortness of breath and nonproductive cough.  Patient reports that she feels fatigued and easily winded.  Patient denies known sick contacts and is unclear where she may have contracted the virus noting that her family members have been tested and are all negative.  Patient is fully vaccinated for COVID-19 with 2 doses of mRNA vaccination received in December 2020 in January 2021.  Patient denies other associated symptoms or pain currently.  10 point review of systems otherwise negative.  Admitted to Respiratory Care Unit for monitoring.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Hypoxia, Laboratory test, Pregnancy test, SARS-CoV-2 test positive
Clinical narrative: 46-year-old female with no reported chronic medical problems presents to the emergency department sent over from the infusion clinic for oxygen saturation of 85% on room air.  Patient tested positive for COVID-19 on 11/1/2021 and began having symptoms on 10/29/2021.  Patient was referred to the infusion clinic to receive monoclonal antibody infusion however did not receive it due to her hypoxia.  Patient reports over the last 2 days she has had worsening shortness of breath and nonproductive cough.  Patient reports that she feels fatigued and easily winded.  Patient denies known sick contacts and is unclear where she may have contracted the virus noting that her family members have been tested and are all negative.  Patient is fully vaccinated for COVID-19 with 2 doses of mRNA vaccination received in December 2020 in January 2021.  Patient denies other associated symptoms or pain currently.  10 point review of systems otherwise negative.  Admitted to Respiratory Care Unit for monitoring.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin, Urine analysis
Clinical narrative: 46-year-old female with no reported chronic medical problems presents to the emergency department sent over from the infusion clinic for oxygen saturation of 85% on room air.  Patient tested positive for COVID-19 on 11/1/2021 and began having symptoms on 10/29/2021.  Patient was referred to the infusion clinic to receive monoclonal antibody infusion however did not receive it due to her hypoxia.  Patient reports over the last 2 days she has had worsening shortness of breath and nonproductive cough.  Patient reports that she feels fatigued and easily winded.  Patient denies known sick contacts and is unclear where she may have contracted the virus noting that her family members have been tested and are all negative.  Patient is fully vaccinated for COVID-19 with 2 doses of mRNA vaccination received in December 2020 in January 2021.  Patient denies other associated symptoms or pain currently.  10 point review of systems otherwise negative.  Admitted to Respiratory Care Unit for monitoring.
Age: 7.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Rash
Clinical narrative: self limited facial rash--resolved after 1 hour with no medication. no oral, respiratory or GI involvement
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: pt. recieved vaccine greater than 12 hours after being drawn up. MD contacted pt. no adverse event. Pt. declines revaccination
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dyspnoea
Clinical narrative: Patient c/o temperature of 101 the night after her vaccination.  Patient also c/o of shortness of breath for 30 or 40 minutes the evening after vaccination.  Patient stated symptoms resolved the following day.
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Contusion, Decreased appetite, Dizziness, Exercise tolerance decreased, Fear
Clinical narrative: Extreme arm soreness the day of, unable to sleep because of the pain.  The morning after the shot I woke up covered in large bruises all over.  I'm continuously lightheaded and feel like I also need electrolytes or have low blood pressure. Lost 12 lbs since the shot and have no appetite, and am forcing myself to eat. Cloudy urine.  I normally eat A LOT because of the workouts I used to do. I went from consistently working out 6 days a week for 45 min a day, now I cannot.  I cannot do cardio because I feel like my heart is going to beat out of my throat.  I can only lift weights 3-4 days a week and have to take 2-3 min breaks between sets to allow my heart rate to slow down, so where I should finish weighted workouts in 25-30 min, they can take an hour to an hour and 15 min.  I'm scared that my life will be like this forever.
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Hypotension, Insomnia, Pain in extremity, Urine abnormality, Weight decreased
Clinical narrative: Extreme arm soreness the day of, unable to sleep because of the pain.  The morning after the shot I woke up covered in large bruises all over.  I'm continuously lightheaded and feel like I also need electrolytes or have low blood pressure. Lost 12 lbs since the shot and have no appetite, and am forcing myself to eat. Cloudy urine.  I normally eat A LOT because of the workouts I used to do. I went from consistently working out 6 days a week for 45 min a day, now I cannot.  I cannot do cardio because I feel like my heart is going to beat out of my throat.  I can only lift weights 3-4 days a week and have to take 2-3 min breaks between sets to allow my heart rate to slow down, so where I should finish weighted workouts in 25-30 min, they can take an hour to an hour and 15 min.  I'm scared that my life will be like this forever.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Adult patient received a pediatric dose of Covid19 Pfizer booster shot into L deltoid. No symptoms, signs, from patient. Patient was notified and is agreeable to coming back in 21 days to get his 3rd adult booster of Pfizer.  Infection control was contacted. Patient did not receive the full 30 micrograms of and only received 10 micrograms of the Pfizer booster.  No adverse affects occured.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 45.0
Sex: F
Vaccine: FLUR4
Symptoms: Inflammation, Product administered at inappropriate site
Clinical narrative: Patient stated that she was experiencing inflammation in shoulder.  She believes that "Flu shot administered too high"  Still having pain 3+ weeks on.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Swelling
Clinical narrative: Developed swelling on right side of groin.  Potential lymph node problem or hernia,  CT Scan w contrast scheduled for 12/1/2021 to examine swelling and to follow up lung issue from two months back.  Diagnosis will follow, hopefully.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE STORED IN IMPROPER TEMPERATURES.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Feeling abnormal, Malaise, Neurological symptom, Ocular discomfort
Clinical narrative: Weird neurological sensations throughout my body. Pressure of my eyes, weakness, malaise.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19 test during hospitalization 11/8/2021.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Ear infection, Oropharyngeal pain, Pyrexia, Sinusitis
Clinical narrative: Fever over 100F on the third day. Ear infection, chest congestion, sore throat, and sinus infection.
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Hypoaesthesia, Musculoskeletal pain, Paraesthesia
Clinical narrative: Severe shoulder blade pain about 40 hours after shot. Left leg tingling, Left index finger numbness, Left Facial numbness. Ibuprofen 800mg TID for the last 6 days. Symptoms have subsided to a manageable state.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Extra dose administered, Injection site pain, Injection site pruritus, Pruritus
Clinical narrative: Itching and burning at injection site, then spread throughout body, worse at hairlines, chest, arms, and stomach
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given a Covid vaccine for children 12 and over not the vaccine for his age group.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain in extremity
Clinical narrative: Swelling and soreness in armpit
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE HELD AT IMPROPER TEMPERATURES
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Chest pain, Electrocardiogram normal, Exercise tolerance decreased, Insomnia
Clinical narrative: Had heart and chest pain for 3+ weeks. Pain has subsided but not gone. The pain would flair up when I exercised and ate and made it difficult to do hard exercise. Caused trouble sleeping as well
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Crying, Cyst rupture, Gait inability, Impaired work ability
Clinical narrative: Around June 2021- I was having a pain in my lower right abdomen that lasted a few weeks. It would occasionally come back but not bad enough for me to see a doctor. In August, I had a cyst rupture. I was at work crying because I did not know what was going on. I had to drive to the Emergency Room Medical to see what was going on. I found out it was a ruptured cyst they gave me fluid and medication for nausea. I was throwing up from the pain. I went to my GYN. She wrote me off work for the rest of the week that following Monday. Recently, I am now having continuous problems. I had a cyst rupture on Tuesday, 11/16/2021, and was unable to walk from the pain. I had ovarian cyst when I was 15 years old. Back in 2019 I had a laparoscopic surgery they justified everything was clean. I had a clean bill of health. Now at 24 years old, after the vaccine, they appeared again. 11/18/2021- I have not recovered from the adverse event or ovarian cyst. I am still in pain but I am just able to walk with it now. I am not curled up in a corner anymore.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Around June 2021- I was having a pain in my lower right abdomen that lasted a few weeks. It would occasionally come back but not bad enough for me to see a doctor. In August, I had a cyst rupture. I was at work crying because I did not know what was going on. I had to drive to the Emergency Room Medical to see what was going on. I found out it was a ruptured cyst they gave me fluid and medication for nausea. I was throwing up from the pain. I went to my GYN. She wrote me off work for the rest of the week that following Monday. Recently, I am now having continuous problems. I had a cyst rupture on Tuesday, 11/16/2021, and was unable to walk from the pain. I had ovarian cyst when I was 15 years old. Back in 2019 I had a laparoscopic surgery they justified everything was clean. I had a clean bill of health. Now at 24 years old, after the vaccine, they appeared again. 11/18/2021- I have not recovered from the adverse event or ovarian cyst. I am still in pain but I am just able to walk with it now. I am not curled up in a corner anymore.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Pt reported a swollen vaccine shot and described the site as "swollen to the size of softball yesterday (11/17/2021) and today (11/18/2021) it's down to the size of a tennis ball. Pt. also reported itching and the vaccine site as "hot when I touch it." Advised patient to continue taking Benadryl and Ibuprofen. If symptoms worsen, patient was advised to contact her primary healthcare provider.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer
Clinical narrative: canker sores, many on bottom lip and a large one between by lower check and gum.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 2.0
Sex: F
Vaccine: DTAPIPV, FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient presented to office for catch up immunizations. Patient was administered DTap/IPV (Kinrix) combination immunization in office. Kinrix has not been studied in children under the age of 4. Patient has not developed any adverse reactions as of today's date, 11/18/2021. Appropriate dose would have been to administer DTap and IPV separately.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Headache, Nausea, Pregnancy test negative
Clinical narrative: dizziness, headache, nausea
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Urine analysis normal
Clinical narrative: dizziness, headache, nausea
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis, Injection site erythema, Injection site inflammation
Clinical narrative: Redness and inflammation at the site of injection that started 6 days after the vaccine administration. Patient was seen on day 10th after the vaccine administration  and cellulitis of the left shoulder was found on assessment. Patient has tried cold compresses at home with good results, however redness and inflammation has not resolved yet.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: nausea, fever, chills
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS HELD IN IMPROPER TEMPERATURE
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, COVID-19 pneumonia, Cardiac arrest, Chest tube insertion
Clinical narrative: 74yr old male admitted on 11/3/2021 from Medical Center. The patient had a past medical history of COPD, PE, Hyperlipidemia, Gastroesophageal reflux disease, Hypothyroidism, Cholecystectomy, R knee replacement, PEG on 10/29/2021 and a Percutaneous tracheostomy on 10/27/2021. Pt was vaccinated with Johnson and Johnson vaccine in May 2021.  Pt's son passed away from COVID-19 infection. The patient tested positive on 10/5/2021.  The patient was transferred to bigger hospital from smaller Hospital with COVID-19 pneumonia and sepsis. When the patient arrived to bigger hospital the patient had a pulseless electrical activity cardiac arrest requiring chest compressions and 1 dose of epinephrine prior to returning to spontaneous circulation. The patients post cardiac echocardiogram showed an ejection fraction decreased to 23%, the pt. also developed acute kidney injury related to acute tubular necrosis.  The patient was given tocilizumab, remdesivir and steroids.  The patient's hospital course was further complicated by DVT and pulmonary embolism.  Pt was noted to also have right upper lobe necrotizing pneumonia due to Pseudomonas.  Pt was seen and was on Meropenem.  Pt was unable to be weaned off of the ventilator and underwent a tracheostomy on 10/27/2021 and a PEG placement on 10/29/2021.  The patient's family met with palliative care and they wanted to continue current care.  On admission to Select the patient was on assit-control mode of ventilation with a tidal volume of 380, PEEP of 5, respiratory rate of 14 and FiO2 of 40%.  The pt. had also had pneumothoraxes and on admission to Select the pt. had 2 right sided chest tubes and a chest tube on the left.  Pt's condition worsened and on 11/12/2021 Pulmonary noted that he had a long discussion with the family, discussed with them the surgical additional chest tube placement needed, but family decided on comfort cares at  that time.  Pt was placed on comfort cares and expired on 11/12/2021 at 1500.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Death, Deep vein thrombosis, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: 74yr old male admitted on 11/3/2021 from Medical Center. The patient had a past medical history of COPD, PE, Hyperlipidemia, Gastroesophageal reflux disease, Hypothyroidism, Cholecystectomy, R knee replacement, PEG on 10/29/2021 and a Percutaneous tracheostomy on 10/27/2021. Pt was vaccinated with Johnson and Johnson vaccine in May 2021.  Pt's son passed away from COVID-19 infection. The patient tested positive on 10/5/2021.  The patient was transferred to bigger hospital from smaller Hospital with COVID-19 pneumonia and sepsis. When the patient arrived to bigger hospital the patient had a pulseless electrical activity cardiac arrest requiring chest compressions and 1 dose of epinephrine prior to returning to spontaneous circulation. The patients post cardiac echocardiogram showed an ejection fraction decreased to 23%, the pt. also developed acute kidney injury related to acute tubular necrosis.  The patient was given tocilizumab, remdesivir and steroids.  The patient's hospital course was further complicated by DVT and pulmonary embolism.  Pt was noted to also have right upper lobe necrotizing pneumonia due to Pseudomonas.  Pt was seen and was on Meropenem.  Pt was unable to be weaned off of the ventilator and underwent a tracheostomy on 10/27/2021 and a PEG placement on 10/29/2021.  The patient's family met with palliative care and they wanted to continue current care.  On admission to Select the patient was on assit-control mode of ventilation with a tidal volume of 380, PEEP of 5, respiratory rate of 14 and FiO2 of 40%.  The pt. had also had pneumothoraxes and on admission to Select the pt. had 2 right sided chest tubes and a chest tube on the left.  Pt's condition worsened and on 11/12/2021 Pulmonary noted that he had a long discussion with the family, discussed with them the surgical additional chest tube placement needed, but family decided on comfort cares at  that time.  Pt was placed on comfort cares and expired on 11/12/2021 at 1500.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fraction of inspired oxygen, Gastrostomy, Mechanical ventilation, Pneumonia necrotising, Pneumonia pseudomonal
Clinical narrative: 74yr old male admitted on 11/3/2021 from Medical Center. The patient had a past medical history of COPD, PE, Hyperlipidemia, Gastroesophageal reflux disease, Hypothyroidism, Cholecystectomy, R knee replacement, PEG on 10/29/2021 and a Percutaneous tracheostomy on 10/27/2021. Pt was vaccinated with Johnson and Johnson vaccine in May 2021.  Pt's son passed away from COVID-19 infection. The patient tested positive on 10/5/2021.  The patient was transferred to bigger hospital from smaller Hospital with COVID-19 pneumonia and sepsis. When the patient arrived to bigger hospital the patient had a pulseless electrical activity cardiac arrest requiring chest compressions and 1 dose of epinephrine prior to returning to spontaneous circulation. The patients post cardiac echocardiogram showed an ejection fraction decreased to 23%, the pt. also developed acute kidney injury related to acute tubular necrosis.  The patient was given tocilizumab, remdesivir and steroids.  The patient's hospital course was further complicated by DVT and pulmonary embolism.  Pt was noted to also have right upper lobe necrotizing pneumonia due to Pseudomonas.  Pt was seen and was on Meropenem.  Pt was unable to be weaned off of the ventilator and underwent a tracheostomy on 10/27/2021 and a PEG placement on 10/29/2021.  The patient's family met with palliative care and they wanted to continue current care.  On admission to Select the patient was on assit-control mode of ventilation with a tidal volume of 380, PEEP of 5, respiratory rate of 14 and FiO2 of 40%.  The pt. had also had pneumothoraxes and on admission to Select the pt. had 2 right sided chest tubes and a chest tube on the left.  Pt's condition worsened and on 11/12/2021 Pulmonary noted that he had a long discussion with the family, discussed with them the surgical additional chest tube placement needed, but family decided on comfort cares at  that time.  Pt was placed on comfort cares and expired on 11/12/2021 at 1500.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumothorax, Positive end-expiratory pressure, Pulmonary embolism, Pulseless electrical activity, Renal tubular necrosis
Clinical narrative: 74yr old male admitted on 11/3/2021 from Medical Center. The patient had a past medical history of COPD, PE, Hyperlipidemia, Gastroesophageal reflux disease, Hypothyroidism, Cholecystectomy, R knee replacement, PEG on 10/29/2021 and a Percutaneous tracheostomy on 10/27/2021. Pt was vaccinated with Johnson and Johnson vaccine in May 2021.  Pt's son passed away from COVID-19 infection. The patient tested positive on 10/5/2021.  The patient was transferred to bigger hospital from smaller Hospital with COVID-19 pneumonia and sepsis. When the patient arrived to bigger hospital the patient had a pulseless electrical activity cardiac arrest requiring chest compressions and 1 dose of epinephrine prior to returning to spontaneous circulation. The patients post cardiac echocardiogram showed an ejection fraction decreased to 23%, the pt. also developed acute kidney injury related to acute tubular necrosis.  The patient was given tocilizumab, remdesivir and steroids.  The patient's hospital course was further complicated by DVT and pulmonary embolism.  Pt was noted to also have right upper lobe necrotizing pneumonia due to Pseudomonas.  Pt was seen and was on Meropenem.  Pt was unable to be weaned off of the ventilator and underwent a tracheostomy on 10/27/2021 and a PEG placement on 10/29/2021.  The patient's family met with palliative care and they wanted to continue current care.  On admission to Select the patient was on assit-control mode of ventilation with a tidal volume of 380, PEEP of 5, respiratory rate of 14 and FiO2 of 40%.  The pt. had also had pneumothoraxes and on admission to Select the pt. had 2 right sided chest tubes and a chest tube on the left.  Pt's condition worsened and on 11/12/2021 Pulmonary noted that he had a long discussion with the family, discussed with them the surgical additional chest tube placement needed, but family decided on comfort cares at  that time.  Pt was placed on comfort cares and expired on 11/12/2021 at 1500.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Resuscitation, SARS-CoV-2 test positive, Sepsis, Tidal volume, Tracheostomy
Clinical narrative: 74yr old male admitted on 11/3/2021 from Medical Center. The patient had a past medical history of COPD, PE, Hyperlipidemia, Gastroesophageal reflux disease, Hypothyroidism, Cholecystectomy, R knee replacement, PEG on 10/29/2021 and a Percutaneous tracheostomy on 10/27/2021. Pt was vaccinated with Johnson and Johnson vaccine in May 2021.  Pt's son passed away from COVID-19 infection. The patient tested positive on 10/5/2021.  The patient was transferred to bigger hospital from smaller Hospital with COVID-19 pneumonia and sepsis. When the patient arrived to bigger hospital the patient had a pulseless electrical activity cardiac arrest requiring chest compressions and 1 dose of epinephrine prior to returning to spontaneous circulation. The patients post cardiac echocardiogram showed an ejection fraction decreased to 23%, the pt. also developed acute kidney injury related to acute tubular necrosis.  The patient was given tocilizumab, remdesivir and steroids.  The patient's hospital course was further complicated by DVT and pulmonary embolism.  Pt was noted to also have right upper lobe necrotizing pneumonia due to Pseudomonas.  Pt was seen and was on Meropenem.  Pt was unable to be weaned off of the ventilator and underwent a tracheostomy on 10/27/2021 and a PEG placement on 10/29/2021.  The patient's family met with palliative care and they wanted to continue current care.  On admission to Select the patient was on assit-control mode of ventilation with a tidal volume of 380, PEEP of 5, respiratory rate of 14 and FiO2 of 40%.  The pt. had also had pneumothoraxes and on admission to Select the pt. had 2 right sided chest tubes and a chest tube on the left.  Pt's condition worsened and on 11/12/2021 Pulmonary noted that he had a long discussion with the family, discussed with them the surgical additional chest tube placement needed, but family decided on comfort cares at  that time.  Pt was placed on comfort cares and expired on 11/12/2021 at 1500.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Death, Deep vein thrombosis, Echocardiogram, Echocardiogram abnormal
Clinical narrative: 74yr old male admitted on 11/3/2021 from Medical Center. The patient had a past medical history of COPD, PE, Hyperlipidemia, Gastroesophageal reflux disease, Hypothyroidism, Cholecystectomy, R knee replacement, PEG on 10/29/2021 and a Percutaneous tracheostomy on 10/27/2021. Pt was vaccinated with Johnson and Johnson vaccine in May 2021.  Pt's son passed away from COVID-19 infection. The patient tested positive on 10/5/2021.  The patient was transferred to bigger hospital from smaller Hospital with COVID-19 pneumonia and sepsis. When the patient arrived to bigger hospital the patient had a pulseless electrical activity cardiac arrest requiring chest compressions and 1 dose of epinephrine prior to returning to spontaneous circulation. The patients post cardiac echocardiogram showed an ejection fraction decreased to 23%, the pt. also developed acute kidney injury related to acute tubular necrosis.  The patient was given tocilizumab, remdesivir and steroids.  The patient's hospital course was further complicated by DVT and pulmonary embolism.  Pt was noted to also have right upper lobe necrotizing pneumonia due to Pseudomonas.  Pt was seen and was on Meropenem.  Pt was unable to be weaned off of the ventilator and underwent a tracheostomy on 10/27/2021 and a PEG placement on 10/29/2021.  The patient's family met with palliative care and they wanted to continue current care.  On admission to Select the patient was on assit-control mode of ventilation with a tidal volume of 380, PEEP of 5, respiratory rate of 14 and FiO2 of 40%.  The pt. had also had pneumothoraxes and on admission to Select the pt. had 2 right sided chest tubes and a chest tube on the left.  Pt's condition worsened and on 11/12/2021 Pulmonary noted that he had a long discussion with the family, discussed with them the surgical additional chest tube placement needed, but family decided on comfort cares at  that time.  Pt was placed on comfort cares and expired on 11/12/2021 at 1500.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ejection fraction decreased, Fraction of inspired oxygen, Gastrostomy, Mechanical ventilation, Pneumonia necrotising
Clinical narrative: 74yr old male admitted on 11/3/2021 from Medical Center. The patient had a past medical history of COPD, PE, Hyperlipidemia, Gastroesophageal reflux disease, Hypothyroidism, Cholecystectomy, R knee replacement, PEG on 10/29/2021 and a Percutaneous tracheostomy on 10/27/2021. Pt was vaccinated with Johnson and Johnson vaccine in May 2021.  Pt's son passed away from COVID-19 infection. The patient tested positive on 10/5/2021.  The patient was transferred to bigger hospital from smaller Hospital with COVID-19 pneumonia and sepsis. When the patient arrived to bigger hospital the patient had a pulseless electrical activity cardiac arrest requiring chest compressions and 1 dose of epinephrine prior to returning to spontaneous circulation. The patients post cardiac echocardiogram showed an ejection fraction decreased to 23%, the pt. also developed acute kidney injury related to acute tubular necrosis.  The patient was given tocilizumab, remdesivir and steroids.  The patient's hospital course was further complicated by DVT and pulmonary embolism.  Pt was noted to also have right upper lobe necrotizing pneumonia due to Pseudomonas.  Pt was seen and was on Meropenem.  Pt was unable to be weaned off of the ventilator and underwent a tracheostomy on 10/27/2021 and a PEG placement on 10/29/2021.  The patient's family met with palliative care and they wanted to continue current care.  On admission to Select the patient was on assit-control mode of ventilation with a tidal volume of 380, PEEP of 5, respiratory rate of 14 and FiO2 of 40%.  The pt. had also had pneumothoraxes and on admission to Select the pt. had 2 right sided chest tubes and a chest tube on the left.  Pt's condition worsened and on 11/12/2021 Pulmonary noted that he had a long discussion with the family, discussed with them the surgical additional chest tube placement needed, but family decided on comfort cares at  that time.  Pt was placed on comfort cares and expired on 11/12/2021 at 1500.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia pseudomonal, Pneumothorax, Positive end-expiratory pressure, Pulmonary embolism, Pulseless electrical activity
Clinical narrative: 74yr old male admitted on 11/3/2021 from Medical Center. The patient had a past medical history of COPD, PE, Hyperlipidemia, Gastroesophageal reflux disease, Hypothyroidism, Cholecystectomy, R knee replacement, PEG on 10/29/2021 and a Percutaneous tracheostomy on 10/27/2021. Pt was vaccinated with Johnson and Johnson vaccine in May 2021.  Pt's son passed away from COVID-19 infection. The patient tested positive on 10/5/2021.  The patient was transferred to bigger hospital from smaller Hospital with COVID-19 pneumonia and sepsis. When the patient arrived to bigger hospital the patient had a pulseless electrical activity cardiac arrest requiring chest compressions and 1 dose of epinephrine prior to returning to spontaneous circulation. The patients post cardiac echocardiogram showed an ejection fraction decreased to 23%, the pt. also developed acute kidney injury related to acute tubular necrosis.  The patient was given tocilizumab, remdesivir and steroids.  The patient's hospital course was further complicated by DVT and pulmonary embolism.  Pt was noted to also have right upper lobe necrotizing pneumonia due to Pseudomonas.  Pt was seen and was on Meropenem.  Pt was unable to be weaned off of the ventilator and underwent a tracheostomy on 10/27/2021 and a PEG placement on 10/29/2021.  The patient's family met with palliative care and they wanted to continue current care.  On admission to Select the patient was on assit-control mode of ventilation with a tidal volume of 380, PEEP of 5, respiratory rate of 14 and FiO2 of 40%.  The pt. had also had pneumothoraxes and on admission to Select the pt. had 2 right sided chest tubes and a chest tube on the left.  Pt's condition worsened and on 11/12/2021 Pulmonary noted that he had a long discussion with the family, discussed with them the surgical additional chest tube placement needed, but family decided on comfort cares at  that time.  Pt was placed on comfort cares and expired on 11/12/2021 at 1500.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Renal tubular necrosis, Respiratory rate, Resuscitation, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: 74yr old male admitted on 11/3/2021 from Medical Center. The patient had a past medical history of COPD, PE, Hyperlipidemia, Gastroesophageal reflux disease, Hypothyroidism, Cholecystectomy, R knee replacement, PEG on 10/29/2021 and a Percutaneous tracheostomy on 10/27/2021. Pt was vaccinated with Johnson and Johnson vaccine in May 2021.  Pt's son passed away from COVID-19 infection. The patient tested positive on 10/5/2021.  The patient was transferred to bigger hospital from smaller Hospital with COVID-19 pneumonia and sepsis. When the patient arrived to bigger hospital the patient had a pulseless electrical activity cardiac arrest requiring chest compressions and 1 dose of epinephrine prior to returning to spontaneous circulation. The patients post cardiac echocardiogram showed an ejection fraction decreased to 23%, the pt. also developed acute kidney injury related to acute tubular necrosis.  The patient was given tocilizumab, remdesivir and steroids.  The patient's hospital course was further complicated by DVT and pulmonary embolism.  Pt was noted to also have right upper lobe necrotizing pneumonia due to Pseudomonas.  Pt was seen and was on Meropenem.  Pt was unable to be weaned off of the ventilator and underwent a tracheostomy on 10/27/2021 and a PEG placement on 10/29/2021.  The patient's family met with palliative care and they wanted to continue current care.  On admission to Select the patient was on assit-control mode of ventilation with a tidal volume of 380, PEEP of 5, respiratory rate of 14 and FiO2 of 40%.  The pt. had also had pneumothoraxes and on admission to Select the pt. had 2 right sided chest tubes and a chest tube on the left.  Pt's condition worsened and on 11/12/2021 Pulmonary noted that he had a long discussion with the family, discussed with them the surgical additional chest tube placement needed, but family decided on comfort cares at  that time.  Pt was placed on comfort cares and expired on 11/12/2021 at 1500.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sepsis, Tidal volume, Tracheostomy, Vaccination failure
Clinical narrative: 74yr old male admitted on 11/3/2021 from Medical Center. The patient had a past medical history of COPD, PE, Hyperlipidemia, Gastroesophageal reflux disease, Hypothyroidism, Cholecystectomy, R knee replacement, PEG on 10/29/2021 and a Percutaneous tracheostomy on 10/27/2021. Pt was vaccinated with Johnson and Johnson vaccine in May 2021.  Pt's son passed away from COVID-19 infection. The patient tested positive on 10/5/2021.  The patient was transferred to bigger hospital from smaller Hospital with COVID-19 pneumonia and sepsis. When the patient arrived to bigger hospital the patient had a pulseless electrical activity cardiac arrest requiring chest compressions and 1 dose of epinephrine prior to returning to spontaneous circulation. The patients post cardiac echocardiogram showed an ejection fraction decreased to 23%, the pt. also developed acute kidney injury related to acute tubular necrosis.  The patient was given tocilizumab, remdesivir and steroids.  The patient's hospital course was further complicated by DVT and pulmonary embolism.  Pt was noted to also have right upper lobe necrotizing pneumonia due to Pseudomonas.  Pt was seen and was on Meropenem.  Pt was unable to be weaned off of the ventilator and underwent a tracheostomy on 10/27/2021 and a PEG placement on 10/29/2021.  The patient's family met with palliative care and they wanted to continue current care.  On admission to Select the patient was on assit-control mode of ventilation with a tidal volume of 380, PEEP of 5, respiratory rate of 14 and FiO2 of 40%.  The pt. had also had pneumothoraxes and on admission to Select the pt. had 2 right sided chest tubes and a chest tube on the left.  Pt's condition worsened and on 11/12/2021 Pulmonary noted that he had a long discussion with the family, discussed with them the surgical additional chest tube placement needed, but family decided on comfort cares at  that time.  Pt was placed on comfort cares and expired on 11/12/2021 at 1500.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: COVID Arm - red, heat, rash, itch, swelling for ~7 days post vaccination
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis viral, Condition aggravated, Cough, Discharge, Respiratory tract congestion
Clinical narrative: Viral Bronchitis (with cough, runny nose, drainage, and chest congestion).  Prescribed Albuterol Sulfate Inhalation Aerosol, 90 mcg.  Consult with physician if symptoms persist to prescribe an antibiotic
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Viral Bronchitis (with cough, runny nose, drainage, and chest congestion).  Prescribed Albuterol Sulfate Inhalation Aerosol, 90 mcg.  Consult with physician if symptoms persist to prescribe an antibiotic
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Myalgias, high grade fever (tmax 102.0), malaise that has persisted 36 hours post vaccine administration. Symptoms have been more severe and persisted longer than associated with previous doses.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Shot administered Saturday 10/30/2021 at 9:30 am, suffered stroke Monday 11/01/2021 at 5:00 pm
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt was inadvertently given a Moderna 0.5mL vaccine for her first dose.  Pt is 16 years of age.  As of 11/18/21 when this was brought to my attention, the patient had not experienced any adverse event.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient is 12 years old on vaccination day and received a Pediatric dose of Pfizer COVID vaccine.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death less than 24 hours after vaccine.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alopecia, Blood test
Clinical narrative: Healthy 26 year old with no previous health conditions or hair loss/ shedding incidents.  Hair loss began two weeks after the second dose and gradually escalated to severe hair loss. 40% of hair has been lost. Bald spots and thinning are clearly visible. Hair loss has not stopped or slowed down.  I have tried biotin, nutrafol, protein and home remedies such as rosemary, aloe vera and oils to stimulate hair growth consistently since the hair loss began with no results. Informed both PCP and Endocrinologist that the hair loss occurred after receiving Pfizer vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alopecia
Clinical narrative: Healthy 26 year old with no previous health conditions or hair loss/ shedding incidents.  Hair loss began two weeks after the second dose and gradually escalated to severe hair loss. 40% of hair has been lost. Bald spots and thinning are clearly visible. Hair loss has not stopped or slowed down.  I have tried biotin, nutrafol, protein and home remedies such as rosemary, aloe vera and oils to stimulate hair growth consistently since the hair loss began with no results. Informed both PCP and Endocrinologist that the hair loss occurred after receiving Pfizer vaccine.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE HELD IN IMPROPER TEMPERATURES
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Anticoagulant therapy, Arthralgia, Aspartate aminotransferase normal
Clinical narrative: Hospitalized (11.14.21-11.17.21; COVID-19 positive (11.10.21); fully vaccinated PLUS Booster  HISTORY OF PRESENT ILLNESS: Patient is a 58 y.o. male who presented to the ED today with generalized weakness that has been progressive since November 6th. He was evaluated in the ED on November 10th and was found to be positive for COVID 19. He continued to feel poorly with generalized weakness, poor orally intake, nonproductive cough and shortness of breath.  He reports oral intake has been poor.  He was taking Tylenol for symptom management.  He was having difficulty ambulating due to generalized weakness and left hip pain with negative x-rays so PT and OT evaluated patient with recommendations for Sar placement.  His remained on room air without significant respiratory symptoms.  Because of need for placement he required admission and no beds available at Hospital so he was transferred to Campus HOSPITAL COURSE:   58 yo x3 vaccinated man with:   Left lateral buttock pain w/ radiation to posterior mid-thigh Challenging to localize such a dermatome but S1 possible given posterior location Generalized weakness Inability to ambulate Began 1-2 weeks PTA His chiropractor suggested he was suffering from sciatica No recalled injury and no falls No numb/tingling at leg/foot Could consider MRI L-spine and sacrum PT/OT SAR advised   Covid positive, no PNA Sore throat 11/9/21 HS Covid + 11/10/21 No SOB, hypoxia, and not on O2 CRP: 49.5 D-dimer: 990 Monoclonal antibodies provided   CKD stage IV Nephrotic syndrome with membranous glomerular nephritis Cr 3.64 -> 2.88 Undergoing workup in Ann Arbor for renal transplant Avoid nephrotoxic agents and renal dose meds   Hyperkalemia, mild Likely related to decreased renal function Provide information on potassium restricting diet   Hypertension No med in use for this condition   Hyperlipidemia No med in use for this condition   Hypothyroidism, TSH 1.14 11/14/21 L-thyroxine 112 daily continued   VTE ppx: Lovenox 30 SQ d given decreased renal function Diet: General  Full code   Dispo: Home w/ OP PT
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Basophil count normal, Basophil percentage decreased, Blood albumin decreased, Blood alkaline phosphatase normal
Clinical narrative: Hospitalized (11.14.21-11.17.21; COVID-19 positive (11.10.21); fully vaccinated PLUS Booster  HISTORY OF PRESENT ILLNESS: Patient is a 58 y.o. male who presented to the ED today with generalized weakness that has been progressive since November 6th. He was evaluated in the ED on November 10th and was found to be positive for COVID 19. He continued to feel poorly with generalized weakness, poor orally intake, nonproductive cough and shortness of breath.  He reports oral intake has been poor.  He was taking Tylenol for symptom management.  He was having difficulty ambulating due to generalized weakness and left hip pain with negative x-rays so PT and OT evaluated patient with recommendations for Sar placement.  His remained on room air without significant respiratory symptoms.  Because of need for placement he required admission and no beds available at Hospital so he was transferred to Campus HOSPITAL COURSE:   58 yo x3 vaccinated man with:   Left lateral buttock pain w/ radiation to posterior mid-thigh Challenging to localize such a dermatome but S1 possible given posterior location Generalized weakness Inability to ambulate Began 1-2 weeks PTA His chiropractor suggested he was suffering from sciatica No recalled injury and no falls No numb/tingling at leg/foot Could consider MRI L-spine and sacrum PT/OT SAR advised   Covid positive, no PNA Sore throat 11/9/21 HS Covid + 11/10/21 No SOB, hypoxia, and not on O2 CRP: 49.5 D-dimer: 990 Monoclonal antibodies provided   CKD stage IV Nephrotic syndrome with membranous glomerular nephritis Cr 3.64 -> 2.88 Undergoing workup in Ann Arbor for renal transplant Avoid nephrotoxic agents and renal dose meds   Hyperkalemia, mild Likely related to decreased renal function Provide information on potassium restricting diet   Hypertension No med in use for this condition   Hyperlipidemia No med in use for this condition   Hypothyroidism, TSH 1.14 11/14/21 L-thyroxine 112 daily continued   VTE ppx: Lovenox 30 SQ d given decreased renal function Diet: General  Full code   Dispo: Home w/ OP PT
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood bicarbonate decreased, Blood bilirubin normal, Blood calcium normal, Blood chloride increased, Blood creatinine increased
Clinical narrative: Hospitalized (11.14.21-11.17.21; COVID-19 positive (11.10.21); fully vaccinated PLUS Booster  HISTORY OF PRESENT ILLNESS: Patient is a 58 y.o. male who presented to the ED today with generalized weakness that has been progressive since November 6th. He was evaluated in the ED on November 10th and was found to be positive for COVID 19. He continued to feel poorly with generalized weakness, poor orally intake, nonproductive cough and shortness of breath.  He reports oral intake has been poor.  He was taking Tylenol for symptom management.  He was having difficulty ambulating due to generalized weakness and left hip pain with negative x-rays so PT and OT evaluated patient with recommendations for Sar placement.  His remained on room air without significant respiratory symptoms.  Because of need for placement he required admission and no beds available at Hospital so he was transferred to Campus HOSPITAL COURSE:   58 yo x3 vaccinated man with:   Left lateral buttock pain w/ radiation to posterior mid-thigh Challenging to localize such a dermatome but S1 possible given posterior location Generalized weakness Inability to ambulate Began 1-2 weeks PTA His chiropractor suggested he was suffering from sciatica No recalled injury and no falls No numb/tingling at leg/foot Could consider MRI L-spine and sacrum PT/OT SAR advised   Covid positive, no PNA Sore throat 11/9/21 HS Covid + 11/10/21 No SOB, hypoxia, and not on O2 CRP: 49.5 D-dimer: 990 Monoclonal antibodies provided   CKD stage IV Nephrotic syndrome with membranous glomerular nephritis Cr 3.64 -> 2.88 Undergoing workup in Ann Arbor for renal transplant Avoid nephrotoxic agents and renal dose meds   Hyperkalemia, mild Likely related to decreased renal function Provide information on potassium restricting diet   Hypertension No med in use for this condition   Hyperlipidemia No med in use for this condition   Hypothyroidism, TSH 1.14 11/14/21 L-thyroxine 112 daily continued   VTE ppx: Lovenox 30 SQ d given decreased renal function Diet: General  Full code   Dispo: Home w/ OP PT