chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Dyspnoea, Orthopnoea, Peripheral swelling, Rash, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT Shortness of breath   HISTORY OF PRESENT ILLNESS: The patient is a 76 y.o. female who presents with shortness of breath. Her pertinent medical comorbidities include HFrEF (LVEF 25%) coronary artery disease (based on noninvasive testing, atrial fibrillation on Eliquis, Parkinson's disease, CKD stage 3b-4, left renal artery stenosis, obstructive sleep apnea, sick sinus syndrome s/p pacemaker implantation.    The patient was in her usual state of health until 3 days ago, when she began to develop increasing dyspnea, orthopnea, weight gain, and swelling in her face and hands.  She has a home dose of torsemide 40 mg p.o. q.d. and noticed decreasing urine output on this dose.  She try to double her prescribed dose, an even triple the dose the day prior to admission with little improvement in urine output.  She had no chest pain, fevers, chills, night sweats, or worsening lower extremity edema (though she has kept her legs wrapped recently due to new bilateral rash seen by wound care).  With concerns for the symptoms, she presented to the Hospital Emergency Department for further evaluation and management.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Swelling face, Weight increased
Clinical narrative: CHIEF COMPLAINT Shortness of breath   HISTORY OF PRESENT ILLNESS: The patient is a 76 y.o. female who presents with shortness of breath. Her pertinent medical comorbidities include HFrEF (LVEF 25%) coronary artery disease (based on noninvasive testing, atrial fibrillation on Eliquis, Parkinson's disease, CKD stage 3b-4, left renal artery stenosis, obstructive sleep apnea, sick sinus syndrome s/p pacemaker implantation.    The patient was in her usual state of health until 3 days ago, when she began to develop increasing dyspnea, orthopnea, weight gain, and swelling in her face and hands.  She has a home dose of torsemide 40 mg p.o. q.d. and noticed decreasing urine output on this dose.  She try to double her prescribed dose, an even triple the dose the day prior to admission with little improvement in urine output.  She had no chest pain, fevers, chills, night sweats, or worsening lower extremity edema (though she has kept her legs wrapped recently due to new bilateral rash seen by wound care).  With concerns for the symptoms, she presented to the Hospital Emergency Department for further evaluation and management.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Feeling of body temperature change, Headache, Hyperacusis
Clinical narrative: Later that day i began feeling very tired (couldn't stop yawning), began feeling achy. by bedtime i alternated between shivering cold & very warm. never registered a fever. by the middle of the night i couldn't sleep for the muscle aches, sensitive hearing (could hear everything accutely & it hurt my brain!). my whole body hurt! i took some acetaminophen for my headache- didn't think that would get better without help. i think the painkiller helped because by the next day i was feeling somewhat better. much better by mid-day. happy about that!
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pain
Clinical narrative: Later that day i began feeling very tired (couldn't stop yawning), began feeling achy. by bedtime i alternated between shivering cold & very warm. never registered a fever. by the middle of the night i couldn't sleep for the muscle aches, sensitive hearing (could hear everything accutely & it hurt my brain!). my whole body hurt! i took some acetaminophen for my headache- didn't think that would get better without help. i think the painkiller helped because by the next day i was feeling somewhat better. much better by mid-day. happy about that!
Age: 46.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for covid on 9/27/21
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Laboratory test
Clinical narrative: COVID infection. Specimen collected on 8/27/21. Patient died on 9/9/21.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Nausea, Pain, Pyrexia
Clinical narrative: High Fever, body aches, headache nausea and diarrhea  All symptoms lasted about 36hours
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer LOT FF2589, EXP: 03/31/2021, Date Given 09/30/2021, Given 6 months after expiration. Is this dose still effective.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Headache, Nausea, Pain
Clinical narrative: Extreme body aches and fatigue. Headache, leg and low back pain. Nausea.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Extreme body aches and fatigue. Headache, leg and low back pain. Nausea.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: fever,  chills, and headache
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: positive covid test 09/30/21 in vaccinated pt w/symptoms
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Herpes zoster, Hypertension, Hypoaesthesia, Magnetic resonance imaging
Clinical narrative: As soon as I received the shot I begin to start shaking, I have been diagnosed with internal tremors. Also I developed shingles, had a rash on my face, and high blood pressure. Numbness in my hand and feet. I was diagnose with muscle deterioration. I have extreme headaches.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle disorder, Rash, Tremor
Clinical narrative: As soon as I received the shot I begin to start shaking, I have been diagnosed with internal tremors. Also I developed shingles, had a rash on my face, and high blood pressure. Numbness in my hand and feet. I was diagnose with muscle deterioration. I have extreme headaches.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive for COVID
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Sensation of foreign body
Clinical narrative: lump in throat , difficulty swallowing's. Treated with  EPi and obsevation.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness, Tinnitus
Clinical narrative: I had a loud buzzing start in my left ear two days following the immunization.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Electrocardiogram, Exposure during pregnancy
Clinical narrative: Approximately 15 hours after vaccine administration, patient experienced significant, severe, chest pain. Pain was a heavy, crushing pain without a reflux quality. Pain lasted for approximately 28 hours though decreased in severity after about 10 hours.   Uncomplicated, low-risk pregnancy of 30 weeks, 3 days at time of vaccine dose. EDD 11/17/2021. No known complications to pregnancy.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody positive, Lymphadenopathy, Pain, Sjogren's syndrome, Tendonitis
Clinical narrative: Swollen Lymph node under left arm pit 24 hours after vaccine.  Inflamed Tibial Tendon with severe pain ten days after second dose.  Anti SSB (Sjogen's) antibodies and ANA positive 30 days after second dose and again positive 3 months after second dose.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient states that after receiving the 3rd dose Booster Pfizer 09/29/2021, started experiencing symptoms 10/01/2021 of rash across the back and abdominal area. Primary communications 10/01/2021 suggested self-treating with Benadryl. No other symptoms noted.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Dysphonia, Inflammation, Malaise, Pruritus
Clinical narrative: , VOMITING  /  BLOOD CLOTS / INFLAMMATION / ITCHY /  BLOOD VAGINAL /  VOICE CHANGE AND OTHERS
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thrombosis, Vaginal haemorrhage, Vomiting
Clinical narrative: , VOMITING  /  BLOOD CLOTS / INFLAMMATION / ITCHY /  BLOOD VAGINAL /  VOICE CHANGE AND OTHERS
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deformity, Inflammation, Ocular hyperaemia, Pruritus, Skin plaque
Clinical narrative: , VOMITING  /  BLOOD CLOTS / INFLAMMATION / ITCHY /  BLOOD VAGINAL /  VOICE CHANGE AND OTHERS
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thermal burn, Thrombosis, Vomiting
Clinical narrative: , VOMITING  /  BLOOD CLOTS / INFLAMMATION / ITCHY /  BLOOD VAGINAL /  VOICE CHANGE AND OTHERS
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Laboratory test
Clinical narrative: COVID infection. Specimen collected on 8/24/21 (per ED notes). Patient died on 09/13/21.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chills, Dizziness, Feeling cold, Headache
Clinical narrative: On 9/28/2021 mild headache at 3:30pm, balance wobbly, extreme headache, muscle aches all over body at 7:30pm;, and fever at 11pm. On 9/29/2021 extreme body aches, 102 fever all night, hot flashes, night sweats then chills, and very cold. Bad headache and balance wobbly. Did not sleep much since my body ached so bad, even my toe nails hurt.  On 9/30/2021 morning felt 95% better with just a touch of wobbly balance and light headedness, but continued to improve throughout the day.  The night of 9/30 I had a horrible nightmare about losing my grandson. Hardly ever do I have nightmares.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Myalgia, Night sweats, Nightmare, Onychalgia
Clinical narrative: On 9/28/2021 mild headache at 3:30pm, balance wobbly, extreme headache, muscle aches all over body at 7:30pm;, and fever at 11pm. On 9/29/2021 extreme body aches, 102 fever all night, hot flashes, night sweats then chills, and very cold. Bad headache and balance wobbly. Did not sleep much since my body ached so bad, even my toe nails hurt.  On 9/30/2021 morning felt 95% better with just a touch of wobbly balance and light headedness, but continued to improve throughout the day.  The night of 9/30 I had a horrible nightmare about losing my grandson. Hardly ever do I have nightmares.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Sleep disorder
Clinical narrative: On 9/28/2021 mild headache at 3:30pm, balance wobbly, extreme headache, muscle aches all over body at 7:30pm;, and fever at 11pm. On 9/29/2021 extreme body aches, 102 fever all night, hot flashes, night sweats then chills, and very cold. Bad headache and balance wobbly. Did not sleep much since my body ached so bad, even my toe nails hurt.  On 9/30/2021 morning felt 95% better with just a touch of wobbly balance and light headedness, but continued to improve throughout the day.  The night of 9/30 I had a horrible nightmare about losing my grandson. Hardly ever do I have nightmares.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Pain
Clinical narrative: Severe menstrual like pain. The pain started shortly after the injection, but severe pain this morning (10 days into menstrual cycle).
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Eye pruritus, Fatigue, Night sweats
Clinical narrative: Itchy eyes, congestion, night sweats, extreme fatigue for 1 week, loss of taste, and smell on 9/18/21.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: Itchy eyes, congestion, night sweats, extreme fatigue for 1 week, loss of taste, and smell on 9/18/21.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Pyrexia
Clinical narrative: Weak, fever, fatigue.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Pain, Pyrexia
Clinical narrative: Woke up at 3:00 AM next morning with severe chills, fever of 102, achy, and headache. Chills went away later that morning but fever continued ranging from 102 down to 101, 100.8. Still was very achy with headache, and stayed in bed all day. Similar reaction the following day (day two after injection). Fever not as high ranging from 100.4 - 101.1.  Remained in bed again that day. Very little to eat but tried to push water. Took Tylenol both days about every 6 hours for fever. Day 3 fever gone, not very achy or headache, but very weak and had to limit activity most of day.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Fever up to 102.0, extreme body aches, fatigue, nausea, vomiting---12hrs post injection that persisted for 36 hours.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Haemorrhage, Menstruation irregular, Muscle spasms
Clinical narrative: Heart palpitations, weakness, extreme fatigue, cramping, period messed up, and bleeding.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart palpitations, weakness, extreme fatigue, cramping, period messed up, and bleeding.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: numbness and tingling to left side of face.  No facial droop.  No tongue swelling or throat closing
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Client received first dose of Pfizer on 8/20/21 Lot # FD8448.  Today client received a dose of Moderna Lot # 033C21A.  No symptoms observed while waiting the 15 minutes.  The patient's father was present with son. The patient's father was informed of incident and was advised to contact us with any changes in symptoms or other concerns.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Cough, Headache, Pain
Clinical narrative: Fever, loss of taste, loss of smell, headache, deep cough, and body aches, starting on 9/25/21.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, loss of taste, loss of smell, headache, deep cough, and body aches, starting on 9/25/21.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Burning sensation, Chills, Headache, Pain
Clinical narrative: I started to feel very weak around 8:30 pm the night of the shot. I went to bed to wake up at 3 am in  chills and panic. My body was on fire. My husband got up and took my temperature which was 103.9! He gave me Tylenol which i also took right before going to bed. I woke up again at 7 am with 103.3. With another dose of Tylenol and Advil, the whole day my fever would not break. It remained at 102.8. The following night i woke the same way with 102.9. Today is the third day and still woke up with a fever and severe body aches and headache.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Panic reaction, Sleep disorder
Clinical narrative: I started to feel very weak around 8:30 pm the night of the shot. I went to bed to wake up at 3 am in  chills and panic. My body was on fire. My husband got up and took my temperature which was 103.9! He gave me Tylenol which i also took right before going to bed. I woke up again at 7 am with 103.3. With another dose of Tylenol and Advil, the whole day my fever would not break. It remained at 102.8. The following night i woke the same way with 102.9. Today is the third day and still woke up with a fever and severe body aches and headache.
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Pulmonary function test decreased
Clinical narrative: Ability to breath diminished almost 50% from where it was prior to vaccination.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Muscle rigidity, Paraesthesia, Seizure, Unresponsive to stimuli
Clinical narrative: After receiving shot I returned to car with wife to wait 15 minutes before leaving. After being in the car for 10 minutes I became very sweaty and my extremities started to tingle. At that point, my wife observed me going ridged. My wife tried to communicate to me since my eyes were open but I was non-responsive. She ran inside and brought medical works to the car. When workers arrived I became responsive and went inside with the works. The works diagnosed the event as a seizure, held me for observation and took vitals. All vitals were normal. I have not reported it till now, because I have passed out giving blood before and it seem very similar. However, multiple medical personnel encouraged me to report since passing out giving blood is immediate and not correlated with a seizure.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter
Clinical narrative: A flutter
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dry throat, Throat tightness
Clinical narrative: Within 2 minutes of administering Pfizer covid vaccination patient expressed that his throat felt very dry and he feels like his throat is closing a little. Patient was given Allegra 60 mg 1 tablet per standing orders. Patient was talking to nursing staff the entire time. After administration of Allegra patient expressed that he felt better. He was talking the entire time of his observation with nursing staff.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: Patient has expired / died (9.28.21);  Hospitalized (9.15.21);  COVID positive (9.9.21);  fully vaccinated  Discharge Provider:  Admission Date: 9/15/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus infection [U07.1] COVID-19 [U07.1] Acute respiratory failure with hypoxia  [J96.01] Acute respiratory failure due to COVID-19 [U07.1, J96.00]   HOSPITAL COURSE: Patient is  a 57 year old with asthma, MS (ocrelizumab q 6 months), tobacco abuse (30pkyr), and congenitally absent left kidney.  He was COVID (+) 9/9 (was vaccinated in the spring).  He presented 9/15 with 10 days cough/SOB/fevers.  In the ED, he was hypoxemic and would desaturate with activity.  CXR showed patchy bilateral opacities.  He was admitted and treated with Decadron, remdesivir, and empiric antibiotics. On 9/18, he was transferred requiring HFNC/NRB.  On 9/19, he required intubation, NMB (until 9/22), and proning (until 9/21).  Doppler US 9/20 showed acute right IJ and right SC DVTs.  He was extubated 9/26 and initially tolerated low-flow NC oxygen but was profoundly weak.  He decompensated requiring BiPAP.  He had been made DNR by family then comfort measures.  He passed away on 9/28 while this attending was off service and at home Date of Death: 9/28/21 Time of Death:  8:07 PM Preliminary Cause of Death: Acute respiratory failure due to COVID-19
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Deep vein thrombosis, Dyspnoea, Endotracheal intubation, Extubation
Clinical narrative: Patient has expired / died (9.28.21);  Hospitalized (9.15.21);  COVID positive (9.9.21);  fully vaccinated  Discharge Provider:  Admission Date: 9/15/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus infection [U07.1] COVID-19 [U07.1] Acute respiratory failure with hypoxia  [J96.01] Acute respiratory failure due to COVID-19 [U07.1, J96.00]   HOSPITAL COURSE: Patient is  a 57 year old with asthma, MS (ocrelizumab q 6 months), tobacco abuse (30pkyr), and congenitally absent left kidney.  He was COVID (+) 9/9 (was vaccinated in the spring).  He presented 9/15 with 10 days cough/SOB/fevers.  In the ED, he was hypoxemic and would desaturate with activity.  CXR showed patchy bilateral opacities.  He was admitted and treated with Decadron, remdesivir, and empiric antibiotics. On 9/18, he was transferred requiring HFNC/NRB.  On 9/19, he required intubation, NMB (until 9/22), and proning (until 9/21).  Doppler US 9/20 showed acute right IJ and right SC DVTs.  He was extubated 9/26 and initially tolerated low-flow NC oxygen but was profoundly weak.  He decompensated requiring BiPAP.  He had been made DNR by family then comfort measures.  He passed away on 9/28 while this attending was off service and at home Date of Death: 9/28/21 Time of Death:  8:07 PM Preliminary Cause of Death: Acute respiratory failure due to COVID-19
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Hypoxia, Jugular vein occlusion, Lung opacity, Oxygen saturation decreased
Clinical narrative: Patient has expired / died (9.28.21);  Hospitalized (9.15.21);  COVID positive (9.9.21);  fully vaccinated  Discharge Provider:  Admission Date: 9/15/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus infection [U07.1] COVID-19 [U07.1] Acute respiratory failure with hypoxia  [J96.01] Acute respiratory failure due to COVID-19 [U07.1, J96.00]   HOSPITAL COURSE: Patient is  a 57 year old with asthma, MS (ocrelizumab q 6 months), tobacco abuse (30pkyr), and congenitally absent left kidney.  He was COVID (+) 9/9 (was vaccinated in the spring).  He presented 9/15 with 10 days cough/SOB/fevers.  In the ED, he was hypoxemic and would desaturate with activity.  CXR showed patchy bilateral opacities.  He was admitted and treated with Decadron, remdesivir, and empiric antibiotics. On 9/18, he was transferred requiring HFNC/NRB.  On 9/19, he required intubation, NMB (until 9/22), and proning (until 9/21).  Doppler US 9/20 showed acute right IJ and right SC DVTs.  He was extubated 9/26 and initially tolerated low-flow NC oxygen but was profoundly weak.  He decompensated requiring BiPAP.  He had been made DNR by family then comfort measures.  He passed away on 9/28 while this attending was off service and at home Date of Death: 9/28/21 Time of Death:  8:07 PM Preliminary Cause of Death: Acute respiratory failure due to COVID-19
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Peripheral coldness, Physical deconditioning, Positive airway pressure therapy, Prone position, Pyrexia
Clinical narrative: Patient has expired / died (9.28.21);  Hospitalized (9.15.21);  COVID positive (9.9.21);  fully vaccinated  Discharge Provider:  Admission Date: 9/15/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus infection [U07.1] COVID-19 [U07.1] Acute respiratory failure with hypoxia  [J96.01] Acute respiratory failure due to COVID-19 [U07.1, J96.00]   HOSPITAL COURSE: Patient is  a 57 year old with asthma, MS (ocrelizumab q 6 months), tobacco abuse (30pkyr), and congenitally absent left kidney.  He was COVID (+) 9/9 (was vaccinated in the spring).  He presented 9/15 with 10 days cough/SOB/fevers.  In the ED, he was hypoxemic and would desaturate with activity.  CXR showed patchy bilateral opacities.  He was admitted and treated with Decadron, remdesivir, and empiric antibiotics. On 9/18, he was transferred requiring HFNC/NRB.  On 9/19, he required intubation, NMB (until 9/22), and proning (until 9/21).  Doppler US 9/20 showed acute right IJ and right SC DVTs.  He was extubated 9/26 and initially tolerated low-flow NC oxygen but was profoundly weak.  He decompensated requiring BiPAP.  He had been made DNR by family then comfort measures.  He passed away on 9/28 while this attending was off service and at home Date of Death: 9/28/21 Time of Death:  8:07 PM Preliminary Cause of Death: Acute respiratory failure due to COVID-19
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Subclavian vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Patient has expired / died (9.28.21);  Hospitalized (9.15.21);  COVID positive (9.9.21);  fully vaccinated  Discharge Provider:  Admission Date: 9/15/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus infection [U07.1] COVID-19 [U07.1] Acute respiratory failure with hypoxia  [J96.01] Acute respiratory failure due to COVID-19 [U07.1, J96.00]   HOSPITAL COURSE: Patient is  a 57 year old with asthma, MS (ocrelizumab q 6 months), tobacco abuse (30pkyr), and congenitally absent left kidney.  He was COVID (+) 9/9 (was vaccinated in the spring).  He presented 9/15 with 10 days cough/SOB/fevers.  In the ED, he was hypoxemic and would desaturate with activity.  CXR showed patchy bilateral opacities.  He was admitted and treated with Decadron, remdesivir, and empiric antibiotics. On 9/18, he was transferred requiring HFNC/NRB.  On 9/19, he required intubation, NMB (until 9/22), and proning (until 9/21).  Doppler US 9/20 showed acute right IJ and right SC DVTs.  He was extubated 9/26 and initially tolerated low-flow NC oxygen but was profoundly weak.  He decompensated requiring BiPAP.  He had been made DNR by family then comfort measures.  He passed away on 9/28 while this attending was off service and at home Date of Death: 9/28/21 Time of Death:  8:07 PM Preliminary Cause of Death: Acute respiratory failure due to COVID-19
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Tension
Clinical narrative: Pt states he had COVID in January and was in the hospital for 2 weeks.  He also stated that a week after receiving the vaccine, he had a mental break.  He was taken to Medical facility.  He spent another 2 weeks in the hospital.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Cerebrovascular accident, Facial paralysis
Clinical narrative: CVA/Stroke: patient noticed loss of speech during conversation alerting the need for medical attention. Patient was treated inpatient at the local medical center. Patient has partially recovered has difficulty with speech in stressful situations and paralysis on left side of his face.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Patient got her pfizer vaccine  and developed redness and itching on her chest 15 minutes after. She said her face felt slightly itchy as well. She was given 2 tablets of diphendydramine 25 mg. Her symptoms did not progress. She was monitored for a  half hour then returned home. No addition medical intervention was given.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aortic valve replacement, COVID-19, Nucleic acid test, SARS-CoV-2 test positive
Clinical narrative: Unsure why pt. was tested on 04/20; on 05/01/21 tested for surgical procedure; pt. admitted for a scheduled transfemoral aortic valve replacement.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging neck, Muscle twitching
Clinical narrative: On Thursday 9/16 started experiencing left eye twitch, tremor, right and left arm numbness, lower leg and feet numbness, and feeling of numbness down neck wrapping into diaphragm area.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Hospitalized Breakthrough case
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Insomnia, Pyrexia
Clinical narrative: Fever, chills, headache, sleeplessness Noticed symtoms the morning following vaccine and they subsided around 36-48 hours after
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever began on 9/30/2021 at 0426 of 99.4. Throughout the day of 9/30/2021 continually increased to 103.0 at 2120. Given tylenol and fever has subsided. 10/1/2021 at 0823 98.1.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Birth trauma, Contusion, Exposure during pregnancy, Eye haemorrhage, Foetal disorder
Clinical narrative: My baby was diagnosed with laryngomalacia and central and obstructive apnea, conditions common for premature babies, but she was born full term at 39 weeks  3 days (by measurement at 6 wk scan and 39 weeks 6 days by what?s actually possible given the date of positive pregnancy test).  She weighed 7lbs 8oz at birth. No pregnancy complications . Traumatic birth (left bruising and broken blood vessel in eye) but no recorded birth injury. Baby was seemingly born stunned but had normal APGAR score by 1 minute. Note, I started to fill out the TDap vaccine but the date was after the COVID vaccine and the form doesn?t let me change it to no vaccines within a month of first Pfizer dose. The TDAP was administered to me at 30 weeks pregnant to ensure 2 weeks after second Pfizer dose. I received TDap on 5/14/21, but I put 03/01/2021 on this form as the date just so I could finish and submit the form.  It won?t let me delete the entry.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Term birth
Clinical narrative: My baby was diagnosed with laryngomalacia and central and obstructive apnea, conditions common for premature babies, but she was born full term at 39 weeks  3 days (by measurement at 6 wk scan and 39 weeks 6 days by what?s actually possible given the date of positive pregnancy test).  She weighed 7lbs 8oz at birth. No pregnancy complications . Traumatic birth (left bruising and broken blood vessel in eye) but no recorded birth injury. Baby was seemingly born stunned but had normal APGAR score by 1 minute. Note, I started to fill out the TDap vaccine but the date was after the COVID vaccine and the form doesn?t let me change it to no vaccines within a month of first Pfizer dose. The TDAP was administered to me at 30 weeks pregnant to ensure 2 weeks after second Pfizer dose. I received TDap on 5/14/21, but I put 03/01/2021 on this form as the date just so I could finish and submit the form.  It won?t let me delete the entry.
Age: 58.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Anion gap normal, Basophil count normal, Basophil percentage, Blood calcium decreased, Blood chloride normal
Clinical narrative: At approximately 9:30pm I became chilled and experienced overall body ache. Later when taking my dog out my right leg locked up and once I got into bed I began convulsing, could not breath and was unable to communicate with my husband.  Initially the paramedics felt it was a panic attack.  Vital signs, CBC and Metabolic panel showed no abnormal results. Medical Center ER doc also initially indicated he also suspected a panic attack, however conceded it was possibly an adverse reaction.  I spent 9-31-2021 resting and on 10-1 feel back to normal.  I do not believe it was a panic attack.  After the first dose of the Pfizer vaccine (EL9269)  I was aware of underarm gland swelling.  Now after the third dose it is more pronounced.
Age: 58.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea increased
Clinical narrative: At approximately 9:30pm I became chilled and experienced overall body ache. Later when taking my dog out my right leg locked up and once I got into bed I began convulsing, could not breath and was unable to communicate with my husband.  Initially the paramedics felt it was a panic attack.  Vital signs, CBC and Metabolic panel showed no abnormal results. Medical Center ER doc also initially indicated he also suspected a panic attack, however conceded it was possibly an adverse reaction.  I spent 9-31-2021 resting and on 10-1 feel back to normal.  I do not believe it was a panic attack.  After the first dose of the Pfizer vaccine (EL9269)  I was aware of underarm gland swelling.  Now after the third dose it is more pronounced.
Age: 58.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Carbon dioxide decreased, Chills, Condition aggravated, Differential white blood cell count, Dyspnoea
Clinical narrative: At approximately 9:30pm I became chilled and experienced overall body ache. Later when taking my dog out my right leg locked up and once I got into bed I began convulsing, could not breath and was unable to communicate with my husband.  Initially the paramedics felt it was a panic attack.  Vital signs, CBC and Metabolic panel showed no abnormal results. Medical Center ER doc also initially indicated he also suspected a panic attack, however conceded it was possibly an adverse reaction.  I spent 9-31-2021 resting and on 10-1 feel back to normal.  I do not believe it was a panic attack.  After the first dose of the Pfizer vaccine (EL9269)  I was aware of underarm gland swelling.  Now after the third dose it is more pronounced.
Age: 58.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Eosinophil count normal, Eosinophil percentage, Extra dose administered, Feeling cold, Full blood count normal
Clinical narrative: At approximately 9:30pm I became chilled and experienced overall body ache. Later when taking my dog out my right leg locked up and once I got into bed I began convulsing, could not breath and was unable to communicate with my husband.  Initially the paramedics felt it was a panic attack.  Vital signs, CBC and Metabolic panel showed no abnormal results. Medical Center ER doc also initially indicated he also suspected a panic attack, however conceded it was possibly an adverse reaction.  I spent 9-31-2021 resting and on 10-1 feel back to normal.  I do not believe it was a panic attack.  After the first dose of the Pfizer vaccine (EL9269)  I was aware of underarm gland swelling.  Now after the third dose it is more pronounced.
Age: 58.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Haematocrit normal, Haemoglobin normal, Immature granulocyte count, Lymphadenopathy, Lymphocyte count normal
Clinical narrative: At approximately 9:30pm I became chilled and experienced overall body ache. Later when taking my dog out my right leg locked up and once I got into bed I began convulsing, could not breath and was unable to communicate with my husband.  Initially the paramedics felt it was a panic attack.  Vital signs, CBC and Metabolic panel showed no abnormal results. Medical Center ER doc also initially indicated he also suspected a panic attack, however conceded it was possibly an adverse reaction.  I spent 9-31-2021 resting and on 10-1 feel back to normal.  I do not believe it was a panic attack.  After the first dose of the Pfizer vaccine (EL9269)  I was aware of underarm gland swelling.  Now after the third dose it is more pronounced.
Age: 58.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased
Clinical narrative: At approximately 9:30pm I became chilled and experienced overall body ache. Later when taking my dog out my right leg locked up and once I got into bed I began convulsing, could not breath and was unable to communicate with my husband.  Initially the paramedics felt it was a panic attack.  Vital signs, CBC and Metabolic panel showed no abnormal results. Medical Center ER doc also initially indicated he also suspected a panic attack, however conceded it was possibly an adverse reaction.  I spent 9-31-2021 resting and on 10-1 feel back to normal.  I do not believe it was a panic attack.  After the first dose of the Pfizer vaccine (EL9269)  I was aware of underarm gland swelling.  Now after the third dose it is more pronounced.
Age: 58.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Metabolic function test normal, Monocyte count normal, Monocyte percentage, Musculoskeletal stiffness, Neutrophil count normal
Clinical narrative: At approximately 9:30pm I became chilled and experienced overall body ache. Later when taking my dog out my right leg locked up and once I got into bed I began convulsing, could not breath and was unable to communicate with my husband.  Initially the paramedics felt it was a panic attack.  Vital signs, CBC and Metabolic panel showed no abnormal results. Medical Center ER doc also initially indicated he also suspected a panic attack, however conceded it was possibly an adverse reaction.  I spent 9-31-2021 resting and on 10-1 feel back to normal.  I do not believe it was a panic attack.  After the first dose of the Pfizer vaccine (EL9269)  I was aware of underarm gland swelling.  Now after the third dose it is more pronounced.
Age: 58.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Neutrophil percentage increased, No reaction on previous exposure to drug, Pain, Platelet count normal, Red blood cell count normal
Clinical narrative: At approximately 9:30pm I became chilled and experienced overall body ache. Later when taking my dog out my right leg locked up and once I got into bed I began convulsing, could not breath and was unable to communicate with my husband.  Initially the paramedics felt it was a panic attack.  Vital signs, CBC and Metabolic panel showed no abnormal results. Medical Center ER doc also initially indicated he also suspected a panic attack, however conceded it was possibly an adverse reaction.  I spent 9-31-2021 resting and on 10-1 feel back to normal.  I do not believe it was a panic attack.  After the first dose of the Pfizer vaccine (EL9269)  I was aware of underarm gland swelling.  Now after the third dose it is more pronounced.
Age: 58.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Red cell distribution width normal, Seizure, Tremor, Vaccination complication, White blood cell count increased
Clinical narrative: At approximately 9:30pm I became chilled and experienced overall body ache. Later when taking my dog out my right leg locked up and once I got into bed I began convulsing, could not breath and was unable to communicate with my husband.  Initially the paramedics felt it was a panic attack.  Vital signs, CBC and Metabolic panel showed no abnormal results. Medical Center ER doc also initially indicated he also suspected a panic attack, however conceded it was possibly an adverse reaction.  I spent 9-31-2021 resting and on 10-1 feel back to normal.  I do not believe it was a panic attack.  After the first dose of the Pfizer vaccine (EL9269)  I was aware of underarm gland swelling.  Now after the third dose it is more pronounced.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: I just woke up bruises all over my body. I haven't treated it yet.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Fatigue, Migraine, Muscular weakness
Clinical narrative: Migraine headache in the evening- same day as the shot  Bone & joint aches, moderate fatigue, mild muscle weakness - the day after getting the shot
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient had a n episode of syncope approximately 10 minutes after injection. Evaluated and released
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Influenza like illness, Pain
Clinical narrative: Flu like symptoms. Total fatigue, head felt thick or foggy, aching all over
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Differential white blood cell count, Electrocardiogram, Feeling cold
Clinical narrative: I had trouble all day.  In the morning, my shoulder where the shot was administered, I couldn't lift my 19 month old out of her crib. Checked my heart rate, and it was at 130 with O2 at 97%.  Shoulder then got better throughout the day, but then my knees felt like they were 87 years old.  I had a major headache all day and felt like I was having an asthma attack all day as my chest was tight.  After I went to a doctor visit (heart rate at 115 and O2 at 96%), I came home, sat on the couch and picked up my youngest daughter and my heart started racing.  I felt cold and was wanting to sleep. I put my daughter down and checked heart rate - 150 and O2 at 96%. I felt like I was working out, but was not moving at the time. This lasted for 20 or so minutes and had to call ambulance.  On the way to hospital, heart rate flucuated from 120 to 95. Again, not doing anything except sitting in the ambulance.  At the moment, my heart rate has been at a steady 100-110. Before, my resting heart rate was 60.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Headache, Injected limb mobility decreased, Metabolic function test
Clinical narrative: I had trouble all day.  In the morning, my shoulder where the shot was administered, I couldn't lift my 19 month old out of her crib. Checked my heart rate, and it was at 130 with O2 at 97%.  Shoulder then got better throughout the day, but then my knees felt like they were 87 years old.  I had a major headache all day and felt like I was having an asthma attack all day as my chest was tight.  After I went to a doctor visit (heart rate at 115 and O2 at 96%), I came home, sat on the couch and picked up my youngest daughter and my heart started racing.  I felt cold and was wanting to sleep. I put my daughter down and checked heart rate - 150 and O2 at 96%. I felt like I was working out, but was not moving at the time. This lasted for 20 or so minutes and had to call ambulance.  On the way to hospital, heart rate flucuated from 120 to 95. Again, not doing anything except sitting in the ambulance.  At the moment, my heart rate has been at a steady 100-110. Before, my resting heart rate was 60.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial necrosis marker, Palpitations, Red blood cell sedimentation rate
Clinical narrative: I had trouble all day.  In the morning, my shoulder where the shot was administered, I couldn't lift my 19 month old out of her crib. Checked my heart rate, and it was at 130 with O2 at 97%.  Shoulder then got better throughout the day, but then my knees felt like they were 87 years old.  I had a major headache all day and felt like I was having an asthma attack all day as my chest was tight.  After I went to a doctor visit (heart rate at 115 and O2 at 96%), I came home, sat on the couch and picked up my youngest daughter and my heart started racing.  I felt cold and was wanting to sleep. I put my daughter down and checked heart rate - 150 and O2 at 96%. I felt like I was working out, but was not moving at the time. This lasted for 20 or so minutes and had to call ambulance.  On the way to hospital, heart rate flucuated from 120 to 95. Again, not doing anything except sitting in the ambulance.  At the moment, my heart rate has been at a steady 100-110. Before, my resting heart rate was 60.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Pulmonary embolism
Clinical narrative: Saddle PE
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation
Clinical narrative: Burning of back, from the neck to the upper hips, took a nap; stayed in bed all day.  Felt fine the next day.  Felt like my back was burning similar to a burn from hot water. Took anti inflammatory FOODS for the next 28 days to prepare for next injection.  Next injection was normal compared to the first.  Did not have a Physician to consult, so just toughed it out.  Glad I survived !!
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Sinusitis
Clinical narrative: resembled sinus infection
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Pt came into pharmacy and said he needed a covid shot. RPh and pt spoke about each one and together they decided on Janssen. No problems with administration and no side effects afterwards. Once we logged dose into the system, we saw pt had moderna 1st dose 1/15/21, 2nd dose 2/12/21 and a 3rd dose 3/5/21. Pt had no knowledge of these shots, no white card and these were not given at our pharmacy. Notified pt and daughter of extra dose. Pt has memory problems per daughter, but is still allowed to drive and appears to be cognitively intact when we spoke to him. No adrs reported. Pt more then adequately vaccinated.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Loss of personal independence in daily activities, Mobility decreased, Pain in extremity, X-ray
Clinical narrative: Pain beginning on day 6 in right index. Inability to bend finger completely. Pain lasts all day with few moments of relief. Blood tests and x-ray show no visual problems. Pain is not getting any better or worse and has been the same since day 6. It impairs me daily from my activities.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, C-reactive protein increased, Dermatomyositis, Muscular weakness, Myalgia
Clinical narrative: myositis -- dermatomyositis; severe muscles pain and weakness, CK >1000
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Myositis
Clinical narrative: myositis -- dermatomyositis; severe muscles pain and weakness, CK >1000
Sex: U
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: fainted, out for several seconds, recovered. Layed on floor in rescue position for 15 minutes, then left store.  telaphoned 30 minutes later, patient said they were fine
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Blood immunoglobulin M increased, Bone erosion, C-reactive protein increased
Clinical narrative: 6-7 days after booster vaccine dose, patient developed severe b/l feet and ankle pain leading to taking hours to get out of bed in morning, difficulty walking, in the morning. Also severe right wrist pain. Symptoms resulted in inability to drive due to pain. Also difficulty sleeping due to pain. Evaluation by primary care office led to diagnosis of rheumatoid arthritis. Steroids started on 10/1/21 and referral to rheumatology made.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Gait disturbance, Impaired driving ability, Insomnia, Pain in extremity
Clinical narrative: 6-7 days after booster vaccine dose, patient developed severe b/l feet and ankle pain leading to taking hours to get out of bed in morning, difficulty walking, in the morning. Also severe right wrist pain. Symptoms resulted in inability to drive due to pain. Also difficulty sleeping due to pain. Evaluation by primary care office led to diagnosis of rheumatoid arthritis. Steroids started on 10/1/21 and referral to rheumatology made.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, Rheumatoid arthritis, Rheumatoid factor increased, X-ray abnormal
Clinical narrative: 6-7 days after booster vaccine dose, patient developed severe b/l feet and ankle pain leading to taking hours to get out of bed in morning, difficulty walking, in the morning. Also severe right wrist pain. Symptoms resulted in inability to drive due to pain. Also difficulty sleeping due to pain. Evaluation by primary care office led to diagnosis of rheumatoid arthritis. Steroids started on 10/1/21 and referral to rheumatology made.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Dyspnoea, Fatigue, Hypersensitivity
Clinical narrative: After his shot about 2.5 hours he noted significant fatigue, arm felt like "i was slugged by a baseball super sore', allergies flared up, fever on/off then "shortness of breath was terrible".  "Going to the refrigerator was to the point I was getting lightheaded forcing myself to breath."  Primatene mist used for mowing grass. He bought more to use.  Today his lungs are ok (9/20/21). Yesterday he used the primatene within the first hour of waking.  Fatigue today is fine and has worn off as of 3 days ago. Started Flovent on 9/20/21 with albuterol prn, zyrtec daily with follow up in one week to recheck lung function and shortness of breath on exertion.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Spirometry abnormal
Clinical narrative: After his shot about 2.5 hours he noted significant fatigue, arm felt like "i was slugged by a baseball super sore', allergies flared up, fever on/off then "shortness of breath was terrible".  "Going to the refrigerator was to the point I was getting lightheaded forcing myself to breath."  Primatene mist used for mowing grass. He bought more to use.  Today his lungs are ok (9/20/21). Yesterday he used the primatene within the first hour of waking.  Fatigue today is fine and has worn off as of 3 days ago. Started Flovent on 9/20/21 with albuterol prn, zyrtec daily with follow up in one week to recheck lung function and shortness of breath on exertion.
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Movement disorder, Product administered at inappropriate site
Clinical narrative: Vaccine given too high. Patient experiencing shoulder pain and difficulty with movement weeks after administration.