chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: fully vaccinated-covid related death
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Insulin therapy, Thirst, Type 1 diabetes mellitus
Clinical narrative: Patient Started getting very thirsty 4 months after the shot.  He went into the hospital after it persisted for a few weeks of not being able to quench his thirst.  Blood glucose level was over 700.  He was diagnosed with Type 1 diabetes.  Will need to take insulin now to regulate his blood sugar.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: Subject came to the research site and verbalized being pregnant since 17/DEC/2021. Subject refused to receive 2nd shot of the Moderna COVID-19 vaccine at this time.  Estimated Date of Delivery is on August 28, 2022. She verbalized that she is about 6-7 weeks pregnant when she was seen at site.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Cough, Mental status changes, Pyrexia
Clinical narrative: Patient completed two doses of Moderna COVID vaccines in June 2021. She presented at the ED c/o vomiting and diarrhea after taking Linzess on 12/24/21. She was found out of altered mental status and chest pain and admitted to the hospital. She also had low-grade fever and cough, and her COVID PCR was positive on 12/26/21. She has received IV steroids, but she was not required supplemental oxygen. She is going to be discharged home on 12/29/21.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient completed two doses of Moderna COVID vaccines in June 2021. She presented at the ED c/o vomiting and diarrhea after taking Linzess on 12/24/21. She was found out of altered mental status and chest pain and admitted to the hospital. She also had low-grade fever and cough, and her COVID PCR was positive on 12/26/21. She has received IV steroids, but she was not required supplemental oxygen. She is going to be discharged home on 12/29/21.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Back pain, Blood test
Clinical narrative: The night of receiving the 2nd dose of COVID vaccine I have fever, chills, severe back and abdominal pain, and fatigue that lasted 24 hours.  On the evening of 12/14 I started with severe abdominal pain and vomiting.  On the morning of of 12/15, I reported to a HCF ER, where it was determined I had appendicitis and I was transported to another HCF for an emergency appendectomy.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram abdomen abnormal, Fatigue, Pyrexia, Urine analysis
Clinical narrative: The night of receiving the 2nd dose of COVID vaccine I have fever, chills, severe back and abdominal pain, and fatigue that lasted 24 hours.  On the evening of 12/14 I started with severe abdominal pain and vomiting.  On the morning of of 12/15, I reported to a HCF ER, where it was determined I had appendicitis and I was transported to another HCF for an emergency appendectomy.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: The night of receiving the 2nd dose of COVID vaccine I have fever, chills, severe back and abdominal pain, and fatigue that lasted 24 hours.  On the evening of 12/14 I started with severe abdominal pain and vomiting.  On the morning of of 12/15, I reported to a HCF ER, where it was determined I had appendicitis and I was transported to another HCF for an emergency appendectomy.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given booster dose of Pfizer vaccine while only 15 years old, no adverse reaction seen to date, will continue to monitor patient for adverse reactions. Patient's mother was called and informed of the error in administration and told to monitor son for any adverse reactions.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient admitted as inpatient on 12/26 due to COVID-19 pneumonia. Patient was tested for COVID-19 and was positive on 12/26.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Woke up this morning to redness and swelling around injection site.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH CASE
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dizziness, Hyperhidrosis, Hypotension
Clinical narrative: Patient became faint and dizzy within minutes receiving Pfizer booster vaccine.  Vital stats monitored.  Blood pressure extremely low (57/35, 74/44, 120/74), yet patient remained conscious and lucid.  O2 sat>95%. As she had not recently eaten, she was given 2 glucose tablets and some water. Mild tightness in chest, which she attributed to anxiety.  Mild sweating.  Patient consented to paramedic evaluation.  EMS activated.  Paramedics monitored vitals. Patient stabilized and recovered.  Declined ambulance transport.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient became faint and dizzy within minutes receiving Pfizer booster vaccine.  Vital stats monitored.  Blood pressure extremely low (57/35, 74/44, 120/74), yet patient remained conscious and lucid.  O2 sat>95%. As she had not recently eaten, she was given 2 glucose tablets and some water. Mild tightness in chest, which she attributed to anxiety.  Mild sweating.  Patient consented to paramedic evaluation.  EMS activated.  Paramedics monitored vitals. Patient stabilized and recovered.  Declined ambulance transport.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Cor pulmonale acute, Echocardiogram, Haematology test, Pulmonary embolism
Clinical narrative: Pulmonary embolus with acute cor pulmonale
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Back pain, Blood test, COVID-19, Cardiac function test
Clinical narrative: Chief Complaint: Shortness of breath Additional Medical History:  Patient is a 90-year-old female with history of atrial fibrillation on Eliquis and recent Kyphoplasty back in October who is vaccinated against Covid presenting to the emergency department for feeling short of breath and possible Covid infection.  Patient states her grandson lives with her, who is not vaccinated and currently has Covid and she believes she contracted it from him.  She states over the past approximately 3 days she has had a cough, general malaise and has progressively gotten more short of breath.  She denies GI symptoms including nausea, vomiting or diarrhea.  Denies chest pain.  of note the kyphoplasty she had back in October did not take, so she was supposed to have a revision of this last week, however this was not done due to the holiday.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Cough, Dyspnoea, Electrocardiogram, Exposure to SARS-CoV-2
Clinical narrative: Chief Complaint: Shortness of breath Additional Medical History:  Patient is a 90-year-old female with history of atrial fibrillation on Eliquis and recent Kyphoplasty back in October who is vaccinated against Covid presenting to the emergency department for feeling short of breath and possible Covid infection.  Patient states her grandson lives with her, who is not vaccinated and currently has Covid and she believes she contracted it from him.  She states over the past approximately 3 days she has had a cough, general malaise and has progressively gotten more short of breath.  She denies GI symptoms including nausea, vomiting or diarrhea.  Denies chest pain.  of note the kyphoplasty she had back in October did not take, so she was supposed to have a revision of this last week, however this was not done due to the holiday.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, International normalised ratio increased, Malaise, Oxygen saturation decreased, Troponin normal
Clinical narrative: Chief Complaint: Shortness of breath Additional Medical History:  Patient is a 90-year-old female with history of atrial fibrillation on Eliquis and recent Kyphoplasty back in October who is vaccinated against Covid presenting to the emergency department for feeling short of breath and possible Covid infection.  Patient states her grandson lives with her, who is not vaccinated and currently has Covid and she believes she contracted it from him.  She states over the past approximately 3 days she has had a cough, general malaise and has progressively gotten more short of breath.  She denies GI symptoms including nausea, vomiting or diarrhea.  Denies chest pain.  of note the kyphoplasty she had back in October did not take, so she was supposed to have a revision of this last week, however this was not done due to the holiday.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vertebroplasty
Clinical narrative: Chief Complaint: Shortness of breath Additional Medical History:  Patient is a 90-year-old female with history of atrial fibrillation on Eliquis and recent Kyphoplasty back in October who is vaccinated against Covid presenting to the emergency department for feeling short of breath and possible Covid infection.  Patient states her grandson lives with her, who is not vaccinated and currently has Covid and she believes she contracted it from him.  She states over the past approximately 3 days she has had a cough, general malaise and has progressively gotten more short of breath.  She denies GI symptoms including nausea, vomiting or diarrhea.  Denies chest pain.  of note the kyphoplasty she had back in October did not take, so she was supposed to have a revision of this last week, however this was not done due to the holiday.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Patient wife called clinic today at 12:00pm to report husband is having constant chest pain and no other symptoms. Advised her to call 911 since his Chest pain is getting worse and to follow up with his PCP after being seen at ER. Patient wife verbalized understanding.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pallor
Clinical narrative: About 15 minutes after the shot, I noticed my skin was turning red on my hands and my knuckles were turning white.  I was treated with an antihistamine. Waited 20 minutes more and the reaction subsided.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood thyroid stimulating hormone normal, Chest X-ray normal, Cold sweat, Computerised tomogram normal
Clinical narrative: about 10 minutes after the injection I was walking around the store and had a very sharp and jolting almost zap in my head.  Then my heart rate jumped to about 135bpm from what was around an average of 75bpm prior.  I got very dizzy, weak in my whole body and began having cold sweats.   My next event was 11-26-2021.  I had extreme muscle weakness, tingling in my limbs and felt dizzy.  I went to the ER and they ran thyroid blood work, and a CBC.  All came back normal.  They also performed a CT scan with contrast and to look for clotting.  All looked ok. Over the next 3 weeks I went to the ER 2 more times, once in an ambulance.  Same symptoms: weakness that one day is on my right side, then to my left, sometimes my entire body.  The time I went to the er in an ambulance, was due to sever weakness and very high jump in heart rate while sitting and reading in my home town.  I had chest x rays (not sure why) and more blood work...all came back normal.  I have NEVER experience anything like this in my 40 years until after I received the JNJ covid 19 shot.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electric shock sensation, Full blood count normal, Heart rate increased, Muscular weakness
Clinical narrative: about 10 minutes after the injection I was walking around the store and had a very sharp and jolting almost zap in my head.  Then my heart rate jumped to about 135bpm from what was around an average of 75bpm prior.  I got very dizzy, weak in my whole body and began having cold sweats.   My next event was 11-26-2021.  I had extreme muscle weakness, tingling in my limbs and felt dizzy.  I went to the ER and they ran thyroid blood work, and a CBC.  All came back normal.  They also performed a CT scan with contrast and to look for clotting.  All looked ok. Over the next 3 weeks I went to the ER 2 more times, once in an ambulance.  Same symptoms: weakness that one day is on my right side, then to my left, sometimes my entire body.  The time I went to the er in an ambulance, was due to sever weakness and very high jump in heart rate while sitting and reading in my home town.  I had chest x rays (not sure why) and more blood work...all came back normal.  I have NEVER experience anything like this in my 40 years until after I received the JNJ covid 19 shot.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Scan with contrast, Vitamin D decreased
Clinical narrative: about 10 minutes after the injection I was walking around the store and had a very sharp and jolting almost zap in my head.  Then my heart rate jumped to about 135bpm from what was around an average of 75bpm prior.  I got very dizzy, weak in my whole body and began having cold sweats.   My next event was 11-26-2021.  I had extreme muscle weakness, tingling in my limbs and felt dizzy.  I went to the ER and they ran thyroid blood work, and a CBC.  All came back normal.  They also performed a CT scan with contrast and to look for clotting.  All looked ok. Over the next 3 weeks I went to the ER 2 more times, once in an ambulance.  Same symptoms: weakness that one day is on my right side, then to my left, sometimes my entire body.  The time I went to the er in an ambulance, was due to sever weakness and very high jump in heart rate while sitting and reading in my home town.  I had chest x rays (not sure why) and more blood work...all came back normal.  I have NEVER experience anything like this in my 40 years until after I received the JNJ covid 19 shot.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Pain, Respiratory tract congestion
Clinical narrative: Symptomatic with cough, congestion with yellow sputum, sore throat, and body aches.  Tested positive on 12/26/21 and isolated with her other son. Husband tested negative and her other son's result is pending. Isolation period ends on 1/2/22, she will callback the hotline for f/u. She also participated in the Quasar studay, antibody testing after isolation is completed.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test, Sputum discoloured
Clinical narrative: Symptomatic with cough, congestion with yellow sputum, sore throat, and body aches.  Tested positive on 12/26/21 and isolated with her other son. Husband tested negative and her other son's result is pending. Isolation period ends on 1/2/22, she will callback the hotline for f/u. She also participated in the Quasar studay, antibody testing after isolation is completed.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Anticoagulant therapy, COVID-19, COVID-19 pneumonia
Clinical narrative: DX COVID-19 pneumonia (covid + 10/12/2021).  Admitted with Hypoxia, acute respiratory failure  and non-ST elevated mycoardial infarction. D-Dimer 539.   He completed course of medical therapy as recommended by ID and pulmonary. Decadron, supplemental O2, remdesivir with heparin.  He was discharged to long term facility to continue high flow oxygen and further management
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: DX COVID-19 pneumonia (covid + 10/12/2021).  Admitted with Hypoxia, acute respiratory failure  and non-ST elevated mycoardial infarction. D-Dimer 539.   He completed course of medical therapy as recommended by ID and pulmonary. Decadron, supplemental O2, remdesivir with heparin.  He was discharged to long term facility to continue high flow oxygen and further management
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Blood test, Chest discomfort, Chest pain, Electrocardiogram abnormal
Clinical narrative: Swelling of the heart, chest pressure/pain and arrhythmia.  Took to the ER on  12/13.  Seen by Doctor. Symptoms are still on going.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Ultrasound scan, X-ray
Clinical narrative: Swelling of the heart, chest pressure/pain and arrhythmia.  Took to the ER on  12/13.  Seen by Doctor. Symptoms are still on going.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Headache, Migraine, Nausea, Palpitations
Clinical narrative: I experienced a severe migraine, and around 2-3 AM I woke up with a racing heart rate (over 200bpm per my Garmin watch). I could barely stand and was nauseous. I called my nephew to take me to the ER. In the ER, they gave me IV medicine for Migraines. I was discharged after a few hours and rested when I got home. I still had a slight headache when I woke up, but it was better than before. It lasted the rest of the day then was gone the next.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Agonal respiration, Unresponsive to stimuli
Clinical narrative: found patient unresponsive with agonal respirations, episode lasted 1 minute, they provided rescue respirations with BVM, and patient returned to baseline then brought to emergency department and admitted
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Fatigue, Hyperhidrosis, Night sweats
Clinical narrative: On night 4 after shot developed severe stomach pain at top of stomach.  By Morning 5, had pains across stomach area and was extremely tired.  Night 6 after shot  had night sweats and changed pajama top three times.  On Day 7 I experienced extreme chills twice.  Day 8 I was extremely tired.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy test, Asthma, Cough, Speech disorder
Clinical narrative: Chronic asthma, dry cough, trouble speaking with out coughing,  4 visit to MD  Albuterol, prednisone, azithromycin, fluticasone, azelastine, stiolto,
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Death, Diarrhoea, Dyspnoea
Clinical narrative: pt admitted to hospital; found to be positive for COVID 7 days prior; presents to hosp with increasing SOB, fever, joint pains, diarrhea; O2 supplementation via NC and face mask, O2 sats between 70 - 80 % depending on exertion); worsening renal function; worsening O2 requirements; required intubation with mechanical vent; placed on antibiotics and steroids; pt's condition worsened and she died in the ICU
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Intensive care, Mechanical ventilation, Pyrexia, Renal impairment
Clinical narrative: pt admitted to hospital; found to be positive for COVID 7 days prior; presents to hosp with increasing SOB, fever, joint pains, diarrhea; O2 supplementation via NC and face mask, O2 sats between 70 - 80 % depending on exertion); worsening renal function; worsening O2 requirements; required intubation with mechanical vent; placed on antibiotics and steroids; pt's condition worsened and she died in the ICU
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt admitted to hospital; found to be positive for COVID 7 days prior; presents to hosp with increasing SOB, fever, joint pains, diarrhea; O2 supplementation via NC and face mask, O2 sats between 70 - 80 % depending on exertion); worsening renal function; worsening O2 requirements; required intubation with mechanical vent; placed on antibiotics and steroids; pt's condition worsened and she died in the ICU
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine was administered to a 12-year-old
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Tic
Clinical narrative: Motor tics began 3 days after receiving second Pfizer covid vaccines
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Discomfort, Fatigue, Influenza virus test negative
Clinical narrative: STARTED ON 12/3 WILL SORENESS AND EXHAUSTION.  THE PAIN WAS IN THE AREA OF MY LYMPH NODES ON THE RIGHT SIDE.  THIS LASTED FOR ABOUT 1 WEEK, AND THEN AROUND 12/13 I STARTED TO HAVE SINUS TROUBLE & COUGH.  ON 12/18 I HAD A TERRIBLE MIGRANE, AND EXHAUSTION.   STARTED TO HAVE MORE SINUS TROUBLE AND COUGHING.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Migraine, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: STARTED ON 12/3 WILL SORENESS AND EXHAUSTION.  THE PAIN WAS IN THE AREA OF MY LYMPH NODES ON THE RIGHT SIDE.  THIS LASTED FOR ABOUT 1 WEEK, AND THEN AROUND 12/13 I STARTED TO HAVE SINUS TROUBLE & COUGH.  ON 12/18 I HAD A TERRIBLE MIGRANE, AND EXHAUSTION.   STARTED TO HAVE MORE SINUS TROUBLE AND COUGHING.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Upper respiratory tract infection
Clinical narrative: STARTED ON 12/3 WILL SORENESS AND EXHAUSTION.  THE PAIN WAS IN THE AREA OF MY LYMPH NODES ON THE RIGHT SIDE.  THIS LASTED FOR ABOUT 1 WEEK, AND THEN AROUND 12/13 I STARTED TO HAVE SINUS TROUBLE & COUGH.  ON 12/18 I HAD A TERRIBLE MIGRANE, AND EXHAUSTION.   STARTED TO HAVE MORE SINUS TROUBLE AND COUGHING.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Patient broke out in Hives the day after receiving the vaccine. She had itching  all over her arms, legs and breast. The hives were on her legs, arms, and breast. Some swelled, become red, hot, and left bruises.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient broke out in Hives the day after receiving the vaccine. She had itching  all over her arms, legs and breast. The hives were on her legs, arms, and breast. Some swelled, become red, hot, and left bruises.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Chills, Dyspnoea, Erythema
Clinical narrative: I developed a red streak in my inner right thigh, increased swelling on the right leg  more than post op. On 11/25/2021, I developed traveling pain, from the groin to my belly, right chest, and into my jaw. I experienced chills and shortness of breath. I will be on blood thinners for 3-6 months.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Groin pain, Pain, Pain in jaw, Peripheral swelling
Clinical narrative: I developed a red streak in my inner right thigh, increased swelling on the right leg  more than post op. On 11/25/2021, I developed traveling pain, from the groin to my belly, right chest, and into my jaw. I experienced chills and shortness of breath. I will be on blood thinners for 3-6 months.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Illness, Pyrexia, Sluggishness
Clinical narrative: Sluggish, mild sick symptoms starting at 3pm the day after. Around 8pm fever up to 102 degrees, chills, sweating, etc fever broke after 24 hours. Roughly 1 week later felt completely better
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, C-reactive protein increased, COVID-19, Decreased appetite, Malaise
Clinical narrative: progressive weakness, not feeling well and decreased appetite for couple weeks. requiring high flow O2 started on decadron 6mg qday
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: progressive weakness, not feeling well and decreased appetite for couple weeks. requiring high flow O2 started on decadron 6mg qday
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired, expired on sept 21, 2021.  Vaccine was given 12/28/2021
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood culture, Blood electrolytes, Blood gases, Blood lactic acid
Clinical narrative: admitted on 11/22 for COVID PNA and was admitted to the hospital on 12/2 for increasing oxygen requirements. PMHx of atrial flutter, hypothyroidism, DM2, Follicular Lymphoma receiving monoclonal antibody therapy, chronic GERD, BPH. He was treated with Remdesivir, Dexamethasone, and Baricitinib. Baricitinib had to be discontinued early secondary to lymphopenia. As oxygen requirements declined, the patient was transferred to the stepdown unit. While in the stepdown unit, the patient had an increase in his oxygen demands again. For this reason he was transferred back to the medical ICU. Patient remains on HFNC. Patient found to have RLL segmental artery acute PE and moderate left pneumothorax.  Pigtail chest tube was placed 12/4.  However, on 12/5 patient had increasing oxygen requirements and increased work of breathing.  CXR showed re-accumulation of pneumothorax due to the chest tube being kinked.  Placed a new chest tube and patient required intubation 12/5. 12/6 chest tube was removed without residual pneumothorax. Patient has slowly continued to deoxygenate with maximum vent settings, VC 500TV 100%FiO2 Rate 24. Patient's spouse, was called about futilities of Full Code status and she decided that it was in the patient's best interest to make her husband DNAR. 12/7, the patient continued to decline, with O2 saturation <70% on maximal vent settings. On 12/07/2021 at 11:07 CST the patient was pronounced dead with wife bedside. Cause of death: acute hypoxic respiratory failure 2/2 COVID pneumonia and immunocompromised state.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chest tube insertion, Death, Device malfunction
Clinical narrative: admitted on 11/22 for COVID PNA and was admitted to the hospital on 12/2 for increasing oxygen requirements. PMHx of atrial flutter, hypothyroidism, DM2, Follicular Lymphoma receiving monoclonal antibody therapy, chronic GERD, BPH. He was treated with Remdesivir, Dexamethasone, and Baricitinib. Baricitinib had to be discontinued early secondary to lymphopenia. As oxygen requirements declined, the patient was transferred to the stepdown unit. While in the stepdown unit, the patient had an increase in his oxygen demands again. For this reason he was transferred back to the medical ICU. Patient remains on HFNC. Patient found to have RLL segmental artery acute PE and moderate left pneumothorax.  Pigtail chest tube was placed 12/4.  However, on 12/5 patient had increasing oxygen requirements and increased work of breathing.  CXR showed re-accumulation of pneumothorax due to the chest tube being kinked.  Placed a new chest tube and patient required intubation 12/5. 12/6 chest tube was removed without residual pneumothorax. Patient has slowly continued to deoxygenate with maximum vent settings, VC 500TV 100%FiO2 Rate 24. Patient's spouse, was called about futilities of Full Code status and she decided that it was in the patient's best interest to make her husband DNAR. 12/7, the patient continued to decline, with O2 saturation <70% on maximal vent settings. On 12/07/2021 at 11:07 CST the patient was pronounced dead with wife bedside. Cause of death: acute hypoxic respiratory failure 2/2 COVID pneumonia and immunocompromised state.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Endotracheal intubation, Full blood count, Haematocrit
Clinical narrative: admitted on 11/22 for COVID PNA and was admitted to the hospital on 12/2 for increasing oxygen requirements. PMHx of atrial flutter, hypothyroidism, DM2, Follicular Lymphoma receiving monoclonal antibody therapy, chronic GERD, BPH. He was treated with Remdesivir, Dexamethasone, and Baricitinib. Baricitinib had to be discontinued early secondary to lymphopenia. As oxygen requirements declined, the patient was transferred to the stepdown unit. While in the stepdown unit, the patient had an increase in his oxygen demands again. For this reason he was transferred back to the medical ICU. Patient remains on HFNC. Patient found to have RLL segmental artery acute PE and moderate left pneumothorax.  Pigtail chest tube was placed 12/4.  However, on 12/5 patient had increasing oxygen requirements and increased work of breathing.  CXR showed re-accumulation of pneumothorax due to the chest tube being kinked.  Placed a new chest tube and patient required intubation 12/5. 12/6 chest tube was removed without residual pneumothorax. Patient has slowly continued to deoxygenate with maximum vent settings, VC 500TV 100%FiO2 Rate 24. Patient's spouse, was called about futilities of Full Code status and she decided that it was in the patient's best interest to make her husband DNAR. 12/7, the patient continued to decline, with O2 saturation <70% on maximal vent settings. On 12/07/2021 at 11:07 CST the patient was pronounced dead with wife bedside. Cause of death: acute hypoxic respiratory failure 2/2 COVID pneumonia and immunocompromised state.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Immunodeficiency, Intensive care, Lymphopenia, Mechanical ventilation, Metabolic function test
Clinical narrative: admitted on 11/22 for COVID PNA and was admitted to the hospital on 12/2 for increasing oxygen requirements. PMHx of atrial flutter, hypothyroidism, DM2, Follicular Lymphoma receiving monoclonal antibody therapy, chronic GERD, BPH. He was treated with Remdesivir, Dexamethasone, and Baricitinib. Baricitinib had to be discontinued early secondary to lymphopenia. As oxygen requirements declined, the patient was transferred to the stepdown unit. While in the stepdown unit, the patient had an increase in his oxygen demands again. For this reason he was transferred back to the medical ICU. Patient remains on HFNC. Patient found to have RLL segmental artery acute PE and moderate left pneumothorax.  Pigtail chest tube was placed 12/4.  However, on 12/5 patient had increasing oxygen requirements and increased work of breathing.  CXR showed re-accumulation of pneumothorax due to the chest tube being kinked.  Placed a new chest tube and patient required intubation 12/5. 12/6 chest tube was removed without residual pneumothorax. Patient has slowly continued to deoxygenate with maximum vent settings, VC 500TV 100%FiO2 Rate 24. Patient's spouse, was called about futilities of Full Code status and she decided that it was in the patient's best interest to make her husband DNAR. 12/7, the patient continued to decline, with O2 saturation <70% on maximal vent settings. On 12/07/2021 at 11:07 CST the patient was pronounced dead with wife bedside. Cause of death: acute hypoxic respiratory failure 2/2 COVID pneumonia and immunocompromised state.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumothorax, Pulmonary embolism
Clinical narrative: admitted on 11/22 for COVID PNA and was admitted to the hospital on 12/2 for increasing oxygen requirements. PMHx of atrial flutter, hypothyroidism, DM2, Follicular Lymphoma receiving monoclonal antibody therapy, chronic GERD, BPH. He was treated with Remdesivir, Dexamethasone, and Baricitinib. Baricitinib had to be discontinued early secondary to lymphopenia. As oxygen requirements declined, the patient was transferred to the stepdown unit. While in the stepdown unit, the patient had an increase in his oxygen demands again. For this reason he was transferred back to the medical ICU. Patient remains on HFNC. Patient found to have RLL segmental artery acute PE and moderate left pneumothorax.  Pigtail chest tube was placed 12/4.  However, on 12/5 patient had increasing oxygen requirements and increased work of breathing.  CXR showed re-accumulation of pneumothorax due to the chest tube being kinked.  Placed a new chest tube and patient required intubation 12/5. 12/6 chest tube was removed without residual pneumothorax. Patient has slowly continued to deoxygenate with maximum vent settings, VC 500TV 100%FiO2 Rate 24. Patient's spouse, was called about futilities of Full Code status and she decided that it was in the patient's best interest to make her husband DNAR. 12/7, the patient continued to decline, with O2 saturation <70% on maximal vent settings. On 12/07/2021 at 11:07 CST the patient was pronounced dead with wife bedside. Cause of death: acute hypoxic respiratory failure 2/2 COVID pneumonia and immunocompromised state.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Migraine
Clinical narrative: I experienced a severe migraine and chills. I went to bed and, upon awakening, I felt better.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Blood lactic acid, COVID-19, COVID-19 pneumonia
Clinical narrative: Case was hospitalized for Covid 8 months after completing primary series of Pfizer Covid vaccine. Hospitalized at: Hospital. Discharging physician: MD.  * Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Diagnosed at MC 11/10 and started on dexamethasone for at that time. Presented to Hospital 11/13 with worsening weakness, confusion. Had difficulty tolerating PO dexamethasone 2/2 GI upset. Continued on dexamethasone on admission in addition to supportive therapies. With worsening weakness, confusion, elected to transition to comfort care 11/19.  - Discharged with hospice to the Facility  Severe sepsis with acute organ dysfunction  Assessment & Plan 4:31 PM 11/30/2021 Source of Infection: Viral Sepsis (including COVID-19) SIRS Criteria: Temp >38 C or < 36 C, HR > 90 and RR > 20 Acute Organ Dysfunction: Acute Respiratory Failure, Acute Metabolic Encephalopathy and Lactic Acidosis (Lactate > 2.0) Shock: Not Present Based on the above findings, the patient has evidence of: Severe sepsis (Sepsis + Acute organ dysfunction) Less than 30ml/kg bolus was ordered given p/w COVID PNA and no evidence of shock physiology. In addition, lactate normalized with 1L IVF in the ER. - Physiology has long since resolved.   Weakness Assessment & Plan Due to cvoid-19 pneumonia. Now on comfort care.   Acute metabolic encephalopathy Assessment & Plan Suspect initially driven by COVID and steroid use. Since then, ongoing hypoactive delirium. Mostly lays in bed sleepy. Suspect close to her new baseline. Now on comfort care
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Delirium, Drug tolerance decreased, Infection, Lactic acidosis
Clinical narrative: Case was hospitalized for Covid 8 months after completing primary series of Pfizer Covid vaccine. Hospitalized at: Hospital. Discharging physician: MD.  * Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Diagnosed at MC 11/10 and started on dexamethasone for at that time. Presented to Hospital 11/13 with worsening weakness, confusion. Had difficulty tolerating PO dexamethasone 2/2 GI upset. Continued on dexamethasone on admission in addition to supportive therapies. With worsening weakness, confusion, elected to transition to comfort care 11/19.  - Discharged with hospice to the Facility  Severe sepsis with acute organ dysfunction  Assessment & Plan 4:31 PM 11/30/2021 Source of Infection: Viral Sepsis (including COVID-19) SIRS Criteria: Temp >38 C or < 36 C, HR > 90 and RR > 20 Acute Organ Dysfunction: Acute Respiratory Failure, Acute Metabolic Encephalopathy and Lactic Acidosis (Lactate > 2.0) Shock: Not Present Based on the above findings, the patient has evidence of: Severe sepsis (Sepsis + Acute organ dysfunction) Less than 30ml/kg bolus was ordered given p/w COVID PNA and no evidence of shock physiology. In addition, lactate normalized with 1L IVF in the ER. - Physiology has long since resolved.   Weakness Assessment & Plan Due to cvoid-19 pneumonia. Now on comfort care.   Acute metabolic encephalopathy Assessment & Plan Suspect initially driven by COVID and steroid use. Since then, ongoing hypoactive delirium. Mostly lays in bed sleepy. Suspect close to her new baseline. Now on comfort care
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Multiple organ dysfunction syndrome, SARS-CoV-2 RNA, SARS-CoV-2 test positive, Somnolence
Clinical narrative: Case was hospitalized for Covid 8 months after completing primary series of Pfizer Covid vaccine. Hospitalized at: Hospital. Discharging physician: MD.  * Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Diagnosed at MC 11/10 and started on dexamethasone for at that time. Presented to Hospital 11/13 with worsening weakness, confusion. Had difficulty tolerating PO dexamethasone 2/2 GI upset. Continued on dexamethasone on admission in addition to supportive therapies. With worsening weakness, confusion, elected to transition to comfort care 11/19.  - Discharged with hospice to the Facility  Severe sepsis with acute organ dysfunction  Assessment & Plan 4:31 PM 11/30/2021 Source of Infection: Viral Sepsis (including COVID-19) SIRS Criteria: Temp >38 C or < 36 C, HR > 90 and RR > 20 Acute Organ Dysfunction: Acute Respiratory Failure, Acute Metabolic Encephalopathy and Lactic Acidosis (Lactate > 2.0) Shock: Not Present Based on the above findings, the patient has evidence of: Severe sepsis (Sepsis + Acute organ dysfunction) Less than 30ml/kg bolus was ordered given p/w COVID PNA and no evidence of shock physiology. In addition, lactate normalized with 1L IVF in the ER. - Physiology has long since resolved.   Weakness Assessment & Plan Due to cvoid-19 pneumonia. Now on comfort care.   Acute metabolic encephalopathy Assessment & Plan Suspect initially driven by COVID and steroid use. Since then, ongoing hypoactive delirium. Mostly lays in bed sleepy. Suspect close to her new baseline. Now on comfort care
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Viral sepsis
Clinical narrative: Case was hospitalized for Covid 8 months after completing primary series of Pfizer Covid vaccine. Hospitalized at: Hospital. Discharging physician: MD.  * Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Diagnosed at MC 11/10 and started on dexamethasone for at that time. Presented to Hospital 11/13 with worsening weakness, confusion. Had difficulty tolerating PO dexamethasone 2/2 GI upset. Continued on dexamethasone on admission in addition to supportive therapies. With worsening weakness, confusion, elected to transition to comfort care 11/19.  - Discharged with hospice to the Facility  Severe sepsis with acute organ dysfunction  Assessment & Plan 4:31 PM 11/30/2021 Source of Infection: Viral Sepsis (including COVID-19) SIRS Criteria: Temp >38 C or < 36 C, HR > 90 and RR > 20 Acute Organ Dysfunction: Acute Respiratory Failure, Acute Metabolic Encephalopathy and Lactic Acidosis (Lactate > 2.0) Shock: Not Present Based on the above findings, the patient has evidence of: Severe sepsis (Sepsis + Acute organ dysfunction) Less than 30ml/kg bolus was ordered given p/w COVID PNA and no evidence of shock physiology. In addition, lactate normalized with 1L IVF in the ER. - Physiology has long since resolved.   Weakness Assessment & Plan Due to cvoid-19 pneumonia. Now on comfort care.   Acute metabolic encephalopathy Assessment & Plan Suspect initially driven by COVID and steroid use. Since then, ongoing hypoactive delirium. Mostly lays in bed sleepy. Suspect close to her new baseline. Now on comfort care
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Feeling abnormal, Feeling hot, Induration
Clinical narrative: On 04/18/2021- the day after the vaccination, I notice on my right arm a red circle and it was hot and it kind of felt firm in the middle of it. I also felt like a truck hit me. After I took some Tylenol and slept, I recovered in 48 hours. I feel I recovered quickly because I had COVID-19 in 11/2020. I went to the urgent Care 2 or 3 days afterwards, because the bump kept swelling and the redness kept getting darker, and it just hurt every time I pushed on it. I tried ice on it, and nothing was helping. At the Urgent Care the doctor said it was a cellulitis infection. It hurt to move my arm with the big bump on it. It was a skin infection, and I was put on an antibiotic. It continued for a week and a half before it got better with the antibiotics and everything.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Skin infection, Swelling
Clinical narrative: On 04/18/2021- the day after the vaccination, I notice on my right arm a red circle and it was hot and it kind of felt firm in the middle of it. I also felt like a truck hit me. After I took some Tylenol and slept, I recovered in 48 hours. I feel I recovered quickly because I had COVID-19 in 11/2020. I went to the urgent Care 2 or 3 days afterwards, because the bump kept swelling and the redness kept getting darker, and it just hurt every time I pushed on it. I tried ice on it, and nothing was helping. At the Urgent Care the doctor said it was a cellulitis infection. It hurt to move my arm with the big bump on it. It was a skin infection, and I was put on an antibiotic. It continued for a week and a half before it got better with the antibiotics and everything.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Confusional state, SARS-CoV-2 test positive
Clinical narrative: brought to ED for confusion, placed on 4L O2, started on decadron 6mg daily
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Incorrect product formulation administered, Pain, Pyrexia
Clinical narrative: 12/27/2021  iNADVERENTLY MIXED VIAL OF PFIZER PEDIATRIC AND PFIZER ADULT TOGETHER AND ADMINISTERED .3 ML IM TO PATIENT. Patient was called and had no adverse events at 6pm a12/27/2021 - called am of the Dec.28th -c/o fever body aches chills .  Pt.instructed she could take Tylenol /ibuprofen. Talked with pt. yesterday pm - feeling little better - continuing to take ibuprofen . 12/29/2021 - Pt. c/o soreness in axillary are - no fever - body aches better.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Haemorrhage
Clinical narrative: Systemic: BLEEDING AFTER INJECTION WAS GIVEN-Mild
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Eyelid ptosis, Lacrimation increased, Peripheral swelling, Swelling
Clinical narrative: Swelling of arm, neck, and cheek. Ongoing and prolonged eye twitching, droopy eye and eye watering
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Swelling of arm, neck, and cheek. Ongoing and prolonged eye twitching, droopy eye and eye watering
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received booster dose of Pfizer vaccine. It was not noticed that he was under 16 until time of billing, post giving the vaccine. It has been 6 months since dose 2 but patient is 14 years and 8 months.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Dyspnoea, Laboratory test, Oxygen saturation decreased
Clinical narrative: Possible side-effect:  He has begun having low oxygen today (readings in the 80's).  He has shortness of breath.  He had a chest x-ray today and they said he has an enlarged heart, which he has never had before.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Chest pain, Decreased appetite, Dizziness
Clinical narrative: High grade fever, chest pain, upper back pain, headache, lower jaw line and teeth hurt, pain with breathing, fatigue, loss of appetite, nausea, faint and weak.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myocarditis, Nausea, Pain in jaw
Clinical narrative: High grade fever, chest pain, upper back pain, headache, lower jaw line and teeth hurt, pain with breathing, fatigue, loss of appetite, nausea, faint and weak.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Painful respiration, Pyrexia, Superficial vein thrombosis, Toothache
Clinical narrative: High grade fever, chest pain, upper back pain, headache, lower jaw line and teeth hurt, pain with breathing, fatigue, loss of appetite, nausea, faint and weak.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient's date of birth was calculated incorrectly. Patient received a moderna booster  (which was requested) instead of another pfizer
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Musculoskeletal chest pain
Clinical narrative: Pain left shoulder, left chest wall, left side
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: breakthrough infecton
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The patient was given 0.25ml for first dose instead of 0.5ml.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Amylase increased, Asthenia, Biopsy colon abnormal, COVID-19, Colitis microscopic
Clinical narrative: On 3/17/2021 I went to the ER, and I would not let them do a CT scan. We just thought I had diverticulitis because I had severe lower left flank pain. I continued to have that pain, although much less, over the next month and a half. Then I started projectile vomiting and having diarrhea on 5/3/2021 because of the pain. I was so sore that I went on clear liquids for a few days until I gradually increased my diet. My amylase was elevated but my lipase was normal. I had an ultrasound of my pancreas, and it was normal. I had a colonoscopy and that was normal too. I continued to have diarrhea for about two and a half months. I went to doctor who is a GI doctor. He gave me probiotics and prebiotics called Align and Benefiber. Those took care of it for a while. Then I got the Delta Covid variant in early August 2021 and had a fever and was sick for 10 days. I had low energy until end of September. Then my energy came back to normal. Doctor then did some biopsies of my colon and diagnosed me with Microscopic Collagenous Colitis. I am currently taking anti-inflammatory drugs to treat this and firm up my stool. I am also seeing an acupuncturist and taking herbs. I've noticed certain foods make the symptoms worse.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Colonoscopy normal, Diarrhoea, Flank pain, Illness, Lipase normal
Clinical narrative: On 3/17/2021 I went to the ER, and I would not let them do a CT scan. We just thought I had diverticulitis because I had severe lower left flank pain. I continued to have that pain, although much less, over the next month and a half. Then I started projectile vomiting and having diarrhea on 5/3/2021 because of the pain. I was so sore that I went on clear liquids for a few days until I gradually increased my diet. My amylase was elevated but my lipase was normal. I had an ultrasound of my pancreas, and it was normal. I had a colonoscopy and that was normal too. I continued to have diarrhea for about two and a half months. I went to doctor who is a GI doctor. He gave me probiotics and prebiotics called Align and Benefiber. Those took care of it for a while. Then I got the Delta Covid variant in early August 2021 and had a fever and was sick for 10 days. I had low energy until end of September. Then my energy came back to normal. Doctor then did some biopsies of my colon and diagnosed me with Microscopic Collagenous Colitis. I am currently taking anti-inflammatory drugs to treat this and firm up my stool. I am also seeing an acupuncturist and taking herbs. I've noticed certain foods make the symptoms worse.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Ultrasound pancreas normal, Vomiting projectile
Clinical narrative: On 3/17/2021 I went to the ER, and I would not let them do a CT scan. We just thought I had diverticulitis because I had severe lower left flank pain. I continued to have that pain, although much less, over the next month and a half. Then I started projectile vomiting and having diarrhea on 5/3/2021 because of the pain. I was so sore that I went on clear liquids for a few days until I gradually increased my diet. My amylase was elevated but my lipase was normal. I had an ultrasound of my pancreas, and it was normal. I had a colonoscopy and that was normal too. I continued to have diarrhea for about two and a half months. I went to doctor who is a GI doctor. He gave me probiotics and prebiotics called Align and Benefiber. Those took care of it for a while. Then I got the Delta Covid variant in early August 2021 and had a fever and was sick for 10 days. I had low energy until end of September. Then my energy came back to normal. Doctor then did some biopsies of my colon and diagnosed me with Microscopic Collagenous Colitis. I am currently taking anti-inflammatory drugs to treat this and firm up my stool. I am also seeing an acupuncturist and taking herbs. I've noticed certain foods make the symptoms worse.