chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Coronary artery bypass, SARS-CoV-2 test positive
Clinical narrative: I received my second Pfizer booster for COVID-19 on 4/1/2022. On 7/1/2022, I underwent double bypass surgery on my heart. I stayed in the hospital until about 7/7/2022. On that day, I was transferred to a skilled nursing facility. Then about a week later, I was transferred to a rehabilitation center on 7/14/2022. When I arrived at the rehab center, I was tested for COVID-19, and the result was positive. I was then isolated and retested on the morning of 7/15/2022, and I again got a positive result. Thankfully, I remained asymptomatic during the whole time I was infected with COVID-19. I was isolated in the rehab center for 5 days and closely monitored. Since I was asymptomatic, I was not given any treatment for the COVID-19. I ended up staying at the rehab center until about 7/27/2022; during my stay at the facility, I underwent occupational therapy and physical therapy, which aided in my recovery from the bypass.
Age: 57.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site induration, Injection site swelling, Nausea, Pain in extremity
Clinical narrative: Client vaccinated on 8/18.  Came back to clinic to have left forearm assessed due to raised, swollen induration and c/o pain in the arm, and nausea.  States has appt at PCP tomorrow afternoon to have it evaluated due to the pain it is causing, and the nausea.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, COVID-19, Chest pain, Cough, Dyspnoea
Clinical narrative: Admitted to hospital on 6/25/22 for NSTEMI and Covid. Symptoms included shortness of breath and cough. Not hypoxic so no breathing tx, steroids, ordered. Pt discharged on 6/28. Readmitted on 6/30/22 for chest pain and shortness of breath. Discharged on 7/2/22. Has prior history of HTN, CABG, obesity, COPD, CAD
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital on 6/25/22 for NSTEMI and Covid. Symptoms included shortness of breath and cough. Not hypoxic so no breathing tx, steroids, ordered. Pt discharged on 6/28. Readmitted on 6/30/22 for chest pain and shortness of breath. Discharged on 7/2/22. Has prior history of HTN, CABG, obesity, COPD, CAD
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Chest pain
Clinical narrative: Admitted to hospital on 6/25/22 for NSTEMI and Covid. Symptoms included shortness of breath and cough. Not hypoxic so no breathing tx, steroids, ordered. Pt discharged on 6/28. Readmitted on 6/30/22 for chest pain and shortness of breath. Discharged on 7/2/22. Has prior history of HTN, CABG, obesity, COPD, CAD
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alcohol abuse, Cough, Diarrhoea, Pyrexia
Clinical narrative: Admitted on 6/26/22 for alcohol abuse, cough, fever, diarrhea. Pt was not hypoxic. No steroids or other treatments. D/C home on 6/28/22
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Error: Diluent Administered Instead of Vaccine-
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: I did not have an reaction to the vaccine. On 08/13/2022 I started feeling systems like scratchy throat, congestion, fever, achiness and tired. I tested positive for COVID-19 on 08/13/2022 which was negative put tested positive for COVID-19 at health clinic on 8/14/2022. I was prescribed PAXLOVID and felt much better within a day. As of today, I'm feeling better.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I did not have an reaction to the vaccine. On 08/13/2022 I started feeling systems like scratchy throat, congestion, fever, achiness and tired. I tested positive for COVID-19 on 08/13/2022 which was negative put tested positive for COVID-19 at health clinic on 8/14/2022. I was prescribed PAXLOVID and felt much better within a day. As of today, I'm feeling better.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dizziness, Feeding disorder, Feeling abnormal
Clinical narrative: He got his vaccine, he feel a little light headed, moderately dizzy.  He was kept for 15-30 minutes, didn't have any reaction.  AFter he got home around sunset he started feeling horrible.  He told them before he got the vaccine and Dr that he had thought that at the beginning of the pandemic that he felt that he had COVID and was reluctant to get the vaccine as he was told that he could have a reaction after getting COVID.  He then started to have chills, hot flashes, high fever, loss of appetite, could not eat.  He had really bad brain fog and an excruciating headache.  He was not able to work for 7 days after that.  He could not sleep because of the headache.  On the 21/22 he had been given a piece of paper that said to contact the healthcare team and he called that #.  He informed them and they called him back and listed everything that he was experiencing, but the main thing was the headache.   They asked some questions about red streaks and pus at injection site and did not give him any recommendations for the vaccine.  His 2nd vaccine is scheduled for the 24th, and he called on Thursday to ask if he should take the vaccine due to his reaction and felt that he should be exempted.  He spoke with employee who checked with Dr who said that no he would not give him an exemption.    He read that if you have a reaction to the vaccine, then the 2nd vaccine would be much worse.  He called back the VA after reading the info regarding this, feeling that he missed work and had to be precise and that he cannot loose another 7-10 days of work.  He spoke with the Dr. supervisor/patient advocate, and that he should document his reaction with CDC, and should seek for them to turn his reaction into an AE and they would research that info for him not to get the 2nd shot.    He is never sick, very active and healthy.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hot flush, Impaired work ability, Injection site discharge, Injection site erythema
Clinical narrative: He got his vaccine, he feel a little light headed, moderately dizzy.  He was kept for 15-30 minutes, didn't have any reaction.  AFter he got home around sunset he started feeling horrible.  He told them before he got the vaccine and Dr that he had thought that at the beginning of the pandemic that he felt that he had COVID and was reluctant to get the vaccine as he was told that he could have a reaction after getting COVID.  He then started to have chills, hot flashes, high fever, loss of appetite, could not eat.  He had really bad brain fog and an excruciating headache.  He was not able to work for 7 days after that.  He could not sleep because of the headache.  On the 21/22 he had been given a piece of paper that said to contact the healthcare team and he called that #.  He informed them and they called him back and listed everything that he was experiencing, but the main thing was the headache.   They asked some questions about red streaks and pus at injection site and did not give him any recommendations for the vaccine.  His 2nd vaccine is scheduled for the 24th, and he called on Thursday to ask if he should take the vaccine due to his reaction and felt that he should be exempted.  He spoke with employee who checked with Dr who said that no he would not give him an exemption.    He read that if you have a reaction to the vaccine, then the 2nd vaccine would be much worse.  He called back the VA after reading the info regarding this, feeling that he missed work and had to be precise and that he cannot loose another 7-10 days of work.  He spoke with the Dr. supervisor/patient advocate, and that he should document his reaction with CDC, and should seek for them to turn his reaction into an AE and they would research that info for him not to get the 2nd shot.    He is never sick, very active and healthy.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Pyrexia
Clinical narrative: He got his vaccine, he feel a little light headed, moderately dizzy.  He was kept for 15-30 minutes, didn't have any reaction.  AFter he got home around sunset he started feeling horrible.  He told them before he got the vaccine and Dr that he had thought that at the beginning of the pandemic that he felt that he had COVID and was reluctant to get the vaccine as he was told that he could have a reaction after getting COVID.  He then started to have chills, hot flashes, high fever, loss of appetite, could not eat.  He had really bad brain fog and an excruciating headache.  He was not able to work for 7 days after that.  He could not sleep because of the headache.  On the 21/22 he had been given a piece of paper that said to contact the healthcare team and he called that #.  He informed them and they called him back and listed everything that he was experiencing, but the main thing was the headache.   They asked some questions about red streaks and pus at injection site and did not give him any recommendations for the vaccine.  His 2nd vaccine is scheduled for the 24th, and he called on Thursday to ask if he should take the vaccine due to his reaction and felt that he should be exempted.  He spoke with employee who checked with Dr who said that no he would not give him an exemption.    He read that if you have a reaction to the vaccine, then the 2nd vaccine would be much worse.  He called back the VA after reading the info regarding this, feeling that he missed work and had to be precise and that he cannot loose another 7-10 days of work.  He spoke with the Dr. supervisor/patient advocate, and that he should document his reaction with CDC, and should seek for them to turn his reaction into an AE and they would research that info for him not to get the 2nd shot.    He is never sick, very active and healthy.
Age: 34.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Injection site pruritus, Injection site swelling
Clinical narrative: Red pinprick rash started on tops of feet and ankles the day after receiving vaccine, spread to thighs, forearms, hands, chest, and upper back another day after that. Rash is intermittently itchy, no weeping or oozing. Injection site red, swollen, and itchy; swelling did not reduce in days following injection, and 8 days later the site is still red, itchy, and inflamed (with a hard bump rather than a soft inflammation).
Age: 34.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Red pinprick rash started on tops of feet and ankles the day after receiving vaccine, spread to thighs, forearms, hands, chest, and upper back another day after that. Rash is intermittently itchy, no weeping or oozing. Injection site red, swollen, and itchy; swelling did not reduce in days following injection, and 8 days later the site is still red, itchy, and inflamed (with a hard bump rather than a soft inflammation).
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, COVID-19, Oropharyngeal pain, Palpitations, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case. Two months after vaccination, participant came down with COVID-19 after being around another person that was positive. Tested at home and it was negative, then did a home test the next day and it was positive. Was prescribed Paxlovid.  5 days after prescription I started having heart palpations and my blood pressure went up. Continued to have palpations for 3 days after. Tested negative 1 week after through a Home test. Experienced a rebound of COVID-19  a month later on 08/10/2022. I started having a sore throat, then took a home test and it was positive. Then ran another test 4 days later and it was negative. Took Mucinex and it helped a lot.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough case. Two months after vaccination, participant came down with COVID-19 after being around another person that was positive. Tested at home and it was negative, then did a home test the next day and it was positive. Was prescribed Paxlovid.  5 days after prescription I started having heart palpations and my blood pressure went up. Continued to have palpations for 3 days after. Tested negative 1 week after through a Home test. Experienced a rebound of COVID-19  a month later on 08/10/2022. I started having a sore throat, then took a home test and it was positive. Then ran another test 4 days later and it was negative. Took Mucinex and it helped a lot.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Angiogram pulmonary normal, Pallor, Rash, Rash erythematous, Rash papular
Clinical narrative: Five (5) minutes after receiving vaccines, patient started with a facial rash. Patient with erythematous, blanching, papular eruptions over face and upper chest. No hives. Lungs CTA, no increased respiratory effort. Observed in office x 20 minutes with spontaneous fading of the rash.  Family was called 3 hours after discharge to follow up and parents had reported that the rash had completely resolved without any further invention (ie: oral or topical medications)
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease
Clinical narrative: 4/18/2022-Presents to ED, c/o SOB. Tachy at 138, O2 sat 89% on 4L, placed on Bipap. Covid + on admission. CXR-bibasilar infiltrates. Transaminits: AST 154  ALT 129.  D Dimer 848. Start Remdesivir. Admit COPD exacerbaton in the setting of Covid 19.  4/20/2022-Transmanitis improving.  Currently on RA. 4/22/2022- Weaned to RA. Improved AST 55 and ALT 104. D/C to home.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Dyspnoea, Fibrin D dimer, Hypertransaminasaemia, Lung infiltration
Clinical narrative: 4/18/2022-Presents to ED, c/o SOB. Tachy at 138, O2 sat 89% on 4L, placed on Bipap. Covid + on admission. CXR-bibasilar infiltrates. Transaminits: AST 154  ALT 129.  D Dimer 848. Start Remdesivir. Admit COPD exacerbaton in the setting of Covid 19.  4/20/2022-Transmanitis improving.  Currently on RA. 4/22/2022- Weaned to RA. Improved AST 55 and ALT 104. D/C to home.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: 4/18/2022-Presents to ED, c/o SOB. Tachy at 138, O2 sat 89% on 4L, placed on Bipap. Covid + on admission. CXR-bibasilar infiltrates. Transaminits: AST 154  ALT 129.  D Dimer 848. Start Remdesivir. Admit COPD exacerbaton in the setting of Covid 19.  4/20/2022-Transmanitis improving.  Currently on RA. 4/22/2022- Weaned to RA. Improved AST 55 and ALT 104. D/C to home.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Cerebral disorder, Computerised tomogram thorax normal, Death
Clinical narrative: Patient was initially admitted to Medical Center on 02/04/2022for ortho surgery for ongoing issues with a left hip wound.   On 01/17/2022 she tested positive for COVID and went to Facility for treatment and was transferred to medical center for ongoing concerns of her left hip wound.  She had surgery on 2/7 for debridement of the left hip.  Postop she required vasopressor support.  She became obtunded and required intubation on 2/9/22.  On 2/11 she required a CT PE scan for concern of pulmonary embolism, the scan did not show a PE.  She also had an active GI bleed.  She was seen by ID and was started on Zosyn and Zyvox and evaluated for CKD IV.   Her renal function continued to decline and was started on CRRT.  She was weaned from sedation and continued to be very minimally responsive.  EEG showed no electrical activity indicative of global cerebral dysfunction.  On 02/17/2022 the patient was transitioned to comfort care measures, was extubated and expired on 02/17.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Debridement, Depressed level of consciousness, Electroencephalogram abnormal, Endotracheal intubation, Gastrointestinal haemorrhage
Clinical narrative: Patient was initially admitted to Medical Center on 02/04/2022for ortho surgery for ongoing issues with a left hip wound.   On 01/17/2022 she tested positive for COVID and went to Facility for treatment and was transferred to medical center for ongoing concerns of her left hip wound.  She had surgery on 2/7 for debridement of the left hip.  Postop she required vasopressor support.  She became obtunded and required intubation on 2/9/22.  On 2/11 she required a CT PE scan for concern of pulmonary embolism, the scan did not show a PE.  She also had an active GI bleed.  She was seen by ID and was started on Zosyn and Zyvox and evaluated for CKD IV.   Her renal function continued to decline and was started on CRRT.  She was weaned from sedation and continued to be very minimally responsive.  EEG showed no electrical activity indicative of global cerebral dysfunction.  On 02/17/2022 the patient was transitioned to comfort care measures, was extubated and expired on 02/17.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Haemofiltration, Hyporesponsive to stimuli, Renal impairment, SARS-CoV-2 test positive, Wound
Clinical narrative: Patient was initially admitted to Medical Center on 02/04/2022for ortho surgery for ongoing issues with a left hip wound.   On 01/17/2022 she tested positive for COVID and went to Facility for treatment and was transferred to medical center for ongoing concerns of her left hip wound.  She had surgery on 2/7 for debridement of the left hip.  Postop she required vasopressor support.  She became obtunded and required intubation on 2/9/22.  On 2/11 she required a CT PE scan for concern of pulmonary embolism, the scan did not show a PE.  She also had an active GI bleed.  She was seen by ID and was started on Zosyn and Zyvox and evaluated for CKD IV.   Her renal function continued to decline and was started on CRRT.  She was weaned from sedation and continued to be very minimally responsive.  EEG showed no electrical activity indicative of global cerebral dysfunction.  On 02/17/2022 the patient was transitioned to comfort care measures, was extubated and expired on 02/17.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Computerised tomogram thorax abnormal, Dizziness, Glomerular filtration rate decreased, Heart rate increased
Clinical narrative: 4/15/2022-Presents to ED via EMS, Lightheadedness and Hypoglycemic episode. Chest ct : pleural-based airspace infiltrate in the right lower lobe. Covid + on admission. Admit hypoglycemia.  Vitals stable maintaining spo2 on RA. Start Levofloxacin x1.  4/17/2022-Am: B/P 58/43 Midodrine and Levophed given. HR increased to 100-200's. Transfer to ICU. Started vancomycin and ceftraixone.  Also has significant wound on R foot. B/P now 95/52. Hr down to 93.  4/20/2022-Levophed d/c and SBP's WNL. 4/22/2022-eGFR up to 13 from 9. Covis asymptomatic. Continue Midodrine.  4/24/2022-Continues on RA, B/P maintaining around 100/50-60's.  4/26/2022- Downgraded to MS from ICU.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoglycaemia, Hypotension, Intensive care, Limb injury, Lung infiltration
Clinical narrative: 4/15/2022-Presents to ED via EMS, Lightheadedness and Hypoglycemic episode. Chest ct : pleural-based airspace infiltrate in the right lower lobe. Covid + on admission. Admit hypoglycemia.  Vitals stable maintaining spo2 on RA. Start Levofloxacin x1.  4/17/2022-Am: B/P 58/43 Midodrine and Levophed given. HR increased to 100-200's. Transfer to ICU. Started vancomycin and ceftraixone.  Also has significant wound on R foot. B/P now 95/52. Hr down to 93.  4/20/2022-Levophed d/c and SBP's WNL. 4/22/2022-eGFR up to 13 from 9. Covis asymptomatic. Continue Midodrine.  4/24/2022-Continues on RA, B/P maintaining around 100/50-60's.  4/26/2022- Downgraded to MS from ICU.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Peritoneal dialysis, SARS-CoV-2 test positive
Clinical narrative: 4/15/2022-Presents to ED via EMS, Lightheadedness and Hypoglycemic episode. Chest ct : pleural-based airspace infiltrate in the right lower lobe. Covid + on admission. Admit hypoglycemia.  Vitals stable maintaining spo2 on RA. Start Levofloxacin x1.  4/17/2022-Am: B/P 58/43 Midodrine and Levophed given. HR increased to 100-200's. Transfer to ICU. Started vancomycin and ceftraixone.  Also has significant wound on R foot. B/P now 95/52. Hr down to 93.  4/20/2022-Levophed d/c and SBP's WNL. 4/22/2022-eGFR up to 13 from 9. Covis asymptomatic. Continue Midodrine.  4/24/2022-Continues on RA, B/P maintaining around 100/50-60's.  4/26/2022- Downgraded to MS from ICU.
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: Communication disorder, Erythema, Peripheral swelling, Skin warm, Tenderness
Clinical narrative: Pt mother called 8/23/22 and reported that her son began having a red, swollen, and warm to touch right arm on (8/17/2022), the day after he received his vaccines. In the right arm he received Dtap.  She states that it is still red and lumpy today and he is not complaining about it but does not want anyone to touch it. He has difficulties communicating. She states it is approximately the size of a tennis ball today.  She denies fever or any streaking down his arm.  Mom will call family doctor today to be seen.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood sodium decreased, COVID-19, Hyperglycaemia, Hypertension
Clinical narrative: Diagnosed with covid on 6/12. Received Paxlovid. Admitted on 6/25/22 for hyponatremia, weakness, edema, hyperglycemia, hypertension.  Sent to ICU from the ED sodium level 119. Sent back to floor 6/26 and was discharged on 7/5/22. Readmitted on 8/18/22 for hypertension and is still currently in the hospital.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyponatraemia, Intensive care, Oedema
Clinical narrative: Diagnosed with covid on 6/12. Received Paxlovid. Admitted on 6/25/22 for hyponatremia, weakness, edema, hyperglycemia, hypertension.  Sent to ICU from the ED sodium level 119. Sent back to floor 6/26 and was discharged on 7/5/22. Readmitted on 8/18/22 for hypertension and is still currently in the hospital.
Age: 1.08
Sex: F
Vaccine: COVID19
Symptoms: Bacterial infection, Ear infection, Erythema, Eye discharge, Nasal discharge discolouration
Clinical narrative: Starting 08/10/2022, she started having yellow sinus drainage from her nose and fevers. The next day, she developed redness and swelling of her left cheek and under the eye. Also, she had a small amount of yellow drainage from her left eye and more fevers. On Friday, 08/12/2022, she got in to see the doctor and she was diagnosed with bacterial rhinosinusitis and a right ear infection. She was started on a 10 day course of antibiotics. We just finished her antibiotics yesterday and she seems to be back to normal.
Age: 1.08
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus hypersecretion, Pyrexia, Sinusitis
Clinical narrative: Starting 08/10/2022, she started having yellow sinus drainage from her nose and fevers. The next day, she developed redness and swelling of her left cheek and under the eye. Also, she had a small amount of yellow drainage from her left eye and more fevers. On Friday, 08/12/2022, she got in to see the doctor and she was diagnosed with bacterial rhinosinusitis and a right ear infection. She was started on a 10 day course of antibiotics. We just finished her antibiotics yesterday and she seems to be back to normal.
Age: 1.17
Sex: F
Vaccine: MMR, PNC13, RV5, VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: A vaccine administration error occurred. Vaqta was ordered for the patient, but patient was administered Rotateq in error. No adverse outcome for the patient were noted.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute psychosis, Alcohol withdrawal syndrome, COVID-19, Hallucination, visual, Tremor
Clinical narrative: Admitted to hospital on 6/26/22-6/30/22. Presented to the ED with c/o shaking.  Diagnosed with tremors, covid, elevated troponin, and UTI. Had visual hallucinations. Confirmed alcohol withdrawal and acute psychosis during hospitalization. Consulted social work, neurology, cardiology, and psychiatry during admission
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin increased, Urinary tract infection
Clinical narrative: Admitted to hospital on 6/26/22-6/30/22. Presented to the ED with c/o shaking.  Diagnosed with tremors, covid, elevated troponin, and UTI. Had visual hallucinations. Confirmed alcohol withdrawal and acute psychosis during hospitalization. Consulted social work, neurology, cardiology, and psychiatry during admission
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Covid-19 Tested positive on July 16, 2022 4 days after I had a very mild  sore throat and i also experienced extreme fatigue. I was giving antibodies for treatment.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Back pain, Blood lactic acid, COVID-19, Chills
Clinical narrative: presents with cough, chills, and SOA that started this AM. He reports doing well after that however this AM he started to feel chilled. He then began having a dry cough and feeling diaphoretic. He reports over the last day or so, as the weather has cooled down, his asthma has been acting up. In the ED his CT PE was negative but he was found to be COVID positive. In addition pts lactate was 4.7 so he was given 2L IV fluids. His O2 saturation is 91-93 while laying in bed however it drops into the 80s when he ambulates. Medicine was consulted for admission due to his hypoxic respiratory failure 2/2 COVID infection. Currently pt denies chest pain, abdominal pain, constipation, diarrhea or issues urinating. In the ED he received a breathing treatment which helped. He feels very chilled but also sweaty. He continues to have a dry cough that is causing him some back pain. He feels like he is wheezing and has been taking his albuterol inhaler frequently.   Hospital course:  presented on 8/15 with 1 day of cough, chills, and SOB. In the ED, he was maintaining O2 sats in the low 90s that dropped to the 80s with ambulation. Workup in the ED was significant for an elevated lactate, negative CT-PE (but did reveal a RUL airspace disease), and a positive COVID-19 test. He was admitted to hospital medicine for medical management of his acute hypoxic respiratory failure. He was originally put on remdesivir and dexamethasone; however, given his lack of oxygen requirement he does not qualify based on protocol. Therefore he was switched to Paxlovid on 8/16 and antibiotics were started due to concern for CAP.   During admission, patient tolerated the Paxlovid, ceftriaxone, and azithromycin well and with no complications. He was discharged on 8/18 after completing an ambulation test, maintaining good oxygen saturation on room air, and completing 3 days of Paxlovid, and 4 days of ceftriaxone/azithromycin. He was discharged to a hotel with a voucher and transportation organized by social work for the remainder of his COVID isolation.  He was discharged with antibiotics to complete 5 day course for CAP.    Discharge Disposition/Condition Disposition: Home, hotel to finish 10d quarantine Condition: Stable (s/sx potential problems absent or manageable)
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Cough, Dyspnoea, Feeling cold
Clinical narrative: presents with cough, chills, and SOA that started this AM. He reports doing well after that however this AM he started to feel chilled. He then began having a dry cough and feeling diaphoretic. He reports over the last day or so, as the weather has cooled down, his asthma has been acting up. In the ED his CT PE was negative but he was found to be COVID positive. In addition pts lactate was 4.7 so he was given 2L IV fluids. His O2 saturation is 91-93 while laying in bed however it drops into the 80s when he ambulates. Medicine was consulted for admission due to his hypoxic respiratory failure 2/2 COVID infection. Currently pt denies chest pain, abdominal pain, constipation, diarrhea or issues urinating. In the ED he received a breathing treatment which helped. He feels very chilled but also sweaty. He continues to have a dry cough that is causing him some back pain. He feels like he is wheezing and has been taking his albuterol inhaler frequently.   Hospital course:  presented on 8/15 with 1 day of cough, chills, and SOB. In the ED, he was maintaining O2 sats in the low 90s that dropped to the 80s with ambulation. Workup in the ED was significant for an elevated lactate, negative CT-PE (but did reveal a RUL airspace disease), and a positive COVID-19 test. He was admitted to hospital medicine for medical management of his acute hypoxic respiratory failure. He was originally put on remdesivir and dexamethasone; however, given his lack of oxygen requirement he does not qualify based on protocol. Therefore he was switched to Paxlovid on 8/16 and antibiotics were started due to concern for CAP.   During admission, patient tolerated the Paxlovid, ceftriaxone, and azithromycin well and with no complications. He was discharged on 8/18 after completing an ambulation test, maintaining good oxygen saturation on room air, and completing 3 days of Paxlovid, and 4 days of ceftriaxone/azithromycin. He was discharged to a hotel with a voucher and transportation organized by social work for the remainder of his COVID isolation.  He was discharged with antibiotics to complete 5 day course for CAP.    Discharge Disposition/Condition Disposition: Home, hotel to finish 10d quarantine Condition: Stable (s/sx potential problems absent or manageable)
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Lung disorder, Oxygen saturation decreased, Pneumonia, Respiratory failure
Clinical narrative: presents with cough, chills, and SOA that started this AM. He reports doing well after that however this AM he started to feel chilled. He then began having a dry cough and feeling diaphoretic. He reports over the last day or so, as the weather has cooled down, his asthma has been acting up. In the ED his CT PE was negative but he was found to be COVID positive. In addition pts lactate was 4.7 so he was given 2L IV fluids. His O2 saturation is 91-93 while laying in bed however it drops into the 80s when he ambulates. Medicine was consulted for admission due to his hypoxic respiratory failure 2/2 COVID infection. Currently pt denies chest pain, abdominal pain, constipation, diarrhea or issues urinating. In the ED he received a breathing treatment which helped. He feels very chilled but also sweaty. He continues to have a dry cough that is causing him some back pain. He feels like he is wheezing and has been taking his albuterol inhaler frequently.   Hospital course:  presented on 8/15 with 1 day of cough, chills, and SOB. In the ED, he was maintaining O2 sats in the low 90s that dropped to the 80s with ambulation. Workup in the ED was significant for an elevated lactate, negative CT-PE (but did reveal a RUL airspace disease), and a positive COVID-19 test. He was admitted to hospital medicine for medical management of his acute hypoxic respiratory failure. He was originally put on remdesivir and dexamethasone; however, given his lack of oxygen requirement he does not qualify based on protocol. Therefore he was switched to Paxlovid on 8/16 and antibiotics were started due to concern for CAP.   During admission, patient tolerated the Paxlovid, ceftriaxone, and azithromycin well and with no complications. He was discharged on 8/18 after completing an ambulation test, maintaining good oxygen saturation on room air, and completing 3 days of Paxlovid, and 4 days of ceftriaxone/azithromycin. He was discharged to a hotel with a voucher and transportation organized by social work for the remainder of his COVID isolation.  He was discharged with antibiotics to complete 5 day course for CAP.    Discharge Disposition/Condition Disposition: Home, hotel to finish 10d quarantine Condition: Stable (s/sx potential problems absent or manageable)
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Wheezing
Clinical narrative: presents with cough, chills, and SOA that started this AM. He reports doing well after that however this AM he started to feel chilled. He then began having a dry cough and feeling diaphoretic. He reports over the last day or so, as the weather has cooled down, his asthma has been acting up. In the ED his CT PE was negative but he was found to be COVID positive. In addition pts lactate was 4.7 so he was given 2L IV fluids. His O2 saturation is 91-93 while laying in bed however it drops into the 80s when he ambulates. Medicine was consulted for admission due to his hypoxic respiratory failure 2/2 COVID infection. Currently pt denies chest pain, abdominal pain, constipation, diarrhea or issues urinating. In the ED he received a breathing treatment which helped. He feels very chilled but also sweaty. He continues to have a dry cough that is causing him some back pain. He feels like he is wheezing and has been taking his albuterol inhaler frequently.   Hospital course:  presented on 8/15 with 1 day of cough, chills, and SOB. In the ED, he was maintaining O2 sats in the low 90s that dropped to the 80s with ambulation. Workup in the ED was significant for an elevated lactate, negative CT-PE (but did reveal a RUL airspace disease), and a positive COVID-19 test. He was admitted to hospital medicine for medical management of his acute hypoxic respiratory failure. He was originally put on remdesivir and dexamethasone; however, given his lack of oxygen requirement he does not qualify based on protocol. Therefore he was switched to Paxlovid on 8/16 and antibiotics were started due to concern for CAP.   During admission, patient tolerated the Paxlovid, ceftriaxone, and azithromycin well and with no complications. He was discharged on 8/18 after completing an ambulation test, maintaining good oxygen saturation on room air, and completing 3 days of Paxlovid, and 4 days of ceftriaxone/azithromycin. He was discharged to a hotel with a voucher and transportation organized by social work for the remainder of his COVID isolation.  He was discharged with antibiotics to complete 5 day course for CAP.    Discharge Disposition/Condition Disposition: Home, hotel to finish 10d quarantine Condition: Stable (s/sx potential problems absent or manageable)
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Heart rate increased
Clinical narrative: Patient started to feel dizzy about 7 minutes after vaccine administered. She then reported squeezing in the chest. Called for RN and provider help in the pharmacy. Patient O2 was 100% and blood pressure was in 120s/80s. Pulse increased to 112 at its peak. Patient reported squeezing would come and go. She thought she might faint, but never fainted. Provider decided to bring her up to clinic for an EKG and further testing.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Alcohol use, Caffeine consumption, Chronic spontaneous urticaria, Hypersensitivity, Mechanical urticaria
Clinical narrative: 10 days after the 3rd Moderna vaccine I woke up with blotchy round and long hives that looked like an allergic reaction. The hives began behind my ear and eventually covered 80% of my body. Most hives are swollen in the shape of a scratch mark and elevated on my skin. Hives remain for 30 minutes before going away but will spread on the body with further irritation. The reaction persisted after steroids were prescribed by an urgent care clinic. Weeks later, the hives were diagnosed by a dermatologist as Spontaneous urticaria (or dermatographia). 8 months later, the spontaneous urticaria has remained, mostly can be triggered by coffee, alcohol, and stress.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Skin swelling, Stress, Urticaria
Clinical narrative: 10 days after the 3rd Moderna vaccine I woke up with blotchy round and long hives that looked like an allergic reaction. The hives began behind my ear and eventually covered 80% of my body. Most hives are swollen in the shape of a scratch mark and elevated on my skin. Hives remain for 30 minutes before going away but will spread on the body with further irritation. The reaction persisted after steroids were prescribed by an urgent care clinic. Weeks later, the hives were diagnosed by a dermatologist as Spontaneous urticaria (or dermatographia). 8 months later, the spontaneous urticaria has remained, mostly can be triggered by coffee, alcohol, and stress.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: There was no adverse event that occurred during the vaccination. We are submitting this report due to the age of child when vaccine was given. The parent who signed the consent form also gave an inaccurate date of birth of 10/06/2016 which would have put the childs age at 5years old. We gave the Pfizer 5+ vaccine under the premise that the child was 5 years old. Wisconsin Immunization Registry reached out to us after the data was uploaded to let us know the childs actual date of birth was 10/06/2017 which would put the actual age at 4 years old.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19
Clinical narrative: Admitted to the ED with acute hypoxemic respiratory failure from covid on 6/26/22-6/29/22. Treated with Lasix drip, Remdesivir, steroids, antibiotics, and breathing treatments.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death, Endotracheal intubation, Hypercapnia, Hypotension
Clinical narrative: The patient was brought to Hospital on 02/16/2022 for AMS.  The patient quickly became hypercarbic, profoundly hypoxic and found to have COVID PNA.  The patient was intubated and had a prolonged course of ventilator support and was able to be extubated and was maintained on nasal cannula.  The patient's mental status did not improve and the patient had a sudden onset of hypotension, hypoxia and worsened mental status.  The family elected to make the patient DNR comfort and focus on comfort measures.  The patient expired on 03/15/2022.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Mechanical ventilation, Mental status changes
Clinical narrative: The patient was brought to Hospital on 02/16/2022 for AMS.  The patient quickly became hypercarbic, profoundly hypoxic and found to have COVID PNA.  The patient was intubated and had a prolonged course of ventilator support and was able to be extubated and was maintained on nasal cannula.  The patient's mental status did not improve and the patient had a sudden onset of hypotension, hypoxia and worsened mental status.  The family elected to make the patient DNR comfort and focus on comfort measures.  The patient expired on 03/15/2022.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Tachycardia
Clinical narrative: Tachycardia and excessive sweating.  Heart rate has been in the low 100s up to 120 consistently for over 2 days.
Age: 21.0
Sex: F
Vaccine: MENB, MNQ, TDAP
Symptoms: Contusion, Pain, Swelling
Clinical narrative: soreness, swelling, and bruising
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Product preparation issue
Clinical narrative: Patient was due for Menveo vaccine, MA only gave MenCYW-135 Liquid Conjugate Component. Patient was re vaccinated with the full dose of Menveo.
Age: 80.0
Sex: U
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 25.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Blood glucose normal, Seizure like phenomena, Taste disorder
Clinical narrative: 3 witnessed  seizure activity, each 30-45 seconds in duration. Pt responding immediately after, states "I had a spicy taste in my mouth and i usually put my head between my knees when this happen."  Also reports having an anxiety attack when he had his Covid vaccine.  pt reports not taking his anxiety medication since april. VS at 1125 BP 132/78 upper left arm, 02Sat 95%RA, HR77, RR 32  VS at1128 102/71 upper left arm, 02 sat 98%RA,  HR82, RR24, EMS arrival at 1132, they established an 18 gage int to LAC with 500 CC NS infusing
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: The patient presented to Medical Center on 02/04/2022 with c/o SOB.  The patient uses home O2 at 4 Liters.  On arrival at ED, oxygen saturation was in the 80s.  The patient was placed on a nonrebreather.  CT showed multifocal PNA in both lungs, and improved infiltrates of the soft tissue encasing bilateral structures of the pulmonary artery.  The patient was admitted to Med Surg floor.  The patient then tested positive for Covid-19 and was treated with Covid-19 protocol.  The patient's condition declined and he was transferred to the ICU and intubated.  The patient developed multiorgan failure and septic shock.  The patients condition did not improve with aggressive interventions including pressor support and antibiotic therapy.  The family transitioned patient to comfort measures.  The patient expired on 02/22/2022.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Intensive care, Lung infiltration, Multiple organ dysfunction syndrome, Pneumonia
Clinical narrative: The patient presented to Medical Center on 02/04/2022 with c/o SOB.  The patient uses home O2 at 4 Liters.  On arrival at ED, oxygen saturation was in the 80s.  The patient was placed on a nonrebreather.  CT showed multifocal PNA in both lungs, and improved infiltrates of the soft tissue encasing bilateral structures of the pulmonary artery.  The patient was admitted to Med Surg floor.  The patient then tested positive for Covid-19 and was treated with Covid-19 protocol.  The patient's condition declined and he was transferred to the ICU and intubated.  The patient developed multiorgan failure and septic shock.  The patients condition did not improve with aggressive interventions including pressor support and antibiotic therapy.  The family transitioned patient to comfort measures.  The patient expired on 02/22/2022.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock
Clinical narrative: The patient presented to Medical Center on 02/04/2022 with c/o SOB.  The patient uses home O2 at 4 Liters.  On arrival at ED, oxygen saturation was in the 80s.  The patient was placed on a nonrebreather.  CT showed multifocal PNA in both lungs, and improved infiltrates of the soft tissue encasing bilateral structures of the pulmonary artery.  The patient was admitted to Med Surg floor.  The patient then tested positive for Covid-19 and was treated with Covid-19 protocol.  The patient's condition declined and he was transferred to the ICU and intubated.  The patient developed multiorgan failure and septic shock.  The patients condition did not improve with aggressive interventions including pressor support and antibiotic therapy.  The family transitioned patient to comfort measures.  The patient expired on 02/22/2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Aspiration pleural cavity, Blood test, Chest X-ray abnormal, Chest pain, Dyspnoea
Clinical narrative: On 6-21-2022, I started noticing some shortness of breath. I was attributing it to my asthma. The next day, I had alot of chest pain and I had to sleep elevated. Over the next couple of days, I took it easy. On 6-26, I started feeling lethargic and did not feel my normal self. I started taking my rescue inhaler which helped a little bit. As the week wore on, I was having more trouble breathing and also had a hard time walking distances. On 7-5, I went to my doctor who done a chest xray which showed a pulmonary embolism. I was told to go to the ER. I was admitted to the hospital on 7-5. After admission, we later found out it was not an embolism and thought it may be congestive heart failure. On 7-6, I had an echocardiogram where they found pericarditis with effusion. Later that night I had a pericardial thoracentesis. They removed almost 500cc of fluids from around my heart. On 7-7, I woke up feeling better. I was discharged on 7-9. I have been fine since then.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram, Feeling abnormal, Gait disturbance, Lethargy
Clinical narrative: On 6-21-2022, I started noticing some shortness of breath. I was attributing it to my asthma. The next day, I had alot of chest pain and I had to sleep elevated. Over the next couple of days, I took it easy. On 6-26, I started feeling lethargic and did not feel my normal self. I started taking my rescue inhaler which helped a little bit. As the week wore on, I was having more trouble breathing and also had a hard time walking distances. On 7-5, I went to my doctor who done a chest xray which showed a pulmonary embolism. I was told to go to the ER. I was admitted to the hospital on 7-5. After admission, we later found out it was not an embolism and thought it may be congestive heart failure. On 7-6, I had an echocardiogram where they found pericarditis with effusion. Later that night I had a pericardial thoracentesis. They removed almost 500cc of fluids from around my heart. On 7-7, I woke up feeling better. I was discharged on 7-9. I have been fine since then.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pericardial effusion, Pericarditis
Clinical narrative: On 6-21-2022, I started noticing some shortness of breath. I was attributing it to my asthma. The next day, I had alot of chest pain and I had to sleep elevated. Over the next couple of days, I took it easy. On 6-26, I started feeling lethargic and did not feel my normal self. I started taking my rescue inhaler which helped a little bit. As the week wore on, I was having more trouble breathing and also had a hard time walking distances. On 7-5, I went to my doctor who done a chest xray which showed a pulmonary embolism. I was told to go to the ER. I was admitted to the hospital on 7-5. After admission, we later found out it was not an embolism and thought it may be congestive heart failure. On 7-6, I had an echocardiogram where they found pericarditis with effusion. Later that night I had a pericardial thoracentesis. They removed almost 500cc of fluids from around my heart. On 7-7, I woke up feeling better. I was discharged on 7-9. I have been fine since then.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Chest pain, Electrocardiogram abnormal
Clinical narrative: chest pain. was diagnosed with Afib
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: deceased 03/06/2022;  + covid 02/22/2022
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Incorrect dose administered, Product preparation issue
Clinical narrative: Patient was received undiluted vaccine, which made the dose to be close to adult dose. Patient experienced side effects extreme tiredness type of side effects. Unable to have an appetite.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case. Just came back from overseas and came down with sore throat and cough, so I took 3 home tests and all were negative. Still wasn't getting better after a few days, so I went to the Dr to get tested and it was positive. Was prescribed Paxlovid. Took a home test and it was negative.
Age: 51.0
Sex: M
Vaccine: SMALL
Symptoms: Acne, Injection site rash, Purulent discharge
Clinical narrative: A rash on the site of the injection on my left arm has only gotten worse, now developing little "white heads", like Acne. At this point there is "puss" being excreted from the whiteheads.
Age: 68.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Patient presents to the clinic a week after receiving Prevnar 20 vaccine with complaints of redness, swelling, pain, and rash at the injection site.  Patient prescribed triamcinolone acetonide to treat symptoms of the reaction.