chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: COVID-19
Clinical narrative: Patient was hospitalized with COVID-19 after being fully vaccinated.
Age: 46.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site pain, Joint range of motion decreased, Pain, X-ray
Clinical narrative: Left upper arm soreness, limited ROM s/p 3 weeks after vaccine administration, feels pain is not improving, reports throbbing pain.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Dysphonia, Oropharyngeal pain
Clinical narrative: Soar throat on day one and it developed into Hoarseness.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Product leakage, Underdose
Clinical narrative: Administered her Shingrix vaccine into her right deltoid, and patient felt the prick and you could see the mark where the vaccine was given, but as it was being administered, it looked like the majority of the dose ran down her arm. We believe the hub of the needle was loose, as the dose clearly did not go into her arm. I called the Manufacturer of Shingrix (GSK) and was informed that anything less than 0.45 ml is not considered a valid dose and should be repeated. Based on what I saw, the majority of the dose ran down her arm, and she thought so as well (she is an MD herself). Based on the guidance of GSK, I administered a new, full dose to her which was successful.
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Feeling abnormal, Gait disturbance, Malaise, Neuralgia
Clinical narrative: She got her vaccine, started hurting, felt real bad like she was sick.  She hurt all over.  Then when she had shingles in the past she had terrible pains in her legs and pains that would shoot all over her leg.  Then she was over the shingles, and then waited a year to get the vaccine.  She then had the same symptoms with the pains like she had when she had shingles.  The feeling went from her foot all the way up her leg, in her back with pains as well, and pains all over, and a sick feeling.  The feeling covered her whole body and her arms, which her whole body ached.  It crippled her up to the point that she could not walk very well.  She went to a few doctors and they said that the shingles vaccine would not hurt her, which she believes they didn't know what to do.  One doctor asked if she wanted PT, but she said that it felt like something grabbed her body and just hurt and ached all over up her leg, and started the nerve pains again.  She has not seen a doctor recently for it.  She had gone to 2-3 different doctors who did not know what to do about it.    When she had shingles it went from her hip to her foot including the bottom of her foot.  She did not get the break out but had similar to the pain she had with the shingles, but with the vaccine it affected her all over especially down her leg where the shingles were.  She still has the nerve pain, not as bad, but it's still there.
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: She got her vaccine, started hurting, felt real bad like she was sick.  She hurt all over.  Then when she had shingles in the past she had terrible pains in her legs and pains that would shoot all over her leg.  Then she was over the shingles, and then waited a year to get the vaccine.  She then had the same symptoms with the pains like she had when she had shingles.  The feeling went from her foot all the way up her leg, in her back with pains as well, and pains all over, and a sick feeling.  The feeling covered her whole body and her arms, which her whole body ached.  It crippled her up to the point that she could not walk very well.  She went to a few doctors and they said that the shingles vaccine would not hurt her, which she believes they didn't know what to do.  One doctor asked if she wanted PT, but she said that it felt like something grabbed her body and just hurt and ached all over up her leg, and started the nerve pains again.  She has not seen a doctor recently for it.  She had gone to 2-3 different doctors who did not know what to do about it.    When she had shingles it went from her hip to her foot including the bottom of her foot.  She did not get the break out but had similar to the pain she had with the shingles, but with the vaccine it affected her all over especially down her leg where the shingles were.  She still has the nerve pain, not as bad, but it's still there.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive after 5 vaccination shots
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Ear discomfort, Ear pain, Headache, Rhinorrhoea
Clinical narrative: I started having symptoms on 11/22/22. I had a runny nose. It developed into a sinus congestion and my ears filled up really quick. I could hear a whirling noise in my ears, and it caused an ache in my ears and head. It was 24 hours of a sinus headache. I took a home testing kit after I had a fever of 100.2 on the 11/24/222. I took a at home test and tested positive for COVID-19 on 11/25/222.  I started taking over the counter relief to help with my symptoms.  I feel fine now, I was dragging a bit the other day.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sinus congestion, Sinus headache, Tinnitus
Clinical narrative: I started having symptoms on 11/22/22. I had a runny nose. It developed into a sinus congestion and my ears filled up really quick. I could hear a whirling noise in my ears, and it caused an ache in my ears and head. It was 24 hours of a sinus headache. I took a home testing kit after I had a fever of 100.2 on the 11/24/222. I took a at home test and tested positive for COVID-19 on 11/25/222.  I started taking over the counter relief to help with my symptoms.  I feel fine now, I was dragging a bit the other day.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Amenorrhoea, Menstrual disorder, Menstruation delayed
Clinical narrative: Delayed/skipped menstrual cycle. Vaccine was received on 10/14/22, and my next menstrual cycle should have started around 10/23/22 at the latest. Instead, I had no menstrual cycle until 11/28/22, 64 days after my prior cycle. This is the first time I have ever missed a cycle other than during pregnancy and nursing.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Peripheral swelling, Pruritus
Clinical narrative: Pt reported in the evening of 11/27 after getting her vaccine her arm "swelled to the size of a baseball." She applied a cold compress and took ibuprofen. The swelling decreased and it then began to itch. The patient is doing fine this AM and reports no reaction just called to let me know it happened.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Feeling abnormal, Haemoptysis, Influenza virus test negative
Clinical narrative: I had a minor sore arm after receiving the vaccine. On 11/17/2022, I started not feeling well and thought I had a bug.  I tested for COVID-19 with an expired test, and it was negative. I tested positive for COVID-19 on 11/18/2022.  On 11/19 I felt worse, and I coughed up blood in my phlegm. I went to an urgent care center to be tested for flu which was negative, and they did a PCR test. The PCR test came back positive on 11/20/2022. As of today, I continue to cough, and I have a runny nose.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Malaise, Pain in extremity, Productive cough, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a minor sore arm after receiving the vaccine. On 11/17/2022, I started not feeling well and thought I had a bug.  I tested for COVID-19 with an expired test, and it was negative. I tested positive for COVID-19 on 11/18/2022.  On 11/19 I felt worse, and I coughed up blood in my phlegm. I went to an urgent care center to be tested for flu which was negative, and they did a PCR test. The PCR test came back positive on 11/20/2022. As of today, I continue to cough, and I have a runny nose.
Age: 75.0
Sex: F
Vaccine: PNC20
Symptoms: Arthralgia, Balance disorder, Feeling hot, Gait disturbance, Injection site pain
Clinical narrative: Received vaccination on Tuesday.  Felt okay.  Wednesday and Thursday I felt the "usual" soreness at injection site, overall body aches.  When I awoke on Friday, October 28, at around 7am, my legs felt hot and sore in bed.  When I got up to walk, I could hardly do so.  My inguinal ligament and my quads were excruciatingly tender to touch.  My legs felt very weak....almost as if they were not in my control.  I felt unsteady on my feet and while attempting to walk.  My upper legs, anterior only, were very, very sore to the touch.  I tried to massage them to see if I could make it better.  Applied heating pad.  Drank lots of water.  I notified my doctor on November 12 so she would know and so my file would be noted.  The upper leg quad pain lasted for about three weeks making it very difficult to move about without considerable pain.  Gradually, the pain and burning sensation in quads (anterior femoral nerve???) started to lessen; however, the pain next dropped into my knees.  Aching, tender to touch.  The knee pain lasted for another week or so.  The same painful sensation moved down to tibialis anterior muscles.  Same burning sensation.  Same exquisite soreness to the touch.  Today the pain is milder, but still present from inguinal area to above the ankle.
Age: 75.0
Sex: F
Vaccine: PNC20
Symptoms: Ligament pain, Muscular weakness, Myalgia, Pain, Pain in extremity
Clinical narrative: Received vaccination on Tuesday.  Felt okay.  Wednesday and Thursday I felt the "usual" soreness at injection site, overall body aches.  When I awoke on Friday, October 28, at around 7am, my legs felt hot and sore in bed.  When I got up to walk, I could hardly do so.  My inguinal ligament and my quads were excruciatingly tender to touch.  My legs felt very weak....almost as if they were not in my control.  I felt unsteady on my feet and while attempting to walk.  My upper legs, anterior only, were very, very sore to the touch.  I tried to massage them to see if I could make it better.  Applied heating pad.  Drank lots of water.  I notified my doctor on November 12 so she would know and so my file would be noted.  The upper leg quad pain lasted for about three weeks making it very difficult to move about without considerable pain.  Gradually, the pain and burning sensation in quads (anterior femoral nerve???) started to lessen; however, the pain next dropped into my knees.  Aching, tender to touch.  The knee pain lasted for another week or so.  The same painful sensation moved down to tibialis anterior muscles.  Same burning sensation.  Same exquisite soreness to the touch.  Today the pain is milder, but still present from inguinal area to above the ankle.
Age: 75.0
Sex: F
Vaccine: PNC20
Symptoms: Tenderness
Clinical narrative: Received vaccination on Tuesday.  Felt okay.  Wednesday and Thursday I felt the "usual" soreness at injection site, overall body aches.  When I awoke on Friday, October 28, at around 7am, my legs felt hot and sore in bed.  When I got up to walk, I could hardly do so.  My inguinal ligament and my quads were excruciatingly tender to touch.  My legs felt very weak....almost as if they were not in my control.  I felt unsteady on my feet and while attempting to walk.  My upper legs, anterior only, were very, very sore to the touch.  I tried to massage them to see if I could make it better.  Applied heating pad.  Drank lots of water.  I notified my doctor on November 12 so she would know and so my file would be noted.  The upper leg quad pain lasted for about three weeks making it very difficult to move about without considerable pain.  Gradually, the pain and burning sensation in quads (anterior femoral nerve???) started to lessen; however, the pain next dropped into my knees.  Aching, tender to touch.  The knee pain lasted for another week or so.  The same painful sensation moved down to tibialis anterior muscles.  Same burning sensation.  Same exquisite soreness to the touch.  Today the pain is milder, but still present from inguinal area to above the ankle.
Age: 15.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Dizziness
Clinical narrative: After vaccination patient reported dizziness while waiting in the waiting area.  Patient laid on bench and had some water.  After 10 - 15 minutes she felt better and left the pharmacy with her parents.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Cough, Fatigue, Foreign travel
Clinical narrative: I developed Covid after a trip, returning home on 9/25 and testing positive on 9/28. This was NOT a reaction to my third booster which I got just prior to the trip. I sought advice from my doctor/clinic because I have Type2 diabetes and I knew that was a complicating factor. I experienced cold-like symptoms (stuffy head and nose, cough) for a few days, with a very slight fever. The worst symptom was abdominal pain, likely from diverticulitis, for four days. I had ongoing fatigue for about six weeks. Because my symptoms were mild, my doctor did not prescribe any treatment.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nasopharyngitis, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I developed Covid after a trip, returning home on 9/25 and testing positive on 9/28. This was NOT a reaction to my third booster which I got just prior to the trip. I sought advice from my doctor/clinic because I have Type2 diabetes and I knew that was a complicating factor. I experienced cold-like symptoms (stuffy head and nose, cough) for a few days, with a very slight fever. The worst symptom was abdominal pain, likely from diverticulitis, for four days. I had ongoing fatigue for about six weeks. Because my symptoms were mild, my doctor did not prescribe any treatment.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Pt. was given a 0.2cc dose of undiluted covid vaccine for his age group.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Dyspnoea, Fatigue, Hypertension, Hyperthyroidism
Clinical narrative: About 1 month after vaccination, began having extreme fatigue, shortness of breath, heat intolerance, heart palpitations, and high blood pressure. Went to PCP and was referred to cardiologist and they found nothing wrong. Was sent back to PCP who ran more tests and it was discovered that I no longer had hypothyroid but instead hyperthyroid. I was taken off of Levothyroxine and placed on Methimazole, and that seems to have remedied the issue.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Imaging procedure abnormal, Palpitations, Temperature intolerance, Thyroid function test abnormal
Clinical narrative: About 1 month after vaccination, began having extreme fatigue, shortness of breath, heat intolerance, heart palpitations, and high blood pressure. Went to PCP and was referred to cardiologist and they found nothing wrong. Was sent back to PCP who ran more tests and it was discovered that I no longer had hypothyroid but instead hyperthyroid. I was taken off of Levothyroxine and placed on Methimazole, and that seems to have remedied the issue.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Hyperhidrosis
Clinical narrative: I received my first Pfizer booster for COVID-19 on 11/26/2021. On the evening of 8/5/2022, I began experiencing mild headaches and head congestion. On 8/6/2022, I developed a fever of 99-100 in the afternoon. I also had mild fatigue, sore throat, and began sleeping a lot and drinking hot tea. Overnight on 8/6/2022 and 8/7/2022, I felt like I had a strong flu. I may have taken Tylenol to reduce the fever, but I don't remember for sure. By the time I woke up the morning of 8/7/2022, I knew that my fever had broken, because I was drenched in sweat. I continued resting for the rest of the day. I was still sick, but I felt less sick than I had on 8/5/2022 or 8/6/2022. I continued to check my temperature throughout the day, and it stayed at 99 degrees, which is about a degree higher than my normal temperature. I took two doses of Tylenol that day to keep the fever at bay. I also developed a cough on 8/7/2022. On 8/8/2022, I felt a little better, but there was no change in symptoms. On 8/9/2022, I took a home antigen test for COVID-19, which yielded a positive result. I continued to self-isolate, and the symptoms gradually diminished over the following 5 days. However, the cough lingered. On 8/15/2022, I went to an urgent care clinic to get relief for my cough. I was prescribed a 10-day supply of benzonatate, which I began taking that evening. My cough symptoms improved. On 8/19/2022, I took another home test and got a negative result. After I finished the benzonatate, I still had a little of the cough left, but I had still experienced significant relief.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersomnia, Influenza like illness, Malaise, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: I received my first Pfizer booster for COVID-19 on 11/26/2021. On the evening of 8/5/2022, I began experiencing mild headaches and head congestion. On 8/6/2022, I developed a fever of 99-100 in the afternoon. I also had mild fatigue, sore throat, and began sleeping a lot and drinking hot tea. Overnight on 8/6/2022 and 8/7/2022, I felt like I had a strong flu. I may have taken Tylenol to reduce the fever, but I don't remember for sure. By the time I woke up the morning of 8/7/2022, I knew that my fever had broken, because I was drenched in sweat. I continued resting for the rest of the day. I was still sick, but I felt less sick than I had on 8/5/2022 or 8/6/2022. I continued to check my temperature throughout the day, and it stayed at 99 degrees, which is about a degree higher than my normal temperature. I took two doses of Tylenol that day to keep the fever at bay. I also developed a cough on 8/7/2022. On 8/8/2022, I felt a little better, but there was no change in symptoms. On 8/9/2022, I took a home antigen test for COVID-19, which yielded a positive result. I continued to self-isolate, and the symptoms gradually diminished over the following 5 days. However, the cough lingered. On 8/15/2022, I went to an urgent care clinic to get relief for my cough. I was prescribed a 10-day supply of benzonatate, which I began taking that evening. My cough symptoms improved. On 8/19/2022, I took another home test and got a negative result. After I finished the benzonatate, I still had a little of the cough left, but I had still experienced significant relief.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I received my first Pfizer booster for COVID-19 on 11/26/2021. On the evening of 8/5/2022, I began experiencing mild headaches and head congestion. On 8/6/2022, I developed a fever of 99-100 in the afternoon. I also had mild fatigue, sore throat, and began sleeping a lot and drinking hot tea. Overnight on 8/6/2022 and 8/7/2022, I felt like I had a strong flu. I may have taken Tylenol to reduce the fever, but I don't remember for sure. By the time I woke up the morning of 8/7/2022, I knew that my fever had broken, because I was drenched in sweat. I continued resting for the rest of the day. I was still sick, but I felt less sick than I had on 8/5/2022 or 8/6/2022. I continued to check my temperature throughout the day, and it stayed at 99 degrees, which is about a degree higher than my normal temperature. I took two doses of Tylenol that day to keep the fever at bay. I also developed a cough on 8/7/2022. On 8/8/2022, I felt a little better, but there was no change in symptoms. On 8/9/2022, I took a home antigen test for COVID-19, which yielded a positive result. I continued to self-isolate, and the symptoms gradually diminished over the following 5 days. However, the cough lingered. On 8/15/2022, I went to an urgent care clinic to get relief for my cough. I was prescribed a 10-day supply of benzonatate, which I began taking that evening. My cough symptoms improved. On 8/19/2022, I took another home test and got a negative result. After I finished the benzonatate, I still had a little of the cough left, but I had still experienced significant relief.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Death, Necrotising fasciitis, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccines who admitted with necrotizing fasciitis with incidental COVID detected PCR found during routine admission testing.  Asymptomatic for COVID. Patient expired 5 days after discharge.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Chills, Cold sweat, Nausea, Pyrexia
Clinical narrative: I had allergy like symptoms fever congestion and bronchitis and then experienced 4 days of nausea and cold sweats and chills
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: I had allergy like symptoms fever congestion and bronchitis and then experienced 4 days of nausea and cold sweats and chills
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Decreased appetite, Fatigue, Headache, Influenza virus test negative
Clinical narrative: I had a horrible sore throat to the extent of inability to speak, headache, exhaustion and fatigue, no appetite whatsoever. I have lost between 5-10 pounds of weight.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative, Weight decreased
Clinical narrative: I had a horrible sore throat to the extent of inability to speak, headache, exhaustion and fatigue, no appetite whatsoever. I have lost between 5-10 pounds of weight.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt received bivalent pfizer vaccine (9/27/22) 1 month after previous monovalent booster dose (8/16/22).
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Hypersomnia, Nasopharyngitis
Clinical narrative: I was advised by a friend that I was exposed to COVID-19. I have what feels like head cold symptoms but no fever. Stuffy head, congestion, sinus issues, fatigue, sleeping a lot, no body aches and pain. I took a home COVID-19 test at 5pm and it was faint, I took second test that came back positive. I called my doctor and was prescribed Paxlovid. I started taking it for a day and have not started feeling any difference yet.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: I was advised by a friend that I was exposed to COVID-19. I have what feels like head cold symptoms but no fever. Stuffy head, congestion, sinus issues, fatigue, sleeping a lot, no body aches and pain. I took a home COVID-19 test at 5pm and it was faint, I took second test that came back positive. I called my doctor and was prescribed Paxlovid. I started taking it for a day and have not started feeling any difference yet.
Age: 63.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Rash erythematous
Clinical narrative: rash on bilateral sides; red/pink in color appear to be scratched. No bleeding or exudate present at this time. Client has been using Bactine spray on it and "it looks better".
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Aspartate aminotransferase increased, Asthenia, Bacteroides test positive, Blood alkaline phosphatase increased
Clinical narrative: Patient with COVID vaccines who admitted with positive COVID PCR and complications from PNA who subsequently died.  Provider d/c note:  "78 yr old male with PMHx of HTN, HLD, hypothyroidism, DM2, OSA and dementia who initially presented for altered mental status and generalized weakness.  He was intubated for failure to protect his airway in the ED.  He met SIRS criteria with elevated wbc and temp.  He had a CT chest which showed consolidation in right lower lobe and patchy groundglass opacities in right upper lobe and left lower lobe.  He was started on ceftriaxone and azithromycin due to CAP.  He was started on Levophed due to septic shock.  Wife decided to change code status to DNR with no escalation of care.  He had elevated AST and  alk phos and so he got an abdominal ultrasound which showed acute cholecystitis.  General Surgery was consulted and due to his critical condition, he had IR place a cholecystostomy drain.  He had blood cultures that were positive for E coli, Bacteriodes fragilis and vancomycin susceptible Enterococcus faecalis so he was started on Zosyn and vancomycin.  He was eventually weaned off of sedation but his altered mental status did not change and he failed SBT.  He continued to spike fevers throughout his stay.    He was weaned off of pressors but needed to be placed back on them due to recurrent hypotension.  He developed an AKI which resolved after fluids.  After a long discussion with his wife, she elected to make him comfortable and agreed to terminally extubate him due to poor prognosis.  He was pronounced dead on 11/21/22 at 0113.  "
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood culture positive, Body temperature increased, COVID-19, Cholecystitis acute, Cholecystostomy
Clinical narrative: Patient with COVID vaccines who admitted with positive COVID PCR and complications from PNA who subsequently died.  Provider d/c note:  "78 yr old male with PMHx of HTN, HLD, hypothyroidism, DM2, OSA and dementia who initially presented for altered mental status and generalized weakness.  He was intubated for failure to protect his airway in the ED.  He met SIRS criteria with elevated wbc and temp.  He had a CT chest which showed consolidation in right lower lobe and patchy groundglass opacities in right upper lobe and left lower lobe.  He was started on ceftriaxone and azithromycin due to CAP.  He was started on Levophed due to septic shock.  Wife decided to change code status to DNR with no escalation of care.  He had elevated AST and  alk phos and so he got an abdominal ultrasound which showed acute cholecystitis.  General Surgery was consulted and due to his critical condition, he had IR place a cholecystostomy drain.  He had blood cultures that were positive for E coli, Bacteriodes fragilis and vancomycin susceptible Enterococcus faecalis so he was started on Zosyn and vancomycin.  He was eventually weaned off of sedation but his altered mental status did not change and he failed SBT.  He continued to spike fevers throughout his stay.    He was weaned off of pressors but needed to be placed back on them due to recurrent hypotension.  He developed an AKI which resolved after fluids.  After a long discussion with his wife, she elected to make him comfortable and agreed to terminally extubate him due to poor prognosis.  He was pronounced dead on 11/21/22 at 0113.  "
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Death, Disease susceptibility, Endotracheal intubation
Clinical narrative: Patient with COVID vaccines who admitted with positive COVID PCR and complications from PNA who subsequently died.  Provider d/c note:  "78 yr old male with PMHx of HTN, HLD, hypothyroidism, DM2, OSA and dementia who initially presented for altered mental status and generalized weakness.  He was intubated for failure to protect his airway in the ED.  He met SIRS criteria with elevated wbc and temp.  He had a CT chest which showed consolidation in right lower lobe and patchy groundglass opacities in right upper lobe and left lower lobe.  He was started on ceftriaxone and azithromycin due to CAP.  He was started on Levophed due to septic shock.  Wife decided to change code status to DNR with no escalation of care.  He had elevated AST and  alk phos and so he got an abdominal ultrasound which showed acute cholecystitis.  General Surgery was consulted and due to his critical condition, he had IR place a cholecystostomy drain.  He had blood cultures that were positive for E coli, Bacteriodes fragilis and vancomycin susceptible Enterococcus faecalis so he was started on Zosyn and vancomycin.  He was eventually weaned off of sedation but his altered mental status did not change and he failed SBT.  He continued to spike fevers throughout his stay.    He was weaned off of pressors but needed to be placed back on them due to recurrent hypotension.  He developed an AKI which resolved after fluids.  After a long discussion with his wife, she elected to make him comfortable and agreed to terminally extubate him due to poor prognosis.  He was pronounced dead on 11/21/22 at 0113.  "
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Enterococcus test positive, Escherichia test positive, Hypotension, Lung consolidation, Lung opacity
Clinical narrative: Patient with COVID vaccines who admitted with positive COVID PCR and complications from PNA who subsequently died.  Provider d/c note:  "78 yr old male with PMHx of HTN, HLD, hypothyroidism, DM2, OSA and dementia who initially presented for altered mental status and generalized weakness.  He was intubated for failure to protect his airway in the ED.  He met SIRS criteria with elevated wbc and temp.  He had a CT chest which showed consolidation in right lower lobe and patchy groundglass opacities in right upper lobe and left lower lobe.  He was started on ceftriaxone and azithromycin due to CAP.  He was started on Levophed due to septic shock.  Wife decided to change code status to DNR with no escalation of care.  He had elevated AST and  alk phos and so he got an abdominal ultrasound which showed acute cholecystitis.  General Surgery was consulted and due to his critical condition, he had IR place a cholecystostomy drain.  He had blood cultures that were positive for E coli, Bacteriodes fragilis and vancomycin susceptible Enterococcus faecalis so he was started on Zosyn and vancomycin.  He was eventually weaned off of sedation but his altered mental status did not change and he failed SBT.  He continued to spike fevers throughout his stay.    He was weaned off of pressors but needed to be placed back on them due to recurrent hypotension.  He developed an AKI which resolved after fluids.  After a long discussion with his wife, she elected to make him comfortable and agreed to terminally extubate him due to poor prognosis.  He was pronounced dead on 11/21/22 at 0113.  "
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Pneumonia, Pyrexia, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Patient with COVID vaccines who admitted with positive COVID PCR and complications from PNA who subsequently died.  Provider d/c note:  "78 yr old male with PMHx of HTN, HLD, hypothyroidism, DM2, OSA and dementia who initially presented for altered mental status and generalized weakness.  He was intubated for failure to protect his airway in the ED.  He met SIRS criteria with elevated wbc and temp.  He had a CT chest which showed consolidation in right lower lobe and patchy groundglass opacities in right upper lobe and left lower lobe.  He was started on ceftriaxone and azithromycin due to CAP.  He was started on Levophed due to septic shock.  Wife decided to change code status to DNR with no escalation of care.  He had elevated AST and  alk phos and so he got an abdominal ultrasound which showed acute cholecystitis.  General Surgery was consulted and due to his critical condition, he had IR place a cholecystostomy drain.  He had blood cultures that were positive for E coli, Bacteriodes fragilis and vancomycin susceptible Enterococcus faecalis so he was started on Zosyn and vancomycin.  He was eventually weaned off of sedation but his altered mental status did not change and he failed SBT.  He continued to spike fevers throughout his stay.    He was weaned off of pressors but needed to be placed back on them due to recurrent hypotension.  He developed an AKI which resolved after fluids.  After a long discussion with his wife, she elected to make him comfortable and agreed to terminally extubate him due to poor prognosis.  He was pronounced dead on 11/21/22 at 0113.  "
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Systemic inflammatory response syndrome, Ultrasound abdomen abnormal, White blood cell count increased
Clinical narrative: Patient with COVID vaccines who admitted with positive COVID PCR and complications from PNA who subsequently died.  Provider d/c note:  "78 yr old male with PMHx of HTN, HLD, hypothyroidism, DM2, OSA and dementia who initially presented for altered mental status and generalized weakness.  He was intubated for failure to protect his airway in the ED.  He met SIRS criteria with elevated wbc and temp.  He had a CT chest which showed consolidation in right lower lobe and patchy groundglass opacities in right upper lobe and left lower lobe.  He was started on ceftriaxone and azithromycin due to CAP.  He was started on Levophed due to septic shock.  Wife decided to change code status to DNR with no escalation of care.  He had elevated AST and  alk phos and so he got an abdominal ultrasound which showed acute cholecystitis.  General Surgery was consulted and due to his critical condition, he had IR place a cholecystostomy drain.  He had blood cultures that were positive for E coli, Bacteriodes fragilis and vancomycin susceptible Enterococcus faecalis so he was started on Zosyn and vancomycin.  He was eventually weaned off of sedation but his altered mental status did not change and he failed SBT.  He continued to spike fevers throughout his stay.    He was weaned off of pressors but needed to be placed back on them due to recurrent hypotension.  He developed an AKI which resolved after fluids.  After a long discussion with his wife, she elected to make him comfortable and agreed to terminally extubate him due to poor prognosis.  He was pronounced dead on 11/21/22 at 0113.  "
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, Gait disturbance, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: Leg and foot numbness - left thigh, foot, right foot.  Inability to walk without assistance.  High dose steroid infusion and time has minimized the adverse effects but the left thigh and right foot still have some numbness. Able to walk without assistance, with no serious balance issues or limp.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Multimorbidity
Clinical narrative: Resident was sent to hospital for  exacerbations of multiple co-morbidities unrelated
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Colonic fistula, Colostomy, Decreased appetite
Clinical narrative: Patient with 2 COVID vaccines who admitted with positive COVID PCR found incidentally upon routine admission testing.  Provider d/c note:  "51 YO male with h/o metastatic leiomyosarcoma with large pelvic mass, who presented with sepsis and abdominal pain. This was found to be due to infection of the tumor due to fistulous communication with the rectosigmoid colon. General surgery, hospice and palliative care were consulted. Patient had previously been ready to sign up with hospice, but decided against it once being admitted. General surgery discussed case with the patient's surgical oncologist. The tumor itself is unresectable. The decision was made to undergo transverse diverting loop colostomy, which was completed on 11/10/22 with Dr. Patient tolerated the procedure well. Post-operatively, he had significant pain issues and poor appetite. He responded to medical treatment of these issues. ID was consulted to assist with duration of antibiotic treatment. Appetite and pain were improved. Patient was discharged in stable condition for rehab. Prognosis remains poor due to metastatic untreated malignancy
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Infected neoplasm, Procedural pain, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient with 2 COVID vaccines who admitted with positive COVID PCR found incidentally upon routine admission testing.  Provider d/c note:  "51 YO male with h/o metastatic leiomyosarcoma with large pelvic mass, who presented with sepsis and abdominal pain. This was found to be due to infection of the tumor due to fistulous communication with the rectosigmoid colon. General surgery, hospice and palliative care were consulted. Patient had previously been ready to sign up with hospice, but decided against it once being admitted. General surgery discussed case with the patient's surgical oncologist. The tumor itself is unresectable. The decision was made to undergo transverse diverting loop colostomy, which was completed on 11/10/22 with Dr. Patient tolerated the procedure well. Post-operatively, he had significant pain issues and poor appetite. He responded to medical treatment of these issues. ID was consulted to assist with duration of antibiotic treatment. Appetite and pain were improved. Patient was discharged in stable condition for rehab. Prognosis remains poor due to metastatic untreated malignancy
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria chronic
Clinical narrative: Chronic Urticaria (flat, itchy red patches that last about one hour and then appear in a different location on the body) developed two weeks after vaccine dose #4 and lasted three months. Treated with high doses of antihistamines Urticaria also developed two weeks  after vaccine dose #5 - Moderna Bivalent; urticaria ongoing for four days at time of report and still unresolved. Dose 5 was administered on 11/12/22 and urticaria developed on 11/25/22; symptoms similar to those reported after dose 4.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Idiopathic angioedema, Lip swelling, Swollen tongue
Clinical narrative: I have had idiopathic angioedema, since 10/21.  This bivalent booster made it so much worse.  Lip and tongue swelling are unpredictable.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis
Clinical narrative: Resident experiencing cold like symptoms
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Myalgia, Pain, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 COVID vaccines who admiytted with muscle pain and positive COVID test.  She has history of  long chain acid Acetyl COA dehydrogenase deficiency.  Presented with generalized pain has had similar pains and multiple admissions.  No hypoxia noted during stay.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Cough, Malaise, Oropharyngeal pain
Clinical narrative: I tested positive for covid 19; I felt sick couple of days ago I took a home test then went to the clinic and took another test; I have been feeling ill with sore throat and cough with some vomiting and stomach aches but I can still smell and taste
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: I tested positive for covid 19; I felt sick couple of days ago I took a home test then went to the clinic and took another test; I have been feeling ill with sore throat and cough with some vomiting and stomach aches but I can still smell and taste
Age: 5.0
Sex: F
Vaccine: FLUN4
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired on 11/27/22- 1 day prior to admission. Contacted mom and explained what happened, mom declined wanting to repeat dose again for this flu season.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Dysarthria, Fatigue, Hemiparesis, Laboratory test normal
Clinical narrative: Muscle weakness on left side, fatigue, tiredness, slurred speech. Stroke like symptoms according to Emergency Room doctors but all test came back negative.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Neurological symptom
Clinical narrative: Muscle weakness on left side, fatigue, tiredness, slurred speech. Stroke like symptoms according to Emergency Room doctors but all test came back negative.
Age: 55.0
Sex: F
Vaccine: FLUR4
Symptoms: Cough, Dizziness, Fatigue, Feeling cold, Headache
Clinical narrative: GOT FLU VACCINE AT 1445 ON THE UNIT.  ABOUT 15 MINUTES AFTER, i FELT SLIGHTLY DIZZY, AND SLEEPY WITH A MILD HEADACHE, AT LEAVING TIME i STARTED TO COUGH AND FEEL CONGESTION.  i TOOK A BENADRYL AROUND 5PM DUE TO PREVIOUS REACTIONS.  aT HOME I FELT VERY TIRED AND COLD, TEMP OF 37.1, I TOOK ANOTHER BENADRYL AT 10 PM BEFORE I WENT TO BED.  i WOKE IN THE MORNING WITH A VERY SWOLLEN FACE AND THROAT, WENT ABOUT MY DAY AND TOOK ANOTHER BENADRYL BEFORE BED.  aFTER I WENT TO SLEEP i HAD A 2-3 MINUTE SEIZURE, AS REPORTED BY MY DOMESTIC PARTNER.  i WENT TO WORK BECAUSE i DIDNT KNOW UNTIL IT WAS TIME TO LEAVE FOR WORK, THEN LATER ON THE 17 TH i HAD AN APPOINTMENT WITH MY PROVIDER.
Age: 55.0
Sex: F
Vaccine: FLUR4
Symptoms: Pharyngeal swelling, Respiratory tract congestion, Somnolence, Swelling face
Clinical narrative: GOT FLU VACCINE AT 1445 ON THE UNIT.  ABOUT 15 MINUTES AFTER, i FELT SLIGHTLY DIZZY, AND SLEEPY WITH A MILD HEADACHE, AT LEAVING TIME i STARTED TO COUGH AND FEEL CONGESTION.  i TOOK A BENADRYL AROUND 5PM DUE TO PREVIOUS REACTIONS.  aT HOME I FELT VERY TIRED AND COLD, TEMP OF 37.1, I TOOK ANOTHER BENADRYL AT 10 PM BEFORE I WENT TO BED.  i WOKE IN THE MORNING WITH A VERY SWOLLEN FACE AND THROAT, WENT ABOUT MY DAY AND TOOK ANOTHER BENADRYL BEFORE BED.  aFTER I WENT TO SLEEP i HAD A 2-3 MINUTE SEIZURE, AS REPORTED BY MY DOMESTIC PARTNER.  i WENT TO WORK BECAUSE i DIDNT KNOW UNTIL IT WAS TIME TO LEAVE FOR WORK, THEN LATER ON THE 17 TH i HAD AN APPOINTMENT WITH MY PROVIDER.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Deceased
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Behaviour disorder, SARS-CoV-2 test positive
Clinical narrative: Patient with incidental COVID detected test prior to admission to behavioral health unit.  No symptoms during stay.  Admission for behavioral health needs.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Insomnia, Odynophagia, Oropharyngeal pain
Clinical narrative: 8/18/2022 late in the evening I had a sore throat.  The next day I couldn?t get any sleep, Fever 39 C (102.5 F), painful swallowing, sore throat, and a cough.  Ears were ringing.  Treated with Tylenol and oseltamivir.  Tinnitus and congestion continued while symptoms gradually got better.   Tested Negative and felt better on 8/26/2022.  Felt recovered 9/01/2022, though cough tapered off for about 2 weeks after that.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Tinnitus
Clinical narrative: 8/18/2022 late in the evening I had a sore throat.  The next day I couldn?t get any sleep, Fever 39 C (102.5 F), painful swallowing, sore throat, and a cough.  Ears were ringing.  Treated with Tylenol and oseltamivir.  Tinnitus and congestion continued while symptoms gradually got better.   Tested Negative and felt better on 8/26/2022.  Felt recovered 9/01/2022, though cough tapered off for about 2 weeks after that.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Influenza virus test negative, Oropharyngeal pain
Clinical narrative: I started getting a sore throat off and on from 11/17/22. I had a cough, vomiting, fever, body aches, chills, slight congestion, sore throat. I woke up on Monday, 11/21/22 with a fever over 101F and tested over the weekend with a home COVID-19 test. It came back negative, I called to go into the doctor but could only get a tele-health visit, then decided to bring me into the Urgent Care to do the COVID-19 test, strep test, influenza. All test came back negative. They did put me on Tamiflu as a preventative. I went back on Wednesday (11/23/22) to be retested and I was still not feeling better and my temperature was still not coming down much. Once I retested for COVID-19, it came back positive I was prescribed Paxlovid. I started taking it immediately, I started feeling better the next day and no fever since that day.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Streptococcus test negative
Clinical narrative: I started getting a sore throat off and on from 11/17/22. I had a cough, vomiting, fever, body aches, chills, slight congestion, sore throat. I woke up on Monday, 11/21/22 with a fever over 101F and tested over the weekend with a home COVID-19 test. It came back negative, I called to go into the doctor but could only get a tele-health visit, then decided to bring me into the Urgent Care to do the COVID-19 test, strep test, influenza. All test came back negative. They did put me on Tamiflu as a preventative. I went back on Wednesday (11/23/22) to be retested and I was still not feeling better and my temperature was still not coming down much. Once I retested for COVID-19, it came back positive I was prescribed Paxlovid. I started taking it immediately, I started feeling better the next day and no fever since that day.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: I started getting a sore throat off and on from 11/17/22. I had a cough, vomiting, fever, body aches, chills, slight congestion, sore throat. I woke up on Monday, 11/21/22 with a fever over 101F and tested over the weekend with a home COVID-19 test. It came back negative, I called to go into the doctor but could only get a tele-health visit, then decided to bring me into the Urgent Care to do the COVID-19 test, strep test, influenza. All test came back negative. They did put me on Tamiflu as a preventative. I went back on Wednesday (11/23/22) to be retested and I was still not feeling better and my temperature was still not coming down much. Once I retested for COVID-19, it came back positive I was prescribed Paxlovid. I started taking it immediately, I started feeling better the next day and no fever since that day.
Age: 62.0
Sex: F
Vaccine: DTAP, FLU4
Symptoms: Discomfort, Hypoaesthesia, Injection site pain, Loss of personal independence in daily activities, Pain
Clinical narrative: The Dtap was on 10/13/22. Same arm. Left delt IM. Pain originates in shoulder and goes all the way down left arm to hand. Sometimes numbness. Cannot have comfort even when non weight bearing. Wakes me up at night. Sometimes when I move it I get a huge sharp wave of pain that takes minutes to subside to bear tolerance again. I have to watch my ROM movements  Putting on clothing hurts. Day to day activities are painful.
Age: 62.0
Sex: F
Vaccine: DTAP, FLU4
Symptoms: Pain in extremity, Sleep disorder, Weight bearing difficulty, X-ray
Clinical narrative: The Dtap was on 10/13/22. Same arm. Left delt IM. Pain originates in shoulder and goes all the way down left arm to hand. Sometimes numbness. Cannot have comfort even when non weight bearing. Wakes me up at night. Sometimes when I move it I get a huge sharp wave of pain that takes minutes to subside to bear tolerance again. I have to watch my ROM movements  Putting on clothing hurts. Day to day activities are painful.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Swelling
Clinical narrative: patient had swelling the size of a baseball that lasted a couple days
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Burning sensation, Paraesthesia
Clinical narrative: Pt developed a burning and tingling sensation to her entire arm after administration.  Few weeks after the vaccine, the burning sensation presented diffusely to her body with the exception of her fingers, hands, and toes.