chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Intensive care, Mental status changes, SARS-CoV-2 test positive, Seizure like phenomena
Clinical narrative: pt had a positive COVID test on 9/30/21 from Senior Living; 10/8/21 brought to ED with AMS and seizure like activity; pt had to gone to receive monoclonal antibody infusion, but had a change in mental status and was sent to ED before receiving infusion; pt tested positive for COVID in hospital; CT of head showed no acute  findings, chronic left cerebral infarct; given O2 supplementation; pt suffered cardiac arrest twice, intubated, sent to ICU; was then made DNR and passed away in the hospital
Age: 37.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site vesicles, Peripheral swelling, Pyrexia
Clinical narrative: Patient said the next morning she had a fever of 102 and her arm swelled to the size of a baseball. She came in the day after that and showed it to me. Her arm was red and slightly blistered as well as bruised in the middle of the injection site. Did not continue to spread and was reportedly getting better per the patient.
Age: 62.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Immediate post-injection reaction, Injection site pain, Joint range of motion decreased, Pain, Pain in extremity
Clinical narrative: Injection into right arm was high up and painful upon administer. Immediate limited motion and sharp pain when moving. 4 weeks in, still painful when moving and can radiate down arm to right index finger. Constant ache.
Age: 62.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Product administered at inappropriate site, X-ray limb normal
Clinical narrative: Injection into right arm was high up and painful upon administer. Immediate limited motion and sharp pain when moving. 4 weeks in, still painful when moving and can radiate down arm to right index finger. Constant ache.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Break-though infection.  Tested positive for COVID on 7/19/2022.
Age: 12.0
Sex: M
Vaccine: HEPA, HPV9, MNQ, VARCEL
Symptoms: Inappropriate schedule of product administration, Product administered to patient of inappropriate age
Clinical narrative: One side of vaccination record provided before vaccination.  2nd side of vaccination record provided after vaccination,  which, when entered, make vaccination administered that day invalid.  Hep A too short interval Men too young for 2nd dose
Age: 27.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Fatigue, Feeling abnormal, Headache, Malaise
Clinical narrative: Dizziness, headache, nausea following injection 2.5 weeks post injection lingering migraine, lingering fatigue, run down, brain fog, constant sick feeling, nauseated
Age: 27.0
Sex: F
Vaccine: UNK
Symptoms: Migraine, Nausea
Clinical narrative: Dizziness, headache, nausea following injection 2.5 weeks post injection lingering migraine, lingering fatigue, run down, brain fog, constant sick feeling, nauseated
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chorea, Dyskinesia, Fatigue, Feeling abnormal, Irritability
Clinical narrative: I started progressive tremor in both hands, unable to write especially in the morning, difficulty to write this report, jerkiness/chorea/ in both hands and left leg, occasionally in Rt leg. Also chorea  involving my head and face a week following . Left leg cramps at night and foggy thinking during entire days,  extreme progressive tiredness , irritable. My symptoms continue. At the beginning I thought symptoms will go away so I waited patiently hoping to see improvement. Today I will be seeing my internist and follow up with his recommendation. MD, retired surgeon
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mobility decreased, Muscle spasms, Tremor
Clinical narrative: I started progressive tremor in both hands, unable to write especially in the morning, difficulty to write this report, jerkiness/chorea/ in both hands and left leg, occasionally in Rt leg. Also chorea  involving my head and face a week following . Left leg cramps at night and foggy thinking during entire days,  extreme progressive tiredness , irritable. My symptoms continue. At the beginning I thought symptoms will go away so I waited patiently hoping to see improvement. Today I will be seeing my internist and follow up with his recommendation. MD, retired surgeon
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardio-respiratory arrest, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: pt brought to ED with CPR in progress; CPR had been started 30-40 minutes prior to EMS call; code called to stop after 1 hr. 15-30 mins after initially started; reported to be positive for COVID; pt had a positive COVID test from hospital where pt was staying
Age: 78.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Acute respiratory failure, Bradycardia, COVID-19, Cardiac pacemaker insertion, Cardiac telemetry abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 7/17/2022 Discharge Date: Jul 22, 2022  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: 79-year-old patient with a past medical history of nonrheumatic aortic stenosis, chronic diastolic dysfunction, coronary artery disease presented to the emergency department after a syncopal episode and was found to have acute hypoxic respiratory failure.  She was positive for COVID-19 A acquired 2 L of oxygen at the time of admission which was eventually weaned off to room air.  Patient was placed on telemetry which showed persistent bradycardia along with associated dizziness because of his cardiology was involved.  Patient underwent placement of dual-chamber permanent pacemaker on 07/21/2022 after which her symptoms significantly improved and resolved.  Patient was discharged home in a stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Dizziness, SARS-CoV-2 test positive, Syncope
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 7/17/2022 Discharge Date: Jul 22, 2022  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: 79-year-old patient with a past medical history of nonrheumatic aortic stenosis, chronic diastolic dysfunction, coronary artery disease presented to the emergency department after a syncopal episode and was found to have acute hypoxic respiratory failure.  She was positive for COVID-19 A acquired 2 L of oxygen at the time of admission which was eventually weaned off to room air.  Patient was placed on telemetry which showed persistent bradycardia along with associated dizziness because of his cardiology was involved.  Patient underwent placement of dual-chamber permanent pacemaker on 07/21/2022 after which her symptoms significantly improved and resolved.  Patient was discharged home in a stable condition.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Patient fully vaccinated and hospitalized with COVID 7/25/22.  COVID-19  02/08/2021  1 of 3  Spikevax-MOD 100mcg  Full     COVID-19  03/08/2021  2 of 3  Spikevax-MOD 100mcg  Full     COVID-19  01/03/2022  3 of 3  Spikevax-MOD 100mcg  Full
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Extra dose administered, Malaise, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case. 3 months after dose 4, was around someone who tested positive for COVID. Took home test and it came back positive. Went to urgent care, and was given PAXLOVID, started taking it 7/2/2022. On 3rd day of prescription I became so sick that I couldn't keep the pills down and was throwing up. On the 4th day I pushed through and finished the round of PAXLOVID. Took a home COVID test a week later and it was negative.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection, Vomiting
Clinical narrative: Breakthrough case. 3 months after dose 4, was around someone who tested positive for COVID. Took home test and it came back positive. Went to urgent care, and was given PAXLOVID, started taking it 7/2/2022. On 3rd day of prescription I became so sick that I couldn't keep the pills down and was throwing up. On the 4th day I pushed through and finished the round of PAXLOVID. Took a home COVID test a week later and it was negative.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chest discomfort, Chills
Clinical narrative: Starting 06/28/2022, I had a headache, nasal congestion, sore throat, fatigue, chills, my jaw hurt and my ears hurt, and I felt like I had a sinus infection. I called my doctor on 06/29/2022 and they told me to take a COVID-19 test before coming in. I took the At-Home COVID-19 test which was positive. I called her back and asked if I could get Paxlovid. After having a telehealth visit, she called in a prescription for the Paxlovid. I was not able to get the Paxlovid until 06/30/2022 due to the local pharmacy not being able to dispense it.  Before starting it, I slept a lot and experienced all the symptoms that were noted above plus occasional chills, fever and my chest felt heavy. I did lose my sense of taste and smell, and I lost weight due to not being hungry. After starting the Paxlovid, within 2 days, I started feeling so much better. By that Sunday, 07/03/2022, I felt almost 100% better.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Ear pain, Fatigue, Headache, Hypersomnia
Clinical narrative: Starting 06/28/2022, I had a headache, nasal congestion, sore throat, fatigue, chills, my jaw hurt and my ears hurt, and I felt like I had a sinus infection. I called my doctor on 06/29/2022 and they told me to take a COVID-19 test before coming in. I took the At-Home COVID-19 test which was positive. I called her back and asked if I could get Paxlovid. After having a telehealth visit, she called in a prescription for the Paxlovid. I was not able to get the Paxlovid until 06/30/2022 due to the local pharmacy not being able to dispense it.  Before starting it, I slept a lot and experienced all the symptoms that were noted above plus occasional chills, fever and my chest felt heavy. I did lose my sense of taste and smell, and I lost weight due to not being hungry. After starting the Paxlovid, within 2 days, I started feeling so much better. By that Sunday, 07/03/2022, I felt almost 100% better.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pain in jaw, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Starting 06/28/2022, I had a headache, nasal congestion, sore throat, fatigue, chills, my jaw hurt and my ears hurt, and I felt like I had a sinus infection. I called my doctor on 06/29/2022 and they told me to take a COVID-19 test before coming in. I took the At-Home COVID-19 test which was positive. I called her back and asked if I could get Paxlovid. After having a telehealth visit, she called in a prescription for the Paxlovid. I was not able to get the Paxlovid until 06/30/2022 due to the local pharmacy not being able to dispense it.  Before starting it, I slept a lot and experienced all the symptoms that were noted above plus occasional chills, fever and my chest felt heavy. I did lose my sense of taste and smell, and I lost weight due to not being hungry. After starting the Paxlovid, within 2 days, I started feeling so much better. By that Sunday, 07/03/2022, I felt almost 100% better.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: Starting 06/28/2022, I had a headache, nasal congestion, sore throat, fatigue, chills, my jaw hurt and my ears hurt, and I felt like I had a sinus infection. I called my doctor on 06/29/2022 and they told me to take a COVID-19 test before coming in. I took the At-Home COVID-19 test which was positive. I called her back and asked if I could get Paxlovid. After having a telehealth visit, she called in a prescription for the Paxlovid. I was not able to get the Paxlovid until 06/30/2022 due to the local pharmacy not being able to dispense it.  Before starting it, I slept a lot and experienced all the symptoms that were noted above plus occasional chills, fever and my chest felt heavy. I did lose my sense of taste and smell, and I lost weight due to not being hungry. After starting the Paxlovid, within 2 days, I started feeling so much better. By that Sunday, 07/03/2022, I felt almost 100% better.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Antiphospholipid antibodies negative, Beta-2 glycoprotein antibody negative, Blood immunoglobulin G normal, Blood immunoglobulin M, Blood thyroid stimulating hormone decreased
Clinical narrative: 37 yo G2P1001 at 19w6d  (EDC of 11/5/22 by IVF dates) presents 13 days after Moderna Booster Vaccine #3) with fetal demise. Pregnancy followed for IVF, hypertension on amlodipine, subclinical hypothyroidism. At 12 wks gestation, she underwent chorionic villous sampling due to prior affected child with X Linked SLC6A8 condition with normal microarray.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiolipin antibody negative, Cytomegalovirus test, Cytomegalovirus test negative, Exposure during pregnancy, Foetal death
Clinical narrative: 37 yo G2P1001 at 19w6d  (EDC of 11/5/22 by IVF dates) presents 13 days after Moderna Booster Vaccine #3) with fetal demise. Pregnancy followed for IVF, hypertension on amlodipine, subclinical hypothyroidism. At 12 wks gestation, she underwent chorionic villous sampling due to prior affected child with X Linked SLC6A8 condition with normal microarray.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Gene mutation identification test negative, Glycosylated haemoglobin normal
Clinical narrative: 37 yo G2P1001 at 19w6d  (EDC of 11/5/22 by IVF dates) presents 13 days after Moderna Booster Vaccine #3) with fetal demise. Pregnancy followed for IVF, hypertension on amlodipine, subclinical hypothyroidism. At 12 wks gestation, she underwent chorionic villous sampling due to prior affected child with X Linked SLC6A8 condition with normal microarray.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Fatigue
Clinical narrative: Nausea, diarrhea, fever, chills, muscle aches, fatigue, severe cough, really bad headache, and I'm still having problems. July 22nd COVID-19 at home test that morning and it was positive. At the doctor that afternoon and it was positive. They put me on PAXLOVID.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Nausea, diarrhea, fever, chills, muscle aches, fatigue, severe cough, really bad headache, and I'm still having problems. July 22nd COVID-19 at home test that morning and it was positive. At the doctor that afternoon and it was positive. They put me on PAXLOVID.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Posture abnormal
Clinical narrative: Patient begin to slouch in her chair immediately after the shot, I reached over and grabbed her so that she would not fall, she began to straighten up on her own and sat back into the chair comfortably. She did not seem to fully black out but I took precautions in case she did.  She was given water by her dad, and her blood pressure and pulse were measured at (84/55) and (87) respectively.  We waited about 30 minutes and made sure she did not have a reaction before clearing them to leave the pharmacy.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, Chronic kidney disease, Condition aggravated
Clinical narrative: 9/29/21 pt admitted to hospital with osteomyelitis; has been receiving out patient IV ABX; diarrhea and fever; dx with positive COVID test on 10/5/21;  worsening respiratory status requiring intubation; AHRF; transferred to ICU; condition still worsened with acute renal failure in the setting of CKD; developed UTI - given ABX; developed fever; refractory shock and expired in the hospital
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Diarrhoea, Endotracheal intubation, General physical health deterioration, Intensive care
Clinical narrative: 9/29/21 pt admitted to hospital with osteomyelitis; has been receiving out patient IV ABX; diarrhea and fever; dx with positive COVID test on 10/5/21;  worsening respiratory status requiring intubation; AHRF; transferred to ICU; condition still worsened with acute renal failure in the setting of CKD; developed UTI - given ABX; developed fever; refractory shock and expired in the hospital
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Osteomyelitis, Pyrexia, Respiratory disorder, SARS-CoV-2 test positive, Shock
Clinical narrative: 9/29/21 pt admitted to hospital with osteomyelitis; has been receiving out patient IV ABX; diarrhea and fever; dx with positive COVID test on 10/5/21;  worsening respiratory status requiring intubation; AHRF; transferred to ICU; condition still worsened with acute renal failure in the setting of CKD; developed UTI - given ABX; developed fever; refractory shock and expired in the hospital
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: 9/29/21 pt admitted to hospital with osteomyelitis; has been receiving out patient IV ABX; diarrhea and fever; dx with positive COVID test on 10/5/21;  worsening respiratory status requiring intubation; AHRF; transferred to ICU; condition still worsened with acute renal failure in the setting of CKD; developed UTI - given ABX; developed fever; refractory shock and expired in the hospital
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, COVID-19, Chills
Clinical narrative: I tested positive on 06/09/2022 I received my 4th dose on 04/22/2022 and my symptoms started on 06/06/2022 sore throat; headaches; fever; chills; lost taste and smell; sweating at night. cough; Diarrhea; and low energy. I went to the walk in clinic on 06/09/2022 where i tested positive. He gave me PAXLOVID ( 5 days) and cough medication with coding 2 or 3 times it didn't help so I stopped. I still cough occasionally but most of my symptoms are gone.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Extra dose administered, Headache, Night sweats
Clinical narrative: I tested positive on 06/09/2022 I received my 4th dose on 04/22/2022 and my symptoms started on 06/06/2022 sore throat; headaches; fever; chills; lost taste and smell; sweating at night. cough; Diarrhea; and low energy. I went to the walk in clinic on 06/09/2022 where i tested positive. He gave me PAXLOVID ( 5 days) and cough medication with coding 2 or 3 times it didn't help so I stopped. I still cough occasionally but most of my symptoms are gone.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I tested positive on 06/09/2022 I received my 4th dose on 04/22/2022 and my symptoms started on 06/06/2022 sore throat; headaches; fever; chills; lost taste and smell; sweating at night. cough; Diarrhea; and low energy. I went to the walk in clinic on 06/09/2022 where i tested positive. He gave me PAXLOVID ( 5 days) and cough medication with coding 2 or 3 times it didn't help so I stopped. I still cough occasionally but most of my symptoms are gone.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Blood urine present, Haemorrhage, Illness, Immune thrombocytopenia
Clinical narrative: I experienced bleeding in my legs that continued to worsen, until I began bleeding from my mouth, and urinated blood 4 days from the onset of symptoms. When I sought care the blood work showed that I had a low platelet count. I was given an infusion of platelets which did not up my count, I was given steroids, and an autoimmune globulin infusion. I was diagnosed with ITP also known as Idiopathic thrombocytopenic purpura, and the doctor said they found no reason that explained the cause of my illness. I am still undergoing treatment and observation, and I am under a conditional release from the hospital.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Immunoglobulin therapy, Mouth haemorrhage, Platelet count decreased, Platelet transfusion, Ultrasound kidney
Clinical narrative: I experienced bleeding in my legs that continued to worsen, until I began bleeding from my mouth, and urinated blood 4 days from the onset of symptoms. When I sought care the blood work showed that I had a low platelet count. I was given an infusion of platelets which did not up my count, I was given steroids, and an autoimmune globulin infusion. I was diagnosed with ITP also known as Idiopathic thrombocytopenic purpura, and the doctor said they found no reason that explained the cause of my illness. I am still undergoing treatment and observation, and I am under a conditional release from the hospital.
Age: 6.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Incomplete course of vaccination
Clinical narrative: Vaccination record incomplete at time of vaccination.  Entered remainder of vaccines post vaccination
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Blood test, Cerebrovascular accident, Computerised tomogram, Echocardiogram
Clinical narrative: BRAIN STROKE CAUSING PERIPHERAL VISION LOSS
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Magnetic resonance imaging, Ultrasound Doppler, Ultrasound chest, Ventilation/perfusion scan
Clinical narrative: BRAIN STROKE CAUSING PERIPHERAL VISION LOSS
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Visual field defect
Clinical narrative: BRAIN STROKE CAUSING PERIPHERAL VISION LOSS
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Coordination abnormal, Extra dose administered, Fatigue, Headache
Clinical narrative: #2 booster given at 2:30 pm 7/25/2022. Felt tired and lethargic within one hour of dose. Woke up 7/26/2022 at 6 am with extreme body aches and pains, fever, sore throat, stuffy nose, headache, chills, lungs hurt, tired, lethargic, extreme fatigue and uncoordinated (almost fell a few times). Injection site: extremely swollen arm and extremely painful. Cannot use my left arm. Too painful. Cannot move my arm close enough to touch my side. Too swollen and too painful. In general, bed bound.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling, Lethargy, Mobility decreased
Clinical narrative: #2 booster given at 2:30 pm 7/25/2022. Felt tired and lethargic within one hour of dose. Woke up 7/26/2022 at 6 am with extreme body aches and pains, fever, sore throat, stuffy nose, headache, chills, lungs hurt, tired, lethargic, extreme fatigue and uncoordinated (almost fell a few times). Injection site: extremely swollen arm and extremely painful. Cannot use my left arm. Too painful. Cannot move my arm close enough to touch my side. Too swollen and too painful. In general, bed bound.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pain, Pulmonary pain, Pyrexia
Clinical narrative: #2 booster given at 2:30 pm 7/25/2022. Felt tired and lethargic within one hour of dose. Woke up 7/26/2022 at 6 am with extreme body aches and pains, fever, sore throat, stuffy nose, headache, chills, lungs hurt, tired, lethargic, extreme fatigue and uncoordinated (almost fell a few times). Injection site: extremely swollen arm and extremely painful. Cannot use my left arm. Too painful. Cannot move my arm close enough to touch my side. Too swollen and too painful. In general, bed bound.
Age: 57.0
Sex: F
Vaccine: HEPAB
Symptoms: Peripheral swelling
Clinical narrative: Patient did not report the reaction till today's appointment 7/26/22. She reports that the day after receiving 1st dose of Twinrix she had bilateral hand swelling. She did not take anything & reports that it resolved on it's own that day.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Condition aggravated, Cough, Diabetes mellitus
Clinical narrative: I experienced a little soreness in the arm at the injection site. On 07/09/2022, I started feeling different. I had a scratchy and sore throat. From 7/10-7/13,2022 , I tested negative for COVID-19. I started having achy joints at this point. On 07/14/2022, I tested positive with a home test for COVID-19.  The worst part was the flu like symptoms. This wreck havoc with my diabetes. My endocrinologist adjusted my insulin and it has helped me. As of today, I still have a cough.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Influenza like illness, Injection site pain, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I experienced a little soreness in the arm at the injection site. On 07/09/2022, I started feeling different. I had a scratchy and sore throat. From 7/10-7/13,2022 , I tested negative for COVID-19. I started having achy joints at this point. On 07/14/2022, I tested positive with a home test for COVID-19.  The worst part was the flu like symptoms. This wreck havoc with my diabetes. My endocrinologist adjusted my insulin and it has helped me. As of today, I still have a cough.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: I experienced a little soreness in the arm at the injection site. On 07/09/2022, I started feeling different. I had a scratchy and sore throat. From 7/10-7/13,2022 , I tested negative for COVID-19. I started having achy joints at this point. On 07/14/2022, I tested positive with a home test for COVID-19.  The worst part was the flu like symptoms. This wreck havoc with my diabetes. My endocrinologist adjusted my insulin and it has helped me. As of today, I still have a cough.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Fall, Pneumonia
Clinical narrative: pt brought to ED 11/23/21 after multiple falls at home; increasing SOB (on O2 2L via NC at home) with slightly productive cough; 11/23/21 pt test negative for COVID; has UTI; right middle lobe pneumonia; given ABX; 11/27/21 pt tested positive for COVID; using O2 supplement; pt became pulseless and expired in the hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pulse absent, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: pt brought to ED 11/23/21 after multiple falls at home; increasing SOB (on O2 2L via NC at home) with slightly productive cough; 11/23/21 pt test negative for COVID; has UTI; right middle lobe pneumonia; given ABX; 11/27/21 pt tested positive for COVID; using O2 supplement; pt became pulseless and expired in the hospital
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Ear pain, Headache, Oropharyngeal pain
Clinical narrative: I experienced throat pain, difficulty breathing, coughing, headache, sinus pain, congestion, fever, ear ache and body aches.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test, Sinus pain
Clinical narrative: I experienced throat pain, difficulty breathing, coughing, headache, sinus pain, congestion, fever, ear ache and body aches.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Arteriogram carotid abnormal, Atherectomy, Cardiac arrest, Cerebral artery occlusion
Clinical narrative: Admission Date: 7/15/2022  PRESENTING PROBLEM: Subarachnoid hemorrhage Intracranial hemorrhage   HOSPITAL COURSE: Patient is a 75 year old with a PMHx of ESRD on HD, Type 2 diabetes, CHF, HTN, HLD, GERD, SBO, diverticulitis, abdominal abscess s/p ex lap with colostomy and chronic pancreatitis that presented 7/15/2022 with an acute spontaneous subarachnoid hemorrhage. A head CT was completed that revealed a large left frontotemporal ICH, diffuse SAH, 8 mm MLS, and hydrocephalus. CTA head/neck demonstrated concern for Left MCA aneurysm. Patient was taken emergently to the OR for left MCA aneurysm clipping and left hemicraniectomy with ICH evacuation. Post operatively a DCA was completed that showed complete occlusion of left MCA aneurysm w/small neck remnant, head CT with stable postoperative findings, slight worsening of hydrocephalus, improvement in MLS to 6 mm. Patient also had an EVD placed for obstructive hydrocephalus. Patient was admitted to the Neuro ICH for subarachnoid hemorrhage management. She was started on CRRT given ESRD. Postoperatively, patient was weaned off sedation but remained a GCS <8. Right facial and upper extremity twitching was noted and EEG placed which demonstrated focal status epilepticus with left frontal origin. She was started on keppra and valproic acid with minimal improvement. Therefore, pt started on versed infusion. On 7/18, pt continued to be in focal status, therefore she was administered 4mg ativan, versed increased to 0.5mg/kg/hr and loaded with fosphenytoin with subsequent cardiac arrest. Resuscitation efforts attempted, family present at bedside and DPOA requested efforts cease. Please see critical event notes for further detail. Time of death 0928 on 7/19/2022.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral mass effect, Computerised tomogram head abnormal, Craniectomy, Death, Electroencephalogram abnormal
Clinical narrative: Admission Date: 7/15/2022  PRESENTING PROBLEM: Subarachnoid hemorrhage Intracranial hemorrhage   HOSPITAL COURSE: Patient is a 75 year old with a PMHx of ESRD on HD, Type 2 diabetes, CHF, HTN, HLD, GERD, SBO, diverticulitis, abdominal abscess s/p ex lap with colostomy and chronic pancreatitis that presented 7/15/2022 with an acute spontaneous subarachnoid hemorrhage. A head CT was completed that revealed a large left frontotemporal ICH, diffuse SAH, 8 mm MLS, and hydrocephalus. CTA head/neck demonstrated concern for Left MCA aneurysm. Patient was taken emergently to the OR for left MCA aneurysm clipping and left hemicraniectomy with ICH evacuation. Post operatively a DCA was completed that showed complete occlusion of left MCA aneurysm w/small neck remnant, head CT with stable postoperative findings, slight worsening of hydrocephalus, improvement in MLS to 6 mm. Patient also had an EVD placed for obstructive hydrocephalus. Patient was admitted to the Neuro ICH for subarachnoid hemorrhage management. She was started on CRRT given ESRD. Postoperatively, patient was weaned off sedation but remained a GCS <8. Right facial and upper extremity twitching was noted and EEG placed which demonstrated focal status epilepticus with left frontal origin. She was started on keppra and valproic acid with minimal improvement. Therefore, pt started on versed infusion. On 7/18, pt continued to be in focal status, therefore she was administered 4mg ativan, versed increased to 0.5mg/kg/hr and loaded with fosphenytoin with subsequent cardiac arrest. Resuscitation efforts attempted, family present at bedside and DPOA requested efforts cease. Please see critical event notes for further detail. Time of death 0928 on 7/19/2022.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Haemofiltration, Haemorrhage intracranial, Hydrocephalus, Intensive care, Intra-cerebral aneurysm operation
Clinical narrative: Admission Date: 7/15/2022  PRESENTING PROBLEM: Subarachnoid hemorrhage Intracranial hemorrhage   HOSPITAL COURSE: Patient is a 75 year old with a PMHx of ESRD on HD, Type 2 diabetes, CHF, HTN, HLD, GERD, SBO, diverticulitis, abdominal abscess s/p ex lap with colostomy and chronic pancreatitis that presented 7/15/2022 with an acute spontaneous subarachnoid hemorrhage. A head CT was completed that revealed a large left frontotemporal ICH, diffuse SAH, 8 mm MLS, and hydrocephalus. CTA head/neck demonstrated concern for Left MCA aneurysm. Patient was taken emergently to the OR for left MCA aneurysm clipping and left hemicraniectomy with ICH evacuation. Post operatively a DCA was completed that showed complete occlusion of left MCA aneurysm w/small neck remnant, head CT with stable postoperative findings, slight worsening of hydrocephalus, improvement in MLS to 6 mm. Patient also had an EVD placed for obstructive hydrocephalus. Patient was admitted to the Neuro ICH for subarachnoid hemorrhage management. She was started on CRRT given ESRD. Postoperatively, patient was weaned off sedation but remained a GCS <8. Right facial and upper extremity twitching was noted and EEG placed which demonstrated focal status epilepticus with left frontal origin. She was started on keppra and valproic acid with minimal improvement. Therefore, pt started on versed infusion. On 7/18, pt continued to be in focal status, therefore she was administered 4mg ativan, versed increased to 0.5mg/kg/hr and loaded with fosphenytoin with subsequent cardiac arrest. Resuscitation efforts attempted, family present at bedside and DPOA requested efforts cease. Please see critical event notes for further detail. Time of death 0928 on 7/19/2022.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Intracranial aneurysm, Muscle twitching, Resuscitation, Status epilepticus, Subarachnoid haemorrhage
Clinical narrative: Admission Date: 7/15/2022  PRESENTING PROBLEM: Subarachnoid hemorrhage Intracranial hemorrhage   HOSPITAL COURSE: Patient is a 75 year old with a PMHx of ESRD on HD, Type 2 diabetes, CHF, HTN, HLD, GERD, SBO, diverticulitis, abdominal abscess s/p ex lap with colostomy and chronic pancreatitis that presented 7/15/2022 with an acute spontaneous subarachnoid hemorrhage. A head CT was completed that revealed a large left frontotemporal ICH, diffuse SAH, 8 mm MLS, and hydrocephalus. CTA head/neck demonstrated concern for Left MCA aneurysm. Patient was taken emergently to the OR for left MCA aneurysm clipping and left hemicraniectomy with ICH evacuation. Post operatively a DCA was completed that showed complete occlusion of left MCA aneurysm w/small neck remnant, head CT with stable postoperative findings, slight worsening of hydrocephalus, improvement in MLS to 6 mm. Patient also had an EVD placed for obstructive hydrocephalus. Patient was admitted to the Neuro ICH for subarachnoid hemorrhage management. She was started on CRRT given ESRD. Postoperatively, patient was weaned off sedation but remained a GCS <8. Right facial and upper extremity twitching was noted and EEG placed which demonstrated focal status epilepticus with left frontal origin. She was started on keppra and valproic acid with minimal improvement. Therefore, pt started on versed infusion. On 7/18, pt continued to be in focal status, therefore she was administered 4mg ativan, versed increased to 0.5mg/kg/hr and loaded with fosphenytoin with subsequent cardiac arrest. Resuscitation efforts attempted, family present at bedside and DPOA requested efforts cease. Please see critical event notes for further detail. Time of death 0928 on 7/19/2022.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular drainage
Clinical narrative: Admission Date: 7/15/2022  PRESENTING PROBLEM: Subarachnoid hemorrhage Intracranial hemorrhage   HOSPITAL COURSE: Patient is a 75 year old with a PMHx of ESRD on HD, Type 2 diabetes, CHF, HTN, HLD, GERD, SBO, diverticulitis, abdominal abscess s/p ex lap with colostomy and chronic pancreatitis that presented 7/15/2022 with an acute spontaneous subarachnoid hemorrhage. A head CT was completed that revealed a large left frontotemporal ICH, diffuse SAH, 8 mm MLS, and hydrocephalus. CTA head/neck demonstrated concern for Left MCA aneurysm. Patient was taken emergently to the OR for left MCA aneurysm clipping and left hemicraniectomy with ICH evacuation. Post operatively a DCA was completed that showed complete occlusion of left MCA aneurysm w/small neck remnant, head CT with stable postoperative findings, slight worsening of hydrocephalus, improvement in MLS to 6 mm. Patient also had an EVD placed for obstructive hydrocephalus. Patient was admitted to the Neuro ICH for subarachnoid hemorrhage management. She was started on CRRT given ESRD. Postoperatively, patient was weaned off sedation but remained a GCS <8. Right facial and upper extremity twitching was noted and EEG placed which demonstrated focal status epilepticus with left frontal origin. She was started on keppra and valproic acid with minimal improvement. Therefore, pt started on versed infusion. On 7/18, pt continued to be in focal status, therefore she was administered 4mg ativan, versed increased to 0.5mg/kg/hr and loaded with fosphenytoin with subsequent cardiac arrest. Resuscitation efforts attempted, family present at bedside and DPOA requested efforts cease. Please see critical event notes for further detail. Time of death 0928 on 7/19/2022.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, COVID-19, Chest discomfort, Dyspnoea, Feeling abnormal
Clinical narrative: I started feeling really bad and got a very severe headache. I called my PCP that morning because my chest felt tight. I went to pharmacy to pick up the prescription but on the way got to the point where I couldn't breathe so I went to ER. They gave me a steroid shot, updraft.  They called in an antiviral, prednisone; inhaler.  The asthma lasted a couple of days but within 6 hours of the antiviral the head and body ache went away.  I went to the Dr. yesterday and now I have an sinus infection and I am still bringing up an outrageous amount of mucus.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, SARS-CoV-2 test positive, Secretion discharge, Sinusitis
Clinical narrative: I started feeling really bad and got a very severe headache. I called my PCP that morning because my chest felt tight. I went to pharmacy to pick up the prescription but on the way got to the point where I couldn't breathe so I went to ER. They gave me a steroid shot, updraft.  They called in an antiviral, prednisone; inhaler.  The asthma lasted a couple of days but within 6 hours of the antiviral the head and body ache went away.  I went to the Dr. yesterday and now I have an sinus infection and I am still bringing up an outrageous amount of mucus.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram normal, Fatigue, Pain, Pain in extremity
Clinical narrative: A couple days after receiving the second booster my arm started hurting all the way down to my hand. It has now started to become a problem for me to be able to drawl my fingers up or even make a fist. I went to see my Primary Care Physician in June and had an EEG done and they could not find a reason for the radiating pain. I have extreme fatigue.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: PATIENT WAS GIVEN 0.25 ML OF MODERNA (ADULT) VACCINE.  NURSING STAFF SPOKE WITH THE PATIENT'S MOTHER TO INFORM HER OF THE ERROR.   PATIENT'S MOTHER STATED THAT THE PATIENT IS DOING FINE.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood gases, Blood pH decreased, COVID-19, Chronic obstructive pulmonary disease
Clinical narrative: Admission Date: 7/14/2022 Discharge Date: 7/23/2022  PRESENTING PROBLEM: COPD exacerbation (HCC) [J44.1] COPD with acute exacerbation (HCC) [J44.1] Acute respiratory failure with hypercapnia (HCC) [J96.02] Respiratory tract infection due to COVID-19 virus [U07.1, J98.8] COVID-19 [U07.1] Acute on chronic respiratory failure with hypoxia and hypercapnia (HCC) [J96.21, J96.22]  Patient is a 73-year-old woman admitted for COPD exacerbation w/ resultant acute on chronic respiratory failure with hypercapnia and hypoxia post recent COVID19 infection.  She has a PMH of very severe COPD on 2-3L NC at baseline, chronic systolic heart failure with recovered EF 2/2 NICM,AFIB, depression and anxiety.     Patient presented w/ dyspnea and developed confusion w/ severe hypercapnia noted with blood gas showing PH 7.04 with pCO2 of 130. She was admitted to the intensive care unit with BiPAP.  She underwent an infectious workup with negative strep pneumo and Legionella antigens.  She was not felt to have bacterial superinfection. She improved and IV steroids were transitioned to PO taper.   She completed remdesivir.  She was discharged to SAR when back to baseline respiratory status.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Confusional state, Dyspnoea, Hypercapnia, Intensive care
Clinical narrative: Admission Date: 7/14/2022 Discharge Date: 7/23/2022  PRESENTING PROBLEM: COPD exacerbation (HCC) [J44.1] COPD with acute exacerbation (HCC) [J44.1] Acute respiratory failure with hypercapnia (HCC) [J96.02] Respiratory tract infection due to COVID-19 virus [U07.1, J98.8] COVID-19 [U07.1] Acute on chronic respiratory failure with hypoxia and hypercapnia (HCC) [J96.21, J96.22]  Patient is a 73-year-old woman admitted for COPD exacerbation w/ resultant acute on chronic respiratory failure with hypercapnia and hypoxia post recent COVID19 infection.  She has a PMH of very severe COPD on 2-3L NC at baseline, chronic systolic heart failure with recovered EF 2/2 NICM,AFIB, depression and anxiety.     Patient presented w/ dyspnea and developed confusion w/ severe hypercapnia noted with blood gas showing PH 7.04 with pCO2 of 130. She was admitted to the intensive care unit with BiPAP.  She underwent an infectious workup with negative strep pneumo and Legionella antigens.  She was not felt to have bacterial superinfection. She improved and IV steroids were transitioned to PO taper.   She completed remdesivir.  She was discharged to SAR when back to baseline respiratory status.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Legionella test, PCO2 increased, Positive airway pressure therapy, Respiratory failure, Streptococcus test negative
Clinical narrative: Admission Date: 7/14/2022 Discharge Date: 7/23/2022  PRESENTING PROBLEM: COPD exacerbation (HCC) [J44.1] COPD with acute exacerbation (HCC) [J44.1] Acute respiratory failure with hypercapnia (HCC) [J96.02] Respiratory tract infection due to COVID-19 virus [U07.1, J98.8] COVID-19 [U07.1] Acute on chronic respiratory failure with hypoxia and hypercapnia (HCC) [J96.21, J96.22]  Patient is a 73-year-old woman admitted for COPD exacerbation w/ resultant acute on chronic respiratory failure with hypercapnia and hypoxia post recent COVID19 infection.  She has a PMH of very severe COPD on 2-3L NC at baseline, chronic systolic heart failure with recovered EF 2/2 NICM,AFIB, depression and anxiety.     Patient presented w/ dyspnea and developed confusion w/ severe hypercapnia noted with blood gas showing PH 7.04 with pCO2 of 130. She was admitted to the intensive care unit with BiPAP.  She underwent an infectious workup with negative strep pneumo and Legionella antigens.  She was not felt to have bacterial superinfection. She improved and IV steroids were transitioned to PO taper.   She completed remdesivir.  She was discharged to SAR when back to baseline respiratory status.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cardiac monitoring, Dyspnoea, Laboratory test, Palpitations
Clinical narrative: I received my 3rd dose on 01/21/2022. My symptoms started on 06/07/2022 I had heart palpation; I couldn't breath; I called my doctor and they did several tests also they put a heart monitor patch told me to go to a cardiologist. I have to wait for the cardiologist to see what is going on. I have low energy. I am not like the way I used to.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was due for the COVID-19 Pfizer 12 years and older booster. Patient inadvertently received a dose of the COVID-19 Pfizer 5-11 vaccine instead.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Hypoxia, Intensive care
Clinical narrative: pt admitted to hospital and had a positive COVID test on 10/20/21; given Remdesivir, dexamethasone; COVID pneumonia treated with ABX; pt spiked a fever; sepsis; hypoxic respiratory failure; ICU for worsening hypoxia and altered mental state; on BiPAP; pt began refusing nutrition and medical treatments; mental status deteriorating; became unresponsive; DNR/DNI; compassionate withdrawal of support after discussion with Ethics board; pt expired in the hospital
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Mental impairment, Mental status changes, Positive airway pressure therapy, Pyrexia, Refusal of treatment by patient
Clinical narrative: pt admitted to hospital and had a positive COVID test on 10/20/21; given Remdesivir, dexamethasone; COVID pneumonia treated with ABX; pt spiked a fever; sepsis; hypoxic respiratory failure; ICU for worsening hypoxia and altered mental state; on BiPAP; pt began refusing nutrition and medical treatments; mental status deteriorating; became unresponsive; DNR/DNI; compassionate withdrawal of support after discussion with Ethics board; pt expired in the hospital
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Sepsis, Unresponsive to stimuli, Withdrawal of life support
Clinical narrative: pt admitted to hospital and had a positive COVID test on 10/20/21; given Remdesivir, dexamethasone; COVID pneumonia treated with ABX; pt spiked a fever; sepsis; hypoxic respiratory failure; ICU for worsening hypoxia and altered mental state; on BiPAP; pt began refusing nutrition and medical treatments; mental status deteriorating; became unresponsive; DNR/DNI; compassionate withdrawal of support after discussion with Ethics board; pt expired in the hospital
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, SARS-CoV-2 test positive, Sneezing
Clinical narrative: On 7-9-2022, I started having fatigue and a cough. On 7-12, I noticed I was sneezing alot. I tested with a home Covid19 test on 7-14 with positive results. I called my healthplan who set me up with a doctor for a telehealth visit  for 7-15. The doctor prescribed Paxlovid on 7-15 and I began taking it that day. I am feeling great now. I am reporting a breakthru case of Covid19.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: On 7-9-2022, I started having fatigue and a cough. On 7-12, I noticed I was sneezing alot. I tested with a home Covid19 test on 7-14 with positive results. I called my healthplan who set me up with a doctor for a telehealth visit  for 7-15. The doctor prescribed Paxlovid on 7-15 and I began taking it that day. I am feeling great now. I am reporting a breakthru case of Covid19.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: First dose of COVID-19 vaccine was J&J vaccine. Starting 06/07/2022, I had a runny nose and cough (after being at a public event) and I tested myself with an At-Home COVID-19 test which came back positive. The next day, 06/08/2022, I called my doctor's office and they prescribed me Paxlovid. I took the medicine as instructed. I didn't have a fever and didn't have any other symptoms to the virus. I only had some mild side effects from the antiviral.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Electrocardiogram abnormal, Heart rate irregular, Palpitations
Clinical narrative: One day I started noticing palpitations very regularly. I could feel it in my body after every beat. I checked my pulse, and the 3rd beat was missing. I went to an urgent care then they sent me to the ER. When I went they noticed that I had PVCs. They ran tests and gave me a liter of fluids. The ER suggested that I follow up with a halter monitor. The palpitations have gradually diminished.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: One day I started noticing palpitations very regularly. I could feel it in my body after every beat. I checked my pulse, and the 3rd beat was missing. I went to an urgent care then they sent me to the ER. When I went they noticed that I had PVCs. They ran tests and gave me a liter of fluids. The ER suggested that I follow up with a halter monitor. The palpitations have gradually diminished.