chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong technique in product usage process
Clinical narrative: EXTRACTION OF THE MODERNA VACCINE FROM THE VIAL WAS NOT CONSISTENT WITH A MODERNA TECHNIQUE ( MORE THAN 20 BOOSTER DOSES WERE DRAWN UP FROM THE 15ML VIAL).
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Intensive care
Clinical narrative: 2 doses of Pfizer vaccine in Feb 2021, no booster, admitted to ICU for COVID PNA
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Confusional state, Deep vein thrombosis, Fatigue, Laboratory test
Clinical narrative: DVT (blood clot) left leg on 01/05 Severe Left arm pain 12/31/21 Fever, chills, fatigue, confusion 01/02-01/03
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: DVT (blood clot) left leg on 01/05 Severe Left arm pain 12/31/21 Fever, chills, fatigue, confusion 01/02-01/03
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hypoaesthesia, Pain in extremity, Rash, Restless legs syndrome
Clinical narrative: 5/18/21 rash hands, wrists, forearms, trigger finger both hands, hands and arms going numb at night, restless leg. Told  Dr. about Trigger finger on 6/30.  Aug, Sep, Oct, Nov daily headaches. Took sumatriptan daily.  8/24/21 hypersensitive skin on hands and wrists. Tender touch felt like slice with razor blade. Facility prescribed mentholated hand cream. No relief.  11/5/21 Dr. office visit. Suggested Shingles vaccine for hands. I declined. Hand still extreme pain.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sensitive skin, Tenderness, Trigger finger
Clinical narrative: 5/18/21 rash hands, wrists, forearms, trigger finger both hands, hands and arms going numb at night, restless leg. Told  Dr. about Trigger finger on 6/30.  Aug, Sep, Oct, Nov daily headaches. Took sumatriptan daily.  8/24/21 hypersensitive skin on hands and wrists. Tender touch felt like slice with razor blade. Facility prescribed mentholated hand cream. No relief.  11/5/21 Dr. office visit. Suggested Shingles vaccine for hands. I declined. Hand still extreme pain.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Heart rate increased, Pain
Clinical narrative: Day 1: sore arm, body aches, fatigue, headache --- resolved in ~36 hours Day 11+: hives (painful, red, itching). rashes (splotchy, patches, linear). hives and rashes are all over body. occasional lump at bottom of throat. hot skin where rashes appear. elevated heart rate (approximately 98 BPM when resting).
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Rash, Rash macular, Sensation of foreign body
Clinical narrative: Day 1: sore arm, body aches, fatigue, headache --- resolved in ~36 hours Day 11+: hives (painful, red, itching). rashes (splotchy, patches, linear). hives and rashes are all over body. occasional lump at bottom of throat. hot skin where rashes appear. elevated heart rate (approximately 98 BPM when resting).
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Urticaria
Clinical narrative: Day 1: sore arm, body aches, fatigue, headache --- resolved in ~36 hours Day 11+: hives (painful, red, itching). rashes (splotchy, patches, linear). hives and rashes are all over body. occasional lump at bottom of throat. hot skin where rashes appear. elevated heart rate (approximately 98 BPM when resting).
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria
Clinical narrative: Chronic Spontaneous Urticaria, typically in the evening; treating daily with allergy medication to control systems.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac stress test, Cardiomegaly, Chest pain, Dyspnoea
Clinical narrative: On January 14 at 10pm I started having chest pains and SOB. The next morning they continued and my employer sent me for an EKG at hospital. It came back showing Infarct and was then sent to ER where they did another EKG on a different machine showing infarct and Enlarged Left Atrium. Blood work was normal so I was sent home and was told to follow up with Doctor at Cardiology Dept and he told my I was too young for the heart issues showing on the EKG and that it was just placement or the machine causing the abnormal ekg.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Infarction, Laboratory test
Clinical narrative: On January 14 at 10pm I started having chest pains and SOB. The next morning they continued and my employer sent me for an EKG at hospital. It came back showing Infarct and was then sent to ER where they did another EKG on a different machine showing infarct and Enlarged Left Atrium. Blood work was normal so I was sent home and was told to follow up with Doctor at Cardiology Dept and he told my I was too young for the heart issues showing on the EKG and that it was just placement or the machine causing the abnormal ekg.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: EXTRACTION OF THE MODERNA VACCINE FROM THE VIAL WAS NOT CONSISTENT WITH A MODERNA TECHNIQUE (I.E. MORE THAN 20 BOOSTER DOSES WERE DRAWN UP FROM THE 15ML VIAL).
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Lymphadenopathy, Swelling, Tenderness
Clinical narrative: Lymphadenopathy. Covid booster received in community on 12/30/2021 Left arm vaccine. Local swelling to left axillary lymph node. On PE on 1/11/22 showing left axilla with 1 in x 2.5 in swelling, erythematous swelling with 0.5 cm border of erythema around protruding swelling, painful to touch, no drainage
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Erythema, Injection site erythema, Injection site swelling
Clinical narrative: Pt states that at 4 am on the morning of the 19th following vaccination on the 17th, she was woken up with an itching sensation with pink welts growing together on her upper body up to her neck and ears. By the time she got to the ER at 4:30 AM, the welts had spread to her hands and were in between her fingers. Pt also has asthma, which flared during this episode. The injection site at the left deltoid was also red and swollen per patient report and took more than 1 week in total to dissipate. Pt was seen in the ER on December 19th and given prednisone, which did resolve her symptoms. At 7 AM on the 19th, after getting home from the ER, the patient noticed blurry vision both with and without her glasses. This has improved, but pt still has residual blurry vision as of 1/11/2022.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria, Vision blurred
Clinical narrative: Pt states that at 4 am on the morning of the 19th following vaccination on the 17th, she was woken up with an itching sensation with pink welts growing together on her upper body up to her neck and ears. By the time she got to the ER at 4:30 AM, the welts had spread to her hands and were in between her fingers. Pt also has asthma, which flared during this episode. The injection site at the left deltoid was also red and swollen per patient report and took more than 1 week in total to dissipate. Pt was seen in the ER on December 19th and given prednisone, which did resolve her symptoms. At 7 AM on the 19th, after getting home from the ER, the patient noticed blurry vision both with and without her glasses. This has improved, but pt still has residual blurry vision as of 1/11/2022.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized w/ Covid
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chest discomfort, Cough, Dyspnoea
Clinical narrative: 01/07/2022:  Patient presents with shortness of breath.  States that her baseline shortness of breath is increased over the last several days, she had been having bilateral lower extremity swelling, cough, and exertional/pleuritic chest discomfort, had an episode of near syncope on Wednesday, 2 days ago, was brought to a HCF at that time, her Covid swab came back positive.  Homeless and She states that she got Covid from someone who was staying at the shelter  01/10/2022: immunosuppressed with lupus therapy -- > s/p monoclonal antibody with Sotrovimab infusion. Continue Decadron for total 10 days
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Homeless, Immunosuppression, Peripheral swelling, Pleuritic pain
Clinical narrative: 01/07/2022:  Patient presents with shortness of breath.  States that her baseline shortness of breath is increased over the last several days, she had been having bilateral lower extremity swelling, cough, and exertional/pleuritic chest discomfort, had an episode of near syncope on Wednesday, 2 days ago, was brought to a HCF at that time, her Covid swab came back positive.  Homeless and She states that she got Covid from someone who was staying at the shelter  01/10/2022: immunosuppressed with lupus therapy -- > s/p monoclonal antibody with Sotrovimab infusion. Continue Decadron for total 10 days
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, SARS-CoV-2 test positive
Clinical narrative: 01/07/2022:  Patient presents with shortness of breath.  States that her baseline shortness of breath is increased over the last several days, she had been having bilateral lower extremity swelling, cough, and exertional/pleuritic chest discomfort, had an episode of near syncope on Wednesday, 2 days ago, was brought to a HCF at that time, her Covid swab came back positive.  Homeless and She states that she got Covid from someone who was staying at the shelter  01/10/2022: immunosuppressed with lupus therapy -- > s/p monoclonal antibody with Sotrovimab infusion. Continue Decadron for total 10 days
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Pain, Tremor
Clinical narrative: patient described severe shaking, freezing and body becoming very sore beginning at 3am on 01/11/22. As of 9am 01/11/2022 patient  continuing to monitor for any further symptoms.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Pain in extremity
Clinical narrative: Within 3-4 days of the shot I had a sharp decrease in energy.  After about 3 days I was experiencing dramatic decrease in energy and also experienced more than usual pain in my lower back, legs and feet.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: EXTRACTION OF THE MODERNA VACCINE FROM THE VIAL WAS NOT CONSISTENT WITH A MODERNA TECHNIQUE (I.E. MORE THAN 20 BOOSTER DOSES WERE DRAWN UP FROM THE 15ML VIAL).
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Breast tenderness, Lymphadenopathy, Pain in extremity
Clinical narrative: MOTHER REPORTS DAUGHTER COMPLAINED OF PAIN UNDER HER ARM FOR A COUPLE DAYS. MOTHER THOUGHT IT WAS JSUT EHR ARM BUT WHEN SHE LOOKED AT HER LEFT UNDERARM, THE CHILDS UNDERARM/ARMPIT AREA WAS SIGNIFICANTLY SWOLLEN. THE MOTHER ALSO NOTICED THE CHILDS LEFT BREAST WAS SWOLLEN AS WELL AND WAS NOTICABLY LARGER THAN HER OTHER BREAST. 2 WEEKS HAVE PAST AND THE CHILDS ARM HAS IMPROVED HOWEVER THE BREAST STILL IS SWOLLEN AND TENDER. WRITER ADVISED THE MOTHER CALL THE CHILDS PROVIDER BEFORE SCHEDULING A 2ND DOSE. MOTHER AGREED TO CALL.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Developed body aches, chills, headache, fatigue for about 12 hours
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Aspartate aminotransferase increased, Base excess, Blood bicarbonate, Blood creatinine increased
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 6/18/21 (lot not listed in online system) Pfizer Dose 2 7/9/21 (lot not listed in online system) COVID Positive 8/29/21 Presented to ED 8/29/21  8/31/21:The patient is a 90-year-old female who presents the hospital via EMS with worsening dyspnea and feeling unwell for the past month.  Patient has a past medical history significant for essential hypertension, mixed hyperlipidemia, PAF on anti coagulation, nonischemic cardiomyopathy, chronic diastolic CHF, aortic stenosis s/p TAVR, CKD 3B, GERD.  Patient fully vaccinated for COVID-19. Of note, patient was seen in the ED on 08/29 for similar chief complaint, was hydrated with 1 L IV NS after being diagnosed with AKI, dehydration, virus, and discharged home with doxycycline, COVID-19 PCR obtained at that time resulted positive.   On arrival to the ED, the patient's temperature is 99.8° F, heart rate 79, respiratory 24, saturating 96% on room air with blood pressure 130/60 and 2/10 severity pain.  The patient's laboratory studies were significant for BUN 42, CR 2.06, AST 44, phosphorus 2.3, magnesium 1.6, proBNP 11825, troponin 0.09 then 0.08, COVID-19 rapid AG positive, CRP 7.3, ESR 52, D-dimer 0.62 normal for age adjustment, HGB 10.1, HCT 30.8% with lymphocyte count 0.94, VBG:  PH 7.41, pCO2 41, PO2 29, HC03 26, base excess +1, O2 sat 54%. Blood cultures obtained x2.  Chest x-ray shows worsening bibasilar infiltrates.  EKG shows normal sinus rhythm, heart rate 80, QTC 465 with left axis deviation and right bundle-branch block.  Patient was administered NS IV x1 L, Zofran 4 mg IV, levofloxacin 750 mg IV, ceftriaxone 2 g IV, acetaminophen 1 g p.o., and azithromycin 500 mg IV in the emergency department   The patient was seen in the emergency department laying in bed.  The patient is extremely hard of hearing and obtaining history was very difficult.  She is very leery of staying in the hospital, but we discussed that her grandson thought it would be best rather than her going home alone feeling this ill.  She seems to understand that her breathing is poor right now.  We discussed obtaining inflammatory markers and starting her on steroids if they were elevated.  We attempted to discuss code status, but patient did not want to discuss this at this time.  9/3/21: A 90-year-old lady presented to the emergency room with history of generalized fatigue, increased shortness of breath. Patient was noted to be COVID-19 positive, despite being fully vaccinated for it.  She was admitted for COVID-19 pneumonia.  Patient was treated with empiric antibiotic therapy, Decadron.  Patient's condition has improved, is much more alert.  Patient is more cooperative with physical therapy. Patient's medication has been adjusted.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture, Blood gases, Blood magnesium normal, Blood pH normal, Blood phosphorus decreased
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 6/18/21 (lot not listed in online system) Pfizer Dose 2 7/9/21 (lot not listed in online system) COVID Positive 8/29/21 Presented to ED 8/29/21  8/31/21:The patient is a 90-year-old female who presents the hospital via EMS with worsening dyspnea and feeling unwell for the past month.  Patient has a past medical history significant for essential hypertension, mixed hyperlipidemia, PAF on anti coagulation, nonischemic cardiomyopathy, chronic diastolic CHF, aortic stenosis s/p TAVR, CKD 3B, GERD.  Patient fully vaccinated for COVID-19. Of note, patient was seen in the ED on 08/29 for similar chief complaint, was hydrated with 1 L IV NS after being diagnosed with AKI, dehydration, virus, and discharged home with doxycycline, COVID-19 PCR obtained at that time resulted positive.   On arrival to the ED, the patient's temperature is 99.8° F, heart rate 79, respiratory 24, saturating 96% on room air with blood pressure 130/60 and 2/10 severity pain.  The patient's laboratory studies were significant for BUN 42, CR 2.06, AST 44, phosphorus 2.3, magnesium 1.6, proBNP 11825, troponin 0.09 then 0.08, COVID-19 rapid AG positive, CRP 7.3, ESR 52, D-dimer 0.62 normal for age adjustment, HGB 10.1, HCT 30.8% with lymphocyte count 0.94, VBG:  PH 7.41, pCO2 41, PO2 29, HC03 26, base excess +1, O2 sat 54%. Blood cultures obtained x2.  Chest x-ray shows worsening bibasilar infiltrates.  EKG shows normal sinus rhythm, heart rate 80, QTC 465 with left axis deviation and right bundle-branch block.  Patient was administered NS IV x1 L, Zofran 4 mg IV, levofloxacin 750 mg IV, ceftriaxone 2 g IV, acetaminophen 1 g p.o., and azithromycin 500 mg IV in the emergency department   The patient was seen in the emergency department laying in bed.  The patient is extremely hard of hearing and obtaining history was very difficult.  She is very leery of staying in the hospital, but we discussed that her grandson thought it would be best rather than her going home alone feeling this ill.  She seems to understand that her breathing is poor right now.  We discussed obtaining inflammatory markers and starting her on steroids if they were elevated.  We attempted to discuss code status, but patient did not want to discuss this at this time.  9/3/21: A 90-year-old lady presented to the emergency room with history of generalized fatigue, increased shortness of breath. Patient was noted to be COVID-19 positive, despite being fully vaccinated for it.  She was admitted for COVID-19 pneumonia.  Patient was treated with empiric antibiotic therapy, Decadron.  Patient's condition has improved, is much more alert.  Patient is more cooperative with physical therapy. Patient's medication has been adjusted.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea increased, Bundle branch block right, C-reactive protein increased, COVID-19, COVID-19 pneumonia
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 6/18/21 (lot not listed in online system) Pfizer Dose 2 7/9/21 (lot not listed in online system) COVID Positive 8/29/21 Presented to ED 8/29/21  8/31/21:The patient is a 90-year-old female who presents the hospital via EMS with worsening dyspnea and feeling unwell for the past month.  Patient has a past medical history significant for essential hypertension, mixed hyperlipidemia, PAF on anti coagulation, nonischemic cardiomyopathy, chronic diastolic CHF, aortic stenosis s/p TAVR, CKD 3B, GERD.  Patient fully vaccinated for COVID-19. Of note, patient was seen in the ED on 08/29 for similar chief complaint, was hydrated with 1 L IV NS after being diagnosed with AKI, dehydration, virus, and discharged home with doxycycline, COVID-19 PCR obtained at that time resulted positive.   On arrival to the ED, the patient's temperature is 99.8° F, heart rate 79, respiratory 24, saturating 96% on room air with blood pressure 130/60 and 2/10 severity pain.  The patient's laboratory studies were significant for BUN 42, CR 2.06, AST 44, phosphorus 2.3, magnesium 1.6, proBNP 11825, troponin 0.09 then 0.08, COVID-19 rapid AG positive, CRP 7.3, ESR 52, D-dimer 0.62 normal for age adjustment, HGB 10.1, HCT 30.8% with lymphocyte count 0.94, VBG:  PH 7.41, pCO2 41, PO2 29, HC03 26, base excess +1, O2 sat 54%. Blood cultures obtained x2.  Chest x-ray shows worsening bibasilar infiltrates.  EKG shows normal sinus rhythm, heart rate 80, QTC 465 with left axis deviation and right bundle-branch block.  Patient was administered NS IV x1 L, Zofran 4 mg IV, levofloxacin 750 mg IV, ceftriaxone 2 g IV, acetaminophen 1 g p.o., and azithromycin 500 mg IV in the emergency department   The patient was seen in the emergency department laying in bed.  The patient is extremely hard of hearing and obtaining history was very difficult.  She is very leery of staying in the hospital, but we discussed that her grandson thought it would be best rather than her going home alone feeling this ill.  She seems to understand that her breathing is poor right now.  We discussed obtaining inflammatory markers and starting her on steroids if they were elevated.  We attempted to discuss code status, but patient did not want to discuss this at this time.  9/3/21: A 90-year-old lady presented to the emergency room with history of generalized fatigue, increased shortness of breath. Patient was noted to be COVID-19 positive, despite being fully vaccinated for it.  She was admitted for COVID-19 pneumonia.  Patient was treated with empiric antibiotic therapy, Decadron.  Patient's condition has improved, is much more alert.  Patient is more cooperative with physical therapy. Patient's medication has been adjusted.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Dehydration, Dyspnoea, Electrocardiogram abnormal, Fatigue
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 6/18/21 (lot not listed in online system) Pfizer Dose 2 7/9/21 (lot not listed in online system) COVID Positive 8/29/21 Presented to ED 8/29/21  8/31/21:The patient is a 90-year-old female who presents the hospital via EMS with worsening dyspnea and feeling unwell for the past month.  Patient has a past medical history significant for essential hypertension, mixed hyperlipidemia, PAF on anti coagulation, nonischemic cardiomyopathy, chronic diastolic CHF, aortic stenosis s/p TAVR, CKD 3B, GERD.  Patient fully vaccinated for COVID-19. Of note, patient was seen in the ED on 08/29 for similar chief complaint, was hydrated with 1 L IV NS after being diagnosed with AKI, dehydration, virus, and discharged home with doxycycline, COVID-19 PCR obtained at that time resulted positive.   On arrival to the ED, the patient's temperature is 99.8° F, heart rate 79, respiratory 24, saturating 96% on room air with blood pressure 130/60 and 2/10 severity pain.  The patient's laboratory studies were significant for BUN 42, CR 2.06, AST 44, phosphorus 2.3, magnesium 1.6, proBNP 11825, troponin 0.09 then 0.08, COVID-19 rapid AG positive, CRP 7.3, ESR 52, D-dimer 0.62 normal for age adjustment, HGB 10.1, HCT 30.8% with lymphocyte count 0.94, VBG:  PH 7.41, pCO2 41, PO2 29, HC03 26, base excess +1, O2 sat 54%. Blood cultures obtained x2.  Chest x-ray shows worsening bibasilar infiltrates.  EKG shows normal sinus rhythm, heart rate 80, QTC 465 with left axis deviation and right bundle-branch block.  Patient was administered NS IV x1 L, Zofran 4 mg IV, levofloxacin 750 mg IV, ceftriaxone 2 g IV, acetaminophen 1 g p.o., and azithromycin 500 mg IV in the emergency department   The patient was seen in the emergency department laying in bed.  The patient is extremely hard of hearing and obtaining history was very difficult.  She is very leery of staying in the hospital, but we discussed that her grandson thought it would be best rather than her going home alone feeling this ill.  She seems to understand that her breathing is poor right now.  We discussed obtaining inflammatory markers and starting her on steroids if they were elevated.  We attempted to discuss code status, but patient did not want to discuss this at this time.  9/3/21: A 90-year-old lady presented to the emergency room with history of generalized fatigue, increased shortness of breath. Patient was noted to be COVID-19 positive, despite being fully vaccinated for it.  She was admitted for COVID-19 pneumonia.  Patient was treated with empiric antibiotic therapy, Decadron.  Patient's condition has improved, is much more alert.  Patient is more cooperative with physical therapy. Patient's medication has been adjusted.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Haematocrit decreased, Haemoglobin decreased, Lung infiltration, Lymphocyte count decreased
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 6/18/21 (lot not listed in online system) Pfizer Dose 2 7/9/21 (lot not listed in online system) COVID Positive 8/29/21 Presented to ED 8/29/21  8/31/21:The patient is a 90-year-old female who presents the hospital via EMS with worsening dyspnea and feeling unwell for the past month.  Patient has a past medical history significant for essential hypertension, mixed hyperlipidemia, PAF on anti coagulation, nonischemic cardiomyopathy, chronic diastolic CHF, aortic stenosis s/p TAVR, CKD 3B, GERD.  Patient fully vaccinated for COVID-19. Of note, patient was seen in the ED on 08/29 for similar chief complaint, was hydrated with 1 L IV NS after being diagnosed with AKI, dehydration, virus, and discharged home with doxycycline, COVID-19 PCR obtained at that time resulted positive.   On arrival to the ED, the patient's temperature is 99.8° F, heart rate 79, respiratory 24, saturating 96% on room air with blood pressure 130/60 and 2/10 severity pain.  The patient's laboratory studies were significant for BUN 42, CR 2.06, AST 44, phosphorus 2.3, magnesium 1.6, proBNP 11825, troponin 0.09 then 0.08, COVID-19 rapid AG positive, CRP 7.3, ESR 52, D-dimer 0.62 normal for age adjustment, HGB 10.1, HCT 30.8% with lymphocyte count 0.94, VBG:  PH 7.41, pCO2 41, PO2 29, HC03 26, base excess +1, O2 sat 54%. Blood cultures obtained x2.  Chest x-ray shows worsening bibasilar infiltrates.  EKG shows normal sinus rhythm, heart rate 80, QTC 465 with left axis deviation and right bundle-branch block.  Patient was administered NS IV x1 L, Zofran 4 mg IV, levofloxacin 750 mg IV, ceftriaxone 2 g IV, acetaminophen 1 g p.o., and azithromycin 500 mg IV in the emergency department   The patient was seen in the emergency department laying in bed.  The patient is extremely hard of hearing and obtaining history was very difficult.  She is very leery of staying in the hospital, but we discussed that her grandson thought it would be best rather than her going home alone feeling this ill.  She seems to understand that her breathing is poor right now.  We discussed obtaining inflammatory markers and starting her on steroids if they were elevated.  We attempted to discuss code status, but patient did not want to discuss this at this time.  9/3/21: A 90-year-old lady presented to the emergency room with history of generalized fatigue, increased shortness of breath. Patient was noted to be COVID-19 positive, despite being fully vaccinated for it.  She was admitted for COVID-19 pneumonia.  Patient was treated with empiric antibiotic therapy, Decadron.  Patient's condition has improved, is much more alert.  Patient is more cooperative with physical therapy. Patient's medication has been adjusted.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, PCO2 normal, PO2 decreased, Prohormone brain natriuretic peptide increased, QRS axis abnormal
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 6/18/21 (lot not listed in online system) Pfizer Dose 2 7/9/21 (lot not listed in online system) COVID Positive 8/29/21 Presented to ED 8/29/21  8/31/21:The patient is a 90-year-old female who presents the hospital via EMS with worsening dyspnea and feeling unwell for the past month.  Patient has a past medical history significant for essential hypertension, mixed hyperlipidemia, PAF on anti coagulation, nonischemic cardiomyopathy, chronic diastolic CHF, aortic stenosis s/p TAVR, CKD 3B, GERD.  Patient fully vaccinated for COVID-19. Of note, patient was seen in the ED on 08/29 for similar chief complaint, was hydrated with 1 L IV NS after being diagnosed with AKI, dehydration, virus, and discharged home with doxycycline, COVID-19 PCR obtained at that time resulted positive.   On arrival to the ED, the patient's temperature is 99.8° F, heart rate 79, respiratory 24, saturating 96% on room air with blood pressure 130/60 and 2/10 severity pain.  The patient's laboratory studies were significant for BUN 42, CR 2.06, AST 44, phosphorus 2.3, magnesium 1.6, proBNP 11825, troponin 0.09 then 0.08, COVID-19 rapid AG positive, CRP 7.3, ESR 52, D-dimer 0.62 normal for age adjustment, HGB 10.1, HCT 30.8% with lymphocyte count 0.94, VBG:  PH 7.41, pCO2 41, PO2 29, HC03 26, base excess +1, O2 sat 54%. Blood cultures obtained x2.  Chest x-ray shows worsening bibasilar infiltrates.  EKG shows normal sinus rhythm, heart rate 80, QTC 465 with left axis deviation and right bundle-branch block.  Patient was administered NS IV x1 L, Zofran 4 mg IV, levofloxacin 750 mg IV, ceftriaxone 2 g IV, acetaminophen 1 g p.o., and azithromycin 500 mg IV in the emergency department   The patient was seen in the emergency department laying in bed.  The patient is extremely hard of hearing and obtaining history was very difficult.  She is very leery of staying in the hospital, but we discussed that her grandson thought it would be best rather than her going home alone feeling this ill.  She seems to understand that her breathing is poor right now.  We discussed obtaining inflammatory markers and starting her on steroids if they were elevated.  We attempted to discuss code status, but patient did not want to discuss this at this time.  9/3/21: A 90-year-old lady presented to the emergency room with history of generalized fatigue, increased shortness of breath. Patient was noted to be COVID-19 positive, despite being fully vaccinated for it.  She was admitted for COVID-19 pneumonia.  Patient was treated with empiric antibiotic therapy, Decadron.  Patient's condition has improved, is much more alert.  Patient is more cooperative with physical therapy. Patient's medication has been adjusted.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, SARS-CoV-2 test positive, Troponin, Vaccine breakthrough infection, Viral infection
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 6/18/21 (lot not listed in online system) Pfizer Dose 2 7/9/21 (lot not listed in online system) COVID Positive 8/29/21 Presented to ED 8/29/21  8/31/21:The patient is a 90-year-old female who presents the hospital via EMS with worsening dyspnea and feeling unwell for the past month.  Patient has a past medical history significant for essential hypertension, mixed hyperlipidemia, PAF on anti coagulation, nonischemic cardiomyopathy, chronic diastolic CHF, aortic stenosis s/p TAVR, CKD 3B, GERD.  Patient fully vaccinated for COVID-19. Of note, patient was seen in the ED on 08/29 for similar chief complaint, was hydrated with 1 L IV NS after being diagnosed with AKI, dehydration, virus, and discharged home with doxycycline, COVID-19 PCR obtained at that time resulted positive.   On arrival to the ED, the patient's temperature is 99.8° F, heart rate 79, respiratory 24, saturating 96% on room air with blood pressure 130/60 and 2/10 severity pain.  The patient's laboratory studies were significant for BUN 42, CR 2.06, AST 44, phosphorus 2.3, magnesium 1.6, proBNP 11825, troponin 0.09 then 0.08, COVID-19 rapid AG positive, CRP 7.3, ESR 52, D-dimer 0.62 normal for age adjustment, HGB 10.1, HCT 30.8% with lymphocyte count 0.94, VBG:  PH 7.41, pCO2 41, PO2 29, HC03 26, base excess +1, O2 sat 54%. Blood cultures obtained x2.  Chest x-ray shows worsening bibasilar infiltrates.  EKG shows normal sinus rhythm, heart rate 80, QTC 465 with left axis deviation and right bundle-branch block.  Patient was administered NS IV x1 L, Zofran 4 mg IV, levofloxacin 750 mg IV, ceftriaxone 2 g IV, acetaminophen 1 g p.o., and azithromycin 500 mg IV in the emergency department   The patient was seen in the emergency department laying in bed.  The patient is extremely hard of hearing and obtaining history was very difficult.  She is very leery of staying in the hospital, but we discussed that her grandson thought it would be best rather than her going home alone feeling this ill.  She seems to understand that her breathing is poor right now.  We discussed obtaining inflammatory markers and starting her on steroids if they were elevated.  We attempted to discuss code status, but patient did not want to discuss this at this time.  9/3/21: A 90-year-old lady presented to the emergency room with history of generalized fatigue, increased shortness of breath. Patient was noted to be COVID-19 positive, despite being fully vaccinated for it.  She was admitted for COVID-19 pneumonia.  Patient was treated with empiric antibiotic therapy, Decadron.  Patient's condition has improved, is much more alert.  Patient is more cooperative with physical therapy. Patient's medication has been adjusted.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neuralgia, Pain, Pain of skin, Pyrexia
Clinical narrative: I had convulsions for over an hour last night and I've run a very high fever since with a headache. I ache all over and I also have this painful nerve feeling in my skin all over my body.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: I had convulsions for over an hour last night and I've run a very high fever since with a headache. I ache all over and I also have this painful nerve feeling in my skin all over my body.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong technique in product usage process
Clinical narrative: EXTRACTION OF THE MODERNA VACCINE FROM THE VIAL WAS NOT CONSISTENT WITH A MODERNA TECHNIQUE (I.E. MORE THAN 20 BOOSTER DOSES WERE DRAWN UP FROM THE 15ML VIAL).
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives all over body
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Gave peds pfizer vaccine to 13 year old.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: She tested positive for COVID 1/10/22. She was subsequently hospitalized 1/11/22.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: EXTRACTION OF THE MODERNA VACCINE FROM THE VIAL WAS NOT CONSISTENT WITH A MODERNA TECHNIQUE (I.E. MORE THAN 20 BOOSTER DOSES WERE DRAWN UP FROM THE 15ML VIAL).
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis contact, Erythema, Mechanical urticaria, Pruritus, Scratch
Clinical narrative: Began to itch around 2:00 p.m. on Tuesday, December 21, 2021. Itching got progressively worse throughout the afternoon and evening. Went to bed with severe itching around 10:00 p.m. On Wednesday, December 22, 2021, I woke up around 1:30 a.m. to extreme itching on my stomach, thighs, and hips. I noticed hives in those areas. I took a cool shower and took 50 mg of Benadryl. This calmed the hives and itching. I went back to sleep. Around 6:00 a.m. I woke up to my face red and swollen, hives behind my knees, on my stomach, and on my arms. I then went to a local emergency room to be seen. They diagnosed it as contact dermatitis and gave me three Prednisone pills as well as a prescription for four more Prednisone pills to be taken once a day for the following four days. I was advised to also continue taking 50mg of Benadryl every 4-6 hours as needed. Throughout the next 4 days, I took the Prednisone as prescribed and continued to take the Benadryl every 4-6 hours throughout the day. I still developed hives and noticed that when I scratched my skin, it became red and raised with the exact same pattern as how I scratched. On December 24, 2021 I wrote the word "hi" on my skin with my nail and it became raised and red within a few minutes and stayed visible for around 30 minutes. I then looked up those symptoms and became aware of dermatographia. On Thursday, December 30, 2021 I made a virtual doctor's appointment where the physician confirmed it was dermatographia and she suggested I take Zyrtec once daily and to take Benadryl as needed if any other symptoms worsened throughout the day. I have been taking 1 Zyrtec every morning since Friday, December 31, 2021. Since beginning the daily Zyrtec, I have not had any hives but my skin does show the exact pattern of any scratches in red marks.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Skin swelling, Swelling face, Urticaria
Clinical narrative: Began to itch around 2:00 p.m. on Tuesday, December 21, 2021. Itching got progressively worse throughout the afternoon and evening. Went to bed with severe itching around 10:00 p.m. On Wednesday, December 22, 2021, I woke up around 1:30 a.m. to extreme itching on my stomach, thighs, and hips. I noticed hives in those areas. I took a cool shower and took 50 mg of Benadryl. This calmed the hives and itching. I went back to sleep. Around 6:00 a.m. I woke up to my face red and swollen, hives behind my knees, on my stomach, and on my arms. I then went to a local emergency room to be seen. They diagnosed it as contact dermatitis and gave me three Prednisone pills as well as a prescription for four more Prednisone pills to be taken once a day for the following four days. I was advised to also continue taking 50mg of Benadryl every 4-6 hours as needed. Throughout the next 4 days, I took the Prednisone as prescribed and continued to take the Benadryl every 4-6 hours throughout the day. I still developed hives and noticed that when I scratched my skin, it became red and raised with the exact same pattern as how I scratched. On December 24, 2021 I wrote the word "hi" on my skin with my nail and it became raised and red within a few minutes and stayed visible for around 30 minutes. I then looked up those symptoms and became aware of dermatographia. On Thursday, December 30, 2021 I made a virtual doctor's appointment where the physician confirmed it was dermatographia and she suggested I take Zyrtec once daily and to take Benadryl as needed if any other symptoms worsened throughout the day. I have been taking 1 Zyrtec every morning since Friday, December 31, 2021. Since beginning the daily Zyrtec, I have not had any hives but my skin does show the exact pattern of any scratches in red marks.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Back pain, Contusion, Heavy menstrual bleeding
Clinical narrative: Jaw and rough of mouth felt bruised, hip pain, lower back pain, ovaries and uterus felt bruised, left arm shoulder felt very tender and bruised, left hand felt arthritic and bruised, and it was hard to open and shut, left foot, ball of foot, felt bruised, could see bruise. Period started suddenly, heavy bleeding, came out in clots, soaked pads, period lasted longer than usual, 9 days.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Tenderness
Clinical narrative: Jaw and rough of mouth felt bruised, hip pain, lower back pain, ovaries and uterus felt bruised, left arm shoulder felt very tender and bruised, left hand felt arthritic and bruised, and it was hard to open and shut, left foot, ball of foot, felt bruised, could see bruise. Period started suddenly, heavy bleeding, came out in clots, soaked pads, period lasted longer than usual, 9 days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac murmur, Cerebrovascular accident, Computerised tomogram abnormal, Dysarthria
Clinical narrative: On 16 April 21, I experienced a transient event where I could not pick up a utensil from a drawer.  This event lasted about 5-10 seconds.  On 17 April 21, I went to the Hospital ER and they performed several tests including a CAT scan but was discharged with no conclusive diagnosis.  On 19 April 21, I returned to the ER and they called a stroke code.  After comparing the CAT scans, they confirmed I had a stroke.  On 22 Apr 2021, I was discharged. On 7 June 21, I again experienced the inability to use my right hand to pick up a utensil and my husband noticed slurred words.  My husband called 911 and I was admitted to Hospital and they confirmed I had another stroke.  After 4 days at Hospital with no diagnosis on why I was having these strokes, I was transferred to  Hospital.  After many tests, I was diagnosed with a brain aneurysm, endocarditis, and a heart murmur due to a damaged mitral valve.  On 21 Jun 2021, I was transferred to Medical Center to have brain aneurysm repaired.  I was discharged on 26 Jun 21.  Although the is no 100% proof the Moderna Vaccine caused these events, I was healthly with no pre-existing conditions prior to these events.  However, I thought these events should be reported through the proper VAERS site.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Endocarditis, Intra-cerebral aneurysm operation, Intracranial aneurysm, Magnetic resonance imaging
Clinical narrative: On 16 April 21, I experienced a transient event where I could not pick up a utensil from a drawer.  This event lasted about 5-10 seconds.  On 17 April 21, I went to the Hospital ER and they performed several tests including a CAT scan but was discharged with no conclusive diagnosis.  On 19 April 21, I returned to the ER and they called a stroke code.  After comparing the CAT scans, they confirmed I had a stroke.  On 22 Apr 2021, I was discharged. On 7 June 21, I again experienced the inability to use my right hand to pick up a utensil and my husband noticed slurred words.  My husband called 911 and I was admitted to Hospital and they confirmed I had another stroke.  After 4 days at Hospital with no diagnosis on why I was having these strokes, I was transferred to  Hospital.  After many tests, I was diagnosed with a brain aneurysm, endocarditis, and a heart murmur due to a damaged mitral valve.  On 21 Jun 2021, I was transferred to Medical Center to have brain aneurysm repaired.  I was discharged on 26 Jun 21.  Although the is no 100% proof the Moderna Vaccine caused these events, I was healthly with no pre-existing conditions prior to these events.  However, I thought these events should be reported through the proper VAERS site.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal disorder, Scan with contrast, Traumatic heart injury, Ultrasound scan
Clinical narrative: On 16 April 21, I experienced a transient event where I could not pick up a utensil from a drawer.  This event lasted about 5-10 seconds.  On 17 April 21, I went to the Hospital ER and they performed several tests including a CAT scan but was discharged with no conclusive diagnosis.  On 19 April 21, I returned to the ER and they called a stroke code.  After comparing the CAT scans, they confirmed I had a stroke.  On 22 Apr 2021, I was discharged. On 7 June 21, I again experienced the inability to use my right hand to pick up a utensil and my husband noticed slurred words.  My husband called 911 and I was admitted to Hospital and they confirmed I had another stroke.  After 4 days at Hospital with no diagnosis on why I was having these strokes, I was transferred to  Hospital.  After many tests, I was diagnosed with a brain aneurysm, endocarditis, and a heart murmur due to a damaged mitral valve.  On 21 Jun 2021, I was transferred to Medical Center to have brain aneurysm repaired.  I was discharged on 26 Jun 21.  Although the is no 100% proof the Moderna Vaccine caused these events, I was healthly with no pre-existing conditions prior to these events.  However, I thought these events should be reported through the proper VAERS site.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Gave peds pfizer vaccine to a 12 year old.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angioedema, Oedema peripheral, Pruritus, Rash
Clinical narrative: Angioedema of lips, left hand and soles of bilateral feet. Rash to face, full body itching
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Paraesthesia oral, Peripheral swelling, Pruritus, Rash
Clinical narrative: Angioedema of lips, left hand and soles of bilateral feet. Rash to face, full body itching
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Angioedema of lips, left hand and soles of bilateral feet. Rash to face, full body itching
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong technique in product usage process
Clinical narrative: EXTRACTION OF THE MODERNA VACCINE FROM THE VIAL WAS NOT CONSISTENT WITH A MODERNA TECHNIQUE (I.E. MORE THAN 20 BOOSTER DOSES WERE DRAWN UP FROM THE 15ML VIAL).
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anaemia macrocytic, Angiogram pulmonary abnormal, Bifascicular block, Blood glucose increased
Clinical narrative: COVID Breakthrough  Moderna Dose 1 1/20/21 (041L20A) Moderna Dose 2 2/17/21 (011M20A) COVID Positive 8/28/21  8/28/21: Patient very hard of hearing, when asked why in the hospital, she reports she was short of breath and was brought in for UTI. Per ER physician documentation, patient arrived from memory care unit via medic with complaints of increasing shortness of breath and dark emesis and stool.  Patient has a history of diabetes mellitus, hypertension, paroxysmal atrial fibrillation, recent right rib fracture. ER is no document that patient was diagnosed  COVID positive on 08/27/2021 and became hypoxic today.  Patient is vaccinated for COVID-19 infection. In the emergency room, she was febrile on presentation to 101.9 degrees, she was requiring 10 L of oxygen, blood pressure was 175/74 on presentation.  Patient had chest x-ray done which showed pulmonary edema. EKG normal sinus rhythm with bifascicular block. Laboratory workup revealed leukocyte esterase and nitrite positive. D-dimer elevated, CT angio negative of pulmonary embolism but revealed pneumonia superimposed on chronic interstitial changes and chronic left pleural effusion. Troponin is 0.12 patient denies chest pain, lactic acidosis of 2.3, proBNP is elevated at 13000.  Blood glucose of 242 on presentation.  CBC shows macrocytic anemia with hemoglobin of 10.4.  Patient received IV ceftriaxone, IV Lasix and dexamethasone and is being admitted to the hospitalist service.  At time of evaluation, patient lying calmly in bed, she denies complaints of chest pain or shortness of breath. Called  Memory Unit to get more information, patient has had abdominal pain and diarrhea, was diagnosed COVID positive yesterday.  Was noted to be hypoxic this morning and then transferred to the emergency room.  9/3/21: A 94-year-old lady presented to the emergency room with history of increasing shortness of breath.  She tested positive for COVID infection 1 day prior to arrival to the emergency department.  Further evaluation suggestive of pneumonia.  Patient was treated with remdesivir, dexamethasone, and empiric antibiotic therapy.  The patient's condition progressively improved.  Patient is back to her baseline. However, she still remains physically deconditioned, and will require physical conditioning via PT/OT.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, COVID-19, Chest X-ray abnormal, Diarrhoea, Dyspnoea
Clinical narrative: COVID Breakthrough  Moderna Dose 1 1/20/21 (041L20A) Moderna Dose 2 2/17/21 (011M20A) COVID Positive 8/28/21  8/28/21: Patient very hard of hearing, when asked why in the hospital, she reports she was short of breath and was brought in for UTI. Per ER physician documentation, patient arrived from memory care unit via medic with complaints of increasing shortness of breath and dark emesis and stool.  Patient has a history of diabetes mellitus, hypertension, paroxysmal atrial fibrillation, recent right rib fracture. ER is no document that patient was diagnosed  COVID positive on 08/27/2021 and became hypoxic today.  Patient is vaccinated for COVID-19 infection. In the emergency room, she was febrile on presentation to 101.9 degrees, she was requiring 10 L of oxygen, blood pressure was 175/74 on presentation.  Patient had chest x-ray done which showed pulmonary edema. EKG normal sinus rhythm with bifascicular block. Laboratory workup revealed leukocyte esterase and nitrite positive. D-dimer elevated, CT angio negative of pulmonary embolism but revealed pneumonia superimposed on chronic interstitial changes and chronic left pleural effusion. Troponin is 0.12 patient denies chest pain, lactic acidosis of 2.3, proBNP is elevated at 13000.  Blood glucose of 242 on presentation.  CBC shows macrocytic anemia with hemoglobin of 10.4.  Patient received IV ceftriaxone, IV Lasix and dexamethasone and is being admitted to the hospitalist service.  At time of evaluation, patient lying calmly in bed, she denies complaints of chest pain or shortness of breath. Called  Memory Unit to get more information, patient has had abdominal pain and diarrhea, was diagnosed COVID positive yesterday.  Was noted to be hypoxic this morning and then transferred to the emergency room.  9/3/21: A 94-year-old lady presented to the emergency room with history of increasing shortness of breath.  She tested positive for COVID infection 1 day prior to arrival to the emergency department.  Further evaluation suggestive of pneumonia.  Patient was treated with remdesivir, dexamethasone, and empiric antibiotic therapy.  The patient's condition progressively improved.  Patient is back to her baseline. However, she still remains physically deconditioned, and will require physical conditioning via PT/OT.