chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Intensive care, Mechanical ventilation, Metabolic acidosis, Multiple organ dysfunction syndrome
Clinical narrative: Narrative:  Patient presented to outside facility on 3/28/2021 after receiving second dose of covid vaccine on 3/19. Patient was found to have COVID pneumonia, upgraded to medical ICU with hypoxia and shock. Patient rapidly progressed to ARDS and MODS. Required intubation and mechanical ventilation, sedation and paralytic and proning protocol. Developed shock and acute kidney injury and required vasopressors, start of CVVH and bicarb for metabolic acidosis. Patient continued to decline despite aggressive measures. Developed refractory acidosis and up-trending need for vasopressors. He required cardioversion for afib with rvr. Abx for bactermia. Hep gtt for presumed PE. Family aware of poor prognosis and DNR decision made. He continued to decline and escalated vasopressors 2/2 refractory acidosis. Family made decision for comfort care. Patient expired 4/2 @ 1224 am.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Prone position, Pyroglutamic acidosis, Shock
Clinical narrative: Narrative:  Patient presented to outside facility on 3/28/2021 after receiving second dose of covid vaccine on 3/19. Patient was found to have COVID pneumonia, upgraded to medical ICU with hypoxia and shock. Patient rapidly progressed to ARDS and MODS. Required intubation and mechanical ventilation, sedation and paralytic and proning protocol. Developed shock and acute kidney injury and required vasopressors, start of CVVH and bicarb for metabolic acidosis. Patient continued to decline despite aggressive measures. Developed refractory acidosis and up-trending need for vasopressors. He required cardioversion for afib with rvr. Abx for bactermia. Hep gtt for presumed PE. Family aware of poor prognosis and DNR decision made. He continued to decline and escalated vasopressors 2/2 refractory acidosis. Family made decision for comfort care. Patient expired 4/2 @ 1224 am.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Sensation of foreign body
Clinical narrative: Narrative: Patient presented to covid vaccine clinic today for Janssen vaccine, Fifteen minutes after vaccine patient reported a mild lump in his throat. He denied respiratory, cardiovascular or neurological symptoms. He did not experience any type of rash or puritis. BP was 132/85, pulse 58 and ox sat 97%. He remained oriented x3 without distress. He was kept and monitored for a total of 40 minutes with improvement in symptoms. He was given bottled water with reported improvement. He has a follow up appointment that was pre-scheduled with primary care today. He will follow up with them in the next hour. He was discharged in good condition with his wife.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Fear, Hypoaesthesia, Incomplete course of vaccination, Pruritus
Clinical narrative: Narrative:  Pt experienced numbness, loss of hearing, and itchiness x 2 days after his first Pfizer vaccine on 2/16/21. Pt declined receiving 2nd vaccine on 4/29/21 due to fear of getting this reaction again. The pt did not have any respiratory issues.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Injection site swelling, Pain in extremity
Clinical narrative: Headache, Fever backache, chills, swollen at injection site, sore arm Narrative:
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, Fever backache, chills, swollen at injection site, sore arm Narrative:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Narrative:  67 yo M with C4 ASIA B SCI since 2007 and history of recurrent nephrolithiasis (9 URS since 2015). Patient was admitted to the Spinal Cord Unit from an outside post-acute facility. The MD ordered the 1st dose of Pfizer COVID-19 to be given before the patient went to surgery on 3/24/21 at 1300hr. No reactions noted before or after surgery. On 3/25/21, a fax was received with patients immunizations record from the post-acute facility he was admitted from. The patient already received 2 doses of Moderna (01/05/21 and 01/27/21). MD informed. Provider disclosed to patient that a 3rd vaccine was given. 2nd Pfizer vaccine order canceled. Patient's immunization package updated with 1/6/21 and 1/7/21 outside COVID-19 vaccinations. Staff continue to monitor patient for any changes in condition. No patient harm.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Narrative:  pt hospitalized with COVID infection more than 2 weeks following completed Pfizer COVID vaccination series
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Disorientation, Dizziness, Echocardiogram, Electrocardiogram abnormal
Clinical narrative: Narrative: Patient is a 43 year old male who presented to COVID-19 vaccine clinic for administration of the Johnson&Johnson COVID-19 vaccine. Past medical history significant for bilateral tinnitus and vitamin D deficiency. Patient was not on any prescribed or OTC medications and allergies include pollen and dust. Vaccine history includes Tdap vaccine in 02/05/2018. Patient reported feeling hot and flushed while sitting 3-4 minutes following administration of the J&J vaccine. He then stood up to drink water from the drinking fountain and developed tunnel vision as well as lightheadedness. A rapid response was called when patient passed out. Upon waking, the patient endorsed some confusion and disorientation that resolved quickly . Blood pressure was notable for 67/47 and subsequent readings were 87/57 and 103/68. In the ED, pulse was 56 and EKG showed sinus bradycardia. One liter of normal saline was administered which resolved the bradycardia and hypotension. The patient was admitted for further evaluation for any cardiac etiology. ECG and cardiac enzymes were negative. Cardiac enzymes were trended and remained negative. He was noted to be bradycardic into the 40s, but patient stated this is a known issue for him. Overnight, he remained in normal sinus rhythm with a regular rate. TTE was unremarkable. Patient was then discharged in stable condition.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Hypotension, Loss of consciousness, Myocardial necrosis marker normal
Clinical narrative: Narrative: Patient is a 43 year old male who presented to COVID-19 vaccine clinic for administration of the Johnson&Johnson COVID-19 vaccine. Past medical history significant for bilateral tinnitus and vitamin D deficiency. Patient was not on any prescribed or OTC medications and allergies include pollen and dust. Vaccine history includes Tdap vaccine in 02/05/2018. Patient reported feeling hot and flushed while sitting 3-4 minutes following administration of the J&J vaccine. He then stood up to drink water from the drinking fountain and developed tunnel vision as well as lightheadedness. A rapid response was called when patient passed out. Upon waking, the patient endorsed some confusion and disorientation that resolved quickly . Blood pressure was notable for 67/47 and subsequent readings were 87/57 and 103/68. In the ED, pulse was 56 and EKG showed sinus bradycardia. One liter of normal saline was administered which resolved the bradycardia and hypotension. The patient was admitted for further evaluation for any cardiac etiology. ECG and cardiac enzymes were negative. Cardiac enzymes were trended and remained negative. He was noted to be bradycardic into the 40s, but patient stated this is a known issue for him. Overnight, he remained in normal sinus rhythm with a regular rate. TTE was unremarkable. Patient was then discharged in stable condition.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus bradycardia, Sinus rhythm, Tunnel vision
Clinical narrative: Narrative: Patient is a 43 year old male who presented to COVID-19 vaccine clinic for administration of the Johnson&Johnson COVID-19 vaccine. Past medical history significant for bilateral tinnitus and vitamin D deficiency. Patient was not on any prescribed or OTC medications and allergies include pollen and dust. Vaccine history includes Tdap vaccine in 02/05/2018. Patient reported feeling hot and flushed while sitting 3-4 minutes following administration of the J&J vaccine. He then stood up to drink water from the drinking fountain and developed tunnel vision as well as lightheadedness. A rapid response was called when patient passed out. Upon waking, the patient endorsed some confusion and disorientation that resolved quickly . Blood pressure was notable for 67/47 and subsequent readings were 87/57 and 103/68. In the ED, pulse was 56 and EKG showed sinus bradycardia. One liter of normal saline was administered which resolved the bradycardia and hypotension. The patient was admitted for further evaluation for any cardiac etiology. ECG and cardiac enzymes were negative. Cardiac enzymes were trended and remained negative. He was noted to be bradycardic into the 40s, but patient stated this is a known issue for him. Overnight, he remained in normal sinus rhythm with a regular rate. TTE was unremarkable. Patient was then discharged in stable condition.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Auscultation, Blood potassium increased
Clinical narrative: Narrative:  84 year old male with PMH: HTN, DM2 (last A1C of 7.4% December 2020), and hyperlipidemia presented to same day access at the local agency on 4/9/2021 stating that after he received his second Moderna on 3/24/2021, he has been very sick. Pt said he had no appetite, no energy, and no taste or smell the last 2 weeks. Patient was tested for covid19 but result was negative. Pt denied fever or chills. Per progress notes, patient was pale on appearance, oral mucosa was moist, neck was supple. Lungs were clear to auscultation and respirations were comfortable. Extremities show bilateral edema from the knees down which patient said was chronic for him. CBC and BMP were done, which showed a hemoglobin of 5.3, potassium of 6.7, Scr of 6.5 (baseline respectively, 13.7, 4.1, 0.8, November 2020). Patient was then referred to the local ED where he was admitted. Hospital records have not been scanned.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Decreased appetite, Full blood count abnormal, Haemoglobin decreased, Illness
Clinical narrative: Narrative:  84 year old male with PMH: HTN, DM2 (last A1C of 7.4% December 2020), and hyperlipidemia presented to same day access at the local agency on 4/9/2021 stating that after he received his second Moderna on 3/24/2021, he has been very sick. Pt said he had no appetite, no energy, and no taste or smell the last 2 weeks. Patient was tested for covid19 but result was negative. Pt denied fever or chills. Per progress notes, patient was pale on appearance, oral mucosa was moist, neck was supple. Lungs were clear to auscultation and respirations were comfortable. Extremities show bilateral edema from the knees down which patient said was chronic for him. CBC and BMP were done, which showed a hemoglobin of 5.3, potassium of 6.7, Scr of 6.5 (baseline respectively, 13.7, 4.1, 0.8, November 2020). Patient was then referred to the local ED where he was admitted. Hospital records have not been scanned.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test abnormal, Oedema peripheral, Pallor, SARS-CoV-2 test negative
Clinical narrative: Narrative:  84 year old male with PMH: HTN, DM2 (last A1C of 7.4% December 2020), and hyperlipidemia presented to same day access at the local agency on 4/9/2021 stating that after he received his second Moderna on 3/24/2021, he has been very sick. Pt said he had no appetite, no energy, and no taste or smell the last 2 weeks. Patient was tested for covid19 but result was negative. Pt denied fever or chills. Per progress notes, patient was pale on appearance, oral mucosa was moist, neck was supple. Lungs were clear to auscultation and respirations were comfortable. Extremities show bilateral edema from the knees down which patient said was chronic for him. CBC and BMP were done, which showed a hemoglobin of 5.3, potassium of 6.7, Scr of 6.5 (baseline respectively, 13.7, 4.1, 0.8, November 2020). Patient was then referred to the local ED where he was admitted. Hospital records have not been scanned.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Back injury, Fall, Spinal fracture, Syncope
Clinical narrative: Narrative: Per 4/12/21 primary care note: "Patient explained that she experienced a syncope episode the day after she received the Janssen coronavirus vaccine two weeks ago. pt reports she fell and hit her back causing a "fracture to my lower back". pt said she was evaluated for the injury and has medications for the pain. pt believes the syncope episode was due to the COVID vaccine she received the day before.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood uric acid, Gait disturbance, Joint effusion, Joint swelling
Clinical narrative: Narrative: 77 yo with PMH of fracture of ankle, HTN, HLP, obesity, shoulder pain reported pain in left knee that occurred 13 days after his second dose of Moderna vaccine on 3/24/2021. Pt required cane for ambulation due to pain in left knee. Patient denied injury. X ray was done which showed no fracture, mild osteopenia, and left knee joint effusion (4/12/2021). Exam of the left knee finds swelling with sl. increase in warmth, and tenderness to palpation to the area inferior to the patella. Labs-Uric acid level 7.4, Sed rate 10 and WBC 6.8. Pt was discharged with naproxen 500 mg BID, dx of pain in left knee, follow up prn. Unsure if it event was vaccine related.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Osteopenia, Red blood cell sedimentation rate normal, Skin warm, Tenderness
Clinical narrative: Narrative: 77 yo with PMH of fracture of ankle, HTN, HLP, obesity, shoulder pain reported pain in left knee that occurred 13 days after his second dose of Moderna vaccine on 3/24/2021. Pt required cane for ambulation due to pain in left knee. Patient denied injury. X ray was done which showed no fracture, mild osteopenia, and left knee joint effusion (4/12/2021). Exam of the left knee finds swelling with sl. increase in warmth, and tenderness to palpation to the area inferior to the patella. Labs-Uric acid level 7.4, Sed rate 10 and WBC 6.8. Pt was discharged with naproxen 500 mg BID, dx of pain in left knee, follow up prn. Unsure if it event was vaccine related.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Walking aid user, White blood cell count normal, X-ray limb abnormal
Clinical narrative: Narrative: 77 yo with PMH of fracture of ankle, HTN, HLP, obesity, shoulder pain reported pain in left knee that occurred 13 days after his second dose of Moderna vaccine on 3/24/2021. Pt required cane for ambulation due to pain in left knee. Patient denied injury. X ray was done which showed no fracture, mild osteopenia, and left knee joint effusion (4/12/2021). Exam of the left knee finds swelling with sl. increase in warmth, and tenderness to palpation to the area inferior to the patella. Labs-Uric acid level 7.4, Sed rate 10 and WBC 6.8. Pt was discharged with naproxen 500 mg BID, dx of pain in left knee, follow up prn. Unsure if it event was vaccine related.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: Narrative: Historical reaction, limited information available
Age: 99.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure acute, Dyspnoea, Hyperkalaemia, Pneumonia, Renal failure
Clinical narrative: Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 97 and received first COVID vaccine on 1/19/21 during discharge for a hospital admission due to pneumonia. He was readmitted on 1/24/21 after being unable to get better with increasing shortness of breath. Patient had admission DX: hyperkalemia, pneumonia, acute on chronic HF, and renal failure.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Narrative: He notes having developed 5x episodes of vomiting a/w nausea after the initial vaccination. He did not seek or try any treatment and both resolved with rest/sleeping. He denied other common adverse effects or s/sx of immediate allergic reaction, angioedema, or anaphylaxis.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Malaise, Pain
Clinical narrative: Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 77 and suffering from end stage renal disease on dialysis. Uncontrolled pain was a complaint on note from 1/27/21, and it was noted that patient missed at least one dialysis appointment due to not feeling well. Unconfirmed cause of death but likely due to age/end of life complicated by end stage kidney disease
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Narrative:  49 yo male with PMH Afib, b/l wrist pain and tobacco dependence reported that he vomited 4x the evening that he received the first covid (Moderna) vaccine on 2/8/2021. Per records, patient did not seek medical care. Pt received his second dose on 3/1/2021, which was the day he reported this ADR. Both vaccines were administered without complications and patient did not have side effects during the observation period.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain
Clinical narrative: Narrative: Pt received 2nd dose of COVID-19 vaccine (Moderna) 3/25/21. Reported breast pain on 4/6/21 which she attributed to vaccine. PCP told her to take ibuprofen 800mg BID prn (had previous active order) and order methocarbamol 500mg po qHS prn (did not mention this in their note).
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Feeling cold, Sensory disturbance
Clinical narrative: Patient reported chills and unable to get warm (needed afghan and sleeping bag) for 4 days after 1st dose and 6 days after 2nd dose. He was unsure if he had a fever. He also reports arms felt "like they were going to fall off" and that he had a poor appetite.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:  Patient transported to ER for further patient evaluation.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood lactic acid, Blood pressure decreased, COVID-19, Cardio-respiratory arrest
Clinical narrative: Narrative:  63 yo M w/PMH including but not limited to CKD stage 4, DM2, HLD, HTN who received J&J vaccine on 3/26/21. On 3/29, pt's daughter called the agency stating pt passed out the night of 3/28, pt did not hit his head. Pt was dizzy, low BP (99/66), P 96, and has shakes and chills. Denies facial/lip/tongue swelling/itching, hives, chest pain, SOB, wheeze, cough. Someone called EMS. Per documentation, pt presented to Medical Center ED on 3/29/21. In the ED, temp 99.5 deg F, BP 108/70, P 105, O2 sat 94% RA. Pt diagnosed with pneumonia and discharged with levofloxacin. After discharge, lactic acid resulted with 2.6 and was advised to return to the ED for admission. Pt COVID test positive. Pt was admitted for sepsis secondary to COVID-19. CXR revealed diffuse bilateral patchy opacities and consolidations. On 3/31, code blue was called and CPR was given. Pt was in sinus bradycardia, epinephrine was given, and pt progressed to sinus tach PEA but returned to sinus bradycardia. EKG was done and pt was found to be in AFib. Pt lost pulses again and was sinus bradycardia, CPR was resumed. ROSC was achieved and was tachycardic for 2 minutes, where BP dropped to 81/64 and became pulseless. CPR resumed, however ROSC was not achieved and pt was pronounced dead at 1033.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Dizziness, Electrocardiogram abnormal, Hypotension
Clinical narrative: Narrative:  63 yo M w/PMH including but not limited to CKD stage 4, DM2, HLD, HTN who received J&J vaccine on 3/26/21. On 3/29, pt's daughter called the agency stating pt passed out the night of 3/28, pt did not hit his head. Pt was dizzy, low BP (99/66), P 96, and has shakes and chills. Denies facial/lip/tongue swelling/itching, hives, chest pain, SOB, wheeze, cough. Someone called EMS. Per documentation, pt presented to Medical Center ED on 3/29/21. In the ED, temp 99.5 deg F, BP 108/70, P 105, O2 sat 94% RA. Pt diagnosed with pneumonia and discharged with levofloxacin. After discharge, lactic acid resulted with 2.6 and was advised to return to the ED for admission. Pt COVID test positive. Pt was admitted for sepsis secondary to COVID-19. CXR revealed diffuse bilateral patchy opacities and consolidations. On 3/31, code blue was called and CPR was given. Pt was in sinus bradycardia, epinephrine was given, and pt progressed to sinus tach PEA but returned to sinus bradycardia. EKG was done and pt was found to be in AFib. Pt lost pulses again and was sinus bradycardia, CPR was resumed. ROSC was achieved and was tachycardic for 2 minutes, where BP dropped to 81/64 and became pulseless. CPR resumed, however ROSC was not achieved and pt was pronounced dead at 1033.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Lung consolidation, Lung opacity, Pneumonia, Pulse absent
Clinical narrative: Narrative:  63 yo M w/PMH including but not limited to CKD stage 4, DM2, HLD, HTN who received J&J vaccine on 3/26/21. On 3/29, pt's daughter called the agency stating pt passed out the night of 3/28, pt did not hit his head. Pt was dizzy, low BP (99/66), P 96, and has shakes and chills. Denies facial/lip/tongue swelling/itching, hives, chest pain, SOB, wheeze, cough. Someone called EMS. Per documentation, pt presented to Medical Center ED on 3/29/21. In the ED, temp 99.5 deg F, BP 108/70, P 105, O2 sat 94% RA. Pt diagnosed with pneumonia and discharged with levofloxacin. After discharge, lactic acid resulted with 2.6 and was advised to return to the ED for admission. Pt COVID test positive. Pt was admitted for sepsis secondary to COVID-19. CXR revealed diffuse bilateral patchy opacities and consolidations. On 3/31, code blue was called and CPR was given. Pt was in sinus bradycardia, epinephrine was given, and pt progressed to sinus tach PEA but returned to sinus bradycardia. EKG was done and pt was found to be in AFib. Pt lost pulses again and was sinus bradycardia, CPR was resumed. ROSC was achieved and was tachycardic for 2 minutes, where BP dropped to 81/64 and became pulseless. CPR resumed, however ROSC was not achieved and pt was pronounced dead at 1033.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pulseless electrical activity, Resuscitation, SARS-CoV-2 test positive, Sepsis, Sinus bradycardia
Clinical narrative: Narrative:  63 yo M w/PMH including but not limited to CKD stage 4, DM2, HLD, HTN who received J&J vaccine on 3/26/21. On 3/29, pt's daughter called the agency stating pt passed out the night of 3/28, pt did not hit his head. Pt was dizzy, low BP (99/66), P 96, and has shakes and chills. Denies facial/lip/tongue swelling/itching, hives, chest pain, SOB, wheeze, cough. Someone called EMS. Per documentation, pt presented to Medical Center ED on 3/29/21. In the ED, temp 99.5 deg F, BP 108/70, P 105, O2 sat 94% RA. Pt diagnosed with pneumonia and discharged with levofloxacin. After discharge, lactic acid resulted with 2.6 and was advised to return to the ED for admission. Pt COVID test positive. Pt was admitted for sepsis secondary to COVID-19. CXR revealed diffuse bilateral patchy opacities and consolidations. On 3/31, code blue was called and CPR was given. Pt was in sinus bradycardia, epinephrine was given, and pt progressed to sinus tach PEA but returned to sinus bradycardia. EKG was done and pt was found to be in AFib. Pt lost pulses again and was sinus bradycardia, CPR was resumed. ROSC was achieved and was tachycardic for 2 minutes, where BP dropped to 81/64 and became pulseless. CPR resumed, however ROSC was not achieved and pt was pronounced dead at 1033.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus tachycardia, Tachycardia, Tremor
Clinical narrative: Narrative:  63 yo M w/PMH including but not limited to CKD stage 4, DM2, HLD, HTN who received J&J vaccine on 3/26/21. On 3/29, pt's daughter called the agency stating pt passed out the night of 3/28, pt did not hit his head. Pt was dizzy, low BP (99/66), P 96, and has shakes and chills. Denies facial/lip/tongue swelling/itching, hives, chest pain, SOB, wheeze, cough. Someone called EMS. Per documentation, pt presented to Medical Center ED on 3/29/21. In the ED, temp 99.5 deg F, BP 108/70, P 105, O2 sat 94% RA. Pt diagnosed with pneumonia and discharged with levofloxacin. After discharge, lactic acid resulted with 2.6 and was advised to return to the ED for admission. Pt COVID test positive. Pt was admitted for sepsis secondary to COVID-19. CXR revealed diffuse bilateral patchy opacities and consolidations. On 3/31, code blue was called and CPR was given. Pt was in sinus bradycardia, epinephrine was given, and pt progressed to sinus tach PEA but returned to sinus bradycardia. EKG was done and pt was found to be in AFib. Pt lost pulses again and was sinus bradycardia, CPR was resumed. ROSC was achieved and was tachycardic for 2 minutes, where BP dropped to 81/64 and became pulseless. CPR resumed, however ROSC was not achieved and pt was pronounced dead at 1033.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety
Clinical narrative: Narrative:  Patient had previously had an anaphylactic type reaction to an influenza vaccine. (swelling of tongue) From the chart: Advised Patient approx 2 weeks prior to todays' date to to consult his Primary for approval to take Moderna Vaccine. Patient states today that his primary gave him permission to take vaccine-patient has presented to the clinic with benedryl as well as albuterol inhaler. Patient had anxiety in taking the vaccine and had been down to see me several times prior to the administration of the vaccine. I advised him that he didn't have to take the vaccine. He would just have to submit to weekly Covid tests. Patient stated that he would go ahead and take the vaccine. I advised Patient that since he had a reaction to the flu vaccine, that he would have to stay with me for 30 minutes per CDC guidelines, in case he has a reaction. Within 5 minutes of administering the Moderna vaccine, the patient pulled out his inhaler and took 2 puffs, I asked him how he was feeling. He stated that he was ok, just give him a minute. I asked if he was having trouble breathing-he stated no, I'll be ok, just give me a minute. He stated that he needed to go to work and get some keys. I called his boss and let him know that Patient will be at the Covid clinic so that I can monitor him. Patient then took a Benadryl and another 2 puffs of his inhaler. I advised patient that I need to call a rapid and he stated, no, I'll be ok, just give me a minute. He states that he doesn't like any of the Dr's here. Rapid Response was called, I updated the Rapid Response team and told him that Pt said that his primary cleared him to the the Vaccine- Pt then states that it was his friend and not his primary that said that he would be ok to take the vaccine. The Patient's boss showed up and convinced him to go and get checked out by the ER, before he could come back to work. Patient then went to the ER. Attending attestation: Patient seen and evaluated in conjunction with the resident. Patient states he has had this reaction before in the past when he has had vaccines. This is nothing new to him. He states he would like a shot of medicine to make him feel better. He took po Benadryl prior to arrival. He was given an injection of steroid here. Reports he already feels better. He declines any further evaluation/work-up. He states he feels ready to go back to work. Again, he declined any further observation. He is to return immediately if any new concerns or symptoms develop whatsoever. He is understanding and agreeable. He was given prednisone burst rx.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Platelet count normal, Ultrasound Doppler abnormal
Clinical narrative: Narrative:  Patient was diagnosed with a substantial deep vein thrombosis from hip to ankle in Left leg.  Diagnosed by ultrasound. Patient denied any long car trips, plane trips, injury or surgeries, or hospitalizations. Patient does smoke. He was  advised to stop and he states that he will. Patient denies any family history of  blood clots. His platelet count was normal.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Injection site pain, Pruritus
Clinical narrative: Narrative:  Pt reports day one of his vaccine he had joint pain, soreness at the injection, day 2-5 rash, itching, chills, headache day 5-8, then continued with rash and itching through current time. Is also using a prescription cream from Dermatologist to assist with symptoms
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Narrative:  Pt reports day one of his vaccine he had joint pain, soreness at the injection, day 2-5 rash, itching, chills, headache day 5-8, then continued with rash and itching through current time. Is also using a prescription cream from Dermatologist to assist with symptoms
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site discolouration, Injection site erythema, Injection site inflammation, Injection site pruritus
Clinical narrative: Narrative: Patient contacted telephone triage nurse today requesting appt with provider for c/o, "I think I'm having a slight reaction to the Moderna vaccine." Patient states he received 2nd dose of vaccine on 4/5/21, "developed a rash at the injection site." States area is red, inflamed, "and slightly itchy." States concern because redness is worsening, "Getting worse, not better - spreading down the arm now." No fever/chills or vomiting. States that rash is at injection site, traveling down arm, yellow in areas "kind of like a bruise" admits to scratching at area, denies pain. Took Benedryl. Advised that this is a common side effect of the COVID vaccine. apply ice to area as needed, take Anti-histamine for itchm can apply Anti-itch cream to rash as needed, Tylenol or NSAIDS for pain if needed, denies any pain. Denies Drainage, blisters, fever, SOB or streaking. Patient advised to continue to monitor, Recommend home treatments.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Narrative: Patient contacted telephone triage nurse today requesting appt with provider for c/o, "I think I'm having a slight reaction to the Moderna vaccine." Patient states he received 2nd dose of vaccine on 4/5/21, "developed a rash at the injection site." States area is red, inflamed, "and slightly itchy." States concern because redness is worsening, "Getting worse, not better - spreading down the arm now." No fever/chills or vomiting. States that rash is at injection site, traveling down arm, yellow in areas "kind of like a bruise" admits to scratching at area, denies pain. Took Benedryl. Advised that this is a common side effect of the COVID vaccine. apply ice to area as needed, take Anti-histamine for itchm can apply Anti-itch cream to rash as needed, Tylenol or NSAIDS for pain if needed, denies any pain. Denies Drainage, blisters, fever, SOB or streaking. Patient advised to continue to monitor, Recommend home treatments.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site reaction, Nausea
Clinical narrative: Narrative: =============================== Patient is experiencing the following at the injection site: Patient is experiencing chills. Patient is experiencing fever greater than 100.4 degrees F (>38 C). Patient is experiencing fatigue or tiredness. Patient is experiencing a headache. Patient is experiencing nausea
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Narrative: =============================== Patient is experiencing the following at the injection site: Patient is experiencing chills. Patient is experiencing fever greater than 100.4 degrees F (>38 C). Patient is experiencing fatigue or tiredness. Patient is experiencing a headache. Patient is experiencing nausea
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dysphagia, Throat tightness
Clinical narrative: Narrative:  39 yo female with PMH GERD, depression, anxiety, migraine and PTSD was observed to have an anaphylactic reaction after her second dose of COVID19 Pfizer vaccine on 4/13/2021. Patient was sent to the ED 30 minutes after receiving the second dose of the vaccine. Pt denied SOB but had throat tightness and difficulty swallowing. Pt denied SOB, lip swelling or tongue swelling. Pt had a similar reaction with the first COVID-1 vaccine on 2/22/2021 and was treated with epinephrine. According to COVID-19 vaccine notes, patient was treated with epi 0.3mg, decadron 10 mg IV, Benadryl 50mg IV, famotidine 20mg PO with resolution of all symptoms prior to leaving ED. Patient was instructed not to receive COVID19-vaccine in the future. Per progress notes, patient was seen in same day asking whether or not she should have received the second dose of COVID19. Provider stated that patient left before he could make the recommendation that she shouldn't get it again.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bladder cancer, Death, Dyspnoea, Malaise
Clinical narrative: Narrative:  92 y/o male with past medical history of CAD, Afib, CHF, COPD, CKD, hypothyroidism, and T2DM. Patient recently diagnosed with bladder cancer associated with significant weight loss of ~23lb over 1 year. Per palliative care consult, prognosis was poor, and patient met hospice criteria. Patient denied hospice care and was not a candidate for surgery, chemo, or radiation therapy due to his other comorbidities. Patient received the Moderna COVID-19 vaccine at agency MC on 2/4/21. Per patient's wife, the patient experienced progressive shortness of breath, weakness, and swelling of extremities days after receiving the vaccination. On 2/10/21, the patient was weak, did not feel well, and his wife was directed to call the ambulance by a nurse. She reports that the patient passed away before the ambulance arrived.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Weight decreased
Clinical narrative: Narrative:  92 y/o male with past medical history of CAD, Afib, CHF, COPD, CKD, hypothyroidism, and T2DM. Patient recently diagnosed with bladder cancer associated with significant weight loss of ~23lb over 1 year. Per palliative care consult, prognosis was poor, and patient met hospice criteria. Patient denied hospice care and was not a candidate for surgery, chemo, or radiation therapy due to his other comorbidities. Patient received the Moderna COVID-19 vaccine at agency MC on 2/4/21. Per patient's wife, the patient experienced progressive shortness of breath, weakness, and swelling of extremities days after receiving the vaccination. On 2/10/21, the patient was weak, did not feel well, and his wife was directed to call the ambulance by a nurse. She reports that the patient passed away before the ambulance arrived.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram abnormal, Deep vein thrombosis, Diarrhoea, Lymphoma
Clinical narrative: Narrative:  RLE extensive DVT - no lymphoma progression on CT scan, prior disease site shows further improvement. Pt received 2 nd COVID vaccine on 2/10 -> diarrhea started right after the vaccine. ?DVT related to vaccine toxicity? Will ask Pt to report his symptoms. - Start Lovenox 80 mg BID Patient reports diarrhea since starting his covid vaccinations.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:
Age: 61.0
Sex: M
Vaccine: FLUA4
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Neck pain, Pyrexia
Clinical narrative: Headache, Fever, chills, Pain in neck and lower back
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Pain in extremity, Throat irritation, Wheezing
Clinical narrative: CoughWheeze sore arm, fatigue, scratchy throat Narrative:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Pain in extremity
Clinical narrative: Headache right shoulder pain, sore arm Narrative:
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass, Chills, Headache, Pain in extremity
Clinical narrative: Headache BA, chills, lump underneath armpit, sore arm Narrative:
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain in extremity, Pyrexia, Tachycardia
Clinical narrative: Fever, Tachycardia, severe chills, sore arm Narrative:
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Injection site rash, Nausea, Pyrexia
Clinical narrative: Headache, Fever, NauseaVomiting injection site soreness and rash Narrative:
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache, Fever, NauseaVomiting injection site soreness and rash Narrative:
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: Headache sore arm, fatigue Narrative:
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Timing ERROR only, 2nd dose given 61 days after 1st
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Myalgia, Nausea, Vomiting
Clinical narrative: Myalgia, Arthralgia, Diarrhea & NauseaVomiting Narrative:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation
Clinical narrative: Unable to breathe properly. Was transported to healthcare facility. Intubation for up to 10 days by healthcare professional.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Blood test, Burning sensation, Cardiac flutter
Clinical narrative: A few minutes after taking the 2nd dose, I experienced numbness and tingling. I could not feel my tongue. My heart started racing. My blood pressure was high and my heart was fluttering. I stayed at the site for 15 - 20 minutes where I was eventually transferred to the paramedics. When I returned home, I had body aches, muscle & joint soreness. I went to the ER. I  was later diagnosed with Shingles. It was very painful and I dealt with a lot of burning and itching. I am still dealing with health issues. I was denied treatment by my doctor, especially the PA, who ignored my health problems and concerns. They blamed it on my spinal injury. I had to go to another city to get diagnosed for Shingles.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Hypoaesthesia, Hypoaesthesia oral, Myalgia, Pain
Clinical narrative: A few minutes after taking the 2nd dose, I experienced numbness and tingling. I could not feel my tongue. My heart started racing. My blood pressure was high and my heart was fluttering. I stayed at the site for 15 - 20 minutes where I was eventually transferred to the paramedics. When I returned home, I had body aches, muscle & joint soreness. I went to the ER. I  was later diagnosed with Shingles. It was very painful and I dealt with a lot of burning and itching. I am still dealing with health issues. I was denied treatment by my doctor, especially the PA, who ignored my health problems and concerns. They blamed it on my spinal injury. I had to go to another city to get diagnosed for Shingles.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia, Pruritus
Clinical narrative: A few minutes after taking the 2nd dose, I experienced numbness and tingling. I could not feel my tongue. My heart started racing. My blood pressure was high and my heart was fluttering. I stayed at the site for 15 - 20 minutes where I was eventually transferred to the paramedics. When I returned home, I had body aches, muscle & joint soreness. I went to the ER. I  was later diagnosed with Shingles. It was very painful and I dealt with a lot of burning and itching. I am still dealing with health issues. I was denied treatment by my doctor, especially the PA, who ignored my health problems and concerns. They blamed it on my spinal injury. I had to go to another city to get diagnosed for Shingles.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Antinuclear antibody negative, Arthralgia, Arthritis
Clinical narrative: Within 15 minutes of receiving the shot in my left arm, my left wrist and hand joints began to ache. This soon spread to both arms (shoulders, elbows, wrists, hands aching terribly). Then within an hour of the injection, the inflammation had spread to every joint in my body including my neck, back, hips, knees, ankles, feet?every joint throbbing and aching with pain.  Some of the joints even became noticeably swollen, especially in my hands, knees and ankles. I am still dealing with this inflammation. In the days following, I noticed new gut issues arising. I became severely bloated after nearly every meal. I had stomach and intestinal pain, and hard stools. I am still dealing with these digestive issues. Within weeks of injection, I began to have additional pain on and off in my arms a few inches above the wrists and in my legs a few inches above the ankles, presumably triggered by the inflammation in those joints. Also within weeks of injection, I began having episodes of numbness in my hands and arms. Often when the numbness happens, it affects half of my hand at a time and down that wrist (sometimes it is my ring and pinkie fingers and that side of the hand that go numb; sometimes my thumb, index, and middle fingers go numb along with their side of the hand). I am continually dealing with this numbness on and off, particularly at night.   The first doctor I met with put me on a high dose of ibuprofen for 10 days but it did not resolve my symptoms. He ran several blood tests to try to pinpoint any underlying autoimmune issues. All my results came back negative, all my numbers were in a healthy normal range. Yet my body is clearly inflamed with no sign of letting up. He told me to simply stay on ibuprofen, which I knew was not a feasible healthy long-term solution. I switched to another doctor who has recommended multiple supplement and enzyme regimens, NAC (N-acetylcysteine), Bromelain, and most recently a prescription of ivermectin. So far nothing has neutralized whatever the vaccine put inside me that has set my immune system off, disturbed my gut, and affected my nervous system. I have experimented with various anti inflammatory diets that have reduced the inflammation in my joints to the point that I can at least perform normal daily functions. But my quality of life and emotional state have severely been diminished by the chronic pain I deal with constantly.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Differential white blood cell count normal, Emotional distress, Faeces hard, Full blood count normal
Clinical narrative: Within 15 minutes of receiving the shot in my left arm, my left wrist and hand joints began to ache. This soon spread to both arms (shoulders, elbows, wrists, hands aching terribly). Then within an hour of the injection, the inflammation had spread to every joint in my body including my neck, back, hips, knees, ankles, feet?every joint throbbing and aching with pain.  Some of the joints even became noticeably swollen, especially in my hands, knees and ankles. I am still dealing with this inflammation. In the days following, I noticed new gut issues arising. I became severely bloated after nearly every meal. I had stomach and intestinal pain, and hard stools. I am still dealing with these digestive issues. Within weeks of injection, I began to have additional pain on and off in my arms a few inches above the wrists and in my legs a few inches above the ankles, presumably triggered by the inflammation in those joints. Also within weeks of injection, I began having episodes of numbness in my hands and arms. Often when the numbness happens, it affects half of my hand at a time and down that wrist (sometimes it is my ring and pinkie fingers and that side of the hand that go numb; sometimes my thumb, index, and middle fingers go numb along with their side of the hand). I am continually dealing with this numbness on and off, particularly at night.   The first doctor I met with put me on a high dose of ibuprofen for 10 days but it did not resolve my symptoms. He ran several blood tests to try to pinpoint any underlying autoimmune issues. All my results came back negative, all my numbers were in a healthy normal range. Yet my body is clearly inflamed with no sign of letting up. He told me to simply stay on ibuprofen, which I knew was not a feasible healthy long-term solution. I switched to another doctor who has recommended multiple supplement and enzyme regimens, NAC (N-acetylcysteine), Bromelain, and most recently a prescription of ivermectin. So far nothing has neutralized whatever the vaccine put inside me that has set my immune system off, disturbed my gut, and affected my nervous system. I have experimented with various anti inflammatory diets that have reduced the inflammation in my joints to the point that I can at least perform normal daily functions. But my quality of life and emotional state have severely been diminished by the chronic pain I deal with constantly.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal pain, Hypoaesthesia, Immunology test, Inflammatory marker test, Joint swelling
Clinical narrative: Within 15 minutes of receiving the shot in my left arm, my left wrist and hand joints began to ache. This soon spread to both arms (shoulders, elbows, wrists, hands aching terribly). Then within an hour of the injection, the inflammation had spread to every joint in my body including my neck, back, hips, knees, ankles, feet?every joint throbbing and aching with pain.  Some of the joints even became noticeably swollen, especially in my hands, knees and ankles. I am still dealing with this inflammation. In the days following, I noticed new gut issues arising. I became severely bloated after nearly every meal. I had stomach and intestinal pain, and hard stools. I am still dealing with these digestive issues. Within weeks of injection, I began to have additional pain on and off in my arms a few inches above the wrists and in my legs a few inches above the ankles, presumably triggered by the inflammation in those joints. Also within weeks of injection, I began having episodes of numbness in my hands and arms. Often when the numbness happens, it affects half of my hand at a time and down that wrist (sometimes it is my ring and pinkie fingers and that side of the hand that go numb; sometimes my thumb, index, and middle fingers go numb along with their side of the hand). I am continually dealing with this numbness on and off, particularly at night.   The first doctor I met with put me on a high dose of ibuprofen for 10 days but it did not resolve my symptoms. He ran several blood tests to try to pinpoint any underlying autoimmune issues. All my results came back negative, all my numbers were in a healthy normal range. Yet my body is clearly inflamed with no sign of letting up. He told me to simply stay on ibuprofen, which I knew was not a feasible healthy long-term solution. I switched to another doctor who has recommended multiple supplement and enzyme regimens, NAC (N-acetylcysteine), Bromelain, and most recently a prescription of ivermectin. So far nothing has neutralized whatever the vaccine put inside me that has set my immune system off, disturbed my gut, and affected my nervous system. I have experimented with various anti inflammatory diets that have reduced the inflammation in my joints to the point that I can at least perform normal daily functions. But my quality of life and emotional state have severely been diminished by the chronic pain I deal with constantly.