chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Inappropriate schedule of product administration, Metabolic function test, Procalcitonin, Pulmonary embolism
Clinical narrative: Patient presented to ED 1/10/22 with a chief complaint of shortness of breath secondary to COVID-19. Patient had mild shortness of breath for approximately 10 days. Patient states shortness of breath worsen 5 days ago. Patient used at home oxygen at 3L. Patient had not had to use home oxygen since weight loss.  Patient?s pulmonologist referred patient to ED for further evaluation. CT was done in ED. Patient was positive for PE. Supplemental O2 and anticoagulation therapy initiated. Patient is positive for COVID-19.  Patient received Moderna 1st dose 1/26/2021 and Moderna 2nd dose 2/25/2021 and received Pfizer booster 11/8/2021.  Submitter does not have access to further medical records. If more details are needed, please contact the admitting hospital.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Scan with contrast, Serum ferritin, Weight decreased
Clinical narrative: Patient presented to ED 1/10/22 with a chief complaint of shortness of breath secondary to COVID-19. Patient had mild shortness of breath for approximately 10 days. Patient states shortness of breath worsen 5 days ago. Patient used at home oxygen at 3L. Patient had not had to use home oxygen since weight loss.  Patient?s pulmonologist referred patient to ED for further evaluation. CT was done in ED. Patient was positive for PE. Supplemental O2 and anticoagulation therapy initiated. Patient is positive for COVID-19.  Patient received Moderna 1st dose 1/26/2021 and Moderna 2nd dose 2/25/2021 and received Pfizer booster 11/8/2021.  Submitter does not have access to further medical records. If more details are needed, please contact the admitting hospital.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Pallor, Paraesthesia
Clinical narrative: Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: tingling, dizzy, lightheaded, pale, anxiety, called 911, left with paramedics -Mild
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Aortic embolus, COVID-19, COVID-19 pneumonia, Death
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Received Moderna Vaccine on 2/10/21, 3/09/21 and 9/18/21. COVID + via at home 1/28/22, presented to OSF ED c/o SOB, dx'ed w/PNA, sent home w/doxycycline. Presented to BSW ED 2/7/22 hypoxic, admitted for acute hypoxic resp failure 2/2 Covid PNA . Emergently intubated 2/20. Multiple emboli throughout aorta, L upper and L lower extremity arterial vasculature, L external iliac artery embolism with extension into the femoral artery, nonopacification of the distal brachial, ulnar, and radial arteries on 2/21. Tx'd w/dexamethasone, levaquin, remdesivir, tocizilumab, vancomycin, and cefepime. 2/26/22 experienced refractory hypoxemia, code status changed to DNR-AND/comfort care. Expired on 2/26/22.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Femoral artery embolism, Iliac artery embolism, Inappropriate schedule of product administration
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Received Moderna Vaccine on 2/10/21, 3/09/21 and 9/18/21. COVID + via at home 1/28/22, presented to OSF ED c/o SOB, dx'ed w/PNA, sent home w/doxycycline. Presented to BSW ED 2/7/22 hypoxic, admitted for acute hypoxic resp failure 2/2 Covid PNA . Emergently intubated 2/20. Multiple emboli throughout aorta, L upper and L lower extremity arterial vasculature, L external iliac artery embolism with extension into the femoral artery, nonopacification of the distal brachial, ulnar, and radial arteries on 2/21. Tx'd w/dexamethasone, levaquin, remdesivir, tocizilumab, vancomycin, and cefepime. 2/26/22 experienced refractory hypoxemia, code status changed to DNR-AND/comfort care. Expired on 2/26/22.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Peripheral embolism, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Received Moderna Vaccine on 2/10/21, 3/09/21 and 9/18/21. COVID + via at home 1/28/22, presented to OSF ED c/o SOB, dx'ed w/PNA, sent home w/doxycycline. Presented to BSW ED 2/7/22 hypoxic, admitted for acute hypoxic resp failure 2/2 Covid PNA . Emergently intubated 2/20. Multiple emboli throughout aorta, L upper and L lower extremity arterial vasculature, L external iliac artery embolism with extension into the femoral artery, nonopacification of the distal brachial, ulnar, and radial arteries on 2/21. Tx'd w/dexamethasone, levaquin, remdesivir, tocizilumab, vancomycin, and cefepime. 2/26/22 experienced refractory hypoxemia, code status changed to DNR-AND/comfort care. Expired on 2/26/22.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Not known
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Thrombosis
Clinical narrative: Systemic: pain in leg. Was diagnosed with a blood clot, but pain in leg was present prior to vaccine-Moderate
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death, Emotional distress
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 2/03/21 and 2/24/21. Admitted 2/6/22 Covid+ for acute on chronic hypoxic respiratory failure 2/2 COVID PNA. Code status DNR on admission. Advanced pulmonary fibrosis on 9L O2 at baseline. O2 requirements continued to increase needing Airvo. Became less responsive, hypotensive, febrile and showed signs of distress. TX'd w/remdesivir, baricitinib, solumedrol, nystatin, bactrim, and Zosyn. Transitioned to comfort care and expired 2/26/2022.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Hyporesponsive to stimuli, Hypotension, Inappropriate schedule of product administration, Pyrexia, Respiratory failure
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 2/03/21 and 2/24/21. Admitted 2/6/22 Covid+ for acute on chronic hypoxic respiratory failure 2/2 COVID PNA. Code status DNR on admission. Advanced pulmonary fibrosis on 9L O2 at baseline. O2 requirements continued to increase needing Airvo. Became less responsive, hypotensive, febrile and showed signs of distress. TX'd w/remdesivir, baricitinib, solumedrol, nystatin, bactrim, and Zosyn. Transitioned to comfort care and expired 2/26/2022.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 2/03/21 and 2/24/21. Admitted 2/6/22 Covid+ for acute on chronic hypoxic respiratory failure 2/2 COVID PNA. Code status DNR on admission. Advanced pulmonary fibrosis on 9L O2 at baseline. O2 requirements continued to increase needing Airvo. Became less responsive, hypotensive, febrile and showed signs of distress. TX'd w/remdesivir, baricitinib, solumedrol, nystatin, bactrim, and Zosyn. Transitioned to comfort care and expired 2/26/2022.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Bladder catheterisation, COVID-19, COVID-19 pneumonia, Death
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 2/27/21, 3/27/21, 10/30/21. Presented to ED 1/30/22 c/o SOB, sent home with augmentin & doxycycline, Covid+. Contiuned to decline at home, admitted 2/2/22 to ICU for hypoxic respiratory failure with ARDS due to COVID PNA. Urology placed foley 2/5/22 2/2 penile urethral stricture required dilation over guidewire for placement. Overall mentation continued to decline w/increasing O2 requirements. Tx'd with dexamethasone, remdesivir, cefepime, vancomycin. Transitioned to comfort care/DNAR and expired 2/21/2022.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, General physical health deterioration, Intensive care, Nucleic acid test, Respiratory failure
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 2/27/21, 3/27/21, 10/30/21. Presented to ED 1/30/22 c/o SOB, sent home with augmentin & doxycycline, Covid+. Contiuned to decline at home, admitted 2/2/22 to ICU for hypoxic respiratory failure with ARDS due to COVID PNA. Urology placed foley 2/5/22 2/2 penile urethral stricture required dilation over guidewire for placement. Overall mentation continued to decline w/increasing O2 requirements. Tx'd with dexamethasone, remdesivir, cefepime, vancomycin. Transitioned to comfort care/DNAR and expired 2/21/2022.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Urethral stenosis
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 2/27/21, 3/27/21, 10/30/21. Presented to ED 1/30/22 c/o SOB, sent home with augmentin & doxycycline, Covid+. Contiuned to decline at home, admitted 2/2/22 to ICU for hypoxic respiratory failure with ARDS due to COVID PNA. Urology placed foley 2/5/22 2/2 penile urethral stricture required dilation over guidewire for placement. Overall mentation continued to decline w/increasing O2 requirements. Tx'd with dexamethasone, remdesivir, cefepime, vancomycin. Transitioned to comfort care/DNAR and expired 2/21/2022.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Basal ganglia stroke, COVID-19, Computerised tomogram head abnormal, Death, Depressed level of consciousness
Clinical narrative: Moderna and Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Received Moderna Vaccine on 2/22/21 and Pfizer Vaccine on 3/15/21 and 10/22/21. Presented to ED on 2/11/22 Covid+, d/c'd 2/12/22. Reported sats of 88-94% Presented to ED 2/16/22 w/increasing SOB and AMS. Placed on BiPAP. 2/23/22 not arousable. Pt began to desaturate and unresponsive. CT head with Acute left basal ganglia stroke. Transitioned to comfort care only, expired on 2/23/22. Treated with medrol dosepack, decadron, zosyn, and ceftriaxone.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Inappropriate schedule of product administration, Mental status changes, Oxygen saturation decreased, Positive airway pressure therapy
Clinical narrative: Moderna and Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Received Moderna Vaccine on 2/22/21 and Pfizer Vaccine on 3/15/21 and 10/22/21. Presented to ED on 2/11/22 Covid+, d/c'd 2/12/22. Reported sats of 88-94% Presented to ED 2/16/22 w/increasing SOB and AMS. Placed on BiPAP. 2/23/22 not arousable. Pt began to desaturate and unresponsive. CT head with Acute left basal ganglia stroke. Transitioned to comfort care only, expired on 2/23/22. Treated with medrol dosepack, decadron, zosyn, and ceftriaxone.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Moderna and Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Received Moderna Vaccine on 2/22/21 and Pfizer Vaccine on 3/15/21 and 10/22/21. Presented to ED on 2/11/22 Covid+, d/c'd 2/12/22. Reported sats of 88-94% Presented to ED 2/16/22 w/increasing SOB and AMS. Placed on BiPAP. 2/23/22 not arousable. Pt began to desaturate and unresponsive. CT head with Acute left basal ganglia stroke. Transitioned to comfort care only, expired on 2/23/22. Treated with medrol dosepack, decadron, zosyn, and ceftriaxone.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: This individual was less than 18 years of age at the time of vaccination.  His age on the application form list as 18 hoverer, the Date of Birth is listed as August 12, 2004.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pyrexia
Clinical narrative: 2 days of sore throat and stuffy nose with a slight fever.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Moderna COVID Vaccine: COVID-19 case resulting in Hospitalization / Death. Received Moderna Vaccine on 2/23/21 and 3/23/21. Presented to ED 2/9/22 c/o increasing SOB. Temp 99.5°, HR 84, RR 30, saturating 69% initially w/non-rebreather up to mid 90s on 60 L/70% high-flow nasal cannula. Admitted for acute hypoxic respiratory failure due to COVID-19. CTA PTE protocol without evidence of PTE but consistent with multifocal Covid PNA. Given 2 units of platelets for low plt count. Repeat x-ray 02/19 showed worsening PNA. Clinical condition progressively worsened, transitioned to comfort care only, expired 2/21/22. Tx'd with vancomycin, cefepime, cefdinir,  remdesivir, dexamethasone.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Laboratory test, Platelet count decreased, Platelet transfusion
Clinical narrative: Moderna COVID Vaccine: COVID-19 case resulting in Hospitalization / Death. Received Moderna Vaccine on 2/23/21 and 3/23/21. Presented to ED 2/9/22 c/o increasing SOB. Temp 99.5°, HR 84, RR 30, saturating 69% initially w/non-rebreather up to mid 90s on 60 L/70% high-flow nasal cannula. Admitted for acute hypoxic respiratory failure due to COVID-19. CTA PTE protocol without evidence of PTE but consistent with multifocal Covid PNA. Given 2 units of platelets for low plt count. Repeat x-ray 02/19 showed worsening PNA. Clinical condition progressively worsened, transitioned to comfort care only, expired 2/21/22. Tx'd with vancomycin, cefepime, cefdinir,  remdesivir, dexamethasone.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Not known.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fall, Headache, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Moderate, Additional Details: 911 first responders came to help her, she did not go the the hospital, she was released after the first responders made sure her vitals were stabilized. she has pain on her back and head from falling from the chair.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, COVID-19, Cardiac arrest, Cardioversion, Death
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 4/20/21 and 5/11/21. Presented to ED 2/21/22 in cardiac arrest and Covid+. Started to have congestion earlier in the day. Pt had 2 incidences of falling throughout evening but had no loss of consciousness. Wife was sleeping and felt pt move head to her shoulder. Wife stated he was breathing but shortly thereafter stopped breathing and she completed two rounds of CPR before EMS arrived. In the ED pt was found to be in PEA. CPR was continued and after 3 rounds pt achieved ROSC. Elevated creatinine, LFTs, multilobar PNA noted. Pt kept on having multiple episodes of arrest to ICU and was having v fib/ vtach  and the AICD shocked him a few times. Support was withdrawn and pt expired on 2/25/22. Treated with doxycycline, zosyn. cefepime, remdesivir, dexamethasone.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fall, Intensive care, Liver function test increased, Nucleic acid test, Pneumonia
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 4/20/21 and 5/11/21. Presented to ED 2/21/22 in cardiac arrest and Covid+. Started to have congestion earlier in the day. Pt had 2 incidences of falling throughout evening but had no loss of consciousness. Wife was sleeping and felt pt move head to her shoulder. Wife stated he was breathing but shortly thereafter stopped breathing and she completed two rounds of CPR before EMS arrived. In the ED pt was found to be in PEA. CPR was continued and after 3 rounds pt achieved ROSC. Elevated creatinine, LFTs, multilobar PNA noted. Pt kept on having multiple episodes of arrest to ICU and was having v fib/ vtach  and the AICD shocked him a few times. Support was withdrawn and pt expired on 2/25/22. Treated with doxycycline, zosyn. cefepime, remdesivir, dexamethasone.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulseless electrical activity, Respiratory arrest, Respiratory tract congestion, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 4/20/21 and 5/11/21. Presented to ED 2/21/22 in cardiac arrest and Covid+. Started to have congestion earlier in the day. Pt had 2 incidences of falling throughout evening but had no loss of consciousness. Wife was sleeping and felt pt move head to her shoulder. Wife stated he was breathing but shortly thereafter stopped breathing and she completed two rounds of CPR before EMS arrived. In the ED pt was found to be in PEA. CPR was continued and after 3 rounds pt achieved ROSC. Elevated creatinine, LFTs, multilobar PNA noted. Pt kept on having multiple episodes of arrest to ICU and was having v fib/ vtach  and the AICD shocked him a few times. Support was withdrawn and pt expired on 2/25/22. Treated with doxycycline, zosyn. cefepime, remdesivir, dexamethasone.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ventricular fibrillation, Ventricular tachycardia
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 4/20/21 and 5/11/21. Presented to ED 2/21/22 in cardiac arrest and Covid+. Started to have congestion earlier in the day. Pt had 2 incidences of falling throughout evening but had no loss of consciousness. Wife was sleeping and felt pt move head to her shoulder. Wife stated he was breathing but shortly thereafter stopped breathing and she completed two rounds of CPR before EMS arrived. In the ED pt was found to be in PEA. CPR was continued and after 3 rounds pt achieved ROSC. Elevated creatinine, LFTs, multilobar PNA noted. Pt kept on having multiple episodes of arrest to ICU and was having v fib/ vtach  and the AICD shocked him a few times. Support was withdrawn and pt expired on 2/25/22. Treated with doxycycline, zosyn. cefepime, remdesivir, dexamethasone.
Age: 0.42
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Adenovirus test positive, Culture urine negative, Influenza virus test negative, Pallor, Pyrexia
Clinical narrative: Infant patient received an IM dose of Prevnar 13 and  Pentacel on 02/09/2022.  Several hours later he developed a fever of 103.5.  A fever of >102 persisted for 4 days until 02/13/2022.  Notably, he had no viral symptoms of any kind (ie. no cough, runny nose, or congestion) during the entire period of the fever.  He fed well and had ample urinary output.   On the day that the fever resolved he developed a blanching erythematous rash on his torso, limbs and face.  His mother states that his skin is extremely sensitive to foods and she had given him Motrin suspension containing orange dye prior to the onset of the rash.
Age: 0.42
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Infant patient received an IM dose of Prevnar 13 and  Pentacel on 02/09/2022.  Several hours later he developed a fever of 103.5.  A fever of >102 persisted for 4 days until 02/13/2022.  Notably, he had no viral symptoms of any kind (ie. no cough, runny nose, or congestion) during the entire period of the fever.  He fed well and had ample urinary output.   On the day that the fever resolved he developed a blanching erythematous rash on his torso, limbs and face.  His mother states that his skin is extremely sensitive to foods and she had given him Motrin suspension containing orange dye prior to the onset of the rash.
Age: 73.0
Sex: M
Vaccine: DTPPVHBHPB
Symptoms: No adverse event
Clinical narrative: There were no adverse affects
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Critical illness, Death
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 1/27/21 and 2/23/21. Covid + 1/08/22.  Previously admitted w/COVID PNA for 10 days. Tx'd with remdesivir and dexamethasone, d/c'd, then readmitted with repeat respiratory failure due to H.pneumonia/CHF/PE. Remained critically ill and transferred to ICU requiring BiPAP. Mentation also began waxing and waning. Transitioned to comfort care, expired on 2/25/22. Tx'd with cefepime, doxycycline, rocephin, levaquin, remdesivir, and dexamethasone over 3 hospitalizations.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Mental status changes, Pneumonia haemophilus, Positive airway pressure therapy, Respiratory failure
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 1/27/21 and 2/23/21. Covid + 1/08/22.  Previously admitted w/COVID PNA for 10 days. Tx'd with remdesivir and dexamethasone, d/c'd, then readmitted with repeat respiratory failure due to H.pneumonia/CHF/PE. Remained critically ill and transferred to ICU requiring BiPAP. Mentation also began waxing and waning. Transitioned to comfort care, expired on 2/25/22. Tx'd with cefepime, doxycycline, rocephin, levaquin, remdesivir, and dexamethasone over 3 hospitalizations.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 1/27/21 and 2/23/21. Covid + 1/08/22.  Previously admitted w/COVID PNA for 10 days. Tx'd with remdesivir and dexamethasone, d/c'd, then readmitted with repeat respiratory failure due to H.pneumonia/CHF/PE. Remained critically ill and transferred to ICU requiring BiPAP. Mentation also began waxing and waning. Transitioned to comfort care, expired on 2/25/22. Tx'd with cefepime, doxycycline, rocephin, levaquin, remdesivir, and dexamethasone over 3 hospitalizations.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Pemphigoid
Clinical narrative: Flare of Bullous Pemphigoid
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Hypoaesthesia, Pain, Sitting disability, Thermal burn
Clinical narrative: I was in the shower and I felt a lump on my body that I never noticed before. When I looked in the mirror it looked like I had a burn on my backside. When I rubbed it with ointments and stuff it was slightly sore. I couldn't set exactly on my rear so I had to adjust how I sit. It was on my right glute. I went to Urgent Care(09/17/2021) a day later and I felt like I was having numbness in my leg on the opposite site. The doctor said I did not have a blood clot. They gave me a anti viral medication acyclovir and they gave me some sort of non anti inflammatory medication.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Not known
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac disorder, Chest pain, Dyspepsia, Gait disturbance, Insomnia
Clinical narrative: Systemic: see details-Moderate, Additional Details: patient called our pharmacy expressing frustration and anger regarding his prolonged side effects post-covid19 vaccination. patient generally explained that since receiving his vaccination, his skin has been "weird" and went on to describe that he has had "inflammation of the brain, digestive issues, heart issues, lung issues, liver issues, and chest pain." patient explained that his nurses and doctor(s) have asked him if he received covid19 vaccine. difficulty sleeping and walking
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Liver disorder, Lung disorder, Noninfective encephalitis, Skin texture abnormal
Clinical narrative: Systemic: see details-Moderate, Additional Details: patient called our pharmacy expressing frustration and anger regarding his prolonged side effects post-covid19 vaccination. patient generally explained that since receiving his vaccination, his skin has been "weird" and went on to describe that he has had "inflammation of the brain, digestive issues, heart issues, lung issues, liver issues, and chest pain." patient explained that his nurses and doctor(s) have asked him if he received covid19 vaccine. difficulty sleeping and walking
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: No adverse events with first 2 Pfizer shots, nor with the booster.   Tinnitus started a couple months later and has been consistent since that time.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site rash, Injection site warmth, Pruritus
Clinical narrative: I had an itchy arm immediately.  The next day the area around the site was red and hot.  That continued for several days.  The main issue is that my arm still itches everyday.  I have had sores, small rash over the area.  The only thing that seems to help is ice.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Rash
Clinical narrative: Broke out in rash over his back. His knees swale up that he could not bend them.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Pain in extremity, Ultrasound scan normal
Clinical narrative: Systemic: Chest Tightness / Heaviness / Pain-Moderate, Systemic: pain in leg-Moderate, Additional Details: Patient started experiencing side effects the same night she received the shot. Patient has been treated with steroids, gabapentin, statin, co-q10, and Xanax. Chest pain subsided after 3 weeks. Other symptoms still remain. Sonogram of legs came back negative for blood clot.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Vomiting
Clinical narrative: I woke up the next morning with chills, fever, headache, body aches, and vomiting. It was worse and lasted longer but I did not contact my PCP or treatment. The symptoms did subside in about 4-5 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Hypotonia, Tremor, Unresponsive to stimuli
Clinical narrative: Patient received her COVID vaccine booster of Pfizer at 12:12. At 12:25, during the observation, patient began shaking and became unresponsive. She was slouched down in her chair, then lowered to the ground by staff, while staff held her head for safety. The shaking lasted approximately 2 minutes and patient began to become responsive about 3 minutes after the shaking began.  VS: 207/115 HR 122 99% on RA. Patient reported chest pain 5/10 after the vaccine. Patient and her friend reported that she had serum syndrome with joint swelling and N/V after previous doses. Patient was very anxious and upset about getting the vaccine but told the LVN injector that the doctor would not give her a medical clearance for the booster. VS at 12:36 222/128 HR 124 98% on RA. Report given to paramedic for transport to the emergency department.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase normal, Albumin globulin ratio, Angiogram pulmonary abnormal, Anion gap
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antibody test negative, Aspartate aminotransferase increased, Asthenia, Atelectasis, Bacterial test
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Basophil count normal, Basophil percentage, Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase increased
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood bilirubin decreased, Blood calcium decreased, Blood chloride increased, Blood creatinine increased, Blood culture
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Blood lactic acid, Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone increased
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood urea increased, Blood urea nitrogen/creatinine ratio, COVID-19, Carbon dioxide decreased, Chest X-ray abnormal
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Computerised tomogram head normal, Cough, Culture urine, Differential white blood cell count abnormal
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eosinophil count normal, Eosinophil percentage decreased, Fatigue, Feeling abnormal, Fibrin D dimer
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters