chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: Sore arm; Headache; Tiredness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), HEADACHE (Headache) and FATIGUE (Tiredness) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination.     The patient's past medical history included Surgery (Patient had right breast surgery done). Concurrent medical conditions included Polymyalgia rheumatica since 22-Sep-2015, Osteopenia since 29-Nov-2017, Depression since 05-Apr-2021, Hyperlipidemia since 14-Nov-2018, GERD since 14-Nov-2018, Hypertension since 16-Jun-2013, Penicillin allergy, Drug allergy (naproxen), Drug allergy (Pneumovax 23), Drug allergy (zyzal.), Anxiety and Tiredness. Concomitant products included ESCITALOPRAM OXALATE (LEXAPRO) for Anxiety, FEXOFENADINE from 29-Apr-2014 to an unknown date and PANTOPRAZOLE for GERD, LISINOPRIL for Hypertension, CELECOXIB (CELEBREX) for Pain, FISH OIL (OMEGA 3 [FISH OIL]) from 04-May-2009 to an unknown date, VITAMINS NOS (MULTIVITAMINUM) from 09-Jan-2017 to an unknown date, COLECALCIFEROL, OYSTER SHELL (CALCIUM OYSTER SHELL + VITAMIN D3) from 04-May-2009 to an unknown date and MACROGOL 3350 (CLEARLAX [MACROGOL 3350]) from 17-Jun-2013 to an unknown date for an unknown indication.    On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Mar-2021, the patient experienced PAIN IN EXTREMITY (Sore arm), HEADACHE (Headache) and FATIGUE (Tiredness). On 15-Mar-2021, PAIN IN EXTREMITY (Sore arm), HEADACHE (Headache) and FATIGUE (Tiredness) had resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       No treatment information was provided.   This case was linked to US-MODERNATX, INC.-MOD-2021-077964 (E2B Linked Report). This case was linked to US-MODERNATX, INC.-MOD-2021-049882 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 10-May-2021: follow-up received and included contains no new information On 14-May-2021: follow-up received and included patient demographics updated, concomitant drugs updated, medical history updated , event outcome updated. On 13-Jul-2021: Significant follow up received and contains current condition, concomitant medication, onset of the events, updated outcome of the events and causality of the events was updated.; Sender's Comments:  US-MODERNATX, INC.-MOD-2021-077964:
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Dysgeusia. No treatment. Has not resolved since. Applies to specific foods - most notably, mustard.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dizziness, Fatigue, Feeling abnormal, Headache
Clinical narrative: After the second dose, within 24 hours had severe fatigue, headache, unable to function.  This lasted 2 days.  On the longer term, had daily unusual fatigue, dizziness, headaches, and a stiff neck.  Continues now in August.  On July 28, 2021 I tested positive for Covid-19 on the PCR test and was extremely ill with all Covid symptoms for 10 days.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Musculoskeletal stiffness, SARS-CoV-2 test positive
Clinical narrative: After the second dose, within 24 hours had severe fatigue, headache, unable to function.  This lasted 2 days.  On the longer term, had daily unusual fatigue, dizziness, headaches, and a stiff neck.  Continues now in August.  On July 28, 2021 I tested positive for Covid-19 on the PCR test and was extremely ill with all Covid symptoms for 10 days.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Back pain, Blood pressure increased, Chest X-ray, Chest discomfort
Clinical narrative: Vaccine rec'd on 8/10/2021(2nd Pfizer).  Symptoms began the next morning 8/11/2021. Severe arm, shoulder, chest, back and armpit pain.  Sensation of "being on fire" in back and chest.  Hives on face.  Low grade temp (100), severe headache, diarrhea. Inability to move arm where shot was given. Emergency room visit became necessary on 8/12/21 as symptoms were so severe. No relief from Tylenol from start of symptoms. ER discovered acute extremely high blood pressure (207/118), no prior issues. Gave IV fluids, pain meds, ran multiple scans, ultrasounds, chest x-ray.  Pt was discharged the evening of 8/12/21 only because she had a previously scheduled appt with an endocrinologist on 8/13/21 who could do additional testing and follow up exam.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Diarrhoea, Gaze palsy, Injected limb mobility decreased, Laboratory test
Clinical narrative: Vaccine rec'd on 8/10/2021(2nd Pfizer).  Symptoms began the next morning 8/11/2021. Severe arm, shoulder, chest, back and armpit pain.  Sensation of "being on fire" in back and chest.  Hives on face.  Low grade temp (100), severe headache, diarrhea. Inability to move arm where shot was given. Emergency room visit became necessary on 8/12/21 as symptoms were so severe. No relief from Tylenol from start of symptoms. ER discovered acute extremely high blood pressure (207/118), no prior issues. Gave IV fluids, pain meds, ran multiple scans, ultrasounds, chest x-ray.  Pt was discharged the evening of 8/12/21 only because she had a previously scheduled appt with an endocrinologist on 8/13/21 who could do additional testing and follow up exam.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pyrexia, Ultrasound Doppler, Urticaria
Clinical narrative: Vaccine rec'd on 8/10/2021(2nd Pfizer).  Symptoms began the next morning 8/11/2021. Severe arm, shoulder, chest, back and armpit pain.  Sensation of "being on fire" in back and chest.  Hives on face.  Low grade temp (100), severe headache, diarrhea. Inability to move arm where shot was given. Emergency room visit became necessary on 8/12/21 as symptoms were so severe. No relief from Tylenol from start of symptoms. ER discovered acute extremely high blood pressure (207/118), no prior issues. Gave IV fluids, pain meds, ran multiple scans, ultrasounds, chest x-ray.  Pt was discharged the evening of 8/12/21 only because she had a previously scheduled appt with an endocrinologist on 8/13/21 who could do additional testing and follow up exam.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Axillary pain, Back pain, Blood pressure measurement, Body temperature
Clinical narrative: Vaccine rec'd on 8/10/2021(2nd Pfizer).  Symptoms began the next morning 8/11/2021. Severe arm, shoulder, chest, back and armpit pain.  Sensation of "being on fire" in back and chest.  Hives on face.  Low grade temp (100), severe headache, diarrhea. Inability to move arm where shot was given. Emergency room visit became necessary on 8/12/21 as symptoms were so severe. No relief from Tylenol from start of symptoms. ER discovered acute extremely high blood pressure (207/118), no prior issues. Gave IV fluids, pain meds, ran multiple scans, ultrasounds, chest x-ray.  Pt was discharged the evening of 8/12/21 only because she had a previously scheduled appt with an endocrinologist on 8/13/21 who could do additional testing and follow up exam.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Diarrhoea, Feeling hot, Headache, Hypertensive crisis
Clinical narrative: Vaccine rec'd on 8/10/2021(2nd Pfizer).  Symptoms began the next morning 8/11/2021. Severe arm, shoulder, chest, back and armpit pain.  Sensation of "being on fire" in back and chest.  Hives on face.  Low grade temp (100), severe headache, diarrhea. Inability to move arm where shot was given. Emergency room visit became necessary on 8/12/21 as symptoms were so severe. No relief from Tylenol from start of symptoms. ER discovered acute extremely high blood pressure (207/118), no prior issues. Gave IV fluids, pain meds, ran multiple scans, ultrasounds, chest x-ray.  Pt was discharged the evening of 8/12/21 only because she had a previously scheduled appt with an endocrinologist on 8/13/21 who could do additional testing and follow up exam.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Mobility decreased, Pain in extremity, Pyrexia, Scan
Clinical narrative: Vaccine rec'd on 8/10/2021(2nd Pfizer).  Symptoms began the next morning 8/11/2021. Severe arm, shoulder, chest, back and armpit pain.  Sensation of "being on fire" in back and chest.  Hives on face.  Low grade temp (100), severe headache, diarrhea. Inability to move arm where shot was given. Emergency room visit became necessary on 8/12/21 as symptoms were so severe. No relief from Tylenol from start of symptoms. ER discovered acute extremely high blood pressure (207/118), no prior issues. Gave IV fluids, pain meds, ran multiple scans, ultrasounds, chest x-ray.  Pt was discharged the evening of 8/12/21 only because she had a previously scheduled appt with an endocrinologist on 8/13/21 who could do additional testing and follow up exam.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Vaccine rec'd on 8/10/2021(2nd Pfizer).  Symptoms began the next morning 8/11/2021. Severe arm, shoulder, chest, back and armpit pain.  Sensation of "being on fire" in back and chest.  Hives on face.  Low grade temp (100), severe headache, diarrhea. Inability to move arm where shot was given. Emergency room visit became necessary on 8/12/21 as symptoms were so severe. No relief from Tylenol from start of symptoms. ER discovered acute extremely high blood pressure (207/118), no prior issues. Gave IV fluids, pain meds, ran multiple scans, ultrasounds, chest x-ray.  Pt was discharged the evening of 8/12/21 only because she had a previously scheduled appt with an endocrinologist on 8/13/21 who could do additional testing and follow up exam.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Mobility decreased, Pain, Pain in extremity, Poor quality sleep
Clinical narrative: Felt fine going to bed around 9:30pm.  Woke up around 1:00am felling feverish, chills, soreness.  Restless sleep/non-sleep.  Took temp around 5am: 101.4.   Took 3 Tylenol and full glass of water (about 10-12 ozs).  Stayed in bed all day--fever and soreness worsened all day.  fever all day 1st day.  2nd night slept better.   2nd day, feeling better, but fever still around 100 at 7am.  mid-day, fever around 99.4.  still very sore.   3rd day, well.  arm still sore.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Felt fine going to bed around 9:30pm.  Woke up around 1:00am felling feverish, chills, soreness.  Restless sleep/non-sleep.  Took temp around 5am: 101.4.   Took 3 Tylenol and full glass of water (about 10-12 ozs).  Stayed in bed all day--fever and soreness worsened all day.  fever all day 1st day.  2nd night slept better.   2nd day, feeling better, but fever still around 100 at 7am.  mid-day, fever around 99.4.  still very sore.   3rd day, well.  arm still sore.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Electrocardiogram ambulatory, Sleep disorder, Supraventricular extrasystoles, Ventricular extrasystoles
Clinical narrative: Daily PAC?s & PVC?s such that they kept me awake at night for approx. 13 weeks!
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in ears.  Constant.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Maternal exposure during pregnancy
Clinical narrative: Patient is pregnant; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (Patient is pregnant) in a 37-year-old female patient (gravida 1) who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination.     No Medical History information was reported.    On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The patient's last menstrual period was on an unknown date and the estimated date of delivery was 29-May-2021. On 27-Feb-2021, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (Patient is pregnant). On 27-Feb-2021, MATERNAL EXPOSURE DURING PREGNANCY (Patient is pregnant) had resolved. Not Provided      The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No concomitant medications were reported. Treatment details were not reported.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Coagulation test, Computerised tomogram neck, Full blood count, Laboratory test
Clinical narrative: 4-21-21    2 days after second dose had an acute right central retinal vein occlusion. Severe , acute , progressive vision loss
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Retinal vein occlusion, Venogram
Clinical narrative: 4-21-21    2 days after second dose had an acute right central retinal vein occlusion. Severe , acute , progressive vision loss
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Dysmenorrhoea, Intermenstrual bleeding, Mood swings
Clinical narrative: Onset of PMDD with no history of PMDD - extreme mood swings leading up to menstruation, increased uterine cramping pain during 1st few days of period requiring OTC pain medication (ibuprofen PRN), increased bloating, spotting between periods
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Coombs test positive, Full blood count abnormal, Haemolytic anaemia
Clinical narrative: acute hemolytic anemia needed immune modulators, hematology care
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Eye haemorrhage, Pain in extremity, Rash, Rash erythematous
Clinical narrative: A few hours after I received the vaccine, my arm broke out in a rash and was extremely sore. However, this disappeared in two days. On 8/9/21, it came back but much, much worse.  It was very large covering most of my upper arm, warm to the touch, and was severely itchy. It lasted until the 13th, but still had a small outline of redness. I also had another adverse event which was much more severe, but it started on a different date and the form would not let me choose two dates. I will try to fill out another form for this one.  Just in case it does not let me do this, I will mention it here. On 8/12/21, I woke up to find my right eye had severe hemorrhaging. I took pictures and sent it to a nurse practitioner and my eye doctor.  As of today, it is still there, but is improving slightly.  I had a Teladoc appointment with my eye doctor and will going to see them tomorrow. I am also going to speak to my Family Doctor tomorrow as well.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Skin warm
Clinical narrative: A few hours after I received the vaccine, my arm broke out in a rash and was extremely sore. However, this disappeared in two days. On 8/9/21, it came back but much, much worse.  It was very large covering most of my upper arm, warm to the touch, and was severely itchy. It lasted until the 13th, but still had a small outline of redness. I also had another adverse event which was much more severe, but it started on a different date and the form would not let me choose two dates. I will try to fill out another form for this one.  Just in case it does not let me do this, I will mention it here. On 8/12/21, I woke up to find my right eye had severe hemorrhaging. I took pictures and sent it to a nurse practitioner and my eye doctor.  As of today, it is still there, but is improving slightly.  I had a Teladoc appointment with my eye doctor and will going to see them tomorrow. I am also going to speak to my Family Doctor tomorrow as well.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Moderna, last dose being 02/03/2021 provided at Hospital. Positive COVID Rapid collected on 08/13/2021.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling
Clinical narrative: Swelling, itching
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Agitation, Asthenia, Atrial fibrillation, Back pain
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/03/21. Hospitalized from 08/10/21 - 08/14/21 (death). Below is copied from patients discharge (death) summary:   Hospital Course: Patient is an 84 year old man with a past medical history of Afib (on eliquis, metoprolol), HTN, HLD, MI admitted to the ICU for acute hypoxemic respiratory failure secondary to Covid-19 pneumonia. He presented to the ED after EMS was called for fall out of bed with generalized weakness, he denies hitting his head or LOC. He was satting 78% on EMS arrival and tachypneic, he had minimal improvement with NRB. In the ED he was found to be in Afib RVR to the 160s with hypotension, levophed was begun, he was cardioverted, and was begun on amiodarone infusion. The patient reports a 1 week history of generalized fatigue and shortness of breath without leg swelling or orthopnea. He was vaccinated in March with the Pfizer vaccine. He reports his cardiologist is at another facility and doesn't remember his medications offhand but knows he takes Eliquis BID.    8/11: TTE ordered, not yet performed. K+, Mg, phos low and repleted. On HFNC + NRB 60L/92% satting high 80s/low 90s. Currently on amio drip. No other acute events.   8/12 Patient elected to be DNR/DNI yesterday. Urine culture growing >100K Staph, started on Vanc/Cefepime while waiting sensitivity. Amio gtt changed to metoprolol. Patient endorsing soreness/back pain and states he uses Percocet and fentanyl patch outpatient. On HFNC + NRB 60L/95%, satting high 80s/low 90s past 24 hours. Echo performed shows EF 50-55%, impaired relaxation, moderately enlarged RV, moderately dilated LA, PASP 45 mm Hg.   8/13: Patient elected to rescind DNR/DNI 1 day ago. Became acutely agitated throughout the night and was removing HFNC stating that he "did not want to do this anymore". Started on precedex gtt and haldol prn for agitation. Pt w/ improved compliance w/ HFNC and able to maintain O2 saturation between 87-89%.    8/14: Patient now DNR/DNI, daughter at bedside while patient's wife was again admitted to the hospital. Decision made to pursue compassionate wean. Started on Morphine infusion for comfort and to prevent air hunger. O2 saturation continually downtrending.   Asystole at 1803, confirmed in 2 leads.  No signs of life.  Pronounced expired at 1803. Dr notified at 1806.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood magnesium decreased, Blood phosphorus decreased, Blood potassium decreased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/03/21. Hospitalized from 08/10/21 - 08/14/21 (death). Below is copied from patients discharge (death) summary:   Hospital Course: Patient is an 84 year old man with a past medical history of Afib (on eliquis, metoprolol), HTN, HLD, MI admitted to the ICU for acute hypoxemic respiratory failure secondary to Covid-19 pneumonia. He presented to the ED after EMS was called for fall out of bed with generalized weakness, he denies hitting his head or LOC. He was satting 78% on EMS arrival and tachypneic, he had minimal improvement with NRB. In the ED he was found to be in Afib RVR to the 160s with hypotension, levophed was begun, he was cardioverted, and was begun on amiodarone infusion. The patient reports a 1 week history of generalized fatigue and shortness of breath without leg swelling or orthopnea. He was vaccinated in March with the Pfizer vaccine. He reports his cardiologist is at another facility and doesn't remember his medications offhand but knows he takes Eliquis BID.    8/11: TTE ordered, not yet performed. K+, Mg, phos low and repleted. On HFNC + NRB 60L/92% satting high 80s/low 90s. Currently on amio drip. No other acute events.   8/12 Patient elected to be DNR/DNI yesterday. Urine culture growing >100K Staph, started on Vanc/Cefepime while waiting sensitivity. Amio gtt changed to metoprolol. Patient endorsing soreness/back pain and states he uses Percocet and fentanyl patch outpatient. On HFNC + NRB 60L/95%, satting high 80s/low 90s past 24 hours. Echo performed shows EF 50-55%, impaired relaxation, moderately enlarged RV, moderately dilated LA, PASP 45 mm Hg.   8/13: Patient elected to rescind DNR/DNI 1 day ago. Became acutely agitated throughout the night and was removing HFNC stating that he "did not want to do this anymore". Started on precedex gtt and haldol prn for agitation. Pt w/ improved compliance w/ HFNC and able to maintain O2 saturation between 87-89%.    8/14: Patient now DNR/DNI, daughter at bedside while patient's wife was again admitted to the hospital. Decision made to pursue compassionate wean. Started on Morphine infusion for comfort and to prevent air hunger. O2 saturation continually downtrending.   Asystole at 1803, confirmed in 2 leads.  No signs of life.  Pronounced expired at 1803. Dr notified at 1806.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Condition aggravated, Culture urine positive, Death, Dyspnoea
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/03/21. Hospitalized from 08/10/21 - 08/14/21 (death). Below is copied from patients discharge (death) summary:   Hospital Course: Patient is an 84 year old man with a past medical history of Afib (on eliquis, metoprolol), HTN, HLD, MI admitted to the ICU for acute hypoxemic respiratory failure secondary to Covid-19 pneumonia. He presented to the ED after EMS was called for fall out of bed with generalized weakness, he denies hitting his head or LOC. He was satting 78% on EMS arrival and tachypneic, he had minimal improvement with NRB. In the ED he was found to be in Afib RVR to the 160s with hypotension, levophed was begun, he was cardioverted, and was begun on amiodarone infusion. The patient reports a 1 week history of generalized fatigue and shortness of breath without leg swelling or orthopnea. He was vaccinated in March with the Pfizer vaccine. He reports his cardiologist is at another facility and doesn't remember his medications offhand but knows he takes Eliquis BID.    8/11: TTE ordered, not yet performed. K+, Mg, phos low and repleted. On HFNC + NRB 60L/92% satting high 80s/low 90s. Currently on amio drip. No other acute events.   8/12 Patient elected to be DNR/DNI yesterday. Urine culture growing >100K Staph, started on Vanc/Cefepime while waiting sensitivity. Amio gtt changed to metoprolol. Patient endorsing soreness/back pain and states he uses Percocet and fentanyl patch outpatient. On HFNC + NRB 60L/95%, satting high 80s/low 90s past 24 hours. Echo performed shows EF 50-55%, impaired relaxation, moderately enlarged RV, moderately dilated LA, PASP 45 mm Hg.   8/13: Patient elected to rescind DNR/DNI 1 day ago. Became acutely agitated throughout the night and was removing HFNC stating that he "did not want to do this anymore". Started on precedex gtt and haldol prn for agitation. Pt w/ improved compliance w/ HFNC and able to maintain O2 saturation between 87-89%.    8/14: Patient now DNR/DNI, daughter at bedside while patient's wife was again admitted to the hospital. Decision made to pursue compassionate wean. Started on Morphine infusion for comfort and to prevent air hunger. O2 saturation continually downtrending.   Asystole at 1803, confirmed in 2 leads.  No signs of life.  Pronounced expired at 1803. Dr notified at 1806.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Fall, Fatigue, Hypotension
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/03/21. Hospitalized from 08/10/21 - 08/14/21 (death). Below is copied from patients discharge (death) summary:   Hospital Course: Patient is an 84 year old man with a past medical history of Afib (on eliquis, metoprolol), HTN, HLD, MI admitted to the ICU for acute hypoxemic respiratory failure secondary to Covid-19 pneumonia. He presented to the ED after EMS was called for fall out of bed with generalized weakness, he denies hitting his head or LOC. He was satting 78% on EMS arrival and tachypneic, he had minimal improvement with NRB. In the ED he was found to be in Afib RVR to the 160s with hypotension, levophed was begun, he was cardioverted, and was begun on amiodarone infusion. The patient reports a 1 week history of generalized fatigue and shortness of breath without leg swelling or orthopnea. He was vaccinated in March with the Pfizer vaccine. He reports his cardiologist is at another facility and doesn't remember his medications offhand but knows he takes Eliquis BID.    8/11: TTE ordered, not yet performed. K+, Mg, phos low and repleted. On HFNC + NRB 60L/92% satting high 80s/low 90s. Currently on amio drip. No other acute events.   8/12 Patient elected to be DNR/DNI yesterday. Urine culture growing >100K Staph, started on Vanc/Cefepime while waiting sensitivity. Amio gtt changed to metoprolol. Patient endorsing soreness/back pain and states he uses Percocet and fentanyl patch outpatient. On HFNC + NRB 60L/95%, satting high 80s/low 90s past 24 hours. Echo performed shows EF 50-55%, impaired relaxation, moderately enlarged RV, moderately dilated LA, PASP 45 mm Hg.   8/13: Patient elected to rescind DNR/DNI 1 day ago. Became acutely agitated throughout the night and was removing HFNC stating that he "did not want to do this anymore". Started on precedex gtt and haldol prn for agitation. Pt w/ improved compliance w/ HFNC and able to maintain O2 saturation between 87-89%.    8/14: Patient now DNR/DNI, daughter at bedside while patient's wife was again admitted to the hospital. Decision made to pursue compassionate wean. Started on Morphine infusion for comfort and to prevent air hunger. O2 saturation continually downtrending.   Asystole at 1803, confirmed in 2 leads.  No signs of life.  Pronounced expired at 1803. Dr notified at 1806.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Implantable defibrillator insertion, Infection, Infusion, Intensive care, Left atrial dilatation
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/03/21. Hospitalized from 08/10/21 - 08/14/21 (death). Below is copied from patients discharge (death) summary:   Hospital Course: Patient is an 84 year old man with a past medical history of Afib (on eliquis, metoprolol), HTN, HLD, MI admitted to the ICU for acute hypoxemic respiratory failure secondary to Covid-19 pneumonia. He presented to the ED after EMS was called for fall out of bed with generalized weakness, he denies hitting his head or LOC. He was satting 78% on EMS arrival and tachypneic, he had minimal improvement with NRB. In the ED he was found to be in Afib RVR to the 160s with hypotension, levophed was begun, he was cardioverted, and was begun on amiodarone infusion. The patient reports a 1 week history of generalized fatigue and shortness of breath without leg swelling or orthopnea. He was vaccinated in March with the Pfizer vaccine. He reports his cardiologist is at another facility and doesn't remember his medications offhand but knows he takes Eliquis BID.    8/11: TTE ordered, not yet performed. K+, Mg, phos low and repleted. On HFNC + NRB 60L/92% satting high 80s/low 90s. Currently on amio drip. No other acute events.   8/12 Patient elected to be DNR/DNI yesterday. Urine culture growing >100K Staph, started on Vanc/Cefepime while waiting sensitivity. Amio gtt changed to metoprolol. Patient endorsing soreness/back pain and states he uses Percocet and fentanyl patch outpatient. On HFNC + NRB 60L/95%, satting high 80s/low 90s past 24 hours. Echo performed shows EF 50-55%, impaired relaxation, moderately enlarged RV, moderately dilated LA, PASP 45 mm Hg.   8/13: Patient elected to rescind DNR/DNI 1 day ago. Became acutely agitated throughout the night and was removing HFNC stating that he "did not want to do this anymore". Started on precedex gtt and haldol prn for agitation. Pt w/ improved compliance w/ HFNC and able to maintain O2 saturation between 87-89%.    8/14: Patient now DNR/DNI, daughter at bedside while patient's wife was again admitted to the hospital. Decision made to pursue compassionate wean. Started on Morphine infusion for comfort and to prevent air hunger. O2 saturation continually downtrending.   Asystole at 1803, confirmed in 2 leads.  No signs of life.  Pronounced expired at 1803. Dr notified at 1806.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Pain, Right ventricular enlargement, SARS-CoV-2 test positive, Staphylococcal infection
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/03/21. Hospitalized from 08/10/21 - 08/14/21 (death). Below is copied from patients discharge (death) summary:   Hospital Course: Patient is an 84 year old man with a past medical history of Afib (on eliquis, metoprolol), HTN, HLD, MI admitted to the ICU for acute hypoxemic respiratory failure secondary to Covid-19 pneumonia. He presented to the ED after EMS was called for fall out of bed with generalized weakness, he denies hitting his head or LOC. He was satting 78% on EMS arrival and tachypneic, he had minimal improvement with NRB. In the ED he was found to be in Afib RVR to the 160s with hypotension, levophed was begun, he was cardioverted, and was begun on amiodarone infusion. The patient reports a 1 week history of generalized fatigue and shortness of breath without leg swelling or orthopnea. He was vaccinated in March with the Pfizer vaccine. He reports his cardiologist is at another facility and doesn't remember his medications offhand but knows he takes Eliquis BID.    8/11: TTE ordered, not yet performed. K+, Mg, phos low and repleted. On HFNC + NRB 60L/92% satting high 80s/low 90s. Currently on amio drip. No other acute events.   8/12 Patient elected to be DNR/DNI yesterday. Urine culture growing >100K Staph, started on Vanc/Cefepime while waiting sensitivity. Amio gtt changed to metoprolol. Patient endorsing soreness/back pain and states he uses Percocet and fentanyl patch outpatient. On HFNC + NRB 60L/95%, satting high 80s/low 90s past 24 hours. Echo performed shows EF 50-55%, impaired relaxation, moderately enlarged RV, moderately dilated LA, PASP 45 mm Hg.   8/13: Patient elected to rescind DNR/DNI 1 day ago. Became acutely agitated throughout the night and was removing HFNC stating that he "did not want to do this anymore". Started on precedex gtt and haldol prn for agitation. Pt w/ improved compliance w/ HFNC and able to maintain O2 saturation between 87-89%.    8/14: Patient now DNR/DNI, daughter at bedside while patient's wife was again admitted to the hospital. Decision made to pursue compassionate wean. Started on Morphine infusion for comfort and to prevent air hunger. O2 saturation continually downtrending.   Asystole at 1803, confirmed in 2 leads.  No signs of life.  Pronounced expired at 1803. Dr notified at 1806.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tachypnoea
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/03/21. Hospitalized from 08/10/21 - 08/14/21 (death). Below is copied from patients discharge (death) summary:   Hospital Course: Patient is an 84 year old man with a past medical history of Afib (on eliquis, metoprolol), HTN, HLD, MI admitted to the ICU for acute hypoxemic respiratory failure secondary to Covid-19 pneumonia. He presented to the ED after EMS was called for fall out of bed with generalized weakness, he denies hitting his head or LOC. He was satting 78% on EMS arrival and tachypneic, he had minimal improvement with NRB. In the ED he was found to be in Afib RVR to the 160s with hypotension, levophed was begun, he was cardioverted, and was begun on amiodarone infusion. The patient reports a 1 week history of generalized fatigue and shortness of breath without leg swelling or orthopnea. He was vaccinated in March with the Pfizer vaccine. He reports his cardiologist is at another facility and doesn't remember his medications offhand but knows he takes Eliquis BID.    8/11: TTE ordered, not yet performed. K+, Mg, phos low and repleted. On HFNC + NRB 60L/92% satting high 80s/low 90s. Currently on amio drip. No other acute events.   8/12 Patient elected to be DNR/DNI yesterday. Urine culture growing >100K Staph, started on Vanc/Cefepime while waiting sensitivity. Amio gtt changed to metoprolol. Patient endorsing soreness/back pain and states he uses Percocet and fentanyl patch outpatient. On HFNC + NRB 60L/95%, satting high 80s/low 90s past 24 hours. Echo performed shows EF 50-55%, impaired relaxation, moderately enlarged RV, moderately dilated LA, PASP 45 mm Hg.   8/13: Patient elected to rescind DNR/DNI 1 day ago. Became acutely agitated throughout the night and was removing HFNC stating that he "did not want to do this anymore". Started on precedex gtt and haldol prn for agitation. Pt w/ improved compliance w/ HFNC and able to maintain O2 saturation between 87-89%.    8/14: Patient now DNR/DNI, daughter at bedside while patient's wife was again admitted to the hospital. Decision made to pursue compassionate wean. Started on Morphine infusion for comfort and to prevent air hunger. O2 saturation continually downtrending.   Asystole at 1803, confirmed in 2 leads.  No signs of life.  Pronounced expired at 1803. Dr notified at 1806.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness transient, Deafness, Hyperhidrosis, Syncope
Clinical narrative: Had a customer yesterday who has severe needle phobia who had Vaso-vagal syncope.  He reported loss of vision and hearing along with severe sweating. Had someone call 911. Code white was called however no one from management came to pharmacy.  Assessed patient was alert and able to communicate. When he regained his vision which was within minutes we moved to clinical services room because the sales floor was extremely warm. Gave him a bottle of water and allowed to remain in clinical services room while the EMT checked his vitals. He was cleared to go home. They said he had Vaso-vagal syncope which happens when someone is stressed. I am going to follow up with patient today.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Dyspnoea, Headache, Lip swelling
Clinical narrative: patient had high fever a few hours later (about 4 hours after shot) and it lasted for 24 hours+, severe headache, body aches (muscle and joints), SOB and wheezing on 8/14 for which she used rescue inhaler, bumps on right shoulder, itchy arms, woke up 8/15 lips double size, tongue ulcerated and swollen - today 8/15 is dizzy, has been taking Benadryl and prescribed oral steroid therapy
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pruritus, Pyrexia, Rash
Clinical narrative: patient had high fever a few hours later (about 4 hours after shot) and it lasted for 24 hours+, severe headache, body aches (muscle and joints), SOB and wheezing on 8/14 for which she used rescue inhaler, bumps on right shoulder, itchy arms, woke up 8/15 lips double size, tongue ulcerated and swollen - today 8/15 is dizzy, has been taking Benadryl and prescribed oral steroid therapy
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue ulceration, Wheezing
Clinical narrative: patient had high fever a few hours later (about 4 hours after shot) and it lasted for 24 hours+, severe headache, body aches (muscle and joints), SOB and wheezing on 8/14 for which she used rescue inhaler, bumps on right shoulder, itchy arms, woke up 8/15 lips double size, tongue ulcerated and swollen - today 8/15 is dizzy, has been taking Benadryl and prescribed oral steroid therapy
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Blood prolactin increased
Clinical narrative: Has been on Risoerdone since he was 4. His prolactin levels are often checked. In 14 years we never had an elevated level. Two months after the shot was given he went for his routine bloodwork. The prolactin was high at 14.9. He was tested again in July and it came back at 36.4. As a result we had to discontinue the medication  he had been on for so many years. The only new thing in his body was the shot.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Jaw clicking, Joint stiffness, Pain, Pain in jaw
Clinical narrative: Less than 36 hours following vaccine in left arm, I awoke in the middle of the night with sore, stiff left jaw with loud popping in my jaw whenever opening my mouth. My left jaw has popped loudly every time I open my mouth or chew ever since. It is so loud that others can hear it. Upon wet weather, it became very achy. I have never had any symptoms at all with my left jaw before the vaccine. In addition, it has been accompanied by occasional dizziness.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Less than 36 hours following vaccine in left arm, I awoke in the middle of the night with sore, stiff left jaw with loud popping in my jaw whenever opening my mouth. My left jaw has popped loudly every time I open my mouth or chew ever since. It is so loud that others can hear it. Upon wet weather, it became very achy. I have never had any symptoms at all with my left jaw before the vaccine. In addition, it has been accompanied by occasional dizziness.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Breast discomfort, Device breakage, Limb discomfort, Mammogram abnormal
Clinical narrative: I have breast implants. 2 days after second dose I felt SEVERE  discomfort in left breast. Sensation felt like an electrical pulse. 10 days later I had the same sensation in my right breast and arms. The next day the sensation traveled to my stomach and collar bone. Within 3 weeks the symptoms subsided but still have not gone away . On 5/17/21 I had a mammogram and the result showed ruptured breast implants. The implants were replaced on 7/21/21
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Blood pressure measurement, Chills, Depressed mood
Clinical narrative: nose is running like crazy; cold like chills on my body; wanted to vomit all the time/ vomited so much/ felt like vomiting again; felt achy; weak; Just wanted to lay down; stomach felt very upset; couldn't sleep again all night at all; was so hot; couldn't sleep all night; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (was so hot), INSOMNIA (couldn't sleep all night), INSOMNIA (couldn't sleep again all night at all), PAIN (felt achy) and ASTHENIA (weak) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 11-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Mar-2021, the patient experienced FEELING HOT (was so hot) and INSOMNIA (couldn't sleep all night). On 13-Mar-2021, the patient experienced INSOMNIA (couldn't sleep again all night at all). On 14-Mar-2021, the patient experienced PAIN (felt achy), ASTHENIA (weak), DEPRESSED MOOD (Just wanted to lay down), ABDOMINAL DISCOMFORT (stomach felt very upset) and VOMITING (wanted to vomit all the time/ vomited so much/ felt like vomiting again). On an unknown date, the patient experienced RHINORRHOEA (nose is running like crazy) and CHILLS (cold like chills on my body). The patient was treated with PARACETAMOL (TYLENOL) at a dose of UNK dosage form. At the time of the report, FEELING HOT (was so hot), INSOMNIA (couldn't sleep all night), INSOMNIA (couldn't sleep again all night at all), PAIN (felt achy), ASTHENIA (weak), DEPRESSED MOOD (Just wanted to lay down), ABDOMINAL DISCOMFORT (stomach felt very upset), RHINORRHOEA (nose is running like crazy), VOMITING (wanted to vomit all the time/ vomited so much/ felt like vomiting again) and CHILLS (cold like chills on my body) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: high (High) pressure was so high. On an unknown date, Ultrasound scan: everything was okay (Inconclusive) everything was okay.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   The patient took the second dose of the mRNA-1273, hence action taken with the vaccine in response to the events was not applicable.   No concomitant medication was reported.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Insomnia, Pain, Rhinorrhoea, Ultrasound scan
Clinical narrative: nose is running like crazy; cold like chills on my body; wanted to vomit all the time/ vomited so much/ felt like vomiting again; felt achy; weak; Just wanted to lay down; stomach felt very upset; couldn't sleep again all night at all; was so hot; couldn't sleep all night; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (was so hot), INSOMNIA (couldn't sleep all night), INSOMNIA (couldn't sleep again all night at all), PAIN (felt achy) and ASTHENIA (weak) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 11-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Mar-2021, the patient experienced FEELING HOT (was so hot) and INSOMNIA (couldn't sleep all night). On 13-Mar-2021, the patient experienced INSOMNIA (couldn't sleep again all night at all). On 14-Mar-2021, the patient experienced PAIN (felt achy), ASTHENIA (weak), DEPRESSED MOOD (Just wanted to lay down), ABDOMINAL DISCOMFORT (stomach felt very upset) and VOMITING (wanted to vomit all the time/ vomited so much/ felt like vomiting again). On an unknown date, the patient experienced RHINORRHOEA (nose is running like crazy) and CHILLS (cold like chills on my body). The patient was treated with PARACETAMOL (TYLENOL) at a dose of UNK dosage form. At the time of the report, FEELING HOT (was so hot), INSOMNIA (couldn't sleep all night), INSOMNIA (couldn't sleep again all night at all), PAIN (felt achy), ASTHENIA (weak), DEPRESSED MOOD (Just wanted to lay down), ABDOMINAL DISCOMFORT (stomach felt very upset), RHINORRHOEA (nose is running like crazy), VOMITING (wanted to vomit all the time/ vomited so much/ felt like vomiting again) and CHILLS (cold like chills on my body) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: high (High) pressure was so high. On an unknown date, Ultrasound scan: everything was okay (Inconclusive) everything was okay.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   The patient took the second dose of the mRNA-1273, hence action taken with the vaccine in response to the events was not applicable.   No concomitant medication was reported.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: nose is running like crazy; cold like chills on my body; wanted to vomit all the time/ vomited so much/ felt like vomiting again; felt achy; weak; Just wanted to lay down; stomach felt very upset; couldn't sleep again all night at all; was so hot; couldn't sleep all night; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (was so hot), INSOMNIA (couldn't sleep all night), INSOMNIA (couldn't sleep again all night at all), PAIN (felt achy) and ASTHENIA (weak) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 11-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Mar-2021, the patient experienced FEELING HOT (was so hot) and INSOMNIA (couldn't sleep all night). On 13-Mar-2021, the patient experienced INSOMNIA (couldn't sleep again all night at all). On 14-Mar-2021, the patient experienced PAIN (felt achy), ASTHENIA (weak), DEPRESSED MOOD (Just wanted to lay down), ABDOMINAL DISCOMFORT (stomach felt very upset) and VOMITING (wanted to vomit all the time/ vomited so much/ felt like vomiting again). On an unknown date, the patient experienced RHINORRHOEA (nose is running like crazy) and CHILLS (cold like chills on my body). The patient was treated with PARACETAMOL (TYLENOL) at a dose of UNK dosage form. At the time of the report, FEELING HOT (was so hot), INSOMNIA (couldn't sleep all night), INSOMNIA (couldn't sleep again all night at all), PAIN (felt achy), ASTHENIA (weak), DEPRESSED MOOD (Just wanted to lay down), ABDOMINAL DISCOMFORT (stomach felt very upset), RHINORRHOEA (nose is running like crazy), VOMITING (wanted to vomit all the time/ vomited so much/ felt like vomiting again) and CHILLS (cold like chills on my body) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: high (High) pressure was so high. On an unknown date, Ultrasound scan: everything was okay (Inconclusive) everything was okay.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   The patient took the second dose of the mRNA-1273, hence action taken with the vaccine in response to the events was not applicable.   No concomitant medication was reported.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Infection
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/06/21. Hospitalized from 08/06/21 - 08/14/21. Below is copied from discharge summary:   Patient is a 65 y/o CM with PMH significant for COPD, PAH, HTN, HLD who presented to ER on 8/6 for concerns of SOB.  He (and his wife) were vaccinated for covid in Feb March 2021.  He was seen by his pulm due to SOB, cough, fatigue on monday 8/2 and tested pos for covid at that time. His pulm gave him a course of oral abx and steroids and he has completed them but was not feeling any better.  He checks his sats regularly at home and found a reading of 64% on 5l NC o2 so called EMS.    Upon arrival to ER he required escalation to HFNC 90%/ 60 l flow and ICU was consulted due to O2 req.    Patient was discharged on 08/14/21.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intensive care, SARS-CoV-2 test positive
Clinical narrative: Patient required hospitalization due to breakthrough infection. He received the Pfizer vaccine (2nd dose in series) on 03/06/21. Hospitalized from 08/06/21 - 08/14/21. Below is copied from discharge summary:   Patient is a 65 y/o CM with PMH significant for COPD, PAH, HTN, HLD who presented to ER on 8/6 for concerns of SOB.  He (and his wife) were vaccinated for covid in Feb March 2021.  He was seen by his pulm due to SOB, cough, fatigue on monday 8/2 and tested pos for covid at that time. His pulm gave him a course of oral abx and steroids and he has completed them but was not feeling any better.  He checks his sats regularly at home and found a reading of 64% on 5l NC o2 so called EMS.    Upon arrival to ER he required escalation to HFNC 90%/ 60 l flow and ICU was consulted due to O2 req.    Patient was discharged on 08/14/21.