chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood iron, Blood thyroid stimulating hormone, Vitamin D
Clinical narrative: About a month after the COVID-19 booster, my hair started falling out in clumps. I never experienced hair loss before. This lasted for about 10 days. During this time, I made an appointment to see my dermatologist. Earlier bloodwork results for thyroid, Vitamin D and iron data were normal, however, the dermatologist ordered another set of bloodwork to be certain. Those results are pending. Although there is no significant proof at this time, the doctor feels the COVID-19 vaccine may have contributed to this sudden but brief loss of hair episode. Treatment options have not been decided, pending the outcome of the bloodwork.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Female sex hormone level abnormal, Menstrual disorder, Ultrasound abdomen abnormal, Uterine leiomyoma
Clinical narrative: I was diagnosed with Uterine Fibroids.  Previous to vaccine, I did not have any symptoms or predestination for them.  After all the shots received, my hormones and fertility cycle were messed up, and took a while to get back to normal.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Migraine, Sinus congestion, Sinusitis
Clinical narrative: My reaction to a vaccine was a migraine and a lot of sinus congestion. It makes it hard to breathe and I have to go to my doctor to get a prescription to clear up the sinuses I get when I take these vaccines. However with the 3rd dose, it would not go away and it triggered a sinus infection. This has been a reoccurring problem since March 4th, when I took my 2nd dose, and the sinus infections began in June.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest pain, Computerised tomogram, Dyspnoea, Echocardiogram
Clinical narrative: Chest pains, shortness of breath, arm pain, increased heartbeats started within a few hours of vaccine. Went to ER the next night at about 8 pm after symptoms increased. Was admitted to hospital the next morning for observation.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Heart rate increased, Magnetic resonance imaging, Pain in extremity, X-ray
Clinical narrative: Chest pains, shortness of breath, arm pain, increased heartbeats started within a few hours of vaccine. Went to ER the next night at about 8 pm after symptoms increased. Was admitted to hospital the next morning for observation.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac disorder, Chest pain, Myocarditis
Clinical narrative: Chest pains, shortness of breath, arm pain, increased heartbeats started within a few hours of vaccine. Went to ER the next night at about 8 pm after symptoms increased. Was admitted to hospital the next morning for observation.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: INDIVIDUAL RECEIVED 2 DOSE MODERNA SERIES WITH LAST DOSE ON 8/31/2021. RECEIVED TODAY'S DOSE AS A BOOSTER. THIS IS TOO EARLY.
Age: 19.0
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse reactions per Patient. Patient received adult dose instead of pediatric dose. Patient was receiving a purchased vaccine. Medical assistant asked Provider to verify vaccine.  Patient being 19 years 5 months provider ok'd adult dose of vaccine. Patient was made aware and spoke with patient offering several options that were declined because he stated he was fine and will be checking if he has immunity in a few weeks.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram normal, COVID-19, Cough, Fibrin D dimer, Hypoxia
Clinical narrative: DIAGNOSIS: Hypoxia, COVID, pneumonia -Onset date: 2/4 -presented with fevers, dry cough in ED -vaccinated x 2 with booster -initial dimer 2.14 -Admit to RCU: contact/airborne precautions -Covid test date: 2/6 + by Abbott -CTA negative -remdesivir/ dexamethasone 2/6-2/8 -titrate O2 92-94% on room air and with activity -Ambulatory O2 challenge twice daily, once per shift -incentive spirometry  -isolate for 20 days 2/4/22-2/24/22
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Incentive spirometry, Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: DIAGNOSIS: Hypoxia, COVID, pneumonia -Onset date: 2/4 -presented with fevers, dry cough in ED -vaccinated x 2 with booster -initial dimer 2.14 -Admit to RCU: contact/airborne precautions -Covid test date: 2/6 + by Abbott -CTA negative -remdesivir/ dexamethasone 2/6-2/8 -titrate O2 92-94% on room air and with activity -Ambulatory O2 challenge twice daily, once per shift -incentive spirometry  -isolate for 20 days 2/4/22-2/24/22
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Patient was hospitalized on 1/4/22 for 4 days with positive Covid-19. The patient had SOB and fatigue and developed ARDS.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with moderna vaccine x 2. Tested positive for COVID 19 on 02/15/22. Admitted to a local Medical Center on 02/15/2022. Expired on 03/05/2022 while still hospitalized.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Coronavirus test positive, Dyspnoea
Clinical narrative: Patient was tested for Covidl on 12/15/2021 (positive)  and admitted for a 3 day stay.  Only shortness of breath was posted in records for symptoms.   No other information was charted, no  interview was obtained.  Contact attempted.  Underlying health conditions are unknown as well.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Booster dose was administered to resident prior to the recommended interval, no adverse effect noted, no unusual changes. Resident made aware that booster dose was administered prior to the recommended interval. Resident made aware of possible adverse reaction post vaccine, to inform Nurses if any change of condition occurs and verbalized understanding.  MD aware with order to monitor resident for any possible adverse effect.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: 3rd dose covid vaccine pretty high on arm and  had pretty bad shoulder pain since about 3 weeks after my vaccine
Age: 40.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Antinuclear antibody increased, Arthralgia, Autoimmune disorder, Blood test, COVID-19
Clinical narrative: COVID symptoms started 01/12/2022 with sore throat. On the 13th and 14th, the sore throat started to get worse, and on the 14th he had a low grade fever. On the 15th he received the positive COVID test and his fever was gone that day. 01/17/22 the symptoms were better. He also had a little bit of nose congestion. The 21st he had the antigen test, and it was negative. The COVID test was on the 15th. 1 month after being fully recovered he had finger numbness, joint pain, and dizziness. He seen his doctor and did some tests and said his ANA antibody was high which indicated an auto immune disorder. He is still experiencing those symptoms. He is seeing immunology today.
Age: 40.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Dizziness, Hypoaesthesia, Nasal congestion, Oropharyngeal pain, Pyrexia
Clinical narrative: COVID symptoms started 01/12/2022 with sore throat. On the 13th and 14th, the sore throat started to get worse, and on the 14th he had a low grade fever. On the 15th he received the positive COVID test and his fever was gone that day. 01/17/22 the symptoms were better. He also had a little bit of nose congestion. The 21st he had the antigen test, and it was negative. The COVID test was on the 15th. 1 month after being fully recovered he had finger numbness, joint pain, and dizziness. He seen his doctor and did some tests and said his ANA antibody was high which indicated an auto immune disorder. He is still experiencing those symptoms. He is seeing immunology today.
Age: 40.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: COVID symptoms started 01/12/2022 with sore throat. On the 13th and 14th, the sore throat started to get worse, and on the 14th he had a low grade fever. On the 15th he received the positive COVID test and his fever was gone that day. 01/17/22 the symptoms were better. He also had a little bit of nose congestion. The 21st he had the antigen test, and it was negative. The COVID test was on the 15th. 1 month after being fully recovered he had finger numbness, joint pain, and dizziness. He seen his doctor and did some tests and said his ANA antibody was high which indicated an auto immune disorder. He is still experiencing those symptoms. He is seeing immunology today.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Disorganised speech, Incoherent
Clinical narrative: Daughter contact store and state that her mom experience some CNS issues 30-45 min after receiving the booster on 3/7/22.  Daughter states that mother was speaking gibberish and non-coherent.  Daughter took mother to the emergency room.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Energy increased, Headache, Migraine, Pain
Clinical narrative: Fever developed at 8am, Headache began at 12pm, Debilitating migraine by 2pm.  Not responsive to OTC medication (tried Tylenol, Advil, sinus medication),  ice, self cranio-facial massage, water, xanax, & caffeine.    The fire alarm in the kitchen went off at 7pm and the surge of adrenaline (although painful in the moment) resolved the head pain within 3 minutes.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever developed at 8am, Headache began at 12pm, Debilitating migraine by 2pm.  Not responsive to OTC medication (tried Tylenol, Advil, sinus medication),  ice, self cranio-facial massage, water, xanax, & caffeine.    The fire alarm in the kitchen went off at 7pm and the surge of adrenaline (although painful in the moment) resolved the head pain within 3 minutes.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour
Clinical narrative: Behavioral, mental health hospital admission within 6 weeks of receiving the COVID vaccine. Treated and released.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Ear swelling, Erythema, Pruritus, Swelling face, Swelling of eyelid
Clinical narrative: Hives started on 3/1/22  behind ears then spread all over body. Unbearably itchy and red. On 3/3/22 hives led to swollen eyelids and earlobes and face. Still dealing with this.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives started on 3/1/22  behind ears then spread all over body. Unbearably itchy and red. On 3/3/22 hives led to swollen eyelids and earlobes and face. Still dealing with this.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Pain in extremity, Peripheral swelling, Pulmonary embolism, Vena cava thrombosis
Clinical narrative: Inferior Vena Cava thrombosis with Pulmonary embolisms and severe left and right leg swelling and pain
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Moderna x2 and Pfizer x 1. Tested positive for COVID on 02/06/2022. Admitted to hospital on 02/23/2022. Expired on 03/04/2022 while still hospitalized.
Age: 32.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Head injury, Immediate post-injection reaction, Syncope
Clinical narrative: Patient fainted after getting up right after receiving 2nd vaccination.  He hit his head on the wall on his way down and I was unable to catch him since he was 6' - 220 lbs+.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Injection site pain
Clinical narrative: Vaccine administration error. I signed-up for a Moderna booster 0.25mL. The pharmacist gave me a higher than authorized dose: 0.5mL. The pharmacist reported the dose to my primary care MD as 0.5mL. The higher dosage was my 3rd Moderna shot. I was not immunocompromised. To make matters worse, on day 3, I got "Moderna arm," which lasted in varying degrees for 15 days. Even now the injection site aches from time to time.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Oedema peripheral
Clinical narrative: Swelling under arm, very sore.    Instructed to take Tylenol and Ibuprofen alternating every 6 hours and to keep moving arm.  Every day the swelling decreased and was  back to normal in about 10 days
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Flatulence, Pain
Clinical narrative: Painful bloating and gas
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On the day of administration , the Moderna vaccine was past its 30 days of refrigeration. We reached out to the manufacturer and they responded with the following, "Thank you for your patience. Analysis of the vials associated with your storage excursion is complete. The vaccine administered on February 14, 2022, February 15, 2022, February 16, 2022, February 18, 2022, and February 21, 2022 from lot number 042J21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized for Covid-19 on 12/15/21
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Hypoxia
Clinical narrative: Patient with single J+J vaccine 03/13/2021 who admitted after facial burns from smoking while using oxygen who had recently tested detected for COVID with subsequent COPD exacerbation.  Provider discharge note below: "61 YO male with end-stage COPD presented to ED with facial burns related to smoking with supplemental O2.  Found to have hypoxia worse than baseline with covid infection causing COPD exacerbation.  Treated with dexamethasone and remdesivir.  Prolonged stay due to COPD exacerbation, anxiety about discharge with end-stage COPD causing severely limited functional capacity.  Palliative and Pulmonary consults.  Patient is hospice appropriate but refusing at this time.  Significant discussion regarding goals of care and anxiety about discharge.  Will continue to follow at home.  "
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, SARS-CoV-2 test positive, Thermal burn
Clinical narrative: Patient with single J+J vaccine 03/13/2021 who admitted after facial burns from smoking while using oxygen who had recently tested detected for COVID with subsequent COPD exacerbation.  Provider discharge note below: "61 YO male with end-stage COPD presented to ED with facial burns related to smoking with supplemental O2.  Found to have hypoxia worse than baseline with covid infection causing COPD exacerbation.  Treated with dexamethasone and remdesivir.  Prolonged stay due to COPD exacerbation, anxiety about discharge with end-stage COPD causing severely limited functional capacity.  Palliative and Pulmonary consults.  Patient is hospice appropriate but refusing at this time.  Significant discussion regarding goals of care and anxiety about discharge.  Will continue to follow at home.  "
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Itching and bumps now wheps are covering my arm from the shoulder to the elbow. I thought it was exezema and went to my doctor who gave me a prescription for a cream which does no good.  PLEASE help.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Decreased appetite, Electrocardiogram normal, Fatigue, Lethargy
Clinical narrative: Day after booster shot (Saturday, 5 March 2022), Patient was very lethargic and fatigued, with no appetite. This was the case all day Saturday.  Sunday morning (6 March 2022), around 2:30am, patient was awakened by chest pains bad enough he came and woke his parents. He took Ibuprofen, and was able to fall back to sleep. Later Sunday morning (approx. 8am) he felt said he felt fine and we went about a regular Sunday at that point.  Sunday evening, around 9pm, he said he was having chest pains again. It had mostly gone away by Monday (7 March) morning.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Non-cardiac chest pain, Sleep disorder
Clinical narrative: Day after booster shot (Saturday, 5 March 2022), Patient was very lethargic and fatigued, with no appetite. This was the case all day Saturday.  Sunday morning (6 March 2022), around 2:30am, patient was awakened by chest pains bad enough he came and woke his parents. He took Ibuprofen, and was able to fall back to sleep. Later Sunday morning (approx. 8am) he felt said he felt fine and we went about a regular Sunday at that point.  Sunday evening, around 9pm, he said he was having chest pains again. It had mostly gone away by Monday (7 March) morning.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Coronavirus test positive, Cough, Dyspnoea
Clinical narrative: Patient was admitted to hospital on 12/22/2021 for one night.  Patient had developed pneumonia and had an abnormal chest xray.  Her symptoms were feverish, cough, shortness of breath and fatigue.  Patient's chart indicated type 2 diabetes, hypertension and severe obesity. She works in a Dr's office.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pneumonia, Pyrexia
Clinical narrative: Patient was admitted to hospital on 12/22/2021 for one night.  Patient had developed pneumonia and had an abnormal chest xray.  Her symptoms were feverish, cough, shortness of breath and fatigue.  Patient's chart indicated type 2 diabetes, hypertension and severe obesity. She works in a Dr's office.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On the day of administration , the Moderna vaccine was past its 30 days of refrigeration. We reached out to the manufacturer and they responded with the following, "Thank you for your patience. Analysis of the vials associated with your storage excursion is complete. The vaccine administered on February 14, 2022, February 15, 2022, February 16, 2022, February 18, 2022, and February 21, 2022 from lot number 042J21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Condition aggravated, Death, Diabetes mellitus, Myocardial infarction
Clinical narrative: He got his vaccine, sister talked to him the night before and he complained of a soreness in the arm and achiness, and said he was going to bed.  She made plans to take him to lunch the next day and it had been a month since she saw him.   She went to see him on 2/2/22 at 11:00 AM and found him on his stomach purple and he was dead.  She called 911 who called the coroner and he was determined to have died from cardiac dysrhythmia, MI and diabetes type I.   After MI interval was minutes, diabetes was years, and cardiac dysrhythmia was seconds.    He had recent had a cardiac work up within the last year including stress test and nothing was abnormal.  He also had a TEE which was also negative for any heart problems.   He has never had any cardiac issues other than having low blood pressure which was due to medication which was discontinued and his BP came back to normal.  He did have some episodes of tachycardia but was septic at that time in the hospital and once the infection cleared up he was fine.    He did have COVID last spring and did have the antimicrobial infusion.  He did not have a lot of symptoms from the COVID.  His sister didn't think he had COVID and went to the doctor who swabbed him and it was positive and she ordered the infusion.  Due to his health issues the infusion was ordered and had no reactions and was fine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Skin discolouration, Type 1 diabetes mellitus
Clinical narrative: He got his vaccine, sister talked to him the night before and he complained of a soreness in the arm and achiness, and said he was going to bed.  She made plans to take him to lunch the next day and it had been a month since she saw him.   She went to see him on 2/2/22 at 11:00 AM and found him on his stomach purple and he was dead.  She called 911 who called the coroner and he was determined to have died from cardiac dysrhythmia, MI and diabetes type I.   After MI interval was minutes, diabetes was years, and cardiac dysrhythmia was seconds.    He had recent had a cardiac work up within the last year including stress test and nothing was abnormal.  He also had a TEE which was also negative for any heart problems.   He has never had any cardiac issues other than having low blood pressure which was due to medication which was discontinued and his BP came back to normal.  He did have some episodes of tachycardia but was septic at that time in the hospital and once the infection cleared up he was fine.    He did have COVID last spring and did have the antimicrobial infusion.  He did not have a lot of symptoms from the COVID.  His sister didn't think he had COVID and went to the doctor who swabbed him and it was positive and she ordered the infusion.  Due to his health issues the infusion was ordered and had no reactions and was fine.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On the day of administration , the Moderna vaccine was past its 30 days of refrigeration. We reached out to the manufacturer and they responded with the following, "Thank you for your patience. Analysis of the vials associated with your storage excursion is complete. The vaccine administered on February 14, 2022, February 15, 2022, February 16, 2022, February 18, 2022, and February 21, 2022 from lot number 042J21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, COVID-19 pneumonia, Death, General physical health deterioration
Clinical narrative: pt brought to ED with respiratory distress; placed on O2 supplementation; tested positive for COVID 2 wks ago and is testing positive in ED as well; pt in A Fib with RVR; DNR; COVID pneumonia with severe sepsis; pt had a rapid decline and passed away 1 hour after being transferred to in-hospital hospice care
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress, SARS-CoV-2 test positive, Sepsis
Clinical narrative: pt brought to ED with respiratory distress; placed on O2 supplementation; tested positive for COVID 2 wks ago and is testing positive in ED as well; pt in A Fib with RVR; DNR; COVID pneumonia with severe sepsis; pt had a rapid decline and passed away 1 hour after being transferred to in-hospital hospice care
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Alkalosis, Blood gases, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Patient was seen in ED on 1/6/22 presenting with shortness of breath that began on 1/5/22. Patient resulted positive for covid-19 and was admitted on 1/6/22 admission. Patient was discharged, presented to ED on 1/11/22 for evaluation of alerted mental status and hypoxia. Patient thought to have had an acerbation of CHF however symptoms did not improve with treatment and was suspected to have pneumonitis. Dexamethasone 10 mg was given per protocol and patient was monitored. Patient was hypertensive, and a Nitro drip was initiated. Patient?s BNP was elevated up compared to prior and high-sensitivity troponin was also elevated due to hypoxia. EKG was unchanged to prior and No STEMI.  ABG indicated mild respiratory Alkalosis and hypoxia. While in ED patient blood pressure in ED improved on nitro-drip. Her breathing effort improved on vapoterm 40LPM and 100%FI02. Patient was admitted to ICU for further management.  Patient was determined to have an illness or injury (acute hypoxic respiratory failure) that acutely impairs one or more vital organ systems such that there is a high probability of imminent or life-threatening deterioration in the patient's condition. Chest Xray demonstrated significant interval deterioration in the appearance of the chest radiograph as compared to 1/6/2022 and a pattern with significant progression of COVID19 T pneumonia. Broad-spectrum antibiotic was initiated for sepsis secondary to COVID-19 pneumonia with hospital-acquired pneumonia. Patient was DNR and DNI.  Web report 1/31/22 stated patient died 1/27/22 at 19:32 of covid-19 illness.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cardiac failure congestive, Chest X-ray abnormal, Condition aggravated, Death
Clinical narrative: Patient was seen in ED on 1/6/22 presenting with shortness of breath that began on 1/5/22. Patient resulted positive for covid-19 and was admitted on 1/6/22 admission. Patient was discharged, presented to ED on 1/11/22 for evaluation of alerted mental status and hypoxia. Patient thought to have had an acerbation of CHF however symptoms did not improve with treatment and was suspected to have pneumonitis. Dexamethasone 10 mg was given per protocol and patient was monitored. Patient was hypertensive, and a Nitro drip was initiated. Patient?s BNP was elevated up compared to prior and high-sensitivity troponin was also elevated due to hypoxia. EKG was unchanged to prior and No STEMI.  ABG indicated mild respiratory Alkalosis and hypoxia. While in ED patient blood pressure in ED improved on nitro-drip. Her breathing effort improved on vapoterm 40LPM and 100%FI02. Patient was admitted to ICU for further management.  Patient was determined to have an illness or injury (acute hypoxic respiratory failure) that acutely impairs one or more vital organ systems such that there is a high probability of imminent or life-threatening deterioration in the patient's condition. Chest Xray demonstrated significant interval deterioration in the appearance of the chest radiograph as compared to 1/6/2022 and a pattern with significant progression of COVID19 T pneumonia. Broad-spectrum antibiotic was initiated for sepsis secondary to COVID-19 pneumonia with hospital-acquired pneumonia. Patient was DNR and DNI.  Web report 1/31/22 stated patient died 1/27/22 at 19:32 of covid-19 illness.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram normal, Fraction of inspired oxygen, Hypertension
Clinical narrative: Patient was seen in ED on 1/6/22 presenting with shortness of breath that began on 1/5/22. Patient resulted positive for covid-19 and was admitted on 1/6/22 admission. Patient was discharged, presented to ED on 1/11/22 for evaluation of alerted mental status and hypoxia. Patient thought to have had an acerbation of CHF however symptoms did not improve with treatment and was suspected to have pneumonitis. Dexamethasone 10 mg was given per protocol and patient was monitored. Patient was hypertensive, and a Nitro drip was initiated. Patient?s BNP was elevated up compared to prior and high-sensitivity troponin was also elevated due to hypoxia. EKG was unchanged to prior and No STEMI.  ABG indicated mild respiratory Alkalosis and hypoxia. While in ED patient blood pressure in ED improved on nitro-drip. Her breathing effort improved on vapoterm 40LPM and 100%FI02. Patient was admitted to ICU for further management.  Patient was determined to have an illness or injury (acute hypoxic respiratory failure) that acutely impairs one or more vital organ systems such that there is a high probability of imminent or life-threatening deterioration in the patient's condition. Chest Xray demonstrated significant interval deterioration in the appearance of the chest radiograph as compared to 1/6/2022 and a pattern with significant progression of COVID19 T pneumonia. Broad-spectrum antibiotic was initiated for sepsis secondary to COVID-19 pneumonia with hospital-acquired pneumonia. Patient was DNR and DNI.  Web report 1/31/22 stated patient died 1/27/22 at 19:32 of covid-19 illness.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Intensive care, Laboratory test, Mental status changes, Pneumonia
Clinical narrative: Patient was seen in ED on 1/6/22 presenting with shortness of breath that began on 1/5/22. Patient resulted positive for covid-19 and was admitted on 1/6/22 admission. Patient was discharged, presented to ED on 1/11/22 for evaluation of alerted mental status and hypoxia. Patient thought to have had an acerbation of CHF however symptoms did not improve with treatment and was suspected to have pneumonitis. Dexamethasone 10 mg was given per protocol and patient was monitored. Patient was hypertensive, and a Nitro drip was initiated. Patient?s BNP was elevated up compared to prior and high-sensitivity troponin was also elevated due to hypoxia. EKG was unchanged to prior and No STEMI.  ABG indicated mild respiratory Alkalosis and hypoxia. While in ED patient blood pressure in ED improved on nitro-drip. Her breathing effort improved on vapoterm 40LPM and 100%FI02. Patient was admitted to ICU for further management.  Patient was determined to have an illness or injury (acute hypoxic respiratory failure) that acutely impairs one or more vital organ systems such that there is a high probability of imminent or life-threatening deterioration in the patient's condition. Chest Xray demonstrated significant interval deterioration in the appearance of the chest radiograph as compared to 1/6/2022 and a pattern with significant progression of COVID19 T pneumonia. Broad-spectrum antibiotic was initiated for sepsis secondary to COVID-19 pneumonia with hospital-acquired pneumonia. Patient was DNR and DNI.  Web report 1/31/22 stated patient died 1/27/22 at 19:32 of covid-19 illness.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonitis, SARS-CoV-2 test positive, Sepsis, Troponin increased
Clinical narrative: Patient was seen in ED on 1/6/22 presenting with shortness of breath that began on 1/5/22. Patient resulted positive for covid-19 and was admitted on 1/6/22 admission. Patient was discharged, presented to ED on 1/11/22 for evaluation of alerted mental status and hypoxia. Patient thought to have had an acerbation of CHF however symptoms did not improve with treatment and was suspected to have pneumonitis. Dexamethasone 10 mg was given per protocol and patient was monitored. Patient was hypertensive, and a Nitro drip was initiated. Patient?s BNP was elevated up compared to prior and high-sensitivity troponin was also elevated due to hypoxia. EKG was unchanged to prior and No STEMI.  ABG indicated mild respiratory Alkalosis and hypoxia. While in ED patient blood pressure in ED improved on nitro-drip. Her breathing effort improved on vapoterm 40LPM and 100%FI02. Patient was admitted to ICU for further management.  Patient was determined to have an illness or injury (acute hypoxic respiratory failure) that acutely impairs one or more vital organ systems such that there is a high probability of imminent or life-threatening deterioration in the patient's condition. Chest Xray demonstrated significant interval deterioration in the appearance of the chest radiograph as compared to 1/6/2022 and a pattern with significant progression of COVID19 T pneumonia. Broad-spectrum antibiotic was initiated for sepsis secondary to COVID-19 pneumonia with hospital-acquired pneumonia. Patient was DNR and DNI.  Web report 1/31/22 stated patient died 1/27/22 at 19:32 of covid-19 illness.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Immunodeficiency, Pancytopenia
Clinical narrative: Patient came to ED with generalized weakness and pancytopenia.  Patient admitted to hospital with Covid and pancytopenia with immunocompromised state.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On the day of administration , the Moderna vaccine was past its 30 days of refrigeration. We reached out to the manufacturer and they responded with the following, "Thank you for your patience. Analysis of the vials associated with your storage excursion is complete. The vaccine administered on February 14, 2022, February 15, 2022, February 16, 2022, February 18, 2022, and February 21, 2022 from lot number 042J21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Expired product administered, Product administration error, Product storage error
Clinical narrative: Patient was given in error HPV vaccine that had already been punctured on 2/1/22.  We figured this out when completing reconciliation. Patient has not been informed at this time. We have already reached out to Merck- there is no known harm to patient due to dose and they said it was up to provider to repeat dose . I have reviewed with provider and we plan to inform patient and request they come back to repeat first dose .
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Bell's palsy, Blood test, Borrelia test, Computerised tomogram, Ear pain
Clinical narrative: 3 days post vaccination: ear ache and scalp pain on left side 6 days post vaccination: uneven mouth (smile) 7 days post vaccination: left eye droop and non-blink 7 days post vaccination: hospital ER visit (3/4/22), CAT Scan due to stroke symptoms. Diagnosed w/ Bell's Palsy. Prescribed 7 days of Prednisone 60 mg, and & days Valacyclovir  1GM 10 days post vaccination: uneven mouth increasing
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Eyelid ptosis, Facial paralysis, Neurological symptom, Pain of skin
Clinical narrative: 3 days post vaccination: ear ache and scalp pain on left side 6 days post vaccination: uneven mouth (smile) 7 days post vaccination: left eye droop and non-blink 7 days post vaccination: hospital ER visit (3/4/22), CAT Scan due to stroke symptoms. Diagnosed w/ Bell's Palsy. Prescribed 7 days of Prednisone 60 mg, and & days Valacyclovir  1GM 10 days post vaccination: uneven mouth increasing
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The patient is only four years old and received a the first dose of the Pfizer Pediatric Covid Vaccine that is approved for children age 5 to 11 years old only.  Upon inquiring, it was discovered that the child mother gave a false date-of-birth in order for the patient to receive the vaccine.  At this time, the parents have not reported any adverse reactions however, the Immunization Registry and the child's pediatrician have both been notified.  The mother was also contacted to let her know that we would not be able to administer the second dose of the vaccine.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On the day of administration , the Moderna vaccine was past its 30 days of refrigeration. We reached out to the manufacturer and they responded with the following, "Thank you for your patience. Analysis of the vials associated with your storage excursion is complete. The vaccine administered on February 14, 2022, February 15, 2022, February 16, 2022, February 18, 2022, and February 21, 2022 from lot number 042J21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Influenza like illness, Lymphadenopathy, Malaise
Clinical narrative: The next day after vaccine I got a fever, body aches, nausea, sore throat with swollen glands, headache, and flu like symptoms. After a week sick, I went to the doctor. She recommended Nyquil and Ibuprofen. These symptoms lasted about 5 days. Then, on 1/13/2022, I developed COVID symptoms and got a positive COVID test. I went to the ER and got a COVID test. I did a telehealth visit and I was told to treat the symptoms with OTC meds. I took a home test 1/21/2022 which was negative.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: The next day after vaccine I got a fever, body aches, nausea, sore throat with swollen glands, headache, and flu like symptoms. After a week sick, I went to the doctor. She recommended Nyquil and Ibuprofen. These symptoms lasted about 5 days. Then, on 1/13/2022, I developed COVID symptoms and got a positive COVID test. I went to the ER and got a COVID test. I did a telehealth visit and I was told to treat the symptoms with OTC meds. I took a home test 1/21/2022 which was negative.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The next day after vaccine I got a fever, body aches, nausea, sore throat with swollen glands, headache, and flu like symptoms. After a week sick, I went to the doctor. She recommended Nyquil and Ibuprofen. These symptoms lasted about 5 days. Then, on 1/13/2022, I developed COVID symptoms and got a positive COVID test. I went to the ER and got a COVID test. I did a telehealth visit and I was told to treat the symptoms with OTC meds. I took a home test 1/21/2022 which was negative.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Patient was hospitalized on 12/21/21 for Covid-19 and died on 1/3/22
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient was administer a hyper-concentrated Pediatric Pfizer dose
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On the day of administration , the Moderna vaccine was past its 30 days of refrigeration. We reached out to the manufacturer and they responded with the following, "Thank you for your patience. Analysis of the vials associated with your storage excursion is complete. The vaccine administered on February 14, 2022, February 15, 2022, February 16, 2022, February 18, 2022, and February 21, 2022 from lot number 042J21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient received a hyper concentrated second dose of Pediatric Pfizer.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On the day of administration , the Moderna vaccine was past its 30 days of refrigeration. We reached out to the manufacturer and they responded with the following, "Thank you for your patience. Analysis of the vials associated with your storage excursion is complete. The vaccine administered on February 14, 2022, February 15, 2022, February 16, 2022, February 18, 2022, and February 21, 2022 from lot number 042J21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration."
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Coronavirus test positive
Clinical narrative: Patient was tested at the local pharmacy on 12/19 with positive results.  Admitted to hospital on 12/26/2021 with a second positive testing: RNA.  No symptoms or underlying health conditions charted in system.  Number of days in hospital unknown.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fullly vaccinated with Pfizer. Tested positive for COVID on 02/21/2022. Admitted to Medical Center on 02/21/2022. Expired on 03/03/2022 while still hospitalized.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood folate, COVID-19, Condition aggravated, Dementia, Hypoxia
Clinical narrative: Patient with two Moderna vaccinations, last dose 05/21 who admitted with altered mental status, fever, and positive COVID test.  Provider discharge summary below:  "patient presented with AMS superimposed on dementia found to be covid positive, febrile, and neutropenic. Procalcitonin was mildly elevated so he was also presumed to have superimposed bacterial pneumonia though this seems less likely with quick resolution of hypoxia, fever and mentation. He was treated with decadron, cefepime with improvement in mentation, transitioned to Augmentin and did well with this. Due to dementia quinolone was not used, weighing risk of worsened AMS for covering pseudomonas. Neutropenia is chronic and did not improve. He was afebrile x 48 hours prior to discharge. lumbar puncture to evaluate for infection and causes of his progressive (rapid) dementia was essentially negative with a few outstanding labs at time of discharge, to be followed up on.   He needs to follow up with his oncologist out of network for bone marrow biopsy and further work up of his neutropnia. Peripheral smear unremarkable. He has low normal b12/folic acid levels and replacement was started."
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lumbar puncture normal, Mental status changes, Neutropenia, Pneumonia bacterial, Procalcitonin increased
Clinical narrative: Patient with two Moderna vaccinations, last dose 05/21 who admitted with altered mental status, fever, and positive COVID test.  Provider discharge summary below:  "patient presented with AMS superimposed on dementia found to be covid positive, febrile, and neutropenic. Procalcitonin was mildly elevated so he was also presumed to have superimposed bacterial pneumonia though this seems less likely with quick resolution of hypoxia, fever and mentation. He was treated with decadron, cefepime with improvement in mentation, transitioned to Augmentin and did well with this. Due to dementia quinolone was not used, weighing risk of worsened AMS for covering pseudomonas. Neutropenia is chronic and did not improve. He was afebrile x 48 hours prior to discharge. lumbar puncture to evaluate for infection and causes of his progressive (rapid) dementia was essentially negative with a few outstanding labs at time of discharge, to be followed up on.   He needs to follow up with his oncologist out of network for bone marrow biopsy and further work up of his neutropnia. Peripheral smear unremarkable. He has low normal b12/folic acid levels and replacement was started."
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pseudomonas infection, Pyrexia, SARS-CoV-2 test positive, Smear site unspecified normal, Vitamin B12 normal
Clinical narrative: Patient with two Moderna vaccinations, last dose 05/21 who admitted with altered mental status, fever, and positive COVID test.  Provider discharge summary below:  "patient presented with AMS superimposed on dementia found to be covid positive, febrile, and neutropenic. Procalcitonin was mildly elevated so he was also presumed to have superimposed bacterial pneumonia though this seems less likely with quick resolution of hypoxia, fever and mentation. He was treated with decadron, cefepime with improvement in mentation, transitioned to Augmentin and did well with this. Due to dementia quinolone was not used, weighing risk of worsened AMS for covering pseudomonas. Neutropenia is chronic and did not improve. He was afebrile x 48 hours prior to discharge. lumbar puncture to evaluate for infection and causes of his progressive (rapid) dementia was essentially negative with a few outstanding labs at time of discharge, to be followed up on.   He needs to follow up with his oncologist out of network for bone marrow biopsy and further work up of his neutropnia. Peripheral smear unremarkable. He has low normal b12/folic acid levels and replacement was started."
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On the day of administration, the Moderna vaccine was past its 30 days of refrigeration. We reached out to the manufacturer and they responded with the following, "Thank you for your patience. Analysis of the vials associated with your storage excursion is complete. The vaccine administered on February 14, 2022, February 15, 2022, February 16, 2022, February 18, 2022, and February 21, 2022 from lot number 042J21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration".
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: second dose of Moderna was given on day 21 and not day 28. Given 7 days early. Spoke to patient and he had no adverse reactions to report.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lethargy, Menstruation delayed, Menstruation irregular, Pain
Clinical narrative: Delayed Menstrual cycle. Menstrual cycle began in between doses of the COVID19 vaccine (1st dose: 12/07/2021). Cycle start date was 12/21/2021 and lasted 47 days, 19 days longer than typical. The second menstrual cycle post vaccination has also been irregular, with cycle start date 02/06/2022 and is currently delayed longer than typical, by two days and counting.  Other non-menstrual adverse effects: headache, fever, body ache, lethargy.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Delayed Menstrual cycle. Menstrual cycle began in between doses of the COVID19 vaccine (1st dose: 12/07/2021). Cycle start date was 12/21/2021 and lasted 47 days, 19 days longer than typical. The second menstrual cycle post vaccination has also been irregular, with cycle start date 02/06/2022 and is currently delayed longer than typical, by two days and counting.  Other non-menstrual adverse effects: headache, fever, body ache, lethargy.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Received second COVID shot while in the hospital for sepsis. ED and hospital admissions.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I had the Covid after 2 doses of the vaccine and booster
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was administered a hyperconcentrated Pfizer dose (Peds)
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test abnormal, Dry eye, Fatigue, Sjogren's syndrome
Clinical narrative: Started feeling extreme fatigue, dry eyes to the point to where they would burn, along with joint pain. . After going to the doctor and having bloodwork I was diagnosed with Sjogrens syndrome. I was told that if I needed any meds to call. Started using eye drops type gel for dry eyes.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Thermal burns of eye
Clinical narrative: Started feeling extreme fatigue, dry eyes to the point to where they would burn, along with joint pain. . After going to the doctor and having bloodwork I was diagnosed with Sjogrens syndrome. I was told that if I needed any meds to call. Started using eye drops type gel for dry eyes.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood culture negative, Computerised tomogram abdomen normal, Computerised tomogram head normal, Computerised tomogram spine
Clinical narrative: Started having cough and respiratory issues approximately 1 week ago 02/23/2022.  Also significant weakness.  Urinary frequency.  Seen at an outside facility for same.  COVID testing negative at that time.  CT chest abdomen and pelvis with contrast was performed and essentially unremarkable.  CT head and C-spine unremarkable.  UA negative.  Urine culture negative.  Blood cultures negative.  Labs essentially unremarkable other than some lymphopenia.  Patient was discharged home.  Their family was monitoring his oxygen and was dropping in the 70s.  He was using someone else's oxygen to maintain saturations in the upper 80s and 90s.  After discussion with his oncologist opted to come to Campus for further cares.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax normal, Cough, Culture urine negative, Laboratory test abnormal, Lymphopenia
Clinical narrative: Started having cough and respiratory issues approximately 1 week ago 02/23/2022.  Also significant weakness.  Urinary frequency.  Seen at an outside facility for same.  COVID testing negative at that time.  CT chest abdomen and pelvis with contrast was performed and essentially unremarkable.  CT head and C-spine unremarkable.  UA negative.  Urine culture negative.  Blood cultures negative.  Labs essentially unremarkable other than some lymphopenia.  Patient was discharged home.  Their family was monitoring his oxygen and was dropping in the 70s.  He was using someone else's oxygen to maintain saturations in the upper 80s and 90s.  After discussion with his oncologist opted to come to Campus for further cares.