chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood urea increased, Cardio-respiratory arrest, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Death, Endotracheal intubation, Fatigue, Glomerular filtration rate decreased
Clinical narrative: HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Haemodialysis, Haemoglobin decreased, Hypervolaemia, Lung opacity, Resuscitation
Clinical narrative: HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, White blood cell count increased
Clinical narrative: HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33.
Age: 0.17
Sex: M
Vaccine: RV1
Symptoms: Product preparation error
Clinical narrative: It was discovered that the MA was improperly giving the rotavirus monovalent vaccine and only giving the diluent of rotavirus vaccine instead of mixing the diluent with the vial of the rotavirus vaccine and administering that. The clinic was able to track back which patients this affected. Patients on this date may have gotten the diluent only or the proper vaccine based on counts of abnormal diluent and reconstitute vaccine vials. The mother of patient was notified. Provider discussed the need to get patient vaccinated again in the next wk or 2. Occurrence date 11/15/21.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Patient received 0.5ml dose as a Booster rather than 0.25ml.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Echocardiogram normal, Electrocardiogram normal, Fatigue
Clinical narrative: Pt developed dizziness, palpitations, and fatigue.  One episode of syncope while running.  Continues to have evidence of dizziness and palpitationss at least every week.  chest heaviness on daily basis.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Physical examination normal, Syncope
Clinical narrative: Pt developed dizziness, palpitations, and fatigue.  One episode of syncope while running.  Continues to have evidence of dizziness and palpitationss at least every week.  chest heaviness on daily basis.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood test, Burning sensation, Electromyogram
Clinical narrative: Severe arm pain myalgia and burning in feet 2nd day after vaccine. I reported to v safe could not go to work for few days. Slowly improved. Neck and left arm pain reduced . Then in March pain returned slowly, lifted patient and left shoulder pain sharp returned. After that continued to work. Pain was building left arm shoulder upper back. In June pain was worse . Severe generalized fatigue . Saw occ med. left hand arm is weak.in September burning and pain in hand and feet started . Now pain is both arms left >>>> right . I got 2 steroid injections in left shoulder. The pain is less still present . Weakness is there. Taking gabapentin/ Tylenol / norco/naproxen.I?m working modified duty since June .left arm shoulder is weak and painful. Other burning and pain in feet . Seeing neurology/ ID/Occ med/PT / Chiropractor/Acupuncture to improve .
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Lumbar puncture, Magnetic resonance imaging, Magnetic resonance imaging head
Clinical narrative: Severe arm pain myalgia and burning in feet 2nd day after vaccine. I reported to v safe could not go to work for few days. Slowly improved. Neck and left arm pain reduced . Then in March pain returned slowly, lifted patient and left shoulder pain sharp returned. After that continued to work. Pain was building left arm shoulder upper back. In June pain was worse . Severe generalized fatigue . Saw occ med. left hand arm is weak.in September burning and pain in hand and feet started . Now pain is both arms left >>>> right . I got 2 steroid injections in left shoulder. The pain is less still present . Weakness is there. Taking gabapentin/ Tylenol / norco/naproxen.I?m working modified duty since June .left arm shoulder is weak and painful. Other burning and pain in feet . Seeing neurology/ ID/Occ med/PT / Chiropractor/Acupuncture to improve .
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging joint, Magnetic resonance imaging neck, Muscular weakness, Myalgia, Neck pain
Clinical narrative: Severe arm pain myalgia and burning in feet 2nd day after vaccine. I reported to v safe could not go to work for few days. Slowly improved. Neck and left arm pain reduced . Then in March pain returned slowly, lifted patient and left shoulder pain sharp returned. After that continued to work. Pain was building left arm shoulder upper back. In June pain was worse . Severe generalized fatigue . Saw occ med. left hand arm is weak.in September burning and pain in hand and feet started . Now pain is both arms left >>>> right . I got 2 steroid injections in left shoulder. The pain is less still present . Weakness is there. Taking gabapentin/ Tylenol / norco/naproxen.I?m working modified duty since June .left arm shoulder is weak and painful. Other burning and pain in feet . Seeing neurology/ ID/Occ med/PT / Chiropractor/Acupuncture to improve .
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, X-ray
Clinical narrative: Severe arm pain myalgia and burning in feet 2nd day after vaccine. I reported to v safe could not go to work for few days. Slowly improved. Neck and left arm pain reduced . Then in March pain returned slowly, lifted patient and left shoulder pain sharp returned. After that continued to work. Pain was building left arm shoulder upper back. In June pain was worse . Severe generalized fatigue . Saw occ med. left hand arm is weak.in September burning and pain in hand and feet started . Now pain is both arms left >>>> right . I got 2 steroid injections in left shoulder. The pain is less still present . Weakness is there. Taking gabapentin/ Tylenol / norco/naproxen.I?m working modified duty since June .left arm shoulder is weak and painful. Other burning and pain in feet . Seeing neurology/ ID/Occ med/PT / Chiropractor/Acupuncture to improve .
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Lethargy, Nausea
Clinical narrative: Pt was sitting out in the lobby and almost immediately after vaccination states she became very nauseated, lightheaded, and had a headache. She felt a sensation of the vaccine course through her body and became very tired and lethargic. Left hand fingers feel numb.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance
Clinical narrative: Pt was sitting out in the lobby and almost immediately after vaccination states she became very nauseated, lightheaded, and had a headache. She felt a sensation of the vaccine course through her body and became very tired and lethargic. Left hand fingers feel numb.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given 5-11 yrs Pfizer vaccine instead of the Pfizer 12 and up.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, COVID-19, Diarrhoea, Fall
Clinical narrative: symptoms of covid include weakness leading to syncope/fall; abdominal pain, diarrhea since about 11/15/21, then tested positive for covid
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Syncope
Clinical narrative: symptoms of covid include weakness leading to syncope/fall; abdominal pain, diarrhea since about 11/15/21, then tested positive for covid
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Headache, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: headache, sore throat, nonproductive cough, body aches, nasal congestion, sinus congestion. starting on 11/12/21
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient given booster of moderna 0.25ml on 11/12/21 on chart review noted patient received  moderna full dose on  01/07/2021-02/04/21- and on 4/30/21. Extra dose given on 4/30/21.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncopal episode post vaccination; hx of same
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Respiratory failure
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Respiratory failure
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Fatigue, Malaise, Pain
Clinical narrative: Lousy and in pain in my body. I had a weird pain in my shoulder, I was tired, and my hand was swollen for a month. I went to the doctor, and he ran a test and just gave me an injection.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, X-ray normal
Clinical narrative: Lousy and in pain in my body. I had a weird pain in my shoulder, I was tired, and my hand was swollen for a month. I went to the doctor, and he ran a test and just gave me an injection.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 80.0
Sex: M
Vaccine: FLU4
Symptoms: Death
Clinical narrative: patient went to Pharmacy received a COVID booster and Flu vaccine at same time and passed away next day
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Chills, Hyperhidrosis, Tremor
Clinical narrative: After getting the vaccine I started having chills, I wasn't able to hold things steady. The next day I was sweating and having chills. I called 911 to see what I should do because I was still shaking. I was supposed to give myself an injection for hydrocortisone, but the shaking was so bad I wasn't able to. My blood pressure also dropped it was hard to keep it above 80.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Condition aggravated, Urinary tract infection, Urine analysis abnormal
Clinical narrative: My UTI are out of control since I received the vaccination. It's not normal for me to have them. I started to notice my adverse event around Feb 2021.  Around January or February, I started to go to an urgent care, and I visited the doctor. If you contact my doctor, they will have the exact the dates and details.
Age: 48.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Hypersensitivity, Lip swelling, Oropharyngeal discomfort
Clinical narrative: The patient reports that while she was working on the morning of 11/13, she developed hives behind her left ear which spread down her neck. She was very itchy. She took Benadryl 12.5 mg and the hives improved after about 30 minutes. That evening, the hives came back, so she took Benadryl 25mg, which helped after about 30 minutes and she was able to sleep. The following morning, the hives were present again, so she took Benadryl 25 mg with improvement. That day, she ran a race. She took Benadryl 25 mg on her way home from the race because she felt that the hives were coming back. That evening, she noticed that the rash was starting again on her neck, ears and scalp. She went to the ED and was prescribed Benadryl, Pepcid and prednisone. The rash recurred again while at work the morning of 11/15 but was more diffuse, covering her whole body. After her shift she went back to the ED. At that time, she had hives to her right ear, neck, trunk, and legs. She was treated again in the ED with prednisone and Benadryl. During her observation, her upper lip became swollen and her tongue became itchy. She was treated with IV Benadryl and IM epinephrine. She had immediate relief after the epinephrine, but the hives came back after about an hour, so she was treated with additional Benadryl and Pepcid with improvement. Her hives and swelling were resolved at discharge.   She had been taking Benadryl when she notices the hives starting up, Pepcid 20 mg once daily scheduled in the morning, and prednisone taper as prescribed   Yesterday at work, she developed hives on her hands while wearing gloves. She also developed hives and swelling on her feet. She also had them on her trunk and in her axillae. She was seen in occ med yesterday afternoon. She started cetirizine 10 mg yesterday afternoon and also took cetirizine 10 mg this morning. She continues to take famotidine 20 mg once daily and prednisone as prescribed. She has an epinephrine autoinjector.    She reports that this morning, her hives are better than previously, but she still has hives on her hands and feet. They are very itchy and feel hot. She has not had lip swelling but has maybe had some red patches on her lips which were transient. She denies throat tightness, dyspnea, and wheezing. Yesterday morning she had a different sensation in her throat which resolved after drinking water.   The patient likely has acute urticaria, which may related to an immune response to her recent Moderna COVID-19 vaccine. The ongoing symptoms make this unlikely to be an allergic reaction. Her symptoms may persist for several weeks.   Plan cetirizine 20 mg twice daily scheduled, famotidine 20 mg twice daily scheduled, complete prednisone taper as prescribed. We discussed risks of sedation associated with antihistamines, and she was counseled not to drive/operate heavy machinery if feeling drowsy.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Swelling, Tongue pruritus, Urticaria
Clinical narrative: The patient reports that while she was working on the morning of 11/13, she developed hives behind her left ear which spread down her neck. She was very itchy. She took Benadryl 12.5 mg and the hives improved after about 30 minutes. That evening, the hives came back, so she took Benadryl 25mg, which helped after about 30 minutes and she was able to sleep. The following morning, the hives were present again, so she took Benadryl 25 mg with improvement. That day, she ran a race. She took Benadryl 25 mg on her way home from the race because she felt that the hives were coming back. That evening, she noticed that the rash was starting again on her neck, ears and scalp. She went to the ED and was prescribed Benadryl, Pepcid and prednisone. The rash recurred again while at work the morning of 11/15 but was more diffuse, covering her whole body. After her shift she went back to the ED. At that time, she had hives to her right ear, neck, trunk, and legs. She was treated again in the ED with prednisone and Benadryl. During her observation, her upper lip became swollen and her tongue became itchy. She was treated with IV Benadryl and IM epinephrine. She had immediate relief after the epinephrine, but the hives came back after about an hour, so she was treated with additional Benadryl and Pepcid with improvement. Her hives and swelling were resolved at discharge.   She had been taking Benadryl when she notices the hives starting up, Pepcid 20 mg once daily scheduled in the morning, and prednisone taper as prescribed   Yesterday at work, she developed hives on her hands while wearing gloves. She also developed hives and swelling on her feet. She also had them on her trunk and in her axillae. She was seen in occ med yesterday afternoon. She started cetirizine 10 mg yesterday afternoon and also took cetirizine 10 mg this morning. She continues to take famotidine 20 mg once daily and prednisone as prescribed. She has an epinephrine autoinjector.    She reports that this morning, her hives are better than previously, but she still has hives on her hands and feet. They are very itchy and feel hot. She has not had lip swelling but has maybe had some red patches on her lips which were transient. She denies throat tightness, dyspnea, and wheezing. Yesterday morning she had a different sensation in her throat which resolved after drinking water.   The patient likely has acute urticaria, which may related to an immune response to her recent Moderna COVID-19 vaccine. The ongoing symptoms make this unlikely to be an allergic reaction. Her symptoms may persist for several weeks.   Plan cetirizine 20 mg twice daily scheduled, famotidine 20 mg twice daily scheduled, complete prednisone taper as prescribed. We discussed risks of sedation associated with antihistamines, and she was counseled not to drive/operate heavy machinery if feeling drowsy.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Aspiration pleural cavity, Blood lactic acid increased, Confusional state, Death, Endotracheal intubation
Clinical narrative: 54M presented with respiratory failure secondary to pleural effusion. The patient was admitted to medsurg and started on diuretics. Plans were made for us guided thoracentesis and likely paracentesis, as well. The patient decompensated, requiring emergent thoracentesis. He was placed on bipap at that time and started on zosyn. When I arrived to hospital day after admission, stat response was called to patient's room and he was rapidly transported to the ICU for intubation and to be started on vasopressors as he had become confused and hypotensive. It was not clear why. In the ICU, he was intubated and started on vasopressors. Central line was placed. He was transfused two units, but lactic started climbing and his hgb did not improve appropriately. Massive transfusion protocol was initiated. Patient's family was contacted by intensivist, and ultimately they decided to withdraw life sustaining treatment.    The patient expired on 10/3 @ 1650 due to hemorrhagic shock secondary to upper GI bleeding in the context of chronic decompensated cirrhosis of the liver.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Haemoglobin, Hypotension, Intensive care, Pleural effusion
Clinical narrative: 54M presented with respiratory failure secondary to pleural effusion. The patient was admitted to medsurg and started on diuretics. Plans were made for us guided thoracentesis and likely paracentesis, as well. The patient decompensated, requiring emergent thoracentesis. He was placed on bipap at that time and started on zosyn. When I arrived to hospital day after admission, stat response was called to patient's room and he was rapidly transported to the ICU for intubation and to be started on vasopressors as he had become confused and hypotensive. It was not clear why. In the ICU, he was intubated and started on vasopressors. Central line was placed. He was transfused two units, but lactic started climbing and his hgb did not improve appropriately. Massive transfusion protocol was initiated. Patient's family was contacted by intensivist, and ultimately they decided to withdraw life sustaining treatment.    The patient expired on 10/3 @ 1650 due to hemorrhagic shock secondary to upper GI bleeding in the context of chronic decompensated cirrhosis of the liver.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Respiratory failure, Shock haemorrhagic, Transfusion, Upper gastrointestinal haemorrhage
Clinical narrative: 54M presented with respiratory failure secondary to pleural effusion. The patient was admitted to medsurg and started on diuretics. Plans were made for us guided thoracentesis and likely paracentesis, as well. The patient decompensated, requiring emergent thoracentesis. He was placed on bipap at that time and started on zosyn. When I arrived to hospital day after admission, stat response was called to patient's room and he was rapidly transported to the ICU for intubation and to be started on vasopressors as he had become confused and hypotensive. It was not clear why. In the ICU, he was intubated and started on vasopressors. Central line was placed. He was transfused two units, but lactic started climbing and his hgb did not improve appropriately. Massive transfusion protocol was initiated. Patient's family was contacted by intensivist, and ultimately they decided to withdraw life sustaining treatment.    The patient expired on 10/3 @ 1650 due to hemorrhagic shock secondary to upper GI bleeding in the context of chronic decompensated cirrhosis of the liver.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Chest discomfort, Death, Dyspnoea
Clinical narrative: pt to ED with chest tightness, SOB, nausea, diaphoresis; scheduled for heart catherization; positive for COVID; placed on BiPAP; transported to ICU; pt's condition worsened and she experienced cardiac arrest and died in the hosp
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Intensive care, Nausea, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: pt to ED with chest tightness, SOB, nausea, diaphoresis; scheduled for heart catherization; positive for COVID; placed on BiPAP; transported to ICU; pt's condition worsened and she experienced cardiac arrest and died in the hosp
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: I have aching at the injection site and throughout my body.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: Pt received the second dose of Moderna.  Pt stated experienced numb tongue, difficulty walking, weakness after the first dose. Pt talked to her PCP, PCP didn't restrict her to get the second dose.  The concern of allergic reaction was discussed with patient. Patient decided to get the second dose at 9:19 am. Pt was instructed to stay and being monitored for 30 minutes. at 9:40, Pt reported numbness of the tongue. VS was taken. BP: 153/95, HR: 62, SO2 100%. No difficulty breathing noticed. Pt was transferred to the adult health.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia, Taste disorder
Clinical narrative: I had my first covid vaccine shot on 5/15/21 with no side effects. I had my second vaccine shot on 6/5/21 and had a change in my smell and taste 3 days later. I did not loose my taste and smell. Everything smells and tastes different since my second vaccine shot. I saw my doctor three months later for these symptoms. There was no explanation for these symptoms. The doctor thinks it may be from the vaccine.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Product storage error
Clinical narrative: Patient was notified that the vaccine used was drawn up longer than 12 hours. Patient notified by MD. patient offered revaccination and declined. patient had headache and nausea.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Angioplasty, Anticoagulant therapy, Arteriosclerosis, Atelectasis
Clinical narrative: Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bladder catheterisation, Cardio-respiratory arrest, Computerised tomogram abdomen, Computerised tomogram abdomen abnormal, Coronary artery disease
Clinical narrative: Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Echocardiogram abnormal, Fall, General physical health deterioration, Iliac artery occlusion
Clinical narrative: Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Left ventricular hypertrophy, Mass, Pain in extremity, Peripheral artery bypass
Clinical narrative: Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral artery occlusion, Peripheral artery stenosis, Peripheral coldness, Peripheral endarterectomy, Right ventricular ejection fraction decreased
Clinical narrative: Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin discolouration, Ultrasound kidney abnormal, Urinary retention
Clinical narrative: Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Chills, Depressed level of consciousness, Echocardiogram normal, Electrocardiogram T wave inversion
Clinical narrative: Cindy had her COVID booster vaccine, and later that day she started to have flulike symptoms.  She went to bed but woke up later with violent chills.  She took Tylenol and went back to bed but her husband came to check on her and she was minimally conscious.  He could not get her out of bed.  Eventually was able to get her into the emergency department.  She basically has amnesia of the event.  An EKG was done showing lateral T wave inversions.  In reviewing her prior EKGs this is similar finding.  She was found to have a slight troponin elevation that was persistent over several days with no rise and fall.  She had an echocardiogram showing no evidence of a wall motion abnormality.  Ejection fraction was normal and there was no effusion.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Laboratory test, Magnetic resonance imaging heart, Troponin increased
Clinical narrative: Cindy had her COVID booster vaccine, and later that day she started to have flulike symptoms.  She went to bed but woke up later with violent chills.  She took Tylenol and went back to bed but her husband came to check on her and she was minimally conscious.  He could not get her out of bed.  Eventually was able to get her into the emergency department.  She basically has amnesia of the event.  An EKG was done showing lateral T wave inversions.  In reviewing her prior EKGs this is similar finding.  She was found to have a slight troponin elevation that was persistent over several days with no rise and fall.  She had an echocardiogram showing no evidence of a wall motion abnormality.  Ejection fraction was normal and there was no effusion.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 21.0
Sex: M
Vaccine: FLUA4
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given a high dose flu vaccine on accident instead of regular dose. No symptoms reported. Unable to get ahold of patient to confirm. Called patient, left voicemail.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Cough, Dyspnoea
Clinical narrative: cough, SOB chest pain
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 60.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Ageusia, Anosmia, Fatigue, Headache, Nausea
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 11/13/2021, started experiencing symptoms 11/14/2021 of headache, nausea, fatigue, and loss of smell and taste. No noted Primary visit/communications. Still experiencing symptoms. Also received the Influenza 1st dose Left arm 11/13/2021.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Oedema peripheral
Clinical narrative: Left armpit is sore and swollen, this did not happen with either of the initial two injections. Not 100% clear on the above lot number, the writing is not super clear on my vaccine card. The 6 could be a G.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dysphonia, Ear pain, Extra dose administered, Eye pain
Clinical narrative: I was struggling with the acid reflux prior to the vaccine after a bilateral surgery in August 2021. After the 3rd Dose of the Pfizer, I noticed it has gotten worse and it is affecting my voice. I received the flu vaccine on 10/15/2021. After both vaccines, the 3rd dose of Pfizer and the flu vaccine. I noticed 2 days after the flu vaccine, I began having pain on the left side of my jaw. My glands are swollen. I was unable to eat and chew that lasted quite a while. 11/17/2021, when I close my mouth entirely, there is pain, and it is tender on the left side of my jaw around my ear. While I am chewing or eating, I can tell there is some pain and swelling. I went to see NP, on 11/05/2021, who works for Dr. because I started to notice one of my eyes were bothering me, when I would look up or to the side, when I would attempt to look up or move, my eye would hurt. Movement in the eye- I felt pain in the back of my eye. I have swollen glands in my jaw. The NP said it might be TMJ and to put heat on it and see a dentist.  I will see a gastroenterologist on 12/21/20021- to have an endoscopy. 11/17/2021 This is the longest I have ever had swollen glands on the left side under my jaw, close to the joint. I don't know if it could be related to the acid reflux or not, maybe it is.