chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Paraesthesia, Paraesthesia oral, Renal function test normal, Urine analysis normal, Vertigo
Clinical narrative: This is a 74-year-old gentleman that presents with concerns regarding left-sided facial numbness, right-sided numbness/paresthesias to his tongue as well as an episode of ataxia and vertiginous symptoms yesterday.  This is in the context of the recent diagnosis of COVID-19.   The patient does have a background history significant for severe chronic fatigue that has been present over the last 6 months and had fairly thorough investigations.  He did have an episode of ITP approximately 6 months ago which he states has resolved but the symptoms of chronic fatigue have not improved.   The patient denies any other significant neurological symptoms on examination.  His cranial nerve exam is otherwise unremarkable apart from paresthesia and numbness to the left side of his face and tongue.  His visual fields are all intact and he is no longer ataxic and able to walk steadily.   The patient is compliant with his anticoagulant.  In addition he has been recently started on digoxin with vital   Because of the patient's concerning symptoms a workup for possible CVA particularly posterior CVA was considered and a CT head as well as CT angiogram head and neck were performed to exclude any intracranial hemorrhage or large vessel occlusion.   I did discuss with stroke neuro Dr., she suggested based on the patient's symptoms that he should be admitted for an MRI brain with and without contrast to exclude CVA as above imaging does not exclude posterior CVA particularly well. Because of the patient's other nonspecific symptoms and thorough workup including EKG showing atrial fibrillation controlled rate as well as routine labs showed normal kidney function negative urine as well as a normal digoxin level.  I do not find any alternate cause for the patient's symptoms.   The patient was agreeable for admission and discussed with the hospitalist here who will admit to facilitate MRI and continued observation.
Age: 59.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: Chills, fever 102 degrees, body aches, lower leg stiffness.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Covid Vial was not Diluted Prior to Adminitration
Age: 49.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Blood pressure increased, Dyspnoea exertional, Headache, Ocular discomfort, Pruritus
Clinical narrative: onset of internal itching; followed by pressure and itching behind her eyes had some mild shortness of breath while walking;  headache temp 99.8;  elevated B/P  178/97; HR 102 TX:   Benadryl 25mg p.o.;  Ibuprofen 400mg p.o.; rest
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Expired product administered, No adverse event
Clinical narrative: There is no adverse reaction.  The vaccine was expired by 2 days.  Local Health Department advised us to fill our a VAERS
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Pain, Pyrexia, Vomiting
Clinical narrative: fussiness, fatigue, fever and vomiting; he also reported some body aches (primarily in his legs)
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: The day after the shot, she got a rash on her right arm, which spread to right trunk and right thigh and buttock.  I saw her July 5. Although it was fading, it was still there. I saw her again Aug 2, 2022. The rash was still producing new patches that were flaring up, lasting about a week or two and then fading again.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Animal bite, Crying, Decreased appetite, Hypersomnia, Irritability
Clinical narrative: On July 31 about 49 hours after his second dose around 3pm, patient became very lethargic and started crying. We took his temperature and he had a 104.6. We gave him ibuprofen and put him down for a nap. He slept and when he woke up he had a 102. We gave him Tylenol at that time around 6:45pm. He seemed better and was okay the rest of the evening. Before bed he had a temp of 101 so we gave him ibuprofen. He slept about 13 hours. When he woke up on August 1, he was completely inconsolable. He had a 104.3 temp. He didn't want to eat but I was able to get him to eat a few pretzels. I gave him ibuprofen in the morning when he woke up after eating around 11:30am. He was inconsolable a lot of the day and only wanted to watch TV. He ate a very small lunch. I gave him tylenol at that point. His temp was better at 100. After his nap he was crying and didn't want a snack. We went for a walk outside in his stroller and that seemed to help a little. He did eat some dinner but would cry on and off throughout dinner. After dinner, he took a bath and he seemed okay then and the rest of the evening. Before bed,  his temp was normal at 98.7. We gave him ibuprofen at that time. He slept 11 hours overnight and when he woke up on August 2nd, he was fussing but not hysterical. His temp in the morning was 99.1 but he started to feel warmer as the day went on. He had a smaller than normal breakfast and a very small lunch. He was crying on and off during lunch. I took his temp again and around 2:30 it was 102. I gave him ibuprofen around 2:30 and put him down for a nap. Overall, hes been better today (August 2) but is not back to normal.   He did get bit by a goat on July 31 around 1:30. When I called my pediatrician, they didn't think his fever was related. They did prescribe him augmentin which he has been taking since August 1st.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Pyrexia, Skin warm
Clinical narrative: On July 31 about 49 hours after his second dose around 3pm, patient became very lethargic and started crying. We took his temperature and he had a 104.6. We gave him ibuprofen and put him down for a nap. He slept and when he woke up he had a 102. We gave him Tylenol at that time around 6:45pm. He seemed better and was okay the rest of the evening. Before bed he had a temp of 101 so we gave him ibuprofen. He slept about 13 hours. When he woke up on August 1, he was completely inconsolable. He had a 104.3 temp. He didn't want to eat but I was able to get him to eat a few pretzels. I gave him ibuprofen in the morning when he woke up after eating around 11:30am. He was inconsolable a lot of the day and only wanted to watch TV. He ate a very small lunch. I gave him tylenol at that point. His temp was better at 100. After his nap he was crying and didn't want a snack. We went for a walk outside in his stroller and that seemed to help a little. He did eat some dinner but would cry on and off throughout dinner. After dinner, he took a bath and he seemed okay then and the rest of the evening. Before bed,  his temp was normal at 98.7. We gave him ibuprofen at that time. He slept 11 hours overnight and when he woke up on August 2nd, he was fussing but not hysterical. His temp in the morning was 99.1 but he started to feel warmer as the day went on. He had a smaller than normal breakfast and a very small lunch. He was crying on and off during lunch. I took his temp again and around 2:30 it was 102. I gave him ibuprofen around 2:30 and put him down for a nap. Overall, hes been better today (August 2) but is not back to normal.   He did get bit by a goat on July 31 around 1:30. When I called my pediatrician, they didn't think his fever was related. They did prescribe him augmentin which he has been taking since August 1st.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain in extremity, Vertigo
Clinical narrative: Patient reported that on 7/15/22 she received the Pfizer vaccine (2nd booster) at the health department (given by  contracted staff). She reported the next day she did not feel well and started having vertigo symptoms. She thought she would "wait it out" on Saturday 7/16/22. She woke up on 7/17/22 and continued to have worsening vertigo symptoms, to the point where she felt that she needed to be seen by a provider. She called an ambulance to her home who transported her to the local ER. While she was there they gave her motion sickness medication. They told her "sometimes this just happens." Two days later she saw her primary doctor who made a referral for therapy. She did not have any symptoms other than a sore arm with the first 3 Pfizer vaccines and she does not report any underlying conditions that would have contributed to vertigo. She stated she looked at the CDC website which showed a small percentage of people who got vertigo because of the vaccine. She is feeling better now, however, states it is not completely resolved but she continues to go to therapy.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: After the second booster in May I noticed that my arm had a a 6 inch in diameter around the injection area that was red, warm and itchy.  This lasted about a week.  I took a picture of this on May 5th.     I got a resting heart rate alert 3 times in a 24 hour period.  My heart rate was around 130.  This happened on May 22th and  23th.  Then there was nothing else until Wednesday May 27th I had another alert for the same resting heart rate.  To be clear, I was sitting, at rest each time.   I also have seen on my smartwatch report that on two nights, maybe 3/4 days apart, I had between 10 and 30 breathing difficulty episode between  3 and 4 in the morning.   It happened 3 or 4 nights later again and it stated I had between 30-50 breathing difficulty episodes between 3 and 5 in the morning.  Again, on August 1st I took a nap for about an hour long and my app reported another episode of breathing difficulty.    I have an upcoming cardiologist appointment August 24, 2022.
Age: 35.0
Sex: F
Vaccine: TYP
Symptoms: Dysphagia, Lymph node pain, Sensation of foreign body
Clinical narrative: Pt had a typhoid injection in left deltoid at 1300 on 08/01/22.  At 0500 on 08/02/22, pt woke up c/o lump on left side of throat and difficulty swallowing her medication.  Pt came back to the clinic at 0800 to report the symptom and states it feels better.  Pt c/o tenderness with palpation on left side cervical lymph node.  Pt recently returned from out of the country evening of 07/29/22.  Pt had Covid one month ago.  Pt has no known allergies.  Pt ate chicken and rice for dinner with a glass of wine for dinner on 08/01/22 which is normal for her.
Age: 17.0
Sex: F
Vaccine: MENB, UNK
Symptoms: Abdominal discomfort, Asthenia, Gait inability, Headache, Nausea
Clinical narrative: Started to feel sick to stomach,  weak, faint. Then really bad headache,  fever, shakey,  couldn't walk, nausea and vomiting. Took to emergency room
Age: 17.0
Sex: F
Vaccine: MENB, UNK
Symptoms: Pyrexia, Syncope, Tremor, Vomiting
Clinical narrative: Started to feel sick to stomach,  weak, faint. Then really bad headache,  fever, shakey,  couldn't walk, nausea and vomiting. Took to emergency room
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Contusion, Epistaxis, Erythema, Immunoglobulin therapy
Clinical narrative: On 7/2/2022 I noticed red dots on my feet and legs.  On 7/3/2022 I had two nosebleeds.  On 7/4/2022 I had numerous random bruises all over my body and the red dots had spread up my body and into my mouth.  On 7/5/2022 I went to the ER where I was treated and admitted.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Infusion, Platelet count decreased, Platelet transfusion
Clinical narrative: On 7/2/2022 I noticed red dots on my feet and legs.  On 7/3/2022 I had two nosebleeds.  On 7/4/2022 I had numerous random bruises all over my body and the red dots had spread up my body and into my mouth.  On 7/5/2022 I went to the ER where I was treated and admitted.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, General physical health deterioration, Post-acute COVID-19 syndrome, Pyrexia
Clinical narrative: 10 hours after the vaccine I had a fever of 105.1ºF. Every single joint in my entire body hurt worse than when I had COVID-19 December 2020. Since then (over the past year), my health has continued to decline with many new health conditions, as well as, completely unresolved COVID-19 symptoms. My long COVID-19 symptoms started resolving prior to getting the vaccine, then they came back with a full vengeance and more ever since.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: COVID-19 I tested positive for COVID-19 on July 6, 2022 only symptom I experienced was a runny nose. I was prescribed  molnupiravir 200mg for 5 days. I started to feel better. I tested again on July 12, 2022 and the results were negative.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admitted for COVID pna. Symptom onset 2 weeks prior with lingering illness. Fully vaccinated 3/2021. Steroids, vit-c, vit-d, zinc, doxy. Stable on room air and discharged home.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient admitted as observation on 7/25 due to acute respiratory failure with hypoxia 2/2 COVID-19. Patient was tested for COVID-19 and was positive on 7/25.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Computerised tomogram head normal, Dizziness, Fear, Feeling hot
Clinical narrative: He got his vaccine, woke up the next morning, started getting flu-like symptoms of hot and cold sweats.  After about 2 hours he got a hot sweat, it was like a lightening bolt hit his brain.  Felt like a hammer hit him in the head and room started spinning, which scared him to death.  He tried to get himself together, drank a lot of water and Gatorade.  He has no insurance so did not go to the ER, but did go to go to the ER.  He went home, dealt with the headaches and light headedness.  It did go away.  Then about a week later he got the same symptoms again.  Then every weekend he got this as well and now cannot get rid of it.  He did have similar symptoms with the 2nd vaccine.  The headaches go from the left side to right side down to his temples and to the neck, which is sore to touch, and still continues to have the dizziness and the headaches.  He has had some vertigo in the past, but only 4-5 episodes in total.  Now he cannot get rid of the headaches, and has never had headaches like this.  He went to the doctor, had a brain scan and said there was no findings, told to drink a lot of fluids and to go home.   He is just taking Tylenol for the headaches, and continues with the allergy pills which do not alleviate the headaches.    He was told that his allergy medicine could cause vertigo, which he did not have headaches with the vertigo in the past.    He absolutely positively regrets that he got these vaccines as he is now suffering from it.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Influenza like illness, Neck pain, Tenderness
Clinical narrative: He got his vaccine, woke up the next morning, started getting flu-like symptoms of hot and cold sweats.  After about 2 hours he got a hot sweat, it was like a lightening bolt hit his brain.  Felt like a hammer hit him in the head and room started spinning, which scared him to death.  He tried to get himself together, drank a lot of water and Gatorade.  He has no insurance so did not go to the ER, but did go to go to the ER.  He went home, dealt with the headaches and light headedness.  It did go away.  Then about a week later he got the same symptoms again.  Then every weekend he got this as well and now cannot get rid of it.  He did have similar symptoms with the 2nd vaccine.  The headaches go from the left side to right side down to his temples and to the neck, which is sore to touch, and still continues to have the dizziness and the headaches.  He has had some vertigo in the past, but only 4-5 episodes in total.  Now he cannot get rid of the headaches, and has never had headaches like this.  He went to the doctor, had a brain scan and said there was no findings, told to drink a lot of fluids and to go home.   He is just taking Tylenol for the headaches, and continues with the allergy pills which do not alleviate the headaches.    He was told that his allergy medicine could cause vertigo, which he did not have headaches with the vertigo in the past.    He absolutely positively regrets that he got these vaccines as he is now suffering from it.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: He got his vaccine, woke up the next morning, started getting flu-like symptoms of hot and cold sweats.  After about 2 hours he got a hot sweat, it was like a lightening bolt hit his brain.  Felt like a hammer hit him in the head and room started spinning, which scared him to death.  He tried to get himself together, drank a lot of water and Gatorade.  He has no insurance so did not go to the ER, but did go to go to the ER.  He went home, dealt with the headaches and light headedness.  It did go away.  Then about a week later he got the same symptoms again.  Then every weekend he got this as well and now cannot get rid of it.  He did have similar symptoms with the 2nd vaccine.  The headaches go from the left side to right side down to his temples and to the neck, which is sore to touch, and still continues to have the dizziness and the headaches.  He has had some vertigo in the past, but only 4-5 episodes in total.  Now he cannot get rid of the headaches, and has never had headaches like this.  He went to the doctor, had a brain scan and said there was no findings, told to drink a lot of fluids and to go home.   He is just taking Tylenol for the headaches, and continues with the allergy pills which do not alleviate the headaches.    He was told that his allergy medicine could cause vertigo, which he did not have headaches with the vertigo in the past.    He absolutely positively regrets that he got these vaccines as he is now suffering from it.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admit for COVID pna. Fully vaccinated 3/2021. Out of range for remdesivir and plasma. Steroids, O2, vit-c, vit-d, zinc, singulair, ivermectin, zithromax, doxy. Weaned to 3 L and discharged home with O2.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death, Hepatic failure, Mechanical ventilation, Septic shock
Clinical narrative: Originally admitted for septic shock and liver failure, found to have COVID pna several days in. Fully vaccinated 4/2021. Required mechanical ventilation. Steroids, rocephin, vanc, vit-c, vit-d, cefepime, zinc. Not a candidate for remdesivir due to liver failure. Transitioned to comfort measures and expired.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Eye infection, Eye irritation, Eye pain, Photophobia
Clinical narrative: right eye became infected, which included stabbing pain and over sensitivity to light and severe burning sensation. treatment included neomycin eye ointment which was applied to right eye for 10 days.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19 pneumonia, Positive airway pressure therapy
Clinical narrative: Admit for COVID pna. Steroids, O2, Cpap, anticoag, baricitinib, ivermectin. Discharged home.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cerebrovascular accident, Drug screen positive, Malignant hypertension
Clinical narrative: Admitted for malignant HTN and stroke, found to be COVID +. Tox screen + cocaine. Fully vaccinated. Placed on steroids, did not require O2. Both documentation of "incidental finding" and "COVID pneumonia" are found. Patient left AMA
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Admitted for malignant HTN and stroke, found to be COVID +. Tox screen + cocaine. Fully vaccinated. Placed on steroids, did not require O2. Both documentation of "incidental finding" and "COVID pneumonia" are found. Patient left AMA
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Chills, Myalgia, Pain
Clinical narrative: 7/18/22 ~3:30PM - started feeling congested 7/18/22 ~8:00PM - took home COVID test, returned postive result 7/19/22 - symptoms worse, body aches, sinus congestion, chills.  No fever though 7/19/22 afternoon - started paxlovid 7/20/22-7/22/22 - symptoms lessened each day 7/23/22 - took home COVID test, postive (VERY faint line) 7/25/22 - took home COVID test, negative 7/29/22 - took home COVID test, negative 8/1/22 - took home COVID test, negative Symptoms mostly gone.  Some muscle ache and sore left elbow, but not sure if related to COVID.  8/2/22 ~12:15PM - recived call from CDC Vsafe Reg asking me to submit this form.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: 7/18/22 ~3:30PM - started feeling congested 7/18/22 ~8:00PM - took home COVID test, returned postive result 7/19/22 - symptoms worse, body aches, sinus congestion, chills.  No fever though 7/19/22 afternoon - started paxlovid 7/20/22-7/22/22 - symptoms lessened each day 7/23/22 - took home COVID test, postive (VERY faint line) 7/25/22 - took home COVID test, negative 7/29/22 - took home COVID test, negative 8/1/22 - took home COVID test, negative Symptoms mostly gone.  Some muscle ache and sore left elbow, but not sure if related to COVID.  8/2/22 ~12:15PM - recived call from CDC Vsafe Reg asking me to submit this form.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19 pneumonia
Clinical narrative: Admitted for COVID pna. Fully vaccinated March 2021. Placed on O2, remdesiv]ir, rocephin, azithro, steroids, zinc, vit-c, coumadin for Afib. Improved and discharged on O2.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admitted for COVID pna. Fully vaccinated 2/2021. Possible superimposed bacterial pna. Treated with O2, steroids, zinc, vit-c, vit-d, rocephin, azithro. Improved and discharged home.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Fatigue, Influenza virus test negative, Pyrexia
Clinical narrative: The same night for the vaccination, she began to have a high fever, and the next day it was continuing to be very high and completely unrelenting despite using ibuprofen and Tylenol. The fever did not break until the evening of the 6th of July or the 7th of July. I took her to her pediatrician who was not worried and also urgent care. The fever was over 103-104 the entire time. She has had allergies and post nasal drip including a cough however no returned fever. She was also extremely fatigued and she also had no appetite during the week of the fever. Family history of vaccine reaction to D-Tap mother had anaphylactic reaction to it.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Upper-airway cough syndrome
Clinical narrative: The same night for the vaccination, she began to have a high fever, and the next day it was continuing to be very high and completely unrelenting despite using ibuprofen and Tylenol. The fever did not break until the evening of the 6th of July or the 7th of July. I took her to her pediatrician who was not worried and also urgent care. The fever was over 103-104 the entire time. She has had allergies and post nasal drip including a cough however no returned fever. She was also extremely fatigued and she also had no appetite during the week of the fever. Family history of vaccine reaction to D-Tap mother had anaphylactic reaction to it.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Atrial fibrillation, COVID-19, Exposure to SARS-CoV-2
Clinical narrative: Admitted for COVID, tested positive 7 days PTA, exposure to wife at home with COVID. Treated with steroids, lovenox, zinc, vit-c, eliquis, singulair. Developed AKI and new-onset Afib. Fully vaccinated. Did not require supplemental O2. Improved and discharged home.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Admitted for COVID, tested positive 7 days PTA, exposure to wife at home with COVID. Treated with steroids, lovenox, zinc, vit-c, eliquis, singulair. Developed AKI and new-onset Afib. Fully vaccinated. Did not require supplemental O2. Improved and discharged home.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Culture negative, Death, Dialysis, Polyuria
Clinical narrative: Initially, she was placed on high-flow oxygen.  She was offered BiPAP at night which she sometimes refused.  She was continued on steroids initially and we ordered completion of Baracitinib which she had started at the referring facility.  We also started some diuresis with oral Lasix.  Initially, her respiratory status seemed to improve, but she developed evidence of acute renal failure.  We stop potentially offending drugs and started IV fluid without improvement.  Ultimately, I consulted Nephrology and she started on dialysis with improvement in her laboratory numbers.  However, her respiratory status again declined.  She required very high flow oxygen.  She spiked a fever and started broad-spectrum antibiotics, though cultures remain negative.  She was much worse on 08/01.  I discussed at length with her husband including potential advanced directives for no intubation / CPR.  Ultimately, her family arrived at the hospital and in conjunction with the patient decided that she had had enough.  They did not want further antibiotics, steroids, high-flow oxygen or BiPAP (which the patient found uncomfortable).  We transitioned to comfort care, and she passed away peacefully with family in attendance.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Pyrexia, Respiratory disorder
Clinical narrative: Initially, she was placed on high-flow oxygen.  She was offered BiPAP at night which she sometimes refused.  She was continued on steroids initially and we ordered completion of Baracitinib which she had started at the referring facility.  We also started some diuresis with oral Lasix.  Initially, her respiratory status seemed to improve, but she developed evidence of acute renal failure.  We stop potentially offending drugs and started IV fluid without improvement.  Ultimately, I consulted Nephrology and she started on dialysis with improvement in her laboratory numbers.  However, her respiratory status again declined.  She required very high flow oxygen.  She spiked a fever and started broad-spectrum antibiotics, though cultures remain negative.  She was much worse on 08/01.  I discussed at length with her husband including potential advanced directives for no intubation / CPR.  Ultimately, her family arrived at the hospital and in conjunction with the patient decided that she had had enough.  They did not want further antibiotics, steroids, high-flow oxygen or BiPAP (which the patient found uncomfortable).  We transitioned to comfort care, and she passed away peacefully with family in attendance.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: no adverse even took place. Pt was given 0.2ml of  non-diluted dose.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Escherichia bacteraemia
Clinical narrative: Admitted for COVID and e coli bacteremia. ID physician documents COVID status as "asymptomatic" however pt did require O2 for a time, and was able to wean to RA. Treated with Rocephin, vit-c, merrem, zinc.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Admitted for COVID. Completed vaccine series Aug 2021. Treated with O2, steroids, zinc, vit-c, cefepime, vit-d, singulair. Weaned to RA and discharged home.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admitted for COVID pna. Fully vaccinated in April. Placed on vit-c, vit-D, zinc, steroids. Did not require O2. Improved and discharged home.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admitted for COVID pna. Fully vaccinated in April. Treated with O2, steroids, cefepime, vit-c, vit-d, zinc, singulair. Improved and discharged home with O2.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Presented for covid-like sx x3 days; pt's wife tested positive at same time. O2 83% on RA for EMS, up to 98% on O2. Sx include worsening SOB, cough, weakness. Admit for sepsis & pneumonia due to COVID 19. Tx: dexamethasone, azithromycin, rocephin, O2 via NC, Remdesivir. DC to rehab.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Sepsis
Clinical narrative: Presented for covid-like sx x3 days; pt's wife tested positive at same time. O2 83% on RA for EMS, up to 98% on O2. Sx include worsening SOB, cough, weakness. Admit for sepsis & pneumonia due to COVID 19. Tx: dexamethasone, azithromycin, rocephin, O2 via NC, Remdesivir. DC to rehab.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Headache, SARS-CoV-2 test positive
Clinical narrative: Preseted for generalized weakness & headache x3 days, daughter at home also COVID+. Admit for COVID. Tx: azithromycin, rocephin, remdesivir. DC home with home health
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Influenza like illness, Pain
Clinical narrative: This was my second shingles shot, not sure of manufacturer or dosage above.  I woke up the next day with flu like symptoms- fatigue, body aches, and diarrhea.  This has lasted for 5 days.  The diarrhea has been the worst as I have had bad stomach cramps also.  I am hoping this will get better soon.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, COVID-19, Chills, Cough
Clinical narrative: I started having chills on 6/28 with a temp of 101.8.  I was also experiencing nausea, diarrhea with very little taste and smell.  I also had an uncontrollable cough and over all did not feel good at all with weakness as well.  The next day I went to the clinic and they did a COVID-19 test and I got the results back on 6/30 that I was positive.  I didn't get any prescriptions but I was advised to get MAB therapy and I got that at my home the Sunday on 7/3/22.  I still have fatigue, shortness of break, and have a cough.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Fatigue, Feeling abnormal, Hypogeusia
Clinical narrative: I started having chills on 6/28 with a temp of 101.8.  I was also experiencing nausea, diarrhea with very little taste and smell.  I also had an uncontrollable cough and over all did not feel good at all with weakness as well.  The next day I went to the clinic and they did a COVID-19 test and I got the results back on 6/30 that I was positive.  I didn't get any prescriptions but I was advised to get MAB therapy and I got that at my home the Sunday on 7/3/22.  I still have fatigue, shortness of break, and have a cough.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Parosmia, SARS-CoV-2 test positive
Clinical narrative: I started having chills on 6/28 with a temp of 101.8.  I was also experiencing nausea, diarrhea with very little taste and smell.  I also had an uncontrollable cough and over all did not feel good at all with weakness as well.  The next day I went to the clinic and they did a COVID-19 test and I got the results back on 6/30 that I was positive.  I didn't get any prescriptions but I was advised to get MAB therapy and I got that at my home the Sunday on 7/3/22.  I still have fatigue, shortness of break, and have a cough.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Dizziness, Dyspnoea
Clinical narrative: Patient with a significant past medical history of COPD who presented to the emergency department with his daughter today with a chief complaint of shortness of breath and dizziness in the setting of a positive home COVID-19 test.  Patient admitted as observation on 7/27 due to acute respiratory failure with hypoxia due to COVID pneumonia. Patient was tested for COVID-19 and was positive on 7/27.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient with a significant past medical history of COPD who presented to the emergency department with his daughter today with a chief complaint of shortness of breath and dizziness in the setting of a positive home COVID-19 test.  Patient admitted as observation on 7/27 due to acute respiratory failure with hypoxia due to COVID pneumonia. Patient was tested for COVID-19 and was positive on 7/27.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Hyperhidrosis, Lethargy, Pallor, Syncope
Clinical narrative: Sweating, fainted, lethargic, pale and "could not see" for several minutes. EMS called. Vitals taken. Given water and monitored for 30 minutes.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Asthenia, Back pain, Blood creatinine increased, Blood glucose increased
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/25/21, 2/25/21, and 9/08/21. Presented to ED 7/10/22, Covid+ 6/28/22  c/o progressively worsening covid-19 sxs. 6/29 developed multitude of sxs including n/v/d, pleuritic chest pain & back pain a/w cough, weakness, fatigue, poor appetite, SOB, DOE, fever. Labs 7/10: glucoe 241, Cr 2.05, Na 134, CO2 21, NT-ProBNP 1022, HSTNT 26, ferritin 1342, WBC wnl, H/H wnl. CXR 7/10/22: Ill-defined hazy opacities bilaterally, suggestive of Covid-19 PNA. Transferred to ICU on HFNC - worsening ARDS. Tx'd for bacterial PNA (H. Influenza) and ntermittent HD for electrolyte and volume issues. Worsened despite steroids and inhaled epoprostenol and max Airvo. Respiratory condition worsened in first few days after intubation despite maximum therapy including paralysis and proning. On 7/26/22, status changed to DNAR. Tx'd with cefepime, micafungin, doxycycline, vancomycin, remdesivir, and decadron. Expired 7/26/22.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood sodium decreased, COVID-19, COVID-19 pneumonia, Carbon dioxide decreased, Chest X-ray abnormal
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/25/21, 2/25/21, and 9/08/21. Presented to ED 7/10/22, Covid+ 6/28/22  c/o progressively worsening covid-19 sxs. 6/29 developed multitude of sxs including n/v/d, pleuritic chest pain & back pain a/w cough, weakness, fatigue, poor appetite, SOB, DOE, fever. Labs 7/10: glucoe 241, Cr 2.05, Na 134, CO2 21, NT-ProBNP 1022, HSTNT 26, ferritin 1342, WBC wnl, H/H wnl. CXR 7/10/22: Ill-defined hazy opacities bilaterally, suggestive of Covid-19 PNA. Transferred to ICU on HFNC - worsening ARDS. Tx'd for bacterial PNA (H. Influenza) and ntermittent HD for electrolyte and volume issues. Worsened despite steroids and inhaled epoprostenol and max Airvo. Respiratory condition worsened in first few days after intubation despite maximum therapy including paralysis and proning. On 7/26/22, status changed to DNAR. Tx'd with cefepime, micafungin, doxycycline, vancomycin, remdesivir, and decadron. Expired 7/26/22.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Cough, Death, Decreased appetite, Diarrhoea
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/25/21, 2/25/21, and 9/08/21. Presented to ED 7/10/22, Covid+ 6/28/22  c/o progressively worsening covid-19 sxs. 6/29 developed multitude of sxs including n/v/d, pleuritic chest pain & back pain a/w cough, weakness, fatigue, poor appetite, SOB, DOE, fever. Labs 7/10: glucoe 241, Cr 2.05, Na 134, CO2 21, NT-ProBNP 1022, HSTNT 26, ferritin 1342, WBC wnl, H/H wnl. CXR 7/10/22: Ill-defined hazy opacities bilaterally, suggestive of Covid-19 PNA. Transferred to ICU on HFNC - worsening ARDS. Tx'd for bacterial PNA (H. Influenza) and ntermittent HD for electrolyte and volume issues. Worsened despite steroids and inhaled epoprostenol and max Airvo. Respiratory condition worsened in first few days after intubation despite maximum therapy including paralysis and proning. On 7/26/22, status changed to DNAR. Tx'd with cefepime, micafungin, doxycycline, vancomycin, remdesivir, and decadron. Expired 7/26/22.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Electrolyte imbalance, Endotracheal intubation, Fatigue
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/25/21, 2/25/21, and 9/08/21. Presented to ED 7/10/22, Covid+ 6/28/22  c/o progressively worsening covid-19 sxs. 6/29 developed multitude of sxs including n/v/d, pleuritic chest pain & back pain a/w cough, weakness, fatigue, poor appetite, SOB, DOE, fever. Labs 7/10: glucoe 241, Cr 2.05, Na 134, CO2 21, NT-ProBNP 1022, HSTNT 26, ferritin 1342, WBC wnl, H/H wnl. CXR 7/10/22: Ill-defined hazy opacities bilaterally, suggestive of Covid-19 PNA. Transferred to ICU on HFNC - worsening ARDS. Tx'd for bacterial PNA (H. Influenza) and ntermittent HD for electrolyte and volume issues. Worsened despite steroids and inhaled epoprostenol and max Airvo. Respiratory condition worsened in first few days after intubation despite maximum therapy including paralysis and proning. On 7/26/22, status changed to DNAR. Tx'd with cefepime, micafungin, doxycycline, vancomycin, remdesivir, and decadron. Expired 7/26/22.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haematocrit normal, Haemodialysis, Haemoglobin normal, Intensive care, Lung opacity
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/25/21, 2/25/21, and 9/08/21. Presented to ED 7/10/22, Covid+ 6/28/22  c/o progressively worsening covid-19 sxs. 6/29 developed multitude of sxs including n/v/d, pleuritic chest pain & back pain a/w cough, weakness, fatigue, poor appetite, SOB, DOE, fever. Labs 7/10: glucoe 241, Cr 2.05, Na 134, CO2 21, NT-ProBNP 1022, HSTNT 26, ferritin 1342, WBC wnl, H/H wnl. CXR 7/10/22: Ill-defined hazy opacities bilaterally, suggestive of Covid-19 PNA. Transferred to ICU on HFNC - worsening ARDS. Tx'd for bacterial PNA (H. Influenza) and ntermittent HD for electrolyte and volume issues. Worsened despite steroids and inhaled epoprostenol and max Airvo. Respiratory condition worsened in first few days after intubation despite maximum therapy including paralysis and proning. On 7/26/22, status changed to DNAR. Tx'd with cefepime, micafungin, doxycycline, vancomycin, remdesivir, and decadron. Expired 7/26/22.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, N-terminal prohormone brain natriuretic peptide increased, Nausea, Paralysis, Pleuritic pain
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/25/21, 2/25/21, and 9/08/21. Presented to ED 7/10/22, Covid+ 6/28/22  c/o progressively worsening covid-19 sxs. 6/29 developed multitude of sxs including n/v/d, pleuritic chest pain & back pain a/w cough, weakness, fatigue, poor appetite, SOB, DOE, fever. Labs 7/10: glucoe 241, Cr 2.05, Na 134, CO2 21, NT-ProBNP 1022, HSTNT 26, ferritin 1342, WBC wnl, H/H wnl. CXR 7/10/22: Ill-defined hazy opacities bilaterally, suggestive of Covid-19 PNA. Transferred to ICU on HFNC - worsening ARDS. Tx'd for bacterial PNA (H. Influenza) and ntermittent HD for electrolyte and volume issues. Worsened despite steroids and inhaled epoprostenol and max Airvo. Respiratory condition worsened in first few days after intubation despite maximum therapy including paralysis and proning. On 7/26/22, status changed to DNAR. Tx'd with cefepime, micafungin, doxycycline, vancomycin, remdesivir, and decadron. Expired 7/26/22.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pneumonia bacterial, Pneumonia haemophilus, Prone position, Pyrexia, Respiratory disorder
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/25/21, 2/25/21, and 9/08/21. Presented to ED 7/10/22, Covid+ 6/28/22  c/o progressively worsening covid-19 sxs. 6/29 developed multitude of sxs including n/v/d, pleuritic chest pain & back pain a/w cough, weakness, fatigue, poor appetite, SOB, DOE, fever. Labs 7/10: glucoe 241, Cr 2.05, Na 134, CO2 21, NT-ProBNP 1022, HSTNT 26, ferritin 1342, WBC wnl, H/H wnl. CXR 7/10/22: Ill-defined hazy opacities bilaterally, suggestive of Covid-19 PNA. Transferred to ICU on HFNC - worsening ARDS. Tx'd for bacterial PNA (H. Influenza) and ntermittent HD for electrolyte and volume issues. Worsened despite steroids and inhaled epoprostenol and max Airvo. Respiratory condition worsened in first few days after intubation despite maximum therapy including paralysis and proning. On 7/26/22, status changed to DNAR. Tx'd with cefepime, micafungin, doxycycline, vancomycin, remdesivir, and decadron. Expired 7/26/22.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Serum ferritin increased, Troponin T increased, Vomiting, White blood cell count normal
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 1/25/21, 2/25/21, and 9/08/21. Presented to ED 7/10/22, Covid+ 6/28/22  c/o progressively worsening covid-19 sxs. 6/29 developed multitude of sxs including n/v/d, pleuritic chest pain & back pain a/w cough, weakness, fatigue, poor appetite, SOB, DOE, fever. Labs 7/10: glucoe 241, Cr 2.05, Na 134, CO2 21, NT-ProBNP 1022, HSTNT 26, ferritin 1342, WBC wnl, H/H wnl. CXR 7/10/22: Ill-defined hazy opacities bilaterally, suggestive of Covid-19 PNA. Transferred to ICU on HFNC - worsening ARDS. Tx'd for bacterial PNA (H. Influenza) and ntermittent HD for electrolyte and volume issues. Worsened despite steroids and inhaled epoprostenol and max Airvo. Respiratory condition worsened in first few days after intubation despite maximum therapy including paralysis and proning. On 7/26/22, status changed to DNAR. Tx'd with cefepime, micafungin, doxycycline, vancomycin, remdesivir, and decadron. Expired 7/26/22.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Pt presented with covid and treated with remdesivir and methylpredniolone. Pt was discharged home.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory distress syndrome, Atrial fibrillation, Cardiac arrest, Cardiac pacemaker insertion
Clinical narrative: Pt died in hospital 8/1/22. Patient had a complicated course notable for: 7/14 fever/sepsis, UTI, Staph pneumonia 7/15 Afib/RVR 7/21 vanc and cefepime completed 7/22 4 minute PEA arrest, suspect due to rhythm and meds, EP consult 7/25 during TCT and with bathing he had afib/RVR up to 180, increased from a baseline of Afib rate 55, as well as multiple runs of NSVT longest approx. 16 beats. During this period, he was also less responsive with increasing pallor. Improved back on vent 7/27 Pacemaker placed (Dr. "Private") 7/29 shock, ARDS, AKI, nephrology consult HD, MRSA pneumonia 8/1 cardiac arrest x2, death
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Mechanical ventilation, Pallor, Pneumonia staphylococcal, Pulseless electrical activity
Clinical narrative: Pt died in hospital 8/1/22. Patient had a complicated course notable for: 7/14 fever/sepsis, UTI, Staph pneumonia 7/15 Afib/RVR 7/21 vanc and cefepime completed 7/22 4 minute PEA arrest, suspect due to rhythm and meds, EP consult 7/25 during TCT and with bathing he had afib/RVR up to 180, increased from a baseline of Afib rate 55, as well as multiple runs of NSVT longest approx. 16 beats. During this period, he was also less responsive with increasing pallor. Improved back on vent 7/27 Pacemaker placed (Dr. "Private") 7/29 shock, ARDS, AKI, nephrology consult HD, MRSA pneumonia 8/1 cardiac arrest x2, death
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Sepsis, Shock, Urinary tract infection, Ventricular tachycardia
Clinical narrative: Pt died in hospital 8/1/22. Patient had a complicated course notable for: 7/14 fever/sepsis, UTI, Staph pneumonia 7/15 Afib/RVR 7/21 vanc and cefepime completed 7/22 4 minute PEA arrest, suspect due to rhythm and meds, EP consult 7/25 during TCT and with bathing he had afib/RVR up to 180, increased from a baseline of Afib rate 55, as well as multiple runs of NSVT longest approx. 16 beats. During this period, he was also less responsive with increasing pallor. Improved back on vent 7/27 Pacemaker placed (Dr. "Private") 7/29 shock, ARDS, AKI, nephrology consult HD, MRSA pneumonia 8/1 cardiac arrest x2, death
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aggression, Confusional state, Disturbance in attention, Dysphemia, Electroencephalogram abnormal
Clinical narrative: I started having strange events that I can?t really explain easily. Like vision changes, like an aura. I was unable to do  far as speech other than stumble over words. Confusion easily, lack of concentration, and memory problems that are difficult. I had some of this after having Covid in November 2020. Like the brain fog but after the vaccination I was having these strange events I later found out to be seizures. I can not tell you exact date when they first began. I can tell you that I did not realize that is what it was till later or even begin to put together that this starting happening after that vaccination. These were short episodes where I was fully  conscious Just strange in my vision and stuttering. Not even a minute in the beginning but grew to become longer. I did not have a major seizure until May 2021. I fell out unconscious convulsive seizure at work. An ambulance was called and when I came to I was being strapped to a gurney. I then became combative because I was in a panic. I had no idea what had happened or who I was momentarily. I was taken to the ER treated and released. I saw a regular doctor that referred me to a neurologist. The doctor I saw at the clinic that I received the referral from was the Health Clinic. After my first visit with the neurologist I was sent for an EEG and an MRI. The EEG showed some abnormalities that mean I have epilepsy. How can an adult just develop epilepsy? I think it is related to my vaccinations. That is when all this started. I don?t have a family this history. I am still having seizures but they are progressing. My medication milligrams are increased on a regular basis and I am still having blackout seizures. I do not seek treatment for those symptoms before the blackout seizures because I did not know that is what was happening until I saw the neurologist.