chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haemodialysis, Osteomyelitis, Pneumonia bacterial, Positive airway pressure therapy, Respiratory depression
Clinical narrative: Presented to ED 10/5/2021 c/o SOB. Admitted w/acute hypoxic respiratory failure. Cardiology and nephrology consulted early d/t need for diuresis, hx of CKD. Started on dexamethasone and heparin. Heparin d/c 10/8 and switched to Eliquis. Hemodialysis initiated 10/8. IV abx w/superimposed bacterial pneumonia. L foot osteomyelitis so started on remdesivir. Resp status worsened requiring BiPAP then weaned to bubble NC. Progressive anemia so IV Fe w/EPO. Intermitten episides of epistaxis. Pt stable w/sudden agitation then arrest. No recovery depsite multiple roudsn during code. After family consulte changed to DNR/DNI and expired 10/19/21
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Resuscitation, Superinfection
Clinical narrative: Presented to ED 10/5/2021 c/o SOB. Admitted w/acute hypoxic respiratory failure. Cardiology and nephrology consulted early d/t need for diuresis, hx of CKD. Started on dexamethasone and heparin. Heparin d/c 10/8 and switched to Eliquis. Hemodialysis initiated 10/8. IV abx w/superimposed bacterial pneumonia. L foot osteomyelitis so started on remdesivir. Resp status worsened requiring BiPAP then weaned to bubble NC. Progressive anemia so IV Fe w/EPO. Intermitten episides of epistaxis. Pt stable w/sudden agitation then arrest. No recovery depsite multiple roudsn during code. After family consulte changed to DNR/DNI and expired 10/19/21
Age: 45.0
Sex: F
Vaccine: COVID19, IPV, MMR, VARCEL
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Two series of Janssen COVID-19 Vaccine first series: COVID19(Janssen), Janssen, LOT UNK, Intramuscular, Arm side unknown 09/02/2021 second series: COVID19(Janssen), Janssen, LOT 043A21A, Intramuscular, Left Deltoid 09/12/2021 One dose recommendation. Individual received two doses All vaccines in block 17 administered on 09/02/2021 Could be typo on paperwork
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood test, Condition aggravated, Gait disturbance, Headache
Clinical narrative: muscle fatigue, headache, stomach upset, sleepy hard time walking. In creased polymyalgia  and had to increase prednisone
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle fatigue, Myalgia, Somnolence
Clinical narrative: muscle fatigue, headache, stomach upset, sleepy hard time walking. In creased polymyalgia  and had to increase prednisone
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Insomnia, Joint range of motion decreased, Loss of personal independence in daily activities, Magnetic resonance imaging
Clinical narrative: Diagnosis: SIRVA - Shoulder injury related to Vaccine administration.   Signs and Symptoms: Extreme should pain, limited range of motion, when motion is attempted - shoulder is extremely painful and does not go away from stopping the activity (prolonger pain), stiffness.  Unable to sleep on the left side or complete daily activities.   Manifestation:  Started within a few weeks of the 2nd vaccination in my left shoulder.   Did not feel anything during administration which was odd.  Limited pain for the few days following.  Then pain started.  I thought it was the typical pain everyone was experiencing from the COVID-19 Vaccine - but mine never got better.  Finally - after a few weeks I decided to make an appointment with an orthopedic dr.  I had a 10-week waiting period to see him.  Finally went in in August (08/18/21), he suggested MRI (SEP 22, 2021)to confirm the findings. Confirmed as SIRVA he gave me  corstisone shot that day in my left arm and referred me for PT - I've gone to 4 PT appts so far.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Shoulder injury related to vaccine administration
Clinical narrative: Diagnosis: SIRVA - Shoulder injury related to Vaccine administration.   Signs and Symptoms: Extreme should pain, limited range of motion, when motion is attempted - shoulder is extremely painful and does not go away from stopping the activity (prolonger pain), stiffness.  Unable to sleep on the left side or complete daily activities.   Manifestation:  Started within a few weeks of the 2nd vaccination in my left shoulder.   Did not feel anything during administration which was odd.  Limited pain for the few days following.  Then pain started.  I thought it was the typical pain everyone was experiencing from the COVID-19 Vaccine - but mine never got better.  Finally - after a few weeks I decided to make an appointment with an orthopedic dr.  I had a 10-week waiting period to see him.  Finally went in in August (08/18/21), he suggested MRI (SEP 22, 2021)to confirm the findings. Confirmed as SIRVA he gave me  corstisone shot that day in my left arm and referred me for PT - I've gone to 4 PT appts so far.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Cough, Rhinorrhoea
Clinical narrative: Patient contracted COVID after being fully vaccinated Loss of smell, runny nose, cough
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: death
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Panic attack, Paraesthesia
Clinical narrative: Numbness/tingling feeling in hands, legs, and arms, headaches. Healthcare provider diagnosed symptoms as a panic attack.
Age: 7.0
Sex: M
Vaccine: COVID19, IPV, MMR, VARCEL
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 7 years old when vaccinated  minimum recommended age is 12  FYSA:  A regulatory authority has been requested to enter all COVID vaccines into a regulatory website. The teams responsible for screening and administering vaccines to the refugees at the Mass Vax were/are all Title 10 Active Duty Military.   A regulatory authority is assisting with entering information into 2 different regulatory websites.
Age: 73.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Brain death, Brain herniation, Brain oedema, Cerebral haemorrhage, Coma
Clinical narrative: Patient is a 73 y.o. adult with no known past medical history who presents to the Emergency Department via EMS for evaluation of a potential stroke. Per EMS, the patient was found flat on his back at approximately 4 PM by neighbors outside of his apartment in a parking lot. EMS states that they found a receipt in the patients belongings for a purchase at a local pharmacy at 2:30 PM. Patient presents to the ED with unknown last known well time as well as a complete left side neglect. Head CT showed right parietal skull fracture, right parietal ICH with mixed density concerning for ongoing hemorrhage, extravasation, cerebral edema, brain compression and IVH. Repeat head CT with expansion of hemorrhage, worsening IVH with hydrocephalus, cerebral edema and herniation. Clinically with rapid neurologic decline and coma with functional quadraparesis at time of admission. Etiology unclear, potentially underlying vascular malformation, unknown if iatrogenic coagulopathy, or trauma. Possible hemorrhage of underlying mass not excluded. Neurosurgery consulted, discussed overnight. Due to massive expansion and no meaningful improvement in neurologic exam with medical intervention, surgical intervention not offered as would not benefit patient due to extent of injury and poor neurologic prognosis. Patient underwent brain death testing and time of death was called 10/22/21 at 1441.
Age: 73.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Computerised tomogram head abnormal, Hydrocephalus, Intraventricular haemorrhage, Neurological decompensation, Neurological examination abnormal
Clinical narrative: Patient is a 73 y.o. adult with no known past medical history who presents to the Emergency Department via EMS for evaluation of a potential stroke. Per EMS, the patient was found flat on his back at approximately 4 PM by neighbors outside of his apartment in a parking lot. EMS states that they found a receipt in the patients belongings for a purchase at a local pharmacy at 2:30 PM. Patient presents to the ED with unknown last known well time as well as a complete left side neglect. Head CT showed right parietal skull fracture, right parietal ICH with mixed density concerning for ongoing hemorrhage, extravasation, cerebral edema, brain compression and IVH. Repeat head CT with expansion of hemorrhage, worsening IVH with hydrocephalus, cerebral edema and herniation. Clinically with rapid neurologic decline and coma with functional quadraparesis at time of admission. Etiology unclear, potentially underlying vascular malformation, unknown if iatrogenic coagulopathy, or trauma. Possible hemorrhage of underlying mass not excluded. Neurosurgery consulted, discussed overnight. Due to massive expansion and no meaningful improvement in neurologic exam with medical intervention, surgical intervention not offered as would not benefit patient due to extent of injury and poor neurologic prognosis. Patient underwent brain death testing and time of death was called 10/22/21 at 1441.
Age: 73.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Quadriparesis, Skull fracture
Clinical narrative: Patient is a 73 y.o. adult with no known past medical history who presents to the Emergency Department via EMS for evaluation of a potential stroke. Per EMS, the patient was found flat on his back at approximately 4 PM by neighbors outside of his apartment in a parking lot. EMS states that they found a receipt in the patients belongings for a purchase at a local pharmacy at 2:30 PM. Patient presents to the ED with unknown last known well time as well as a complete left side neglect. Head CT showed right parietal skull fracture, right parietal ICH with mixed density concerning for ongoing hemorrhage, extravasation, cerebral edema, brain compression and IVH. Repeat head CT with expansion of hemorrhage, worsening IVH with hydrocephalus, cerebral edema and herniation. Clinically with rapid neurologic decline and coma with functional quadraparesis at time of admission. Etiology unclear, potentially underlying vascular malformation, unknown if iatrogenic coagulopathy, or trauma. Possible hemorrhage of underlying mass not excluded. Neurosurgery consulted, discussed overnight. Due to massive expansion and no meaningful improvement in neurologic exam with medical intervention, surgical intervention not offered as would not benefit patient due to extent of injury and poor neurologic prognosis. Patient underwent brain death testing and time of death was called 10/22/21 at 1441.
Age: 2.0
Sex: M
Vaccine: FLUN4
Symptoms: Cardiac monitoring, Erythema, Irritability, Pruritus, Swelling face
Clinical narrative: Noticed hives within approximately 30 minutes after receiving flu mist.  Hives first noticed on his wrists & ankles and he was scratching them and saying ?itchy?.  He was also fussy.  Minutes later, hives were noticed on his back, trunk, chest, abdominal sides, legs, buttocks & face.  Hives and redness were getting worse, now spreading up his neck and face, his cheeks were turning red.  His pediatrician?s office would not put me through to a provider to speak to and the receptionist recomended I take him to the ER. In the ER they evaluated him for a few hours, gave him a dose of liquid Benadryl and liquid 24 hr Zyrtec. He was on a cardiac monitor and pulse ox.  They recomended we continue Benadryl every 6 hours x 24 hrs, they stated the hives would come & go for the next week, to come back if worsening symptoms. He continued with hives, redness, puffy face, and irritability for 1 week following the vaccine. I continued to follow up with his pediatrician who recomended we start him on Claritin twice daily which was started on 10/19/21. His pediatrician also recommends a visit with an out-of-network pediatric allergy specialist-I?m waiting for them to call back to schedule an appointment.
Age: 2.0
Sex: M
Vaccine: FLUN4
Symptoms: Urticaria
Clinical narrative: Noticed hives within approximately 30 minutes after receiving flu mist.  Hives first noticed on his wrists & ankles and he was scratching them and saying ?itchy?.  He was also fussy.  Minutes later, hives were noticed on his back, trunk, chest, abdominal sides, legs, buttocks & face.  Hives and redness were getting worse, now spreading up his neck and face, his cheeks were turning red.  His pediatrician?s office would not put me through to a provider to speak to and the receptionist recomended I take him to the ER. In the ER they evaluated him for a few hours, gave him a dose of liquid Benadryl and liquid 24 hr Zyrtec. He was on a cardiac monitor and pulse ox.  They recomended we continue Benadryl every 6 hours x 24 hrs, they stated the hives would come & go for the next week, to come back if worsening symptoms. He continued with hives, redness, puffy face, and irritability for 1 week following the vaccine. I continued to follow up with his pediatrician who recomended we start him on Claritin twice daily which was started on 10/19/21. His pediatrician also recommends a visit with an out-of-network pediatric allergy specialist-I?m waiting for them to call back to schedule an appointment.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Lethargy, Somnolence
Clinical narrative: PATIENT BECAME VERY SLEEP AND LETHAGIC-12;10 B/P 160/113 PULSE 89-GIVEN WATER TO DRINK-CONTINUE TO BE VERY SLEEPY-12;12-175/97 87-O2 SAT-88-CLIENT TOLD TO TAKE DEEP BREATHS-12;15-181/102-P.88-BLOOD SUGAR-268-PTIENT HAS HISTORY OF DIABETES-DID NOT EAT THIS MORNING AND DID NOT TAKE INSULIN-12;22-185/105 P. 86--DR CAME AND ASSESSED PATIENT AND ENCORAGED HER TOCONTINUED TO DRINK FLUIDS. ABLE TALK AND FOLLOW CAMMAND-BUT UNABLE TO STAY AWAKE-12;181/103 P. 83-EMT CALLED BECAUSE CLIENT UNABLE TO STAY AWAKE-B/P 178/101 P. 84-DEPLOYED T0 EMERGENCY ROOM -BP-178/102-86
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Decreased appetite, Dizziness, Fatigue, Feeling of body temperature change, Pain in extremity
Clinical narrative: 1 hour after vaccination at home, patient reported to mother that he felt extremely dizzy and had fast breathing/panic attack-like symptoms. Felt hot and cold but afebrile. Told to go to bed and rest and later woke up complaining of feeling ringing in ears then no sound for about 30 seconds then back to normal. The next day still felt dizzy and fatigued. Limited appetite, no rash, no vomiting, no fevers. Left arm aching. Seems to be improving.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Panic reaction, Tachypnoea, Tinnitus
Clinical narrative: 1 hour after vaccination at home, patient reported to mother that he felt extremely dizzy and had fast breathing/panic attack-like symptoms. Felt hot and cold but afebrile. Told to go to bed and rest and later woke up complaining of feeling ringing in ears then no sound for about 30 seconds then back to normal. The next day still felt dizzy and fatigued. Limited appetite, no rash, no vomiting, no fevers. Left arm aching. Seems to be improving.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, Chest discomfort, Dyspnoea, Dyspnoea exertional, Imaging procedure abnormal
Clinical narrative: The day of the event, two hours after vaccine applied, started feeling extremely drowsy and needed to leave work. Slept most of the night, woke for two hours and went back to sleep until morning time. Following morning started experiencing shortness of breath and tightness in my chest. It made it difficult to breathe. This occurred after I simply walked 10 feet away on a flat surface. Going up and down stairs took my breathe away. The following morning I was able to breathe normally until about midday. Then, shortness of breathe occurred again. Same issue occurred every day following and stayed in constant communication with my PCP. On Monday night, he suggested I go to the ER after describing my symptoms and feeling as if I was trying to breathe under water.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Lung hypoinflation, SARS-CoV-2 test negative, Somnolence
Clinical narrative: The day of the event, two hours after vaccine applied, started feeling extremely drowsy and needed to leave work. Slept most of the night, woke for two hours and went back to sleep until morning time. Following morning started experiencing shortness of breath and tightness in my chest. It made it difficult to breathe. This occurred after I simply walked 10 feet away on a flat surface. Going up and down stairs took my breathe away. The following morning I was able to breathe normally until about midday. Then, shortness of breathe occurred again. Same issue occurred every day following and stayed in constant communication with my PCP. On Monday night, he suggested I go to the ER after describing my symptoms and feeling as if I was trying to breathe under water.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Blister rupture, Injection site vesicles, Ulcer, Vaccination site erythema, Vaccination site eschar
Clinical narrative: Had the shot on 10/7 on a Thursday.  By 10/9 the injection site had developed a blister about 2 cm in diameter. She bumped it and broke it and it drained.  She called the office on 10/9 and was told to apply ice pack to the site.  She returned on 9/20 with an stage ulcer also about 2 cm in diameter.  Borders are erythemic but has eschar. We are seeing her daily to assess the wound.  She is using wet to dry dressings now and will return on Monday.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Wound
Clinical narrative: Had the shot on 10/7 on a Thursday.  By 10/9 the injection site had developed a blister about 2 cm in diameter. She bumped it and broke it and it drained.  She called the office on 10/9 and was told to apply ice pack to the site.  She returned on 9/20 with an stage ulcer also about 2 cm in diameter.  Borders are erythemic but has eschar. We are seeing her daily to assess the wound.  She is using wet to dry dressings now and will return on Monday.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Severe pain L arm, fever100.8, myalgias
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot
Clinical narrative: On Friday, 10/22/21, patient received her booster dose of Pfizer Covid-19 vaccine (LOT #: FF2587, exp: 10/30/21) at 10:30 am on her left deltoid. During assessment questions, client stated her medical history included high blood pressure and seizures with no history of allergic reactions. Client was to be a 30 minute observation. At 10:35 am, while waiting in Observation Area, client stated to Lead RN, she is feeling "dizzy" and denied experiencing this sensation during her two previous doses. Client was offered anti-gravity chair and her vitals to be taken which she denied. Client stated she just needed to "get some air" but denied any shortness of breathe and stated she "felt warm". Client was given two ice packs and a bottle of water that she drank. Client stated she did eat breakfast as well as her blood pressure and seizure medications earlier. Client was alert and oriented to person, place, time and orientation. At 10:45 pm, client stated to RN she no longer felt dizzy and denied nausea/vomiting. No further interventions needed. Client was educated by RN on signs and symptoms of adverse reactions and when to go to the ED/call MD. Client was also encouraged to sign-up on v-safe. Client left vaccination site with a steady gait at approximately 11:00 am. VAERS completed on 10/22/21.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Urticaria
Clinical narrative: Pt presented to COVID vaccination clinic on 10/13 for Pfizer booster dose. Pt reported that he had hives with both 1st and 2nd dose.  No difficulty breathing or SOB reported.  According to pt, he took Benadryl and hives went away.  Pt was administered 3rd dose on 10/13 and was asked to stay for 30mins observation.  Called pt for f/u on 10/22.  Pt reports that he did not have any reaction after the 3rd dose.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Flank pain, Malaise, Pyrexia, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review. Presented with fevers since Thursday of week prior, SOB, right flank pain and feeling generally unwell.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Myopia, Stress
Clinical narrative: For several days following shot I had extreme Anxiety.  Never experienced anything like it before.    After a few days it passed.   However since that time I have experienced 2 more events -- the first several months after and the 2nd one just this week.    Its near debilitating when it occurs and I find it difficult to function as become myopic and highly stressed about trivial stuff that never bother me.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus, Rash macular
Clinical narrative: Left arm hurt, left arm was itchy, and red blotchy spots.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Epistaxis, Fatigue, Feeling of body temperature change, Head discomfort
Clinical narrative: Headache  increasing to loss of conciuounes followed by hot and cold episodes. Lower left arm and hand turned a light yellowish (Jaundous) color. The following day 5/28/2021 more dizziness and nausa with migraine and  fatigue leading to days of falling asleep for hours at a time. Headach with presure increasing until nose bleeds lasting 2 more days. Fatigue is still on going
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, Loss of consciousness, Migraine, Nausea
Clinical narrative: Headache  increasing to loss of conciuounes followed by hot and cold episodes. Lower left arm and hand turned a light yellowish (Jaundous) color. The following day 5/28/2021 more dizziness and nausa with migraine and  fatigue leading to days of falling asleep for hours at a time. Headach with presure increasing until nose bleeds lasting 2 more days. Fatigue is still on going
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: Headache  increasing to loss of conciuounes followed by hot and cold episodes. Lower left arm and hand turned a light yellowish (Jaundous) color. The following day 5/28/2021 more dizziness and nausa with migraine and  fatigue leading to days of falling asleep for hours at a time. Headach with presure increasing until nose bleeds lasting 2 more days. Fatigue is still on going
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Disturbance in attention, Heavy menstrual bleeding, Memory impairment, Menstruation irregular
Clinical narrative: Began a second period after ending one just 4 days prior.  This cycle lasted 13  days (out of my norm of 5-7 days) and was nonstop heavy flow, worse than anything I have ever experienced.  I felt  weak and had difficulty concentrating on tasks with forgetfulness.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: youth was given his Covid-19 first dose on date 8/24/2021, Covid-19 Second dose 9/15/2021, Covid-19 booster on date 9/23/2021. Minor was presented with no symptoms
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Headache, Hypertension
Clinical narrative: Patient presented to clinic for Pfizer dose #2. Stated that she had high BP after first dose done on 3/25/2021 and after it read over 200 systolic and was given nitroglycerin and sent to emergency room. Patient repeated history within 1 hour after second dose. Second dose given at 8:38am. By 9:20am patient stated feeling dizzy and bp was 154/65 with pulse of 56. By 9:30am patient stated headache in addition to dizziness and BP up to 171/64. At 9:48am BP 181/69, Pulse 56 and patient stated worsening dizziness and headache. Transport called to assistance to ED. At 10:29am BP 202/67 and given 1 dose of oral hydralazine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Malignant melanoma, Thyroid disorder
Clinical narrative: Did not have adverse event at time of shot
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Pyrexia
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 02/01/2021, started experiencing symptoms 02/02/2021 chills, headache, fever (101.2), and soreness at the injection site. Still continuing to experience symptoms. No noted Primary visit/communications noted.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Decreased appetite, Diarrhoea, Fatigue, Headache
Clinical narrative: Diarreah onset 10/13. Has not resolved as of 10/22.  Side effects of aches, headache, tiredness, loss of taste and no appetite went away on 10/15.  Called primary care physician.  Left message to call me back.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Diarreah onset 10/13. Has not resolved as of 10/22.  Side effects of aches, headache, tiredness, loss of taste and no appetite went away on 10/15.  Called primary care physician.  Left message to call me back.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Death
Clinical narrative: Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, General physical health deterioration, Metabolic disorder, Pneumonia
Clinical narrative: Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sputum discoloured, Troponin increased
Clinical narrative: Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Chest discomfort, Dyspnoea, Palpitations
Clinical narrative: Patient had palpitations while driving following vaccine. She reported chest tightness and shortness of breath similar to that of an anaphylactic reaction she had previously with a blood transfusion. Reports not feeling well for a few hours following the event.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was hospitalized for COVID-19 after being vaccinated.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Chest discomfort, Chills, Dizziness
Clinical narrative: Difficulty breathing (intermittent 10/6/2021-10/13/2021), Rapid heat rate (10/8/2021-10/13/2021),  Intermittent dizziness/weakness (10/7/2021-10/13/2021), Tingling, numbness in right non-injected arm/hand (injection received in left arm); Chills (10/6/2021), Migraines (10/6/2021-10/8/2021); "chest felt full" 10/14/2021 , Nose bleeds (10/7/2021), fatigue.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Epistaxis, Fatigue, Heart rate increased
Clinical narrative: Difficulty breathing (intermittent 10/6/2021-10/13/2021), Rapid heat rate (10/8/2021-10/13/2021),  Intermittent dizziness/weakness (10/7/2021-10/13/2021), Tingling, numbness in right non-injected arm/hand (injection received in left arm); Chills (10/6/2021), Migraines (10/6/2021-10/8/2021); "chest felt full" 10/14/2021 , Nose bleeds (10/7/2021), fatigue.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Migraine, Paraesthesia
Clinical narrative: Difficulty breathing (intermittent 10/6/2021-10/13/2021), Rapid heat rate (10/8/2021-10/13/2021),  Intermittent dizziness/weakness (10/7/2021-10/13/2021), Tingling, numbness in right non-injected arm/hand (injection received in left arm); Chills (10/6/2021), Migraines (10/6/2021-10/8/2021); "chest felt full" 10/14/2021 , Nose bleeds (10/7/2021), fatigue.
Age: 60.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Pain in extremity
Clinical narrative: Soreness in left arm and burning.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site reaction, Joint range of motion decreased, Muscle spasms, Pain
Clinical narrative: Pt rec'd vaccine 9/22, she reported to clinic on 10/13 for the 2nd vaccine, she reported limited rom in left shoulder at site of injection, she denied significant pain at that time, reported intermittent shooting pain with certain movements that only lasted a second. The primary complaint was limited rom and reported initially that she felt symptoms were getting better. She was given naproxen, 2nd dose was not given at that time. Advised to f/u in 2 wks to re-evaluate and discuss 2nd dose. On f/u today, pt states pain is worse and rom no better. She states she is now having intense muscle spasms "feels like muscle ripping from bone", pain going from left shoulder to now across into her right shoulder. She states pain significantly worsened about 2 days after she was seen on 10/16.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Delirium, Dysgeusia, Fatigue
Clinical narrative: The day after the vaccine, my symptoms began with a very strong heavy metal taste in my mouth. Later that same day I begin to feel very nauseous, and began having body aches. The second day after the vaccine, I was very fatigued and weak. The third day after the vaccine, I was completely debilitated.... I could not move,  I could not stay awake for more than one minute.  I was extremely, extremely fatigued, with pain over my entire body and a constant and painful headache in the front of my head. Day four after the vaccine I started having severe delirium and could no longer feel my legs or my feet.  My primary Doctor, recommended that I was taken to the ER.  I was given an IV with fluids and a subtle pain reliever.  It has now been a week since the vaccine, and I have tingling in my hands and feet, my legs are very heavy, and my entire body is inflamed.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Headache, Hypoaesthesia, Inflammation, Limb discomfort
Clinical narrative: The day after the vaccine, my symptoms began with a very strong heavy metal taste in my mouth. Later that same day I begin to feel very nauseous, and began having body aches. The second day after the vaccine, I was very fatigued and weak. The third day after the vaccine, I was completely debilitated.... I could not move,  I could not stay awake for more than one minute.  I was extremely, extremely fatigued, with pain over my entire body and a constant and painful headache in the front of my head. Day four after the vaccine I started having severe delirium and could no longer feel my legs or my feet.  My primary Doctor, recommended that I was taken to the ER.  I was given an IV with fluids and a subtle pain reliever.  It has now been a week since the vaccine, and I have tingling in my hands and feet, my legs are very heavy, and my entire body is inflamed.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Nausea, Pain, Paraesthesia, Somnolence
Clinical narrative: The day after the vaccine, my symptoms began with a very strong heavy metal taste in my mouth. Later that same day I begin to feel very nauseous, and began having body aches. The second day after the vaccine, I was very fatigued and weak. The third day after the vaccine, I was completely debilitated.... I could not move,  I could not stay awake for more than one minute.  I was extremely, extremely fatigued, with pain over my entire body and a constant and painful headache in the front of my head. Day four after the vaccine I started having severe delirium and could no longer feel my legs or my feet.  My primary Doctor, recommended that I was taken to the ER.  I was given an IV with fluids and a subtle pain reliever.  It has now been a week since the vaccine, and I have tingling in my hands and feet, my legs are very heavy, and my entire body is inflamed.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Influenza virus test negative, Pain
Clinical narrative: It started with fever, chills, body aches, headache, and fatigue. It got progressively worse that day. I went to Urgent Care to be tested for COVID-19 and Flu, I saw a PA. I had a fever that spiked up to 103. The tests came back negative for both. I took OTC Tylenol and Ibuprofen for the symptoms. By the following Tuesday, I was better. Over the course of a day or two the fever went away.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: It started with fever, chills, body aches, headache, and fatigue. It got progressively worse that day. I went to Urgent Care to be tested for COVID-19 and Flu, I saw a PA. I had a fever that spiked up to 103. The tests came back negative for both. I took OTC Tylenol and Ibuprofen for the symptoms. By the following Tuesday, I was better. Over the course of a day or two the fever went away.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: SOB, hospitalization. Associate is discharged home.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Pain, Pyrexia
Clinical narrative: Fever (101 F), severe aches and pain, fogginess
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: CLIENT RECEIVED PFIZER AS FIRST DOSE AND MODERNA AS SECOND DOSE COVID VACCINE ACCORDING TO database.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Fluid imbalance, Injection site induration, Injection site rash, Rash, Swelling face
Clinical narrative: Patient developed facial swelling and a hardened rash at the site. Patient mentioned that she kept needing to swallow because fluid kept coming up and her throat felt funny. We gave her Benadryl. Not sure if her facial rash/bumps was due to the vaccine.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Throat irritation
Clinical narrative: Patient developed facial swelling and a hardened rash at the site. Patient mentioned that she kept needing to swallow because fluid kept coming up and her throat felt funny. We gave her Benadryl. Not sure if her facial rash/bumps was due to the vaccine.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: There is a lot of confusion regarding which vaccine I received for my first covid vaccine. I had specifically requested Pfizer from a public event, on my vaccine card pfizer was documented, but on my Vaccine Administration Record (VAR) the lot number was from a Johnson and Johnson vaccine. When my vaccine was documented in the System the vaccine was documented on the wrong day as well as documented as a Johnson and Johnson vaccine. My 2nd Vaccine was documented correctly as a Pfizer vaccine with the correct date and correct lot number. When I reached out to inquire about which vaccine I received for my first dose, they told me that it was listed correctly in their system as a Pfizer vaccine for the correct day and they printed out a copy of my record from the system with the changed information. What added to the confusion is when they changed this information they used a different lot number from any of the other documentation that I have received. I asked for copies of my Vaccine Administration Record (VAR) and the documentation for my first vaccine was documented incorrectly on there as well.  I have electronic copies of all of these documents and I would like an investigation to determine what vaccine I was actually given. If anyone needs these electronic copies please let me know where to send them or attach them.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Moderna COVID-19 vaccine booster dose 0.5 ml administered instead of 0.25ml.  Patient complained of body aches on 10/22/2021
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Injection site pain, Vomiting
Clinical narrative: Cough, Vomiting,  Soreness @ injection site, fatigue,
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Pneumomediastinum, X-ray abnormal
Clinical narrative: Pneumomediastinum diagnosed by x-ray after shortness of breath and chest tightness
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Moderna COVID-19 vaccine 0.5ml given as a booster dose instead of 0.25ml
Age: 73.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Arthritis, Magnetic resonance imaging, Meniscus injury, X-ray
Clinical narrative: Throbbing joint pain in both knees
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Bone pain, Chills, Computerised tomogram, Diarrhoea
Clinical narrative: Bone Aches, Muscle Aches, Vomiting, Chills, Tiredness, Sever Stomach Ache, Could not get out of bed, Diarrhea, The worst Pain I have ever felt in my life.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Mobility decreased, Myalgia, Ultrasound scan, Vomiting
Clinical narrative: Bone Aches, Muscle Aches, Vomiting, Chills, Tiredness, Sever Stomach Ache, Could not get out of bed, Diarrhea, The worst Pain I have ever felt in my life.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Bacterial test positive, Blood creatine phosphokinase increased, Blood glucose normal
Clinical narrative: Hospitalized 10/19/2021; COVID-19 positive 10/19/2021; fully vaccinated  HISTORY OF PRESENT ILLNESS: PT is a 62 y.o. female who presents today with not feeling well with shortness of breath and feeling sick. Her husband had covid and he is recovering now. Has chest pain with cough. No abdominal pain. She has had diarrhea. Her symptoms started on last Wednesday. No leg swelling. She recently had left foot fracture. CT angio was negative for PE. She has type 2 DM as well.  ASSESSMENT / PLAN: # Acute hypoxic respiratory failure: # Covid 19 pneumonia:     - Decadron and remdesevir as symptoms are ongoing for 5 days     - fully vaccinated     - not a candidate for MAB due to hypoxia     - continuous pulse ox 10/22/2012 note: CHIEF COMPLAINT: Hypoxia ASSESSMENT / PLAN: Acute hypoxic respiratory failure Covid 19 pneumonia - Symptom onset 10/14; COVID positive 10/19 - Decadron started 10/19 - On remdesivir through 10/24 - Fully vaccinated with Pfizer March and April 2021 - not a candidate for MAB due to hypoxia - Today desatting on 95% high flow. Requiring NRB. If continues to decline will need to reach out to ICU for possible intubation - Continuous pulse ox - CTA 10/19 no definitive PE, diffuse ground glass opacities  -CRP 80.3->28.1 -ddimer 460->680 -Will trial IV lasix
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood potassium increased, Blood urea increased, Bone pain, C-reactive protein increased, COVID-19
Clinical narrative: Hospitalized 10/19/2021; COVID-19 positive 10/19/2021; fully vaccinated  HISTORY OF PRESENT ILLNESS: PT is a 62 y.o. female who presents today with not feeling well with shortness of breath and feeling sick. Her husband had covid and he is recovering now. Has chest pain with cough. No abdominal pain. She has had diarrhea. Her symptoms started on last Wednesday. No leg swelling. She recently had left foot fracture. CT angio was negative for PE. She has type 2 DM as well.  ASSESSMENT / PLAN: # Acute hypoxic respiratory failure: # Covid 19 pneumonia:     - Decadron and remdesevir as symptoms are ongoing for 5 days     - fully vaccinated     - not a candidate for MAB due to hypoxia     - continuous pulse ox 10/22/2012 note: CHIEF COMPLAINT: Hypoxia ASSESSMENT / PLAN: Acute hypoxic respiratory failure Covid 19 pneumonia - Symptom onset 10/14; COVID positive 10/19 - Decadron started 10/19 - On remdesivir through 10/24 - Fully vaccinated with Pfizer March and April 2021 - not a candidate for MAB due to hypoxia - Today desatting on 95% high flow. Requiring NRB. If continues to decline will need to reach out to ICU for possible intubation - Continuous pulse ox - CTA 10/19 no definitive PE, diffuse ground glass opacities  -CRP 80.3->28.1 -ddimer 460->680 -Will trial IV lasix
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chest pain, Computerised tomogram head normal, Cough, Diarrhoea
Clinical narrative: Hospitalized 10/19/2021; COVID-19 positive 10/19/2021; fully vaccinated  HISTORY OF PRESENT ILLNESS: PT is a 62 y.o. female who presents today with not feeling well with shortness of breath and feeling sick. Her husband had covid and he is recovering now. Has chest pain with cough. No abdominal pain. She has had diarrhea. Her symptoms started on last Wednesday. No leg swelling. She recently had left foot fracture. CT angio was negative for PE. She has type 2 DM as well.  ASSESSMENT / PLAN: # Acute hypoxic respiratory failure: # Covid 19 pneumonia:     - Decadron and remdesevir as symptoms are ongoing for 5 days     - fully vaccinated     - not a candidate for MAB due to hypoxia     - continuous pulse ox 10/22/2012 note: CHIEF COMPLAINT: Hypoxia ASSESSMENT / PLAN: Acute hypoxic respiratory failure Covid 19 pneumonia - Symptom onset 10/14; COVID positive 10/19 - Decadron started 10/19 - On remdesivir through 10/24 - Fully vaccinated with Pfizer March and April 2021 - not a candidate for MAB due to hypoxia - Today desatting on 95% high flow. Requiring NRB. If continues to decline will need to reach out to ICU for possible intubation - Continuous pulse ox - CTA 10/19 no definitive PE, diffuse ground glass opacities  -CRP 80.3->28.1 -ddimer 460->680 -Will trial IV lasix
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dizziness postural, Dyspnoea, Electrocardiogram abnormal, Fall
Clinical narrative: Hospitalized 10/19/2021; COVID-19 positive 10/19/2021; fully vaccinated  HISTORY OF PRESENT ILLNESS: PT is a 62 y.o. female who presents today with not feeling well with shortness of breath and feeling sick. Her husband had covid and he is recovering now. Has chest pain with cough. No abdominal pain. She has had diarrhea. Her symptoms started on last Wednesday. No leg swelling. She recently had left foot fracture. CT angio was negative for PE. She has type 2 DM as well.  ASSESSMENT / PLAN: # Acute hypoxic respiratory failure: # Covid 19 pneumonia:     - Decadron and remdesevir as symptoms are ongoing for 5 days     - fully vaccinated     - not a candidate for MAB due to hypoxia     - continuous pulse ox 10/22/2012 note: CHIEF COMPLAINT: Hypoxia ASSESSMENT / PLAN: Acute hypoxic respiratory failure Covid 19 pneumonia - Symptom onset 10/14; COVID positive 10/19 - Decadron started 10/19 - On remdesivir through 10/24 - Fully vaccinated with Pfizer March and April 2021 - not a candidate for MAB due to hypoxia - Today desatting on 95% high flow. Requiring NRB. If continues to decline will need to reach out to ICU for possible intubation - Continuous pulse ox - CTA 10/19 no definitive PE, diffuse ground glass opacities  -CRP 80.3->28.1 -ddimer 460->680 -Will trial IV lasix
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer, Foot fracture, Full blood count abnormal, Leukocytosis, Loss of consciousness
Clinical narrative: Hospitalized 10/19/2021; COVID-19 positive 10/19/2021; fully vaccinated  HISTORY OF PRESENT ILLNESS: PT is a 62 y.o. female who presents today with not feeling well with shortness of breath and feeling sick. Her husband had covid and he is recovering now. Has chest pain with cough. No abdominal pain. She has had diarrhea. Her symptoms started on last Wednesday. No leg swelling. She recently had left foot fracture. CT angio was negative for PE. She has type 2 DM as well.  ASSESSMENT / PLAN: # Acute hypoxic respiratory failure: # Covid 19 pneumonia:     - Decadron and remdesevir as symptoms are ongoing for 5 days     - fully vaccinated     - not a candidate for MAB due to hypoxia     - continuous pulse ox 10/22/2012 note: CHIEF COMPLAINT: Hypoxia ASSESSMENT / PLAN: Acute hypoxic respiratory failure Covid 19 pneumonia - Symptom onset 10/14; COVID positive 10/19 - Decadron started 10/19 - On remdesivir through 10/24 - Fully vaccinated with Pfizer March and April 2021 - not a candidate for MAB due to hypoxia - Today desatting on 95% high flow. Requiring NRB. If continues to decline will need to reach out to ICU for possible intubation - Continuous pulse ox - CTA 10/19 no definitive PE, diffuse ground glass opacities  -CRP 80.3->28.1 -ddimer 460->680 -Will trial IV lasix
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Malaise, Metabolic function test abnormal, Nitrite urine present, Pain in extremity
Clinical narrative: Hospitalized 10/19/2021; COVID-19 positive 10/19/2021; fully vaccinated  HISTORY OF PRESENT ILLNESS: PT is a 62 y.o. female who presents today with not feeling well with shortness of breath and feeling sick. Her husband had covid and he is recovering now. Has chest pain with cough. No abdominal pain. She has had diarrhea. Her symptoms started on last Wednesday. No leg swelling. She recently had left foot fracture. CT angio was negative for PE. She has type 2 DM as well.  ASSESSMENT / PLAN: # Acute hypoxic respiratory failure: # Covid 19 pneumonia:     - Decadron and remdesevir as symptoms are ongoing for 5 days     - fully vaccinated     - not a candidate for MAB due to hypoxia     - continuous pulse ox 10/22/2012 note: CHIEF COMPLAINT: Hypoxia ASSESSMENT / PLAN: Acute hypoxic respiratory failure Covid 19 pneumonia - Symptom onset 10/14; COVID positive 10/19 - Decadron started 10/19 - On remdesivir through 10/24 - Fully vaccinated with Pfizer March and April 2021 - not a candidate for MAB due to hypoxia - Today desatting on 95% high flow. Requiring NRB. If continues to decline will need to reach out to ICU for possible intubation - Continuous pulse ox - CTA 10/19 no definitive PE, diffuse ground glass opacities  -CRP 80.3->28.1 -ddimer 460->680 -Will trial IV lasix
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Shift to the left, Soft tissue swelling, Splint application, Syncope
Clinical narrative: Hospitalized 10/19/2021; COVID-19 positive 10/19/2021; fully vaccinated  HISTORY OF PRESENT ILLNESS: PT is a 62 y.o. female who presents today with not feeling well with shortness of breath and feeling sick. Her husband had covid and he is recovering now. Has chest pain with cough. No abdominal pain. She has had diarrhea. Her symptoms started on last Wednesday. No leg swelling. She recently had left foot fracture. CT angio was negative for PE. She has type 2 DM as well.  ASSESSMENT / PLAN: # Acute hypoxic respiratory failure: # Covid 19 pneumonia:     - Decadron and remdesevir as symptoms are ongoing for 5 days     - fully vaccinated     - not a candidate for MAB due to hypoxia     - continuous pulse ox 10/22/2012 note: CHIEF COMPLAINT: Hypoxia ASSESSMENT / PLAN: Acute hypoxic respiratory failure Covid 19 pneumonia - Symptom onset 10/14; COVID positive 10/19 - Decadron started 10/19 - On remdesivir through 10/24 - Fully vaccinated with Pfizer March and April 2021 - not a candidate for MAB due to hypoxia - Today desatting on 95% high flow. Requiring NRB. If continues to decline will need to reach out to ICU for possible intubation - Continuous pulse ox - CTA 10/19 no definitive PE, diffuse ground glass opacities  -CRP 80.3->28.1 -ddimer 460->680 -Will trial IV lasix