chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Tryptase, Urticaria
Clinical narrative: The patient developed urticaria 12 days after obtaining his third dose (booster dose) of the Moderna vaccine.  Dose 1 and 2 were given March 23, 2021 and April 20, 2021, and he had no problems with the first two doses.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Heart rate increased
Clinical narrative: When I do very quick, strenuous activity (like walking quickly up stairs or up a hill) it feels like my heart is pumping out of control and feels like it is fluttering.  I was in one place when I received my vaccination and attributed this response to the high elevation to which my body was unaccustomed, however it has continued to happen in another place.  I run and go to the gym multiple times a week consistently, so I know this is an abnormal response for my body to quick, strenuous activity.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Product administered to patient of inappropriate age
Clinical narrative: Patient requested second dose of Moderna, first dose administered by a different pharmacy on 1/6/2022 (despite his age of 17). Staff decided to continue his Moderna series and administered the second Moderna dose on 3/10/2022.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint range of motion decreased
Clinical narrative: Patient called  3/08/22 that her left arm (administered vaccine) has mild and has decreased range of motion since first COVID vaccine. First dose 11/6/2021, then second dose 12/4/2021  did not mention soreness or ROA upon administration. She called pharmacy over 3 months later on 3/8/22 to discuss her symptoms and instructed to apply compress and take ibuprofen/acetaminophen. She came in person 3/10/21 and instructed to continue applying compress and medication. If Aes continue, contact primary for further studies or physical therapy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Amylase increased, Blood albumin decreased, Blood bicarbonate decreased, Blood creatinine increased, Blood glucose normal
Clinical narrative: Reports indicate patient presented to the hospital for evaluation because of worsening difficulty in breathing with activity.  She did test positive for COVID-19 on 12/04. Patient reports at least a greater than 5 day history of nasal congestion, chest congestion associated a cough that is sometimes productive of clear, but sometime discolored phlegm. Symptoms are associated with chills, but no fever. Patient also reports nausea with dry heaving, but no vomiting. Patient reports chronic, but not acute or acute worsening diarrhea..  Reports indicate patient was found to be saturating down at 89% on arrival.   On arrival into the hospital, patient was noted to be normotensive with blood pressure 100/54, otherwise afebrile saturating 93% on 2 liters/minutes supplemental by then.  Initial temperature was 99°.  Further workup in the emergency room does include a CMP that shows a BUN and creatinine of 34 and 2.1 respectively with a glucose of 97.  Albumin and total protein 2.2 and 5.8.  CRP was elevated at 3.76.  Ferritin was 288.7.  LDH 285.  Procalcitonin 0.13.  Troponin was 33.3.  D-dimer is 218. Lactic acid 1.3.  CBC with differential shows shows a hemoglobin and hematocrit 9.5 and 31.4 respectively with a platelet count of 450 and a white count of 8.08 with 94% represents segmented neutrophils.. COVID-19 testing was positive.   Because the patient symptoms, patient did go on to receive a L of normal saline as a bolus, she was given a starter dose of dexamethasone     Doxycycline and Rocephin empirically started.  Decadron and Remdesivir started per covid Protocol.  O2 support continued from ER.   Dr spoke with another Dr regarding anti-rejection medications noting amylase, lipase and creatinine levels were increasing with concern of transplant rejections.  Dr spoke with another Dr transplant team.  There were no beds available for transfer to hospital.  They discussed medication adjustments including Tacrolimus and Cellcept adjustments.   Patient continued to decline and night of 12/18, "12/18 night shift patient sustained accidental fall night shift with no new injury.  Patient also required non-rebreather mask overnight.  Chest x-ray bilateral pulmonary infiltrate. Labs revealed white cell count increased to 24. But procalcitonin 0.06 CRP 1.67."   Bicarbonate started after drop in bicarb and diarrhea.  She had IV fluid adjustments.  Breathing continued to decline and  REACH call completed. Code status re-addressed and she was adament regarding DNR/DNI status.  With continued declined, patient stated she could not continue as such.  She endorses knowing she was dying and "was done."  She pulled off her Bipap which was quickly replaced with nasal cannula.  She subsequently removed nasal cannula.   She was transitioned to Comfort Measures.  Patient's sister was notified and came to hospital.  Patient's son was notified.  On December 12/21/2021 at 0526 pt died from complications of Covid 19 Sepsis and Pneumonia.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase increased, Blood lactic acid, Blood urea increased, C-reactive protein increased, COVID-19
Clinical narrative: Reports indicate patient presented to the hospital for evaluation because of worsening difficulty in breathing with activity.  She did test positive for COVID-19 on 12/04. Patient reports at least a greater than 5 day history of nasal congestion, chest congestion associated a cough that is sometimes productive of clear, but sometime discolored phlegm. Symptoms are associated with chills, but no fever. Patient also reports nausea with dry heaving, but no vomiting. Patient reports chronic, but not acute or acute worsening diarrhea..  Reports indicate patient was found to be saturating down at 89% on arrival.   On arrival into the hospital, patient was noted to be normotensive with blood pressure 100/54, otherwise afebrile saturating 93% on 2 liters/minutes supplemental by then.  Initial temperature was 99°.  Further workup in the emergency room does include a CMP that shows a BUN and creatinine of 34 and 2.1 respectively with a glucose of 97.  Albumin and total protein 2.2 and 5.8.  CRP was elevated at 3.76.  Ferritin was 288.7.  LDH 285.  Procalcitonin 0.13.  Troponin was 33.3.  D-dimer is 218. Lactic acid 1.3.  CBC with differential shows shows a hemoglobin and hematocrit 9.5 and 31.4 respectively with a platelet count of 450 and a white count of 8.08 with 94% represents segmented neutrophils.. COVID-19 testing was positive.   Because the patient symptoms, patient did go on to receive a L of normal saline as a bolus, she was given a starter dose of dexamethasone     Doxycycline and Rocephin empirically started.  Decadron and Remdesivir started per covid Protocol.  O2 support continued from ER.   Dr spoke with another Dr regarding anti-rejection medications noting amylase, lipase and creatinine levels were increasing with concern of transplant rejections.  Dr spoke with another Dr transplant team.  There were no beds available for transfer to hospital.  They discussed medication adjustments including Tacrolimus and Cellcept adjustments.   Patient continued to decline and night of 12/18, "12/18 night shift patient sustained accidental fall night shift with no new injury.  Patient also required non-rebreather mask overnight.  Chest x-ray bilateral pulmonary infiltrate. Labs revealed white cell count increased to 24. But procalcitonin 0.06 CRP 1.67."   Bicarbonate started after drop in bicarb and diarrhea.  She had IV fluid adjustments.  Breathing continued to decline and  REACH call completed. Code status re-addressed and she was adament regarding DNR/DNI status.  With continued declined, patient stated she could not continue as such.  She endorses knowing she was dying and "was done."  She pulled off her Bipap which was quickly replaced with nasal cannula.  She subsequently removed nasal cannula.   She was transitioned to Comfort Measures.  Patient's sister was notified and came to hospital.  Patient's son was notified.  On December 12/21/2021 at 0526 pt died from complications of Covid 19 Sepsis and Pneumonia.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Death, Diarrhoea, Differential white blood cell count
Clinical narrative: Reports indicate patient presented to the hospital for evaluation because of worsening difficulty in breathing with activity.  She did test positive for COVID-19 on 12/04. Patient reports at least a greater than 5 day history of nasal congestion, chest congestion associated a cough that is sometimes productive of clear, but sometime discolored phlegm. Symptoms are associated with chills, but no fever. Patient also reports nausea with dry heaving, but no vomiting. Patient reports chronic, but not acute or acute worsening diarrhea..  Reports indicate patient was found to be saturating down at 89% on arrival.   On arrival into the hospital, patient was noted to be normotensive with blood pressure 100/54, otherwise afebrile saturating 93% on 2 liters/minutes supplemental by then.  Initial temperature was 99°.  Further workup in the emergency room does include a CMP that shows a BUN and creatinine of 34 and 2.1 respectively with a glucose of 97.  Albumin and total protein 2.2 and 5.8.  CRP was elevated at 3.76.  Ferritin was 288.7.  LDH 285.  Procalcitonin 0.13.  Troponin was 33.3.  D-dimer is 218. Lactic acid 1.3.  CBC with differential shows shows a hemoglobin and hematocrit 9.5 and 31.4 respectively with a platelet count of 450 and a white count of 8.08 with 94% represents segmented neutrophils.. COVID-19 testing was positive.   Because the patient symptoms, patient did go on to receive a L of normal saline as a bolus, she was given a starter dose of dexamethasone     Doxycycline and Rocephin empirically started.  Decadron and Remdesivir started per covid Protocol.  O2 support continued from ER.   Dr spoke with another Dr regarding anti-rejection medications noting amylase, lipase and creatinine levels were increasing with concern of transplant rejections.  Dr spoke with another Dr transplant team.  There were no beds available for transfer to hospital.  They discussed medication adjustments including Tacrolimus and Cellcept adjustments.   Patient continued to decline and night of 12/18, "12/18 night shift patient sustained accidental fall night shift with no new injury.  Patient also required non-rebreather mask overnight.  Chest x-ray bilateral pulmonary infiltrate. Labs revealed white cell count increased to 24. But procalcitonin 0.06 CRP 1.67."   Bicarbonate started after drop in bicarb and diarrhea.  She had IV fluid adjustments.  Breathing continued to decline and  REACH call completed. Code status re-addressed and she was adament regarding DNR/DNI status.  With continued declined, patient stated she could not continue as such.  She endorses knowing she was dying and "was done."  She pulled off her Bipap which was quickly replaced with nasal cannula.  She subsequently removed nasal cannula.   She was transitioned to Comfort Measures.  Patient's sister was notified and came to hospital.  Patient's son was notified.  On December 12/21/2021 at 0526 pt died from complications of Covid 19 Sepsis and Pneumonia.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Fall, Fibrin D dimer, Full blood count, General physical health deterioration
Clinical narrative: Reports indicate patient presented to the hospital for evaluation because of worsening difficulty in breathing with activity.  She did test positive for COVID-19 on 12/04. Patient reports at least a greater than 5 day history of nasal congestion, chest congestion associated a cough that is sometimes productive of clear, but sometime discolored phlegm. Symptoms are associated with chills, but no fever. Patient also reports nausea with dry heaving, but no vomiting. Patient reports chronic, but not acute or acute worsening diarrhea..  Reports indicate patient was found to be saturating down at 89% on arrival.   On arrival into the hospital, patient was noted to be normotensive with blood pressure 100/54, otherwise afebrile saturating 93% on 2 liters/minutes supplemental by then.  Initial temperature was 99°.  Further workup in the emergency room does include a CMP that shows a BUN and creatinine of 34 and 2.1 respectively with a glucose of 97.  Albumin and total protein 2.2 and 5.8.  CRP was elevated at 3.76.  Ferritin was 288.7.  LDH 285.  Procalcitonin 0.13.  Troponin was 33.3.  D-dimer is 218. Lactic acid 1.3.  CBC with differential shows shows a hemoglobin and hematocrit 9.5 and 31.4 respectively with a platelet count of 450 and a white count of 8.08 with 94% represents segmented neutrophils.. COVID-19 testing was positive.   Because the patient symptoms, patient did go on to receive a L of normal saline as a bolus, she was given a starter dose of dexamethasone     Doxycycline and Rocephin empirically started.  Decadron and Remdesivir started per covid Protocol.  O2 support continued from ER.   Dr spoke with another Dr regarding anti-rejection medications noting amylase, lipase and creatinine levels were increasing with concern of transplant rejections.  Dr spoke with another Dr transplant team.  There were no beds available for transfer to hospital.  They discussed medication adjustments including Tacrolimus and Cellcept adjustments.   Patient continued to decline and night of 12/18, "12/18 night shift patient sustained accidental fall night shift with no new injury.  Patient also required non-rebreather mask overnight.  Chest x-ray bilateral pulmonary infiltrate. Labs revealed white cell count increased to 24. But procalcitonin 0.06 CRP 1.67."   Bicarbonate started after drop in bicarb and diarrhea.  She had IV fluid adjustments.  Breathing continued to decline and  REACH call completed. Code status re-addressed and she was adament regarding DNR/DNI status.  With continued declined, patient stated she could not continue as such.  She endorses knowing she was dying and "was done."  She pulled off her Bipap which was quickly replaced with nasal cannula.  She subsequently removed nasal cannula.   She was transitioned to Comfort Measures.  Patient's sister was notified and came to hospital.  Patient's son was notified.  On December 12/21/2021 at 0526 pt died from complications of Covid 19 Sepsis and Pneumonia.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Intentional medical device removal by patient, Lipase increased, Lung infiltration
Clinical narrative: Reports indicate patient presented to the hospital for evaluation because of worsening difficulty in breathing with activity.  She did test positive for COVID-19 on 12/04. Patient reports at least a greater than 5 day history of nasal congestion, chest congestion associated a cough that is sometimes productive of clear, but sometime discolored phlegm. Symptoms are associated with chills, but no fever. Patient also reports nausea with dry heaving, but no vomiting. Patient reports chronic, but not acute or acute worsening diarrhea..  Reports indicate patient was found to be saturating down at 89% on arrival.   On arrival into the hospital, patient was noted to be normotensive with blood pressure 100/54, otherwise afebrile saturating 93% on 2 liters/minutes supplemental by then.  Initial temperature was 99°.  Further workup in the emergency room does include a CMP that shows a BUN and creatinine of 34 and 2.1 respectively with a glucose of 97.  Albumin and total protein 2.2 and 5.8.  CRP was elevated at 3.76.  Ferritin was 288.7.  LDH 285.  Procalcitonin 0.13.  Troponin was 33.3.  D-dimer is 218. Lactic acid 1.3.  CBC with differential shows shows a hemoglobin and hematocrit 9.5 and 31.4 respectively with a platelet count of 450 and a white count of 8.08 with 94% represents segmented neutrophils.. COVID-19 testing was positive.   Because the patient symptoms, patient did go on to receive a L of normal saline as a bolus, she was given a starter dose of dexamethasone     Doxycycline and Rocephin empirically started.  Decadron and Remdesivir started per covid Protocol.  O2 support continued from ER.   Dr spoke with another Dr regarding anti-rejection medications noting amylase, lipase and creatinine levels were increasing with concern of transplant rejections.  Dr spoke with another Dr transplant team.  There were no beds available for transfer to hospital.  They discussed medication adjustments including Tacrolimus and Cellcept adjustments.   Patient continued to decline and night of 12/18, "12/18 night shift patient sustained accidental fall night shift with no new injury.  Patient also required non-rebreather mask overnight.  Chest x-ray bilateral pulmonary infiltrate. Labs revealed white cell count increased to 24. But procalcitonin 0.06 CRP 1.67."   Bicarbonate started after drop in bicarb and diarrhea.  She had IV fluid adjustments.  Breathing continued to decline and  REACH call completed. Code status re-addressed and she was adament regarding DNR/DNI status.  With continued declined, patient stated she could not continue as such.  She endorses knowing she was dying and "was done."  She pulled off her Bipap which was quickly replaced with nasal cannula.  She subsequently removed nasal cannula.   She was transitioned to Comfort Measures.  Patient's sister was notified and came to hospital.  Patient's son was notified.  On December 12/21/2021 at 0526 pt died from complications of Covid 19 Sepsis and Pneumonia.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Nasal congestion, Nausea, Neutrophil percentage increased, Oxygen saturation decreased
Clinical narrative: Reports indicate patient presented to the hospital for evaluation because of worsening difficulty in breathing with activity.  She did test positive for COVID-19 on 12/04. Patient reports at least a greater than 5 day history of nasal congestion, chest congestion associated a cough that is sometimes productive of clear, but sometime discolored phlegm. Symptoms are associated with chills, but no fever. Patient also reports nausea with dry heaving, but no vomiting. Patient reports chronic, but not acute or acute worsening diarrhea..  Reports indicate patient was found to be saturating down at 89% on arrival.   On arrival into the hospital, patient was noted to be normotensive with blood pressure 100/54, otherwise afebrile saturating 93% on 2 liters/minutes supplemental by then.  Initial temperature was 99°.  Further workup in the emergency room does include a CMP that shows a BUN and creatinine of 34 and 2.1 respectively with a glucose of 97.  Albumin and total protein 2.2 and 5.8.  CRP was elevated at 3.76.  Ferritin was 288.7.  LDH 285.  Procalcitonin 0.13.  Troponin was 33.3.  D-dimer is 218. Lactic acid 1.3.  CBC with differential shows shows a hemoglobin and hematocrit 9.5 and 31.4 respectively with a platelet count of 450 and a white count of 8.08 with 94% represents segmented neutrophils.. COVID-19 testing was positive.   Because the patient symptoms, patient did go on to receive a L of normal saline as a bolus, she was given a starter dose of dexamethasone     Doxycycline and Rocephin empirically started.  Decadron and Remdesivir started per covid Protocol.  O2 support continued from ER.   Dr spoke with another Dr regarding anti-rejection medications noting amylase, lipase and creatinine levels were increasing with concern of transplant rejections.  Dr spoke with another Dr transplant team.  There were no beds available for transfer to hospital.  They discussed medication adjustments including Tacrolimus and Cellcept adjustments.   Patient continued to decline and night of 12/18, "12/18 night shift patient sustained accidental fall night shift with no new injury.  Patient also required non-rebreather mask overnight.  Chest x-ray bilateral pulmonary infiltrate. Labs revealed white cell count increased to 24. But procalcitonin 0.06 CRP 1.67."   Bicarbonate started after drop in bicarb and diarrhea.  She had IV fluid adjustments.  Breathing continued to decline and  REACH call completed. Code status re-addressed and she was adament regarding DNR/DNI status.  With continued declined, patient stated she could not continue as such.  She endorses knowing she was dying and "was done."  She pulled off her Bipap which was quickly replaced with nasal cannula.  She subsequently removed nasal cannula.   She was transitioned to Comfort Measures.  Patient's sister was notified and came to hospital.  Patient's son was notified.  On December 12/21/2021 at 0526 pt died from complications of Covid 19 Sepsis and Pneumonia.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count increased, Pneumonia, Positive airway pressure therapy, Procalcitonin, Productive cough
Clinical narrative: Reports indicate patient presented to the hospital for evaluation because of worsening difficulty in breathing with activity.  She did test positive for COVID-19 on 12/04. Patient reports at least a greater than 5 day history of nasal congestion, chest congestion associated a cough that is sometimes productive of clear, but sometime discolored phlegm. Symptoms are associated with chills, but no fever. Patient also reports nausea with dry heaving, but no vomiting. Patient reports chronic, but not acute or acute worsening diarrhea..  Reports indicate patient was found to be saturating down at 89% on arrival.   On arrival into the hospital, patient was noted to be normotensive with blood pressure 100/54, otherwise afebrile saturating 93% on 2 liters/minutes supplemental by then.  Initial temperature was 99°.  Further workup in the emergency room does include a CMP that shows a BUN and creatinine of 34 and 2.1 respectively with a glucose of 97.  Albumin and total protein 2.2 and 5.8.  CRP was elevated at 3.76.  Ferritin was 288.7.  LDH 285.  Procalcitonin 0.13.  Troponin was 33.3.  D-dimer is 218. Lactic acid 1.3.  CBC with differential shows shows a hemoglobin and hematocrit 9.5 and 31.4 respectively with a platelet count of 450 and a white count of 8.08 with 94% represents segmented neutrophils.. COVID-19 testing was positive.   Because the patient symptoms, patient did go on to receive a L of normal saline as a bolus, she was given a starter dose of dexamethasone     Doxycycline and Rocephin empirically started.  Decadron and Remdesivir started per covid Protocol.  O2 support continued from ER.   Dr spoke with another Dr regarding anti-rejection medications noting amylase, lipase and creatinine levels were increasing with concern of transplant rejections.  Dr spoke with another Dr transplant team.  There were no beds available for transfer to hospital.  They discussed medication adjustments including Tacrolimus and Cellcept adjustments.   Patient continued to decline and night of 12/18, "12/18 night shift patient sustained accidental fall night shift with no new injury.  Patient also required non-rebreather mask overnight.  Chest x-ray bilateral pulmonary infiltrate. Labs revealed white cell count increased to 24. But procalcitonin 0.06 CRP 1.67."   Bicarbonate started after drop in bicarb and diarrhea.  She had IV fluid adjustments.  Breathing continued to decline and  REACH call completed. Code status re-addressed and she was adament regarding DNR/DNI status.  With continued declined, patient stated she could not continue as such.  She endorses knowing she was dying and "was done."  She pulled off her Bipap which was quickly replaced with nasal cannula.  She subsequently removed nasal cannula.   She was transitioned to Comfort Measures.  Patient's sister was notified and came to hospital.  Patient's son was notified.  On December 12/21/2021 at 0526 pt died from complications of Covid 19 Sepsis and Pneumonia.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Protein total decreased, Respiratory rate decreased, Respiratory tract congestion, Retching, SARS-CoV-2 test positive
Clinical narrative: Reports indicate patient presented to the hospital for evaluation because of worsening difficulty in breathing with activity.  She did test positive for COVID-19 on 12/04. Patient reports at least a greater than 5 day history of nasal congestion, chest congestion associated a cough that is sometimes productive of clear, but sometime discolored phlegm. Symptoms are associated with chills, but no fever. Patient also reports nausea with dry heaving, but no vomiting. Patient reports chronic, but not acute or acute worsening diarrhea..  Reports indicate patient was found to be saturating down at 89% on arrival.   On arrival into the hospital, patient was noted to be normotensive with blood pressure 100/54, otherwise afebrile saturating 93% on 2 liters/minutes supplemental by then.  Initial temperature was 99°.  Further workup in the emergency room does include a CMP that shows a BUN and creatinine of 34 and 2.1 respectively with a glucose of 97.  Albumin and total protein 2.2 and 5.8.  CRP was elevated at 3.76.  Ferritin was 288.7.  LDH 285.  Procalcitonin 0.13.  Troponin was 33.3.  D-dimer is 218. Lactic acid 1.3.  CBC with differential shows shows a hemoglobin and hematocrit 9.5 and 31.4 respectively with a platelet count of 450 and a white count of 8.08 with 94% represents segmented neutrophils.. COVID-19 testing was positive.   Because the patient symptoms, patient did go on to receive a L of normal saline as a bolus, she was given a starter dose of dexamethasone     Doxycycline and Rocephin empirically started.  Decadron and Remdesivir started per covid Protocol.  O2 support continued from ER.   Dr spoke with another Dr regarding anti-rejection medications noting amylase, lipase and creatinine levels were increasing with concern of transplant rejections.  Dr spoke with another Dr transplant team.  There were no beds available for transfer to hospital.  They discussed medication adjustments including Tacrolimus and Cellcept adjustments.   Patient continued to decline and night of 12/18, "12/18 night shift patient sustained accidental fall night shift with no new injury.  Patient also required non-rebreather mask overnight.  Chest x-ray bilateral pulmonary infiltrate. Labs revealed white cell count increased to 24. But procalcitonin 0.06 CRP 1.67."   Bicarbonate started after drop in bicarb and diarrhea.  She had IV fluid adjustments.  Breathing continued to decline and  REACH call completed. Code status re-addressed and she was adament regarding DNR/DNI status.  With continued declined, patient stated she could not continue as such.  She endorses knowing she was dying and "was done."  She pulled off her Bipap which was quickly replaced with nasal cannula.  She subsequently removed nasal cannula.   She was transitioned to Comfort Measures.  Patient's sister was notified and came to hospital.  Patient's son was notified.  On December 12/21/2021 at 0526 pt died from complications of Covid 19 Sepsis and Pneumonia.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Serum ferritin increased, Sputum discoloured, Troponin, White blood cell count increased
Clinical narrative: Reports indicate patient presented to the hospital for evaluation because of worsening difficulty in breathing with activity.  She did test positive for COVID-19 on 12/04. Patient reports at least a greater than 5 day history of nasal congestion, chest congestion associated a cough that is sometimes productive of clear, but sometime discolored phlegm. Symptoms are associated with chills, but no fever. Patient also reports nausea with dry heaving, but no vomiting. Patient reports chronic, but not acute or acute worsening diarrhea..  Reports indicate patient was found to be saturating down at 89% on arrival.   On arrival into the hospital, patient was noted to be normotensive with blood pressure 100/54, otherwise afebrile saturating 93% on 2 liters/minutes supplemental by then.  Initial temperature was 99°.  Further workup in the emergency room does include a CMP that shows a BUN and creatinine of 34 and 2.1 respectively with a glucose of 97.  Albumin and total protein 2.2 and 5.8.  CRP was elevated at 3.76.  Ferritin was 288.7.  LDH 285.  Procalcitonin 0.13.  Troponin was 33.3.  D-dimer is 218. Lactic acid 1.3.  CBC with differential shows shows a hemoglobin and hematocrit 9.5 and 31.4 respectively with a platelet count of 450 and a white count of 8.08 with 94% represents segmented neutrophils.. COVID-19 testing was positive.   Because the patient symptoms, patient did go on to receive a L of normal saline as a bolus, she was given a starter dose of dexamethasone     Doxycycline and Rocephin empirically started.  Decadron and Remdesivir started per covid Protocol.  O2 support continued from ER.   Dr spoke with another Dr regarding anti-rejection medications noting amylase, lipase and creatinine levels were increasing with concern of transplant rejections.  Dr spoke with another Dr transplant team.  There were no beds available for transfer to hospital.  They discussed medication adjustments including Tacrolimus and Cellcept adjustments.   Patient continued to decline and night of 12/18, "12/18 night shift patient sustained accidental fall night shift with no new injury.  Patient also required non-rebreather mask overnight.  Chest x-ray bilateral pulmonary infiltrate. Labs revealed white cell count increased to 24. But procalcitonin 0.06 CRP 1.67."   Bicarbonate started after drop in bicarb and diarrhea.  She had IV fluid adjustments.  Breathing continued to decline and  REACH call completed. Code status re-addressed and she was adament regarding DNR/DNI status.  With continued declined, patient stated she could not continue as such.  She endorses knowing she was dying and "was done."  She pulled off her Bipap which was quickly replaced with nasal cannula.  She subsequently removed nasal cannula.   She was transitioned to Comfort Measures.  Patient's sister was notified and came to hospital.  Patient's son was notified.  On December 12/21/2021 at 0526 pt died from complications of Covid 19 Sepsis and Pneumonia.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Epstein-Barr virus infection, Epstein-Barr virus test positive, Fatigue
Clinical narrative: Sudden fatigue within weeks of covid booster. Symptoms persist 3 months later and labs indicate reactivation of EBV/mono
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: My injection siteis swollen, red and very itchy. But if it is touched it burns.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: Hair shedding started 1 week after the 2nd shot and continued for more then 6 months thereafter.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: 103 Fever for 48 hours, Swollen neck on left side began December 19 until December 24, all over Body and join pain December 17 - 24, rash on right side of body December 19 - 26  swollen lymph nodes under left arm December 17 - still unresolved as of March 10th, 2022
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling, Ultrasound scan
Clinical narrative: 103 Fever for 48 hours, Swollen neck on left side began December 19 until December 24, all over Body and join pain December 17 - 24, rash on right side of body December 19 - 26  swollen lymph nodes under left arm December 17 - still unresolved as of March 10th, 2022
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Dysarthria, SARS-CoV-2 test positive, Swollen tongue
Clinical narrative: Patient presented to ER from home with swelling of the tongue and dysarthric speech; with current ACE inhibitor use. She required emergent (nasal) intubation for airway protection and administered epinephrine and benadryl. Admitted into ICU with critical care and colorectal surgery consulted. Incidentally  COVID screening was positive. Pt was otherwise asymptomatic.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster
Clinical narrative: Patient had shingles outbreak one week after receiving immunization. This started on 3/6 and is still active. Patient has painful blisters. She is currently being treated with acyclovir.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Exposure during pregnancy, Foetal disorder, Haemorrhage, Laboratory test
Clinical narrative: 10/28/21: last menstrual period 11/2/21: Moderna booster 11/28/21: positive urine pregnancy test 12/3/21: bleeding started 12/17/21: subchorionic hematoma diagnoses, viable intrauterine pregnancy confirmed  Dec 2021-Feb 2022: on/off light bleeding  Jan 2022: reassuring NIPT + nuchal translucency  2/17/22 gestational age 16 weeks): second opinion sought for ongoing bleeding , ultrasound and fetal ECHO revealed severe oligohydramnios, bilateral renal aplasia, multiple cardiac structural defects (VSD, transposition of great vessels, underdeveloped R atrium, ventral wall thickening) + reduced ejection fraction  2/25/22: D&E for non-viable fetus (GA: 17 weeks)  CVS performed at 16 weeks revealed normal microarray. Whole exome sequencing and pathology results pending.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pathology test, Pregnancy test urine positive, Subchorionic haematoma, Ultrasound antenatal screen abnormal, Uterine dilation and evacuation
Clinical narrative: 10/28/21: last menstrual period 11/2/21: Moderna booster 11/28/21: positive urine pregnancy test 12/3/21: bleeding started 12/17/21: subchorionic hematoma diagnoses, viable intrauterine pregnancy confirmed  Dec 2021-Feb 2022: on/off light bleeding  Jan 2022: reassuring NIPT + nuchal translucency  2/17/22 gestational age 16 weeks): second opinion sought for ongoing bleeding , ultrasound and fetal ECHO revealed severe oligohydramnios, bilateral renal aplasia, multiple cardiac structural defects (VSD, transposition of great vessels, underdeveloped R atrium, ventral wall thickening) + reduced ejection fraction  2/25/22: D&E for non-viable fetus (GA: 17 weeks)  CVS performed at 16 weeks revealed normal microarray. Whole exome sequencing and pathology results pending.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the BUD, but not stickers that came with vials.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the BUD, but not stickers that came with vials
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the BUD, but not stickers that came with vials.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the BUD, but not stickers that came with vials
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Abscess drainage, Appendicectomy, Appendicitis perforated, Blood test
Clinical narrative: woke up 4/5/2021 with diarrhea and pain. took covid test 4/6/2021 (negative). went to urgent care 4/7/2021 with severe pain in lower right abdomen (thought was appendicitis). Dr. said he didn?t think it was. 4/9/2021-saw another doctor who said it was a virus. On 4/14/2021 finally got in to Doctor, who took blood test and sent me to hospital, where it was confirmed that my appendix had ruptured and I was almost septic, hospitalized 6 days, no surgery, drained abscess. Remainder of appendix surgically removed August 2021.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Diarrhoea, Pain, SARS-CoV-2 test negative, Ultrasound abdomen abnormal
Clinical narrative: woke up 4/5/2021 with diarrhea and pain. took covid test 4/6/2021 (negative). went to urgent care 4/7/2021 with severe pain in lower right abdomen (thought was appendicitis). Dr. said he didn?t think it was. 4/9/2021-saw another doctor who said it was a virus. On 4/14/2021 finally got in to Doctor, who took blood test and sent me to hospital, where it was confirmed that my appendix had ruptured and I was almost septic, hospitalized 6 days, no surgery, drained abscess. Remainder of appendix surgically removed August 2021.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the BUD, but not stickers that came with vials
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the BUD, but not stickers that came with vials
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the Beyond Use Date, but not stickers that came with vials
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the BUD, but not stickers that came with vials
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the BUD, but not stickers that came with vials
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the BUD, but not stickers that came with vials
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the BUD, but not stickers that came with vials
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the BUD, but not stickers that came with vials
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired according to the Beyond Use Date, but not stickers that came with vials
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: An 11 year old patient was accidentally administered an adult dose of Pfizer as his second dose.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous, Rash pruritic, Syncope
Clinical narrative: Itchy red rash on neck, abdomen, back, inner thigh. I took Zyrtec and it improved overnight. Faint rash the next day and resolving over few days.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Skin erosion, Skin exfoliation
Clinical narrative: Feet continue to itch. Bottom of feet now peeling and feel raw. Hands are still swelling, but now are flaking off skin.
Age: 52.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: MEDICATION ERROR.   RN mixed TIXAGEVIMAB and CILGAVIMAB in the same syringe against manufacturing instructions for use and against instructions on pharmacy dispense label. Patient received the full dose of EVUSHELD (300mg/3ml TIXAGEVIMAB and CILBAVIMAB 300mg/3ml) patient was observed for 1 hour.  patient discharged to home without any adverse reaction to medication
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Dyspnoea at rest, Dyspnoea exertional
Clinical narrative: Heart palpitations, dizziness, chest pains, shortness of breath while at rest. Odd feeling of fullness in left chest. Same pattern as last booster shot. Moderate work would leave me light headed and very winded. Grew worse over the next 50 days. Currently wearing a heart monitor for the last two weeks. Scheduled for a heart stress test tomorrow, 3/11/2022.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Laboratory test, Palpitations
Clinical narrative: Heart palpitations, dizziness, chest pains, shortness of breath while at rest. Odd feeling of fullness in left chest. Same pattern as last booster shot. Moderate work would leave me light headed and very winded. Grew worse over the next 50 days. Currently wearing a heart monitor for the last two weeks. Scheduled for a heart stress test tomorrow, 3/11/2022.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyskinesia
Clinical narrative: Approximately 5 minutes after vaccination, pt  reported feeling chest pressure and experienced jerking movements of upper body. Pt remained alert and oriented.  Vital signs obtained as noted below. Assisted Living Facility staff administered pt's ordered nitroglycerin x 2.  Pt continued to report chest pressure and displayed jerking movements. EMS called, report given to medics, and pt transfered to hospital.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Vaccine administered 2 days too soon. No adverse reactions noted.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness bilateral, Tinnitus
Clinical narrative: Tinnitus and hearing loss in both ears, ongoing since vaccine and continuing today.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dry eye, Dry mouth, Dry throat, Laboratory test abnormal, Ophthalmological examination abnormal
Clinical narrative: ~ 3/10/2021 - first notice symptoms of what turns out to be Sjögren's syndrome. 3/16/2021 - mention symptoms of dry mouth & throat to PCP. 7/20/2021 - At my annual eye exam, I learn that my severely dry eyes are affecting my vision. 8/18/2021 - Receive 3rd Moderna vaccine/Booster. 9/15/2021 - Based on my symptoms, my rheumatologist, Dr. tests me for and diagnoses me with Sjögren's syndrome. It's a chronic condition. Treatment is symptom management.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Sjogren's syndrome, Visual impairment
Clinical narrative: ~ 3/10/2021 - first notice symptoms of what turns out to be Sjögren's syndrome. 3/16/2021 - mention symptoms of dry mouth & throat to PCP. 7/20/2021 - At my annual eye exam, I learn that my severely dry eyes are affecting my vision. 8/18/2021 - Receive 3rd Moderna vaccine/Booster. 9/15/2021 - Based on my symptoms, my rheumatologist, Dr. tests me for and diagnoses me with Sjögren's syndrome. It's a chronic condition. Treatment is symptom management.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Nausea, Productive cough, Respiratory tract congestion
Clinical narrative: symptoms: Nausea, vomiting, headache, back ache, congestion, cough with mucus. covid swap test given, came out as negative.  called urgent care at FHN, told to isolate for 2 weeks. After 2 weeks most symptoms beside congestion and cough went away.  After 1 month since onset cough and congestion also subsided.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Vomiting
Clinical narrative: symptoms: Nausea, vomiting, headache, back ache, congestion, cough with mucus. covid swap test given, came out as negative.  called urgent care at FHN, told to isolate for 2 weeks. After 2 weeks most symptoms beside congestion and cough went away.  After 1 month since onset cough and congestion also subsided.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Vaccine administered 2 days too early. No adverse reactions noted.
Age: 40.0
Sex: F
Vaccine: PNC20
Symptoms: Oral pain, Stomatitis
Clinical narrative: Painful mouth and tongue sores
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Appendicitis, Blood test, Computerised tomogram, Flatulence
Clinical narrative: Appendicitis- had increased gas leading up to it, then severe stomach ache which led me to go to the ER
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Appendicitis- had increased gas leading up to it, then severe stomach ache which led me to go to the ER
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No adverse events occurred to knowledge of pharmacy staff. This is being reported because Janssen vaccine was given as a "booster" to the patient after receiving Pfizer vaccine previously.
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID vaccine administered after expiration date
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac assistance device user, Catheterisation cardiac normal, Chest pain, Electrocardiogram ST segment elevation, Electrocardiogram T wave abnormal
Clinical narrative: Admitted to the hospital with complaints of chest pain. Patient received a second Moderna COVID vaccine 2 days prior. EKG showed diffuse concave ST and T wave elevation and troponins were elevated. Cardiology made the diagnosis of acute myopericarditis. Patient underwent a cath and was found to have normal coronaries. Required discharge with life vest, metoprolol, colchicine, and indomethacin.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Myopericarditis, Troponin increased
Clinical narrative: Admitted to the hospital with complaints of chest pain. Patient received a second Moderna COVID vaccine 2 days prior. EKG showed diffuse concave ST and T wave elevation and troponins were elevated. Cardiology made the diagnosis of acute myopericarditis. Patient underwent a cath and was found to have normal coronaries. Required discharge with life vest, metoprolol, colchicine, and indomethacin.
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Patient developed Bell's Palsy. Left-sided facial palsy. Patient was in emergency room.
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Antineutrophil cytoplasmic antibody positive, Arteriosclerosis, Biopsy kidney abnormal, Blood creatinine increased
Clinical narrative: Pt had moderna covid vaccine on 12/16/2021, she was admitted with hemoptysis, alveolar hemorrhage, acute kidney injury and nephrotic syndrome. Creatinine was upto 3.4mg/dl and and previously had very stable renal function with mild ckd and minimal proteinuria in the past. Creatinine level was 1.1 mg/dl in april 2021. p-ANCA, myeloperoxidase antibody was positive and renal biopsy showed Diffuse necrotizing pauci-immune Glomerulonephritis with underlying arteriosclerosis and mild to minimal diabetic glomerulosclerosis. Pt's moderna vaccine dates were 1/28/21, 2/25/21, 12/16/21
Sex: F
Vaccine: COVID19
Symptoms: Glomerulonephritis rapidly progressive, Haemoptysis, Intercapillary glomerulosclerosis, Necrosis, Nephrotic syndrome
Clinical narrative: Pt had moderna covid vaccine on 12/16/2021, she was admitted with hemoptysis, alveolar hemorrhage, acute kidney injury and nephrotic syndrome. Creatinine was upto 3.4mg/dl and and previously had very stable renal function with mild ckd and minimal proteinuria in the past. Creatinine level was 1.1 mg/dl in april 2021. p-ANCA, myeloperoxidase antibody was positive and renal biopsy showed Diffuse necrotizing pauci-immune Glomerulonephritis with underlying arteriosclerosis and mild to minimal diabetic glomerulosclerosis. Pt's moderna vaccine dates were 1/28/21, 2/25/21, 12/16/21
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary alveolar haemorrhage
Clinical narrative: Pt had moderna covid vaccine on 12/16/2021, she was admitted with hemoptysis, alveolar hemorrhage, acute kidney injury and nephrotic syndrome. Creatinine was upto 3.4mg/dl and and previously had very stable renal function with mild ckd and minimal proteinuria in the past. Creatinine level was 1.1 mg/dl in april 2021. p-ANCA, myeloperoxidase antibody was positive and renal biopsy showed Diffuse necrotizing pauci-immune Glomerulonephritis with underlying arteriosclerosis and mild to minimal diabetic glomerulosclerosis. Pt's moderna vaccine dates were 1/28/21, 2/25/21, 12/16/21
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Myalgia, Paraesthesia, Peripheral swelling, Pyrexia
Clinical narrative: Patient requested her first Shingrix vaccination of the series, which led her to spike a 102 fever, redness and swelling of the arm, and muscle aches approximately 12 hours after. Patient also described tingling of skin when anything touched her. Patient contacted PCP who advised her to continue to hydrate and contact pharmacy where immunization was administered to report adverse event.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pruritus, Eye swelling, Joint swelling, Pruritus
Clinical narrative: Narrative: PATIENT REPORTED HE HAD SWELLING OF RIGHT EYE AND LEFT KNEE AS WELL AS ITCHING OF HIS THIGHS AND EYELIDS AFTER THE FIRST DOSE OF MODERNA. NO INFORMATION AVIALABLE ABOUT WHERE/WHEN PATIENT RECEIVED INITIAL VACCINATION.
Age: 36.0
Sex: M
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 57.0
Sex: M
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Narrative: Pt reported no adverse effects from first dose on 02/11/2021, and said it was a delayed onset.