chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Productive cough, Pyrexia, Renal impairment, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: COVID vaccinated patient admitted for COVID pneumonia who subsequently died.  Provider discharge note:  "62yo female with PMHx significant for HLD, CKD3, HLD, GERD, DM2 who presented to the ED with progressively worsening cough. She went to a funeral on 10/21 and later found out 8 people who were at the funeral had COVID. Later that day she also developed a cough which has got progressively more productive of white to tan secretions then developed shaking chills. She did receive the Moderna COVID vaccines in December and January 2021. Patient was admitted to the hospital for sepsis and acute on chronic respiratory failure 2/2 COVID-19 pneumonia. She initially was alternating between BiPAP and HFNC. She was treated with Remdesivir and decadron, as well as Rocephin and doxycycline for possible superimposed bacterial infection. Patient's respiratory status progressively worsened to the point where she became altered and required intubation in the ED. CCU was consulted for further management and patient was transferred to the CCU. The following day, patient noted to have decreased UOP, worsening kidney function, and increased secretions in ETT overnight. Febrile to 39.1C. Patient noted to have new left pleural effusion on CXR. Lasix 80mg IV TID ordered. Nephrology consulted. Patient on CRRT overnight. On 11/8, patient was noted to be hypotensive overnight requiring phenylephrine.  Continue on CRRT. Patient's family was consulted for update on worsening status. They arrived at the ICU and made the decision to withdraw care.  Pressors and paralytics were discontinued. Patient was extubated at 1427. Time of death was 1437."
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sepsis, Urine output decreased
Clinical narrative: COVID vaccinated patient admitted for COVID pneumonia who subsequently died.  Provider discharge note:  "62yo female with PMHx significant for HLD, CKD3, HLD, GERD, DM2 who presented to the ED with progressively worsening cough. She went to a funeral on 10/21 and later found out 8 people who were at the funeral had COVID. Later that day she also developed a cough which has got progressively more productive of white to tan secretions then developed shaking chills. She did receive the Moderna COVID vaccines in December and January 2021. Patient was admitted to the hospital for sepsis and acute on chronic respiratory failure 2/2 COVID-19 pneumonia. She initially was alternating between BiPAP and HFNC. She was treated with Remdesivir and decadron, as well as Rocephin and doxycycline for possible superimposed bacterial infection. Patient's respiratory status progressively worsened to the point where she became altered and required intubation in the ED. CCU was consulted for further management and patient was transferred to the CCU. The following day, patient noted to have decreased UOP, worsening kidney function, and increased secretions in ETT overnight. Febrile to 39.1C. Patient noted to have new left pleural effusion on CXR. Lasix 80mg IV TID ordered. Nephrology consulted. Patient on CRRT overnight. On 11/8, patient was noted to be hypotensive overnight requiring phenylephrine.  Continue on CRRT. Patient's family was consulted for update on worsening status. They arrived at the ICU and made the decision to withdraw care.  Pressors and paralytics were discontinued. Patient was extubated at 1427. Time of death was 1437."
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: I, pharmacist accidentally gave patient a Pfizer covid shot which is 2 days past expiration date .
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest scan, Dyspnoea, Epistaxis, Inflammation
Clinical narrative: One week after receiving my 2nd dose of the Pfizer vaccine, I experienced migraine headache, difficulty breathing & nose bleeds. Went to my doctor on 10/26 who did bloodwork & sent me home on bed rest. Later put me on antibiotics due to elevated WBC; by 10/29 I was so sick and couldn't breath I was admitted to the hospital where I stayed until 11/3/21. They ran several test and showed that my body was inflamed but couldn't find any virus, discharged me. Went to neurologist on 12/1/21 who determined that I had an adverse reaction to the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lumbar puncture, Malaise, Migraine, Viral test negative, White blood cell count increased
Clinical narrative: One week after receiving my 2nd dose of the Pfizer vaccine, I experienced migraine headache, difficulty breathing & nose bleeds. Went to my doctor on 10/26 who did bloodwork & sent me home on bed rest. Later put me on antibiotics due to elevated WBC; by 10/29 I was so sick and couldn't breath I was admitted to the hospital where I stayed until 11/3/21. They ran several test and showed that my body was inflamed but couldn't find any virus, discharged me. Went to neurologist on 12/1/21 who determined that I had an adverse reaction to the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: One week after receiving my 2nd dose of the Pfizer vaccine, I experienced migraine headache, difficulty breathing & nose bleeds. Went to my doctor on 10/26 who did bloodwork & sent me home on bed rest. Later put me on antibiotics due to elevated WBC; by 10/29 I was so sick and couldn't breath I was admitted to the hospital where I stayed until 11/3/21. They ran several test and showed that my body was inflamed but couldn't find any virus, discharged me. Went to neurologist on 12/1/21 who determined that I had an adverse reaction to the vaccine.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine (PEDS) pediatric formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO ADVERSE EVENTS
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Dose 1 given 1/14/2021 (batch/lot # 037K20A). Patient hospitalized with COVID-19.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, COVID-19 pneumonia, Death, Hypoxia
Clinical narrative: 66M with mantle cell lymphoma s/p 2 years of Rituximab admitted with COVID Pneumonia despite 3 COVID vaccine doses. No antibodies identified. Received dexamethasone, remdesivir, and compassionate use Regeneron monoclonal antibodies. Despite this he developed ARDS and refractory hypoxia despite paralytics and attempts at proning. No accepted for ECMO. Family decided he should be DNR/DNI and he passed with them at his bedside.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 66M with mantle cell lymphoma s/p 2 years of Rituximab admitted with COVID Pneumonia despite 3 COVID vaccine doses. No antibodies identified. Received dexamethasone, remdesivir, and compassionate use Regeneron monoclonal antibodies. Despite this he developed ARDS and refractory hypoxia despite paralytics and attempts at proning. No accepted for ECMO. Family decided he should be DNR/DNI and he passed with them at his bedside.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccine administered at half dose.
Age: 5.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: 15 year old patient got a booster vaccine.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 90-year-old male with past medical history of hypertension and other medical conditions presented to the hospital with complaints of generalized weakness and shortness of breath.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death, Mental status changes
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 12/30/2020, 1/20/2021, and 9/23/2021. Patient with PMHx of lympblastic lymphoma, CHF, Afib on Eloquis, recent UTI on abx presented to ED w/AMS. Admitted for acute hypoxic respiratory failure, Covid-19 pneumonia and CHF. Tx'd w/remdiseivir x5days, dexamethasone D#8/10, completed rocephin and Zithromax x5days for elevated procal. Oxygen demands continued to worsen and continued to deteriorate despite doubling steroids and adding cefepime. Expired on 11/30/21.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Procalcitonin increased, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 12/30/2020, 1/20/2021, and 9/23/2021. Patient with PMHx of lympblastic lymphoma, CHF, Afib on Eloquis, recent UTI on abx presented to ED w/AMS. Admitted for acute hypoxic respiratory failure, Covid-19 pneumonia and CHF. Tx'd w/remdiseivir x5days, dexamethasone D#8/10, completed rocephin and Zithromax x5days for elevated procal. Oxygen demands continued to worsen and continued to deteriorate despite doubling steroids and adding cefepime. Expired on 11/30/21.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash macular, SARS-CoV-2 test negative, Urticaria
Clinical narrative: Hives/ Migrating rash.  starting on or about 11/22/21. Itchy and red patches come and go.  Treatment has been Zyrtec and Cortizone cream as directed from virtuwell consultation on 11/29/21.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chest injury, Chest tube insertion, Dyspnoea
Clinical narrative: 80 year old Caucasian male with PMH including: HTN, prostate cancer (2007) s/p prostatectomy, multiple laparotomies for bowel obstruction, reported "dead" bowel s/p resection, 120 pack year smoking history quit 2019, who presents after fall onto his right side. Patient initially presented to Urgent Care, transferred to local Hospital. Patient reported at hospital that he fell 2-3 weeks ago injuring the ribs on his right side. Patient started to become more easily winded the past couple weeks, not able to walk as far when shopping etc. Patient reported he started to wake up 4-5 days ago with difficulty breathing while on CPAP. Patient was feeling not rested enough and sleeping longer periods overnight up t0 11 hours. At hospital patient was evaluated and CXR showed right sided pneumothorax, chest tube was initially placed however, unable to achieve appropriate placement and was pulled. A second attempt was made to place a chest tube with successful placement. Patient received a total of 500mcg of fentanyl during placement of chest tubes.  Patient reports history above. He tested positive for Covid-19 infection at local Hospital.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fall, Fatigue, Gait disturbance, Hypersomnia, Pneumothorax
Clinical narrative: 80 year old Caucasian male with PMH including: HTN, prostate cancer (2007) s/p prostatectomy, multiple laparotomies for bowel obstruction, reported "dead" bowel s/p resection, 120 pack year smoking history quit 2019, who presents after fall onto his right side. Patient initially presented to Urgent Care, transferred to local Hospital. Patient reported at hospital that he fell 2-3 weeks ago injuring the ribs on his right side. Patient started to become more easily winded the past couple weeks, not able to walk as far when shopping etc. Patient reported he started to wake up 4-5 days ago with difficulty breathing while on CPAP. Patient was feeling not rested enough and sleeping longer periods overnight up t0 11 hours. At hospital patient was evaluated and CXR showed right sided pneumothorax, chest tube was initially placed however, unable to achieve appropriate placement and was pulled. A second attempt was made to place a chest tube with successful placement. Patient received a total of 500mcg of fentanyl during placement of chest tubes.  Patient reports history above. He tested positive for Covid-19 infection at local Hospital.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: 80 year old Caucasian male with PMH including: HTN, prostate cancer (2007) s/p prostatectomy, multiple laparotomies for bowel obstruction, reported "dead" bowel s/p resection, 120 pack year smoking history quit 2019, who presents after fall onto his right side. Patient initially presented to Urgent Care, transferred to local Hospital. Patient reported at hospital that he fell 2-3 weeks ago injuring the ribs on his right side. Patient started to become more easily winded the past couple weeks, not able to walk as far when shopping etc. Patient reported he started to wake up 4-5 days ago with difficulty breathing while on CPAP. Patient was feeling not rested enough and sleeping longer periods overnight up t0 11 hours. At hospital patient was evaluated and CXR showed right sided pneumothorax, chest tube was initially placed however, unable to achieve appropriate placement and was pulled. A second attempt was made to place a chest tube with successful placement. Patient received a total of 500mcg of fentanyl during placement of chest tubes.  Patient reports history above. He tested positive for Covid-19 infection at local Hospital.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chronic kidney disease, Condition aggravated
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/29/2021, 2/21/2021, and 8/31/2021. Pt. w/PMHx of unifocal langerhands cell histiocytosis, pulmonary fibrosis and emphysema s/p bilateral lung transplantation 1/2019. Hx Covid-19, dx'd on 11/4/21 tx'd w/monoclonal antibodies on 11/6. Admitted on 11/08 tx'd with remdesivir, decadron and IVIG, d/c'd home on 11/14. Admitted 11/20 for acute on chronic respiratory failure with hypoxia secondary to Covid pneumonia and CKD. Tx'd w/azithromcin,  meropenem, and methylprednisolone. Underwent prolonged mechanical ventilation x13 days. Expired 12/06/21.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Hypoxia, Immunoglobulin therapy, Mechanical ventilation, SARS-CoV-2 test positive
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/29/2021, 2/21/2021, and 8/31/2021. Pt. w/PMHx of unifocal langerhands cell histiocytosis, pulmonary fibrosis and emphysema s/p bilateral lung transplantation 1/2019. Hx Covid-19, dx'd on 11/4/21 tx'd w/monoclonal antibodies on 11/6. Admitted on 11/08 tx'd with remdesivir, decadron and IVIG, d/c'd home on 11/14. Admitted 11/20 for acute on chronic respiratory failure with hypoxia secondary to Covid pneumonia and CKD. Tx'd w/azithromcin,  meropenem, and methylprednisolone. Underwent prolonged mechanical ventilation x13 days. Expired 12/06/21.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Fatigue
Clinical narrative: 84-year-old male presents from home for chief complaint of feeling weak and fatigued.  He has been feeling short of breath and having coughing for the past 3 days
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 84-year-old male presents from home for chief complaint of feeling weak and fatigued.  He has been feeling short of breath and having coughing for the past 3 days
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Lymphadenopathy, Myalgia
Clinical narrative: 102 degree (F) fever beginning at 10 PM on Day 1 and lasting until 8 AM on Day 3. Headache, chills, muscle aches, joint pain, and vomiting on Day 2. Enlarged lymph nodes beginning on Day 3 and persisting through Day 4
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vaccine positive rechallenge, Vomiting
Clinical narrative: 102 degree (F) fever beginning at 10 PM on Day 1 and lasting until 8 AM on Day 3. Headache, chills, muscle aches, joint pain, and vomiting on Day 2. Enlarged lymph nodes beginning on Day 3 and persisting through Day 4
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Anticoagulant therapy, Atrial fibrillation, COVID-19, Chronic kidney disease
Clinical narrative: Fully vaccinated patient admitted through ED with shortness of breath, found to be COVID positive and A fib/hypoxia/pulmonary embolism.  Provider discharge note below:  "83-year-old gentleman who came in with acute respiratory distress and found to be positive for COVID-19.  Patient was started on Decadron and remdesivir.  He was also noted to have rapid atrial fibrillation.  He was started on oral Cardizem by covering physician and heart rate improved.  Patient has been noncompliant with his medications at home and he was not taking his Lasix back or beta-blocker either.  He was placed on 40 mg IV 2 times a day Lasix.  CT scan of chest revealed bilateral pulmonary emboli without right heart strain.  His Eliquis dose was adjusted accordingly.  He does have stage III chronic renal disease and he is expected to be on 2.5 mg of lisinopril which will be started back on discharge.  Renal function need to be monitored.  Lasix will be reduced back to 40 mg oral daily.  An echocardiogram was also performed during hospitalization which showed reduced ejection fraction.  Prior to discharge he was ambulated and he was not requiring oxygen."
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Fully vaccinated patient admitted through ED with shortness of breath, found to be COVID positive and A fib/hypoxia/pulmonary embolism.  Provider discharge note below:  "83-year-old gentleman who came in with acute respiratory distress and found to be positive for COVID-19.  Patient was started on Decadron and remdesivir.  He was also noted to have rapid atrial fibrillation.  He was started on oral Cardizem by covering physician and heart rate improved.  Patient has been noncompliant with his medications at home and he was not taking his Lasix back or beta-blocker either.  He was placed on 40 mg IV 2 times a day Lasix.  CT scan of chest revealed bilateral pulmonary emboli without right heart strain.  His Eliquis dose was adjusted accordingly.  He does have stage III chronic renal disease and he is expected to be on 2.5 mg of lisinopril which will be started back on discharge.  Renal function need to be monitored.  Lasix will be reduced back to 40 mg oral daily.  An echocardiogram was also performed during hospitalization which showed reduced ejection fraction.  Prior to discharge he was ambulated and he was not requiring oxygen."
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Pulmonary embolism, SARS-CoV-2 test positive, Treatment noncompliance
Clinical narrative: Fully vaccinated patient admitted through ED with shortness of breath, found to be COVID positive and A fib/hypoxia/pulmonary embolism.  Provider discharge note below:  "83-year-old gentleman who came in with acute respiratory distress and found to be positive for COVID-19.  Patient was started on Decadron and remdesivir.  He was also noted to have rapid atrial fibrillation.  He was started on oral Cardizem by covering physician and heart rate improved.  Patient has been noncompliant with his medications at home and he was not taking his Lasix back or beta-blocker either.  He was placed on 40 mg IV 2 times a day Lasix.  CT scan of chest revealed bilateral pulmonary emboli without right heart strain.  His Eliquis dose was adjusted accordingly.  He does have stage III chronic renal disease and he is expected to be on 2.5 mg of lisinopril which will be started back on discharge.  Renal function need to be monitored.  Lasix will be reduced back to 40 mg oral daily.  An echocardiogram was also performed during hospitalization which showed reduced ejection fraction.  Prior to discharge he was ambulated and he was not requiring oxygen."
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The pharmacist accidentally gave the patient a Pfizer covid shot which is 2 days past expiration date .
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Anaemia, Anticoagulant therapy, Blood culture positive, Blood iron normal
Clinical narrative: This is a 60y.o. female with COPD, supplemental oxygen dependence on 2 liters, diastolic CHF, recovered cardiomyopathy, paroxysmal atrial fibrillation status post Watchman 10/15/21 who presents with shortness of breath and cough that she reports has worsened since her discharge on 10/28/21 after being treated for RSV causing acute COPD exacerbation. She denies any known fever and no chills. She has chronic orthopnea, but admits to acute worsening of lower extremity edema. She denies chest pain, nausea, vomiting, and diarrhea.   On arrival to the ED, she was afebrile. SpO2 stable on usual 2 liters of oxygen. She did test positive for COVID-19. Chest x-ray showed congestive heart failure changes. BNP 206. Troponin 0.04, 0.06, 0.06. WBC count normal. The patient was given 20 mg Lasix IV x 1 and admitted for further evaluation and management.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Cardiac failure congestive, Chest X-ray abnormal, Chronic left ventricular failure
Clinical narrative: This is a 60y.o. female with COPD, supplemental oxygen dependence on 2 liters, diastolic CHF, recovered cardiomyopathy, paroxysmal atrial fibrillation status post Watchman 10/15/21 who presents with shortness of breath and cough that she reports has worsened since her discharge on 10/28/21 after being treated for RSV causing acute COPD exacerbation. She denies any known fever and no chills. She has chronic orthopnea, but admits to acute worsening of lower extremity edema. She denies chest pain, nausea, vomiting, and diarrhea.   On arrival to the ED, she was afebrile. SpO2 stable on usual 2 liters of oxygen. She did test positive for COVID-19. Chest x-ray showed congestive heart failure changes. BNP 206. Troponin 0.04, 0.06, 0.06. WBC count normal. The patient was given 20 mg Lasix IV x 1 and admitted for further evaluation and management.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Cough, Dyspnoea, Echocardiogram abnormal
Clinical narrative: This is a 60y.o. female with COPD, supplemental oxygen dependence on 2 liters, diastolic CHF, recovered cardiomyopathy, paroxysmal atrial fibrillation status post Watchman 10/15/21 who presents with shortness of breath and cough that she reports has worsened since her discharge on 10/28/21 after being treated for RSV causing acute COPD exacerbation. She denies any known fever and no chills. She has chronic orthopnea, but admits to acute worsening of lower extremity edema. She denies chest pain, nausea, vomiting, and diarrhea.   On arrival to the ED, she was afebrile. SpO2 stable on usual 2 liters of oxygen. She did test positive for COVID-19. Chest x-ray showed congestive heart failure changes. BNP 206. Troponin 0.04, 0.06, 0.06. WBC count normal. The patient was given 20 mg Lasix IV x 1 and admitted for further evaluation and management.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction normal, Electrocardiogram normal, Gram stain positive, Haemoglobin decreased, Iron binding capacity total decreased
Clinical narrative: This is a 60y.o. female with COPD, supplemental oxygen dependence on 2 liters, diastolic CHF, recovered cardiomyopathy, paroxysmal atrial fibrillation status post Watchman 10/15/21 who presents with shortness of breath and cough that she reports has worsened since her discharge on 10/28/21 after being treated for RSV causing acute COPD exacerbation. She denies any known fever and no chills. She has chronic orthopnea, but admits to acute worsening of lower extremity edema. She denies chest pain, nausea, vomiting, and diarrhea.   On arrival to the ED, she was afebrile. SpO2 stable on usual 2 liters of oxygen. She did test positive for COVID-19. Chest x-ray showed congestive heart failure changes. BNP 206. Troponin 0.04, 0.06, 0.06. WBC count normal. The patient was given 20 mg Lasix IV x 1 and admitted for further evaluation and management.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial ischaemia, Obesity, Oedema peripheral, Orthopnoea, Respiratory failure
Clinical narrative: This is a 60y.o. female with COPD, supplemental oxygen dependence on 2 liters, diastolic CHF, recovered cardiomyopathy, paroxysmal atrial fibrillation status post Watchman 10/15/21 who presents with shortness of breath and cough that she reports has worsened since her discharge on 10/28/21 after being treated for RSV causing acute COPD exacerbation. She denies any known fever and no chills. She has chronic orthopnea, but admits to acute worsening of lower extremity edema. She denies chest pain, nausea, vomiting, and diarrhea.   On arrival to the ED, she was afebrile. SpO2 stable on usual 2 liters of oxygen. She did test positive for COVID-19. Chest x-ray showed congestive heart failure changes. BNP 206. Troponin 0.04, 0.06, 0.06. WBC count normal. The patient was given 20 mg Lasix IV x 1 and admitted for further evaluation and management.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus infection, SARS-CoV-2 test positive, Serum ferritin increased, Transferrin decreased, Troponin
Clinical narrative: This is a 60y.o. female with COPD, supplemental oxygen dependence on 2 liters, diastolic CHF, recovered cardiomyopathy, paroxysmal atrial fibrillation status post Watchman 10/15/21 who presents with shortness of breath and cough that she reports has worsened since her discharge on 10/28/21 after being treated for RSV causing acute COPD exacerbation. She denies any known fever and no chills. She has chronic orthopnea, but admits to acute worsening of lower extremity edema. She denies chest pain, nausea, vomiting, and diarrhea.   On arrival to the ED, she was afebrile. SpO2 stable on usual 2 liters of oxygen. She did test positive for COVID-19. Chest x-ray showed congestive heart failure changes. BNP 206. Troponin 0.04, 0.06, 0.06. WBC count normal. The patient was given 20 mg Lasix IV x 1 and admitted for further evaluation and management.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: This is a 60y.o. female with COPD, supplemental oxygen dependence on 2 liters, diastolic CHF, recovered cardiomyopathy, paroxysmal atrial fibrillation status post Watchman 10/15/21 who presents with shortness of breath and cough that she reports has worsened since her discharge on 10/28/21 after being treated for RSV causing acute COPD exacerbation. She denies any known fever and no chills. She has chronic orthopnea, but admits to acute worsening of lower extremity edema. She denies chest pain, nausea, vomiting, and diarrhea.   On arrival to the ED, she was afebrile. SpO2 stable on usual 2 liters of oxygen. She did test positive for COVID-19. Chest x-ray showed congestive heart failure changes. BNP 206. Troponin 0.04, 0.06, 0.06. WBC count normal. The patient was given 20 mg Lasix IV x 1 and admitted for further evaluation and management.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccine administered at half dose.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, COVID-19, Chills, Cough, Dyspnoea exertional
Clinical narrative: 11/29/21 presenting today for COVID COMM TESTING (Covid test, positive home test, headache, congestion, cough, bodyaches) and Covid-19 Positive  States has been exposed to Covid.  States husband and son have tested positive.  States has been feeling ill for 3 weeks.  States has had sinus symptoms-nasal congestion and sinus drainage.  States yesterday began feeling more ill with fever up to 103, chills, body aches, headache and cough.  Some shortness of air with exertion.  No chest pain, wheezing.  No abdominal pain, vomiting or diarrhea.  Feeling nauseated Review of Symptoms:   Review of Systems  Constitutional: Positive for chills, fatigue and fever.  HENT: Positive for congestion, postnasal drip,
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Headache, Malaise, Myalgia
Clinical narrative: 11/29/21 presenting today for COVID COMM TESTING (Covid test, positive home test, headache, congestion, cough, bodyaches) and Covid-19 Positive  States has been exposed to Covid.  States husband and son have tested positive.  States has been feeling ill for 3 weeks.  States has had sinus symptoms-nasal congestion and sinus drainage.  States yesterday began feeling more ill with fever up to 103, chills, body aches, headache and cough.  Some shortness of air with exertion.  No chest pain, wheezing.  No abdominal pain, vomiting or diarrhea.  Feeling nauseated Review of Symptoms:   Review of Systems  Constitutional: Positive for chills, fatigue and fever.  HENT: Positive for congestion, postnasal drip,
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Nausea, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: 11/29/21 presenting today for COVID COMM TESTING (Covid test, positive home test, headache, congestion, cough, bodyaches) and Covid-19 Positive  States has been exposed to Covid.  States husband and son have tested positive.  States has been feeling ill for 3 weeks.  States has had sinus symptoms-nasal congestion and sinus drainage.  States yesterday began feeling more ill with fever up to 103, chills, body aches, headache and cough.  Some shortness of air with exertion.  No chest pain, wheezing.  No abdominal pain, vomiting or diarrhea.  Feeling nauseated Review of Symptoms:   Review of Systems  Constitutional: Positive for chills, fatigue and fever.  HENT: Positive for congestion, postnasal drip,
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sinus disorder, Sinus operation, Upper-airway cough syndrome
Clinical narrative: 11/29/21 presenting today for COVID COMM TESTING (Covid test, positive home test, headache, congestion, cough, bodyaches) and Covid-19 Positive  States has been exposed to Covid.  States husband and son have tested positive.  States has been feeling ill for 3 weeks.  States has had sinus symptoms-nasal congestion and sinus drainage.  States yesterday began feeling more ill with fever up to 103, chills, body aches, headache and cough.  Some shortness of air with exertion.  No chest pain, wheezing.  No abdominal pain, vomiting or diarrhea.  Feeling nauseated Review of Symptoms:   Review of Systems  Constitutional: Positive for chills, fatigue and fever.  HENT: Positive for congestion, postnasal drip,
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Pain in extremity
Clinical narrative: Normal day and everything was fine after 2nd dose. Got home and had a mild temperature early in the evening and so I took an ibuprofen and everything was fine, ate dinner, and then as the evening progressed my temperature went up and got as high as 106. I grew up in the era that if your temperature was over 103 it was serious. Here, for whatever reason, no one thinks it's serious. I continued to take ibuprofen so I could sleep. I slept until I tolled over onto my arm and it was pretty sore. Next day, my temperature dropped down to 103 and I spoke with my doctor and he wasn't concerned about anything major so he told me to drink lots of fluids and rest and that's what I did until my temperature was back to normal. Other than that, I had no cough, sneezing, only a fever. Altogether it lasted a week. No other issues because I knew what to do.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was vaccinated with booster 77 days after 2nd dose.  She is not immunocompromised
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Dyspepsia, Feeding disorder, Illness
Clinical narrative: 1) Sore, stiff arm for 3 days, including about half a day of stiffness and possible swelling underarm on vaccination side.  2) On 11/28/21, 12 days after receiving the booster, I woke up with mild dizziness/vertigo, nausea, and indigestion. Lasted until early evening. Kept me in bed, unable to eat or drink, most of the day.   3) Caught a cold, which started with a sore throat on 12/4/21, and led to head congestion and some coughing on 12/5. (Tested by PCR for Covid on 12/5; negative results received 12/6.) Still sick as of today, 12/7, but seems to be improving. I mention this because I  am not exposed to many people and wear an N95 when I go shopping.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Nasopharyngitis, Nausea, Oropharyngeal pain, Pain in extremity
Clinical narrative: 1) Sore, stiff arm for 3 days, including about half a day of stiffness and possible swelling underarm on vaccination side.  2) On 11/28/21, 12 days after receiving the booster, I woke up with mild dizziness/vertigo, nausea, and indigestion. Lasted until early evening. Kept me in bed, unable to eat or drink, most of the day.   3) Caught a cold, which started with a sore throat on 12/4/21, and led to head congestion and some coughing on 12/5. (Tested by PCR for Covid on 12/5; negative results received 12/6.) Still sick as of today, 12/7, but seems to be improving. I mention this because I  am not exposed to many people and wear an N95 when I go shopping.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Vertigo
Clinical narrative: 1) Sore, stiff arm for 3 days, including about half a day of stiffness and possible swelling underarm on vaccination side.  2) On 11/28/21, 12 days after receiving the booster, I woke up with mild dizziness/vertigo, nausea, and indigestion. Lasted until early evening. Kept me in bed, unable to eat or drink, most of the day.   3) Caught a cold, which started with a sore throat on 12/4/21, and led to head congestion and some coughing on 12/5. (Tested by PCR for Covid on 12/5; negative results received 12/6.) Still sick as of today, 12/7, but seems to be improving. I mention this because I  am not exposed to many people and wear an N95 when I go shopping.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID Positive test result 12/05/21 aftere being fully vaccinated
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Possible incorrect dose was administered to the patient. The undiluted vial of Pfizer vaccine was mixed with possibly 1.3ml of diluent and only 5 doses were obtained from mixed vial. Patient was contacted immediately upon discovery of the possible mistake, and reported no side effects/adverse events(within 24 hours of administration). Patient was counseled on watching any further complications and will be followed up in next 48 hours and 72 hours.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Incoherent
Clinical narrative: I had extreme head pressure and pain. I went the the emergency room when I became incoherent and I was unable to understand what was happening, The head pain became so intense that an ambulance was called and I was taken to the hospital. I received IV medication for pain and was kept overnight for observation.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Mobility decreased
Clinical narrative: Swollen painful lymph node in left arm (near arm pit) persistent for 4 days so far; unable to put arm all the way down
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: Muscle Twitching in arms.  Intermittently.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Dose 1 given 2/25/2021 Pfizer Lot # EN6198  Patient hospitalized with covid 19, discharged home
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: patient got his first vaccine as pfizer on 06/01/2021. He got his second vaccine 11/05 of moderna. Patient did present his vaccine card and the moderna on 11/5 was not documented. He wanted a booster shot and it has not been 6 months to be eligible. booster vaccinated to day 12/7/21
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Dizziness, Electrocardiogram, Headache
Clinical narrative: Had increased heart rate, dizziness and massive headaches
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Had increased heart rate, dizziness and massive headaches
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccine administered at half dose.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Ear discomfort, Feeling cold, Head discomfort, Headache
Clinical narrative: Chilling/uncontrollable shaking first 7 hrs.  After that stopped it progressed to headache.  fullness/pressure feeling in head & ears.  teeth slightly aching (maybe from all the shaking).   Also,  10 to 12 hours in-I lost bladder control, but only when I stood up, it was never an issue when lying down.  That lasted about 10 hours.  After that issue subsided, I had diarrhea, although it seemed to be only digestive fluids as my stomach was empty.  It continued after I ate solids too. That lasted about 12 - 24hours.  Also had a slight numbness in tip of 2 fingers.  Continuing headache.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Toothache, Tremor, Urinary incontinence
Clinical narrative: Chilling/uncontrollable shaking first 7 hrs.  After that stopped it progressed to headache.  fullness/pressure feeling in head & ears.  teeth slightly aching (maybe from all the shaking).   Also,  10 to 12 hours in-I lost bladder control, but only when I stood up, it was never an issue when lying down.  That lasted about 10 hours.  After that issue subsided, I had diarrhea, although it seemed to be only digestive fluids as my stomach was empty.  It continued after I ate solids too. That lasted about 12 - 24hours.  Also had a slight numbness in tip of 2 fingers.  Continuing headache.
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Computerised tomogram abdomen normal, Diuretic therapy, Dyspnoea
Clinical narrative: Fully vaccinated patient who admitted through ED with abdominal pain and increasing shortness of breath.  Provider discharge note below:    "Patient is a 96 year old male with a past medical history of heart failure with reduced ejection fraction, coronary disease status post remote PCI, atrial fibrillation on Eliquis , chronic obstructive pulmonary disease, seizure disorder who presented for vague abdominal pain and shortness of breath. Diagnosed with covid and fluid overload. Is chronically on 2L at home.  Improved with diuresis.  He was discharged on his home regimen, which had a p.r.n. dose of Lasix at night if he developed any fluids 1. Possibly some component of pulmonary hypertension with his last echo showing an RVSP of 63.  Follows with Dr. when last seen in the Heart failure Clinic in 2019. Thought to be asymptomatic from covid as presented more like fluid overload and on his home oxygen in received no COVID specific therapy.  He did complete a course of Rocephin and doxycycline for 5 days for possible pneumonia.  CT abd with nonspecific findings and abdominal pain resolved without intervention."
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Hypervolaemia, Right ventricular systolic pressure, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated patient who admitted through ED with abdominal pain and increasing shortness of breath.  Provider discharge note below:    "Patient is a 96 year old male with a past medical history of heart failure with reduced ejection fraction, coronary disease status post remote PCI, atrial fibrillation on Eliquis , chronic obstructive pulmonary disease, seizure disorder who presented for vague abdominal pain and shortness of breath. Diagnosed with covid and fluid overload. Is chronically on 2L at home.  Improved with diuresis.  He was discharged on his home regimen, which had a p.r.n. dose of Lasix at night if he developed any fluids 1. Possibly some component of pulmonary hypertension with his last echo showing an RVSP of 63.  Follows with Dr. when last seen in the Heart failure Clinic in 2019. Thought to be asymptomatic from covid as presented more like fluid overload and on his home oxygen in received no COVID specific therapy.  He did complete a course of Rocephin and doxycycline for 5 days for possible pneumonia.  CT abd with nonspecific findings and abdominal pain resolved without intervention."
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Exposure to SARS-CoV-2, Headache
Clinical narrative: COVID19 Research      Pt requesting covid test. States rapid was postive yesterday.      HPI Patient presents emergency Department secondary to body aches, loss of taste and smell, headache. Patient's husband positive with Covid. Patient took a rapid test yesterday which was positive. She is here today for official testing as her rapid test was a home test and she needs documentation for work. She denies any nausea vomiting. No respiratory distress.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: COVID19 Research      Pt requesting covid test. States rapid was postive yesterday.      HPI Patient presents emergency Department secondary to body aches, loss of taste and smell, headache. Patient's husband positive with Covid. Patient took a rapid test yesterday which was positive. She is here today for official testing as her rapid test was a home test and she needs documentation for work. She denies any nausea vomiting. No respiratory distress.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive Covid Test
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Irritability, Lethargy, Limb discomfort, Peripheral swelling
Clinical narrative: Patient experienced extremely swollen arm which was heavy and painful at the injection site. Patient was also lethargic for several days and very irritable
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Myocarditis
Clinical narrative: Myocarditis followed by swollen lymph nodes in neck.  Seen by oncologist and ruled out cancer.  Swollen lymph nodes still persist 7 months later.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Neutropenia, SARS-CoV-2 test positive
Clinical narrative: Recently admitted 11/27-11/28/21 for COVID-19 infection while neutropenic (s/p Pfizer vaccine 10/7/21 and 10/28/21). Sx started ~11/22 and tested positive for COVID-19 on 11/27/21. Started on remdesivir, but stable on RA, so dc'd on Levaquin x6 days and received Regeneron 11/29.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Dyspnoea, Lung opacity, Neutropenia
Clinical narrative: Recently admitted 11/27-11/28/21 for COVID-19 infection while neutropenic (s/p Pfizer vaccine 10/7/21 and 10/28/21). Sx started ~11/22 and tested positive for COVID-19 on 11/27/21. Started on remdesivir, but stable on RA, so dc'd on Levaquin x6 days and received Regeneron 11/29.