chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgic amyotrophy, Pain in extremity, Peripheral swelling, X-ray
Clinical narrative: Felt Winded with chest pain the day of the vaccine. H/O of PVCs but this was different more frequent. 4 days after the vaccine began feeling pain pinky finger and then it became excruciating with swelling and spread to the ring finger on the left hand. Was seen by PCP who sent Employee to the ER to be seen by a Hand Specialist MD. Admitted to the hospital for high dose steroids', and lymphadenopathy discovered and diagnosed. Parsonage Turner syndrome diagnosed secondary to the Covid-19 Vaccine. Discharged the next day to be followed outpatient, 2 weeks of steroids and nerve medication as of now. Unknown if the damage will be permanent.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: event occurred after 2nd vaccine; breakthrough case admisison
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site infection, Injection site swelling, Pain
Clinical narrative: Pt. described "whole upper arm redness and swelling, painful to move arm, all per pt.'s report" On ~2/12/21, pt. communicated to clinic that he received antibiotic from an urgi care provider for site infection. On 2/14/22, myself and Dr. examined arm: all reported side effects completely resolved, in terms of observation.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Aggression, Antinuclear antibody negative, Anxiety, Full blood count normal, Laboratory test normal
Clinical narrative: Day after vaccination developed increasing anxiety and panic attacks. About 5 days post vaccine developed worsening anxiety and new onset aggressive behaviors, primarily towards parents.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture normal, Magnetic resonance imaging head normal, Metabolic function test normal, Neurological examination normal, Panic attack
Clinical narrative: Day after vaccination developed increasing anxiety and panic attacks. About 5 days post vaccine developed worsening anxiety and new onset aggressive behaviors, primarily towards parents.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast normal, Thyroid function test normal, Toxicologic test normal
Clinical narrative: Day after vaccination developed increasing anxiety and panic attacks. About 5 days post vaccine developed worsening anxiety and new onset aggressive behaviors, primarily towards parents.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction, Chills, Fatigue, Food allergy, Hypoaesthesia oral
Clinical narrative: First dose was a 103 fever and body aches, chills, overall fatigue.   Second dose I was paralyzed for 2 hours about 12 hours after the injection.  Also had 103 fever, chills and body aches with overall fatigue.  I had a rash for a week following the second dose.  The 3rd dose I became anaphylactic allergic to soy, peanuts, lima beans and peas.  I never had a food allergy before.  I ate peanut butter and my lips swelled.  As the week went on every time I ate soy or peanuts the reaction worsened until my face swelled and tongue and lips went numb.  I now have an epi pen and avoid soy and peanuts.  I also had a fever, body aches, fatigue and chills with my 3rd dose.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lip swelling, Pain, Paralysis, Pyrexia, Rash
Clinical narrative: First dose was a 103 fever and body aches, chills, overall fatigue.   Second dose I was paralyzed for 2 hours about 12 hours after the injection.  Also had 103 fever, chills and body aches with overall fatigue.  I had a rash for a week following the second dose.  The 3rd dose I became anaphylactic allergic to soy, peanuts, lima beans and peas.  I never had a food allergy before.  I ate peanut butter and my lips swelled.  As the week went on every time I ate soy or peanuts the reaction worsened until my face swelled and tongue and lips went numb.  I now have an epi pen and avoid soy and peanuts.  I also had a fever, body aches, fatigue and chills with my 3rd dose.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Swelling face
Clinical narrative: First dose was a 103 fever and body aches, chills, overall fatigue.   Second dose I was paralyzed for 2 hours about 12 hours after the injection.  Also had 103 fever, chills and body aches with overall fatigue.  I had a rash for a week following the second dose.  The 3rd dose I became anaphylactic allergic to soy, peanuts, lima beans and peas.  I never had a food allergy before.  I ate peanut butter and my lips swelled.  As the week went on every time I ate soy or peanuts the reaction worsened until my face swelled and tongue and lips went numb.  I now have an epi pen and avoid soy and peanuts.  I also had a fever, body aches, fatigue and chills with my 3rd dose.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Fever, headache, and chills.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Asthenia, Blood glucose normal, Chest X-ray abnormal, Chest pain
Clinical narrative: Patient is a70y.o. year old female with a h/o Diabetes, DVT, HTN, MI and scleroderma presented to Hospital ER on 12/31 secondary to AMS. Patient currently A&Ox3. She recounts experiencing sudden onset shaking rigors the morning of 12/31 with fatigue and myalgias. She laid down to rest and woke up in the hospital. Per ER reports, son and grandson felt patient was confused and called EMS, found to be febrile at 101.5 on EMS arrival. Leukocytosis of 31.2 in ER, COVID neg. Initiated on empiric Vanc/Cefepime with improvement in temps and patient's mental status.  Patient denies HA, decreased appetite, N/V/D or abd pain. Currently complains of L sided chest pain which is worse when she takes a deep breath. She admitted to worsening shortness of breath over the last 2 months and has required 4L O2 for the past month. + chronic dry cough and weight loss of 25 lbs over the past month. Multiple recent hospitalizations. Recently admitted 12/16-12/18 for hypoglycemia, 12/9-12/13 for weakness and palpitations following hospitalization for NSTEMI.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram abdomen abnormal, Computerised tomogram head normal, Confusional state, Cough
Clinical narrative: Patient is a70y.o. year old female with a h/o Diabetes, DVT, HTN, MI and scleroderma presented to Hospital ER on 12/31 secondary to AMS. Patient currently A&Ox3. She recounts experiencing sudden onset shaking rigors the morning of 12/31 with fatigue and myalgias. She laid down to rest and woke up in the hospital. Per ER reports, son and grandson felt patient was confused and called EMS, found to be febrile at 101.5 on EMS arrival. Leukocytosis of 31.2 in ER, COVID neg. Initiated on empiric Vanc/Cefepime with improvement in temps and patient's mental status.  Patient denies HA, decreased appetite, N/V/D or abd pain. Currently complains of L sided chest pain which is worse when she takes a deep breath. She admitted to worsening shortness of breath over the last 2 months and has required 4L O2 for the past month. + chronic dry cough and weight loss of 25 lbs over the past month. Multiple recent hospitalizations. Recently admitted 12/16-12/18 for hypoglycemia, 12/9-12/13 for weakness and palpitations following hospitalization for NSTEMI.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Fatigue, Hypoglycaemia, Hypophagia
Clinical narrative: Patient is a70y.o. year old female with a h/o Diabetes, DVT, HTN, MI and scleroderma presented to Hospital ER on 12/31 secondary to AMS. Patient currently A&Ox3. She recounts experiencing sudden onset shaking rigors the morning of 12/31 with fatigue and myalgias. She laid down to rest and woke up in the hospital. Per ER reports, son and grandson felt patient was confused and called EMS, found to be febrile at 101.5 on EMS arrival. Leukocytosis of 31.2 in ER, COVID neg. Initiated on empiric Vanc/Cefepime with improvement in temps and patient's mental status.  Patient denies HA, decreased appetite, N/V/D or abd pain. Currently complains of L sided chest pain which is worse when she takes a deep breath. She admitted to worsening shortness of breath over the last 2 months and has required 4L O2 for the past month. + chronic dry cough and weight loss of 25 lbs over the past month. Multiple recent hospitalizations. Recently admitted 12/16-12/18 for hypoglycemia, 12/9-12/13 for weakness and palpitations following hospitalization for NSTEMI.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: International normalised ratio increased, Leukocytosis, Mental status changes, Mesenteric panniculitis, Myalgia
Clinical narrative: Patient is a70y.o. year old female with a h/o Diabetes, DVT, HTN, MI and scleroderma presented to Hospital ER on 12/31 secondary to AMS. Patient currently A&Ox3. She recounts experiencing sudden onset shaking rigors the morning of 12/31 with fatigue and myalgias. She laid down to rest and woke up in the hospital. Per ER reports, son and grandson felt patient was confused and called EMS, found to be febrile at 101.5 on EMS arrival. Leukocytosis of 31.2 in ER, COVID neg. Initiated on empiric Vanc/Cefepime with improvement in temps and patient's mental status.  Patient denies HA, decreased appetite, N/V/D or abd pain. Currently complains of L sided chest pain which is worse when she takes a deep breath. She admitted to worsening shortness of breath over the last 2 months and has required 4L O2 for the past month. + chronic dry cough and weight loss of 25 lbs over the past month. Multiple recent hospitalizations. Recently admitted 12/16-12/18 for hypoglycemia, 12/9-12/13 for weakness and palpitations following hospitalization for NSTEMI.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nucleic acid test, Painful respiration, Palpitations, Pneumonia, Pneumonia viral
Clinical narrative: Patient is a70y.o. year old female with a h/o Diabetes, DVT, HTN, MI and scleroderma presented to Hospital ER on 12/31 secondary to AMS. Patient currently A&Ox3. She recounts experiencing sudden onset shaking rigors the morning of 12/31 with fatigue and myalgias. She laid down to rest and woke up in the hospital. Per ER reports, son and grandson felt patient was confused and called EMS, found to be febrile at 101.5 on EMS arrival. Leukocytosis of 31.2 in ER, COVID neg. Initiated on empiric Vanc/Cefepime with improvement in temps and patient's mental status.  Patient denies HA, decreased appetite, N/V/D or abd pain. Currently complains of L sided chest pain which is worse when she takes a deep breath. She admitted to worsening shortness of breath over the last 2 months and has required 4L O2 for the past month. + chronic dry cough and weight loss of 25 lbs over the past month. Multiple recent hospitalizations. Recently admitted 12/16-12/18 for hypoglycemia, 12/9-12/13 for weakness and palpitations following hospitalization for NSTEMI.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin, Pyrexia, SARS-CoV-2 test negative, Sinus rhythm, Tremor
Clinical narrative: Patient is a70y.o. year old female with a h/o Diabetes, DVT, HTN, MI and scleroderma presented to Hospital ER on 12/31 secondary to AMS. Patient currently A&Ox3. She recounts experiencing sudden onset shaking rigors the morning of 12/31 with fatigue and myalgias. She laid down to rest and woke up in the hospital. Per ER reports, son and grandson felt patient was confused and called EMS, found to be febrile at 101.5 on EMS arrival. Leukocytosis of 31.2 in ER, COVID neg. Initiated on empiric Vanc/Cefepime with improvement in temps and patient's mental status.  Patient denies HA, decreased appetite, N/V/D or abd pain. Currently complains of L sided chest pain which is worse when she takes a deep breath. She admitted to worsening shortness of breath over the last 2 months and has required 4L O2 for the past month. + chronic dry cough and weight loss of 25 lbs over the past month. Multiple recent hospitalizations. Recently admitted 12/16-12/18 for hypoglycemia, 12/9-12/13 for weakness and palpitations following hospitalization for NSTEMI.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased, Urine analysis normal, Weight decreased, White blood cell count increased
Clinical narrative: Patient is a70y.o. year old female with a h/o Diabetes, DVT, HTN, MI and scleroderma presented to Hospital ER on 12/31 secondary to AMS. Patient currently A&Ox3. She recounts experiencing sudden onset shaking rigors the morning of 12/31 with fatigue and myalgias. She laid down to rest and woke up in the hospital. Per ER reports, son and grandson felt patient was confused and called EMS, found to be febrile at 101.5 on EMS arrival. Leukocytosis of 31.2 in ER, COVID neg. Initiated on empiric Vanc/Cefepime with improvement in temps and patient's mental status.  Patient denies HA, decreased appetite, N/V/D or abd pain. Currently complains of L sided chest pain which is worse when she takes a deep breath. She admitted to worsening shortness of breath over the last 2 months and has required 4L O2 for the past month. + chronic dry cough and weight loss of 25 lbs over the past month. Multiple recent hospitalizations. Recently admitted 12/16-12/18 for hypoglycemia, 12/9-12/13 for weakness and palpitations following hospitalization for NSTEMI.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, SARS-CoV-2 test positive, Small intestinal obstruction
Clinical narrative: Patient hospitalized 1/29/22-2/4/22 for small bowel obstruction, abdominal pain. Tested positive for COVID 1/29/22. Oxygen saturation 93-98% on room air-no treatment for COVID indicated per MD.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asymptomatic COVID-19, Blood creatinine increased, Blood pH increased
Clinical narrative: As per admissions, "Patient is a vaccinated 74 y.o. male who tested (+) for Covid-19 infection this evening and developed worsening SOB soon after. He is on 3L at home but it is not enough now. He is found to be hypoxic on 3L with pH 7.48 and pO2 54. He has been admitted for treatment". Acute on chronic respiratory failure with hypoxia Acute on Chronic Hypoxic Respiratory Failure - due to COVID-19 Pneumonia, Bacterial pneumonia superimposed.  Patient presented with shortness of breath, COVID-19 positive with infiltrates on CXR. He was started on remdesivir and steroids and received 4 days of treatment. He improved and was stable on his baseline requirement of 3L O2.  He was also treated with antibiotics for bacterial pneumonia given leukocytosis; WBCs improved. He will complete Omnicef and Decadron taper on discharge. AKI - Creatinine elevated to 1.6 on arrival, improved with IVFs. Resolved. Bradycardia - chronic. Cardiology evaluated, no indication for pacemaker. Asymptomatic. Mobitz 1 block, DM2.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea, Leukocytosis
Clinical narrative: As per admissions, "Patient is a vaccinated 74 y.o. male who tested (+) for Covid-19 infection this evening and developed worsening SOB soon after. He is on 3L at home but it is not enough now. He is found to be hypoxic on 3L with pH 7.48 and pO2 54. He has been admitted for treatment". Acute on chronic respiratory failure with hypoxia Acute on Chronic Hypoxic Respiratory Failure - due to COVID-19 Pneumonia, Bacterial pneumonia superimposed.  Patient presented with shortness of breath, COVID-19 positive with infiltrates on CXR. He was started on remdesivir and steroids and received 4 days of treatment. He improved and was stable on his baseline requirement of 3L O2.  He was also treated with antibiotics for bacterial pneumonia given leukocytosis; WBCs improved. He will complete Omnicef and Decadron taper on discharge. AKI - Creatinine elevated to 1.6 on arrival, improved with IVFs. Resolved. Bradycardia - chronic. Cardiology evaluated, no indication for pacemaker. Asymptomatic. Mobitz 1 block, DM2.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, PO2 increased, Pneumonia bacterial, SARS-CoV-2 test positive, Superinfection
Clinical narrative: As per admissions, "Patient is a vaccinated 74 y.o. male who tested (+) for Covid-19 infection this evening and developed worsening SOB soon after. He is on 3L at home but it is not enough now. He is found to be hypoxic on 3L with pH 7.48 and pO2 54. He has been admitted for treatment". Acute on chronic respiratory failure with hypoxia Acute on Chronic Hypoxic Respiratory Failure - due to COVID-19 Pneumonia, Bacterial pneumonia superimposed.  Patient presented with shortness of breath, COVID-19 positive with infiltrates on CXR. He was started on remdesivir and steroids and received 4 days of treatment. He improved and was stable on his baseline requirement of 3L O2.  He was also treated with antibiotics for bacterial pneumonia given leukocytosis; WBCs improved. He will complete Omnicef and Decadron taper on discharge. AKI - Creatinine elevated to 1.6 on arrival, improved with IVFs. Resolved. Bradycardia - chronic. Cardiology evaluated, no indication for pacemaker. Asymptomatic. Mobitz 1 block, DM2.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus, White blood cell count
Clinical narrative: As per admissions, "Patient is a vaccinated 74 y.o. male who tested (+) for Covid-19 infection this evening and developed worsening SOB soon after. He is on 3L at home but it is not enough now. He is found to be hypoxic on 3L with pH 7.48 and pO2 54. He has been admitted for treatment". Acute on chronic respiratory failure with hypoxia Acute on Chronic Hypoxic Respiratory Failure - due to COVID-19 Pneumonia, Bacterial pneumonia superimposed.  Patient presented with shortness of breath, COVID-19 positive with infiltrates on CXR. He was started on remdesivir and steroids and received 4 days of treatment. He improved and was stable on his baseline requirement of 3L O2.  He was also treated with antibiotics for bacterial pneumonia given leukocytosis; WBCs improved. He will complete Omnicef and Decadron taper on discharge. AKI - Creatinine elevated to 1.6 on arrival, improved with IVFs. Resolved. Bradycardia - chronic. Cardiology evaluated, no indication for pacemaker. Asymptomatic. Mobitz 1 block, DM2.
Age: 72.0
Sex: U
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Myalgia, Oropharyngeal pain
Clinical narrative: Sore throat, cough, SOB, myalgias
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: incorrect dosage given
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Contracted COVID after being fully vaccinated.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Headache, Injection site pain
Clinical narrative: Fever (101.7 at highest); headache; entire body muscle aches and pain; arthritis pain in shoulders, wrists, and fingers; pounding heart; intense pain at injection site; large, swollen gland in left armpit (side of injection); pain at site of previous shingles infection (left back, same side as injection); tightness in lungs; exhaustion - all started and continued through the first night after the shot. Took Tylenol ~12 hrs after shot to reduce fever and heart pounding. All symptoms lasted throughout the entire next day.  Forty-eight hours after shot, most symptoms subsided except for tiredness and headache, swollen gland, pain and swelling at the injection site.  Seventy-two hours after shot, a large cold sore appeared on my lip. Headache is gone, but pain and swelling at the injection site and swollen gland persist.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Lymphadenopathy, Myalgia, Oral herpes, Pain
Clinical narrative: Fever (101.7 at highest); headache; entire body muscle aches and pain; arthritis pain in shoulders, wrists, and fingers; pounding heart; intense pain at injection site; large, swollen gland in left armpit (side of injection); pain at site of previous shingles infection (left back, same side as injection); tightness in lungs; exhaustion - all started and continued through the first night after the shot. Took Tylenol ~12 hrs after shot to reduce fever and heart pounding. All symptoms lasted throughout the entire next day.  Forty-eight hours after shot, most symptoms subsided except for tiredness and headache, swollen gland, pain and swelling at the injection site.  Seventy-two hours after shot, a large cold sore appeared on my lip. Headache is gone, but pain and swelling at the injection site and swollen gland persist.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Fever (101.7 at highest); headache; entire body muscle aches and pain; arthritis pain in shoulders, wrists, and fingers; pounding heart; intense pain at injection site; large, swollen gland in left armpit (side of injection); pain at site of previous shingles infection (left back, same side as injection); tightness in lungs; exhaustion - all started and continued through the first night after the shot. Took Tylenol ~12 hrs after shot to reduce fever and heart pounding. All symptoms lasted throughout the entire next day.  Forty-eight hours after shot, most symptoms subsided except for tiredness and headache, swollen gland, pain and swelling at the injection site.  Seventy-two hours after shot, a large cold sore appeared on my lip. Headache is gone, but pain and swelling at the injection site and swollen gland persist.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: It was discovered that the patient received an undiluted dose of pediatric COIVD-19 vaccine. No adverse reaction known
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE PREIS REPORT.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19
Clinical narrative: Hospitalization for acute respiratory failure, COVID. Treated with dexamethasone, zinc 50 mg daily, vitamin D3 50 mcg daily and vitamin C 1,000 mg daily.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anxiety, COVID-19, Chest tube insertion, Death
Clinical narrative: Patient presents as a transfer from outside facility (note, i do not have information regarding outside facility information or providers caring for the patient) forpersistent acute hypoxic respiratory failure requiring HFNC and pneumothorax with persistent air leak. He was admitted to OSH on 12/05 for acute on chronic hypoxic respiratory failure d/t COVID-19. Patient was vaccinated and first positive test was on 11/30.  At OSH, patient received tocilizumab, remdesivir, and dexamethasone and required high flow nasal cannula.  On 12/14, patient had left small pneumothorax which progressed to a left tension pneumothorax requiring chest tube on 12/20.  Patient is transferred due to a persistent air leak and inability to further wean O2.    Has had increasing respiratory distress, compounded by anxiety, and has been receiving opiates and benzos for symptomatic relief.  Unfortunately was deemed too sick for consideration of lung transplant on 12/29. Multiple extensive discussions with patient and family and despite our belief that he is exceedingly unlikely to extubate, the decision has been made that he would like to be intubated.  After intubation pt had significantly worsening shock, requiring levo up to 0.8, vaso and neo sticks. It was discussed with the family that pt was worsen with maximal support. It was first decided to make him no escalation of care and then family decided to terminally extubate soon after that. Pt past comfortably and surrounded by family at 2126 on 12/29.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Malaise, Pneumothorax, Pulmonary air leakage, Respiratory distress
Clinical narrative: Patient presents as a transfer from outside facility (note, i do not have information regarding outside facility information or providers caring for the patient) forpersistent acute hypoxic respiratory failure requiring HFNC and pneumothorax with persistent air leak. He was admitted to OSH on 12/05 for acute on chronic hypoxic respiratory failure d/t COVID-19. Patient was vaccinated and first positive test was on 11/30.  At OSH, patient received tocilizumab, remdesivir, and dexamethasone and required high flow nasal cannula.  On 12/14, patient had left small pneumothorax which progressed to a left tension pneumothorax requiring chest tube on 12/20.  Patient is transferred due to a persistent air leak and inability to further wean O2.    Has had increasing respiratory distress, compounded by anxiety, and has been receiving opiates and benzos for symptomatic relief.  Unfortunately was deemed too sick for consideration of lung transplant on 12/29. Multiple extensive discussions with patient and family and despite our belief that he is exceedingly unlikely to extubate, the decision has been made that he would like to be intubated.  After intubation pt had significantly worsening shock, requiring levo up to 0.8, vaso and neo sticks. It was discussed with the family that pt was worsen with maximal support. It was first decided to make him no escalation of care and then family decided to terminally extubate soon after that. Pt past comfortably and surrounded by family at 2126 on 12/29.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Shock
Clinical narrative: Patient presents as a transfer from outside facility (note, i do not have information regarding outside facility information or providers caring for the patient) forpersistent acute hypoxic respiratory failure requiring HFNC and pneumothorax with persistent air leak. He was admitted to OSH on 12/05 for acute on chronic hypoxic respiratory failure d/t COVID-19. Patient was vaccinated and first positive test was on 11/30.  At OSH, patient received tocilizumab, remdesivir, and dexamethasone and required high flow nasal cannula.  On 12/14, patient had left small pneumothorax which progressed to a left tension pneumothorax requiring chest tube on 12/20.  Patient is transferred due to a persistent air leak and inability to further wean O2.    Has had increasing respiratory distress, compounded by anxiety, and has been receiving opiates and benzos for symptomatic relief.  Unfortunately was deemed too sick for consideration of lung transplant on 12/29. Multiple extensive discussions with patient and family and despite our belief that he is exceedingly unlikely to extubate, the decision has been made that he would like to be intubated.  After intubation pt had significantly worsening shock, requiring levo up to 0.8, vaso and neo sticks. It was discussed with the family that pt was worsen with maximal support. It was first decided to make him no escalation of care and then family decided to terminally extubate soon after that. Pt past comfortably and surrounded by family at 2126 on 12/29.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Headache, Immediate post-injection reaction, Pain
Clinical narrative: She got her vaccine, immediately afterward had headache, felt woozy, body aches/funny feeling.  They made her stay for an hour to 2 hours, and then they let her go home.  When she went home she still had the same feelings, she drank some tea with Elderberry, and had the sore arm.  She is still having the symptoms on and off, arm a little sore.  She called and left message with her doctor about her symptoms, waiting to hear back from them.  No fever, chills, trouble breathing.    She lost her job because she did not take the vaccine, and now took it and has a reaction.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: She got her vaccine, immediately afterward had headache, felt woozy, body aches/funny feeling.  They made her stay for an hour to 2 hours, and then they let her go home.  When she went home she still had the same feelings, she drank some tea with Elderberry, and had the sore arm.  She is still having the symptoms on and off, arm a little sore.  She called and left message with her doctor about her symptoms, waiting to hear back from them.  No fever, chills, trouble breathing.    She lost her job because she did not take the vaccine, and now took it and has a reaction.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Product administration error
Clinical narrative: During routine monthly inventory in the immunization clinic an expired PPSV23 (pneumovax 23 vaccine) box was discovered.  The box was missing 7 vials.  It is unsure when the vials were used.  They could have been used prior to the expiration date, but that could not be verified.  A report from 9 Jan 2022 to 4 Mar 2022 was pulled and there was 9 doses of PPSV23 given.  The lot numbers as recorded matched a valid, unexpired box.  It is possible that expired doses were given, but it is also possible that no expired doses were given.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Exposure to SARS-CoV-2, Fatigue, Pyrexia
Clinical narrative: On 01/04/2021 I was with friends and the next day had a friend who tested positive for Covid-19. 2 days later I developed a fever. It persisted. I became fatigued. On Saturday I tested for Covid-19 and it came back negative. The following Tuesday I contacted my doctor. On Wednesday I had another Covid-19 test, which was negative. The fever persisted. On 01/13 I went to see my doctor and she said I must have had Covid-19 even though I tested negative twice. She had a chest x-ray completed and it was normal. The fever and fatigue persisted. Then she had me come in and have blood test done and everything was normal. Then the fever went away. I had another Covid-19 test and was negative. I flew out of the country and then had another Covid-19 test coming back to the country and it was negative again. I usually do not have fevers.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: On 01/04/2021 I was with friends and the next day had a friend who tested positive for Covid-19. 2 days later I developed a fever. It persisted. I became fatigued. On Saturday I tested for Covid-19 and it came back negative. The following Tuesday I contacted my doctor. On Wednesday I had another Covid-19 test, which was negative. The fever persisted. On 01/13 I went to see my doctor and she said I must have had Covid-19 even though I tested negative twice. She had a chest x-ray completed and it was normal. The fever and fatigue persisted. Then she had me come in and have blood test done and everything was normal. Then the fever went away. I had another Covid-19 test and was negative. I flew out of the country and then had another Covid-19 test coming back to the country and it was negative again. I usually do not have fevers.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE database report.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac failure congestive, Condition aggravated
Clinical narrative: Hospitalization for CHF exacerbation, COVID 1/31/22-2/3/22. Treated with  zinc 50 mg daily, vitamin D3 50 mcg daily and vitamin C 1,000 mg daily
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy breast, Biopsy lymph gland normal, Breast cancer female, Breast conserving surgery, Breast mass
Clinical narrative: Left breast cancer, grade 2-3, two masses next to each other. Larger mass (1.4cm):ER+, PR+, HER2+, smaller mass (1cm): ER+, PR-,HER2+. Chemotherapy and targeted medication treatment, Lumpectomy (January 2022), next steps: radiation and further combined chemo and targeted medication for a year
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chemotherapy, HER2 positive breast cancer, Hormone receptor negative HER2 positive breast cancer, Hormone receptor positive breast cancer, Invasive ductal breast carcinoma
Clinical narrative: Left breast cancer, grade 2-3, two masses next to each other. Larger mass (1.4cm):ER+, PR+, HER2+, smaller mass (1cm): ER+, PR-,HER2+. Chemotherapy and targeted medication treatment, Lumpectomy (January 2022), next steps: radiation and further combined chemo and targeted medication for a year
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging breast, Mammogram, Pathology test, Targeted cancer therapy
Clinical narrative: Left breast cancer, grade 2-3, two masses next to each other. Larger mass (1.4cm):ER+, PR+, HER2+, smaller mass (1cm): ER+, PR-,HER2+. Chemotherapy and targeted medication treatment, Lumpectomy (January 2022), next steps: radiation and further combined chemo and targeted medication for a year
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE REPORT.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Echocardiogram normal, Inflammation, Pleural effusion, Procalcitonin increased
Clinical narrative: A 68 y.o. male admitted with pna due to covid-19.  Initially with elevated inflammatory enzymes, elevated procal. Treated with remdesivir, steroids, nebs, abx. Pt improved to room air and resp symptoms resolved. Will continue lower dose steroids / abx. Nephro consulted for HD. Trop elevated. Echo reviewed and cards cleared. HD during quarantine set up for pt. Pt also with known right pleural effusion that recurs, appears stable now. Is already established with pulm / IR for thora as needed, but does not appear to need one emergently.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory symptom, Troponin increased
Clinical narrative: A 68 y.o. male admitted with pna due to covid-19.  Initially with elevated inflammatory enzymes, elevated procal. Treated with remdesivir, steroids, nebs, abx. Pt improved to room air and resp symptoms resolved. Will continue lower dose steroids / abx. Nephro consulted for HD. Trop elevated. Echo reviewed and cards cleared. HD during quarantine set up for pt. Pt also with known right pleural effusion that recurs, appears stable now. Is already established with pulm / IR for thora as needed, but does not appear to need one emergently.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Given full dose versus booster in 4th dose.  Had an old Booster vs. Additional Dose Workflow.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Heart rate increased, Pyrexia
Clinical narrative: Fever, fast heart rate, fatigue, not feeling good
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous, Urticaria
Clinical narrative: Approximately 20 minutes after dose was given, patient started complaining of red rash and hives on chest as well as itchy. Patient given 60 mg of Claritin. Patient observed for additional 15 minutes without any other complaints.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron normal, Blood test normal, Heavy menstrual bleeding, Pregnancy test negative, SARS-CoV-2 test negative
Clinical narrative: Had normal menstrual cycle December 11, 2021 -  December 15, 2021. Woke up on December 24, 2021 at 2 AM experiencing extremely heavy bleeding with large clots. Called nurse line and they said I could wait for symptoms to subside but to call them back if I started having to change my tampon every hour. On December 25th, I began needing a tampon every 45/60 minutes so called the nurse line back and they instructed me to visit the ER. I received an ultrasound and bloodwork and they could not determine a cause. I was negative for COVID and for pregnancy and there was nothing on the ultrasound. White blood cell count and iron levels were normal. Heavy bleeding continued into December 27th and subsided overnight into December 28th. Next period began January 14, 2022 and has been normal since.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal, White blood cell count normal
Clinical narrative: Had normal menstrual cycle December 11, 2021 -  December 15, 2021. Woke up on December 24, 2021 at 2 AM experiencing extremely heavy bleeding with large clots. Called nurse line and they said I could wait for symptoms to subside but to call them back if I started having to change my tampon every hour. On December 25th, I began needing a tampon every 45/60 minutes so called the nurse line back and they instructed me to visit the ER. I received an ultrasound and bloodwork and they could not determine a cause. I was negative for COVID and for pregnancy and there was nothing on the ultrasound. White blood cell count and iron levels were normal. Heavy bleeding continued into December 27th and subsided overnight into December 28th. Next period began January 14, 2022 and has been normal since.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE database report.
Age: 89.0
Sex: F
Vaccine: PPV
Symptoms: Product administration error
Clinical narrative: During routine monthly inventory in the immunization clinic an expired PPSV23 (pneumovax 23 vaccine) box was discovered.  The box was missing 7 vials.  It is unsure when the vials were used.  They could have been used prior to the expiration date, but that could not be verified.  A report from 9 Jan 2022 to 4 Mar 2022 was pulled and there was 9 doses of PPSV23 given.  The lot numbers as recorded in the EMR matched a valid, unexpired box.  It is possible that expired doses were given, but it is also possible that no expired doses were given.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Fatigue, Hyperhidrosis, Macrocephaly
Clinical narrative: I have a lot of muscle aches and fatigue since receiving my vaccine. I have joint pain and sometimes I get sharp pain in my left arm where I got the vaccine. I also got some tightening of my chest and will have it checked since I did have a heart attack in 2019. I also had body aches and also have sweats. I'm having complete physical in couple of weeks.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: I have a lot of muscle aches and fatigue since receiving my vaccine. I have joint pain and sometimes I get sharp pain in my left arm where I got the vaccine. I also got some tightening of my chest and will have it checked since I did have a heart attack in 2019. I also had body aches and also have sweats. I'm having complete physical in couple of weeks.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Angiotensin converting enzyme, Pain in extremity, Peripheral swelling, Psoriasis
Clinical narrative: After vaccination, I had swelling and pain in both lower legs and both feet for several months. I sought treatment in June, 2021. I was treated with two courses of steroids at that time. Since then I have also developed some form of psoriasis in my scalp which is being treated with steroid medication.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: Patient is a 49 y/o female that presents to the ED to covid symptoms. She reports that she tested positive two days prior at her PCP office for COVID. She states that over the last several days she has had worsening symptoms and severe SOB. She reports that she she has also had extreme fatigue, nausea, diarrhea, fevers, chills, and dizziness. She reports that she is vaccinated but has not received the booster. She has a history of hypertension. She denies any other complaints including CP, Syncope, numbness, tingling, or recent trauma
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 49 y/o female that presents to the ED to covid symptoms. She reports that she tested positive two days prior at her PCP office for COVID. She states that over the last several days she has had worsening symptoms and severe SOB. She reports that she she has also had extreme fatigue, nausea, diarrhea, fevers, chills, and dizziness. She reports that she is vaccinated but has not received the booster. She has a history of hypertension. She denies any other complaints including CP, Syncope, numbness, tingling, or recent trauma
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, Fibrin D dimer increased, Respiratory failure
Clinical narrative: Moderna COVID-19 Vaccine EUA: Patient hospitalized with acute hypoxemic respiratory insufficiency and sepsis. Received steroids, antimicrobials, and remdesivir. Discharged to home medically stable.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: Moderna COVID-19 Vaccine EUA: Patient hospitalized with acute hypoxemic respiratory insufficiency and sepsis. Received steroids, antimicrobials, and remdesivir. Discharged to home medically stable.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Musculoskeletal stiffness, Pain in extremity, Pyrexia
Clinical narrative: Pt reports having low grade temp and chills, stiff neck and pain in both arms.  He started with chest pain later in the evening.  cChest pain started as intermittent. Chest pain became more constant so he went to ER on 2/12 and was admitted until 2/13 and started on Indomethacin
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Hissing and ringing in ear. Tinnitus.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Pneumonia d/t Covid 19 infection.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE "PRIVATE" REPORT.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Dizziness, Fall, Fatigue
Clinical narrative: felt mild fatigue and flu like symptoms the next morning, then experienced very intense abdominal cramming, diarrhea, felt light headed, fainted in bathroom, hit head on bathtub, husband called ambulance was given IV Fluids, was transported to Hospital ER, waited over 3 hours, Saw a PA was asked if wanted to stay to get testing done ER was very busy and pt was not having any pain at that time pt stated did not want to stay in ER so I left.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Influenza like illness, Syncope
Clinical narrative: felt mild fatigue and flu like symptoms the next morning, then experienced very intense abdominal cramming, diarrhea, felt light headed, fainted in bathroom, hit head on bathtub, husband called ambulance was given IV Fluids, was transported to Hospital ER, waited over 3 hours, Saw a PA was asked if wanted to stay to get testing done ER was very busy and pt was not having any pain at that time pt stated did not want to stay in ER so I left.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Haematemesis, Pain, Pyrexia
Clinical narrative: Injection at 4pm; started having chills/fever(104) /body aches 2-3pm next day then threw up dark tarry blood 11pm
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dementia
Clinical narrative: Patient had mild dementia before vaccination and now after vaccination, he has total dementia. Wife believes it bc of the moderna vaccine.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE REPORT.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy test, Laboratory test, Pruritus, Urticaria
Clinical narrative: Hives, itching
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Discomfort, Dry skin, Injection site erythema, Injection site inflammation, Rash
Clinical narrative: Severe skin rash. Inflammation and red ness from injection site (mid thigh) up to cheeks. Rash was warm to the touch for multiple days and presented like hives. After a few days, it became very dry and the skin is now cracking. The rash has lasted 11 days so far and is still bright red and very uncomfortable for my son who got the vaccine.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Rash erythematous, Skin fissures, Skin warm, Urticaria
Clinical narrative: Severe skin rash. Inflammation and red ness from injection site (mid thigh) up to cheeks. Rash was warm to the touch for multiple days and presented like hives. After a few days, it became very dry and the skin is now cracking. The rash has lasted 11 days so far and is still bright red and very uncomfortable for my son who got the vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthma, Back pain, Chest discomfort, Chills, Condition aggravated
Clinical narrative: Fatigue, Migraine, Chills  Hives on face 1 hour after 3rd dose Asthma inflammation - mucous, extreme chest tightness 24-36 hours after 3rd dose; asthma flare-up lasted 2 weeks, Neck lymph nodes swollen, Menstruation (cycle) changed, Inflammation chest cartilage, Constant back aches, Sinus infection with benign positional vertigo
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Inflammation, Laboratory test, Lymphadenopathy, Menstruation irregular
Clinical narrative: Fatigue, Migraine, Chills  Hives on face 1 hour after 3rd dose Asthma inflammation - mucous, extreme chest tightness 24-36 hours after 3rd dose; asthma flare-up lasted 2 weeks, Neck lymph nodes swollen, Menstruation (cycle) changed, Inflammation chest cartilage, Constant back aches, Sinus infection with benign positional vertigo
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Migraine, Secretion discharge, Sinusitis, Urticaria, Vertigo positional
Clinical narrative: Fatigue, Migraine, Chills  Hives on face 1 hour after 3rd dose Asthma inflammation - mucous, extreme chest tightness 24-36 hours after 3rd dose; asthma flare-up lasted 2 weeks, Neck lymph nodes swollen, Menstruation (cycle) changed, Inflammation chest cartilage, Constant back aches, Sinus infection with benign positional vertigo
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: This 66 year old woman was admitted with covid and copd exacerbation.  She was treated with steroids and remdesivir and is improved.  Today her lungs have no wheezing and she is off oxygen.  She will be assessed for home oxygen need before discharge.   She has history of PAF and did have a fib during this stay.  She was seen by cardiology.  Echo showed LVEF 35-40% She is on eliquis Further cardiac evaluation is planned as she recovers from covid
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Specialist consultation, Wheezing
Clinical narrative: This 66 year old woman was admitted with covid and copd exacerbation.  She was treated with steroids and remdesivir and is improved.  Today her lungs have no wheezing and she is off oxygen.  She will be assessed for home oxygen need before discharge.   She has history of PAF and did have a fib during this stay.  She was seen by cardiology.  Echo showed LVEF 35-40% She is on eliquis Further cardiac evaluation is planned as she recovers from covid
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE REPORT.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Pruritus, Urticaria
Clinical narrative: Severe Hives on stomach ,arms, on both legs, Burns and itch
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Mental status changes, Pyrexia, Viral sepsis
Clinical narrative: Pt arrived due to fever and altered mental status.  He was found to have COVID and viral sepsis.